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Post by Sharon Scaria on Mar 27, 2017 9:00:16 GMT -4
I have usually sympathized with patients suffering from borderline personality disorder. I can only imagine how much they suffer when dealing with themselves; the emotional roller coaster they are on is one of the hardest thing to deal with in my opinion. The one part of the article that made me a little concerned was how psychiatrists used to hate dealing with these patients. Compared to the past; patients with BPD are doing much better; but they are still a long way away from leading a “normal” life. I hope that we as physicians try to help patients achieve that goal.
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Post by JessicaJensen on Mar 27, 2017 14:48:38 GMT -4
This article did a really good job of explaining exactly what Borderline Personality Disorder is. I found terms such as “interpersonal tornadoes” and “inner sense of emptiness” to be very telling. I think it gives me a new way to view the disorder and the chaos that it can leave in its wake. I think it is promising that dialectical behavior therapy has been found to be an effective treatment for BPD allowing sufferers to accept themselves and recognize the need for change. DBT permits patients with borderline personality disorder to learn much needed behavioral skills to decrease the stress associated with this diagnosis and decreases the risk of suicide.
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Nadine Mohamed UMHS
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Post by Nadine Mohamed UMHS on Mar 27, 2017 21:33:38 GMT -4
This article was a very interesting read. I can only imagine how difficult it must be to treat patients with this Borderline Personality Disorder, especially since they seem to be all over the place. It must be even more difficult when your close relatives and friends get burnt out and start to walk away. It would be interesting to do studies to show the effects of being a "care giver" to patients with BPD. Do they show physiological changes in the synapses in their brain as a result of being a support system to these individuals? Also I think a more in depth, long term study of the correlation between coming from an abusive background and BPD should be done. And are their cultural differences, whereby a certain behavior in South America, for example, would be considered normal but in North America warrant a possible diagnosis of BPD?
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Post by sierrae on Mar 28, 2017 12:38:42 GMT -4
Borderline Personality Disorder has so many Differential Diagnosis that make it hard to properly diagnose, this may mean needing more time to properly diagnose these patients, which could lead to initial treatment with unnecessary medication or inappropriate counseling. I think also many people do not think they have a mental disorder, but rather blame a bad childhood or parenting for the way they act so they do not as easily seek help. Another hurdle is many people with Borderline Personality disorder do not see a problem with their behavior. I think the discussion between nurture vs nature in accordance to the development of Borderline Personality Disorder is so interesting. In the article it states "The condition is now believed to be 55 percent heritable." Increasingly, the origins of the condition are seen as a classic interplay of nature and nurture. The article also suggest abuse in childhood has a strong correlation with the development of Borderline Personality Disorder pointing towards the nurture side of development of the disorder. This article has good insight from patients with Borderline Personalty disorder I enjoyed reading about how they feel living with Borderline Personality Disorder and how it affects their emotions and life. Dialectical behavior therapy being effective withing the first 6 months of treatment is a great findings for helping to treat patients with Borderline Personality Disorder.
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Post by Omose O on Mar 29, 2017 17:31:46 GMT -4
This is an interesting article, as it sheds some light on BPD. On a lighter note, the hypersensitivity to rejection and paranoia sounds like most of my ex-girlfriends, even though they weren't diagnosed with BPD. I also agree with the idea that some men are romantically drawn to women that display BPD like traits. I can see how BPD can be misdiagnosed for bipolar disorder, given that sudden changes in behavior and interpersonal relationships is at the core of both disorders. The sad part is the fact that these patients lives are affected as they have difficulty maintaining stable relationships and holding down a job for a long period of time. Another interesting point made in the article is the relation of BPD to neurobiological flaws like; an overactive amygdala and a specific short variant of the serotonin transporter, or 5-HTT, gene. The article also states that BPD can be inherited in the form of a tempestuous temperament, although early caretaking/ parenting (not poor parenting specifically), in some way seems to activate it, because parenting these patients is often shaped by the difficult child. Thankfully, the development of DBT will help in the treatment of these patients.
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Post by J Bass on Mar 30, 2017 7:32:39 GMT -4
Borderline personality disorder is a very intense disorder which can be both difficult to diagnose and treat. For Klara her reaction was totally reasonable for what she perceived to have happened so she felt validated in responding that way. This is one of the main factors that make people with this disorder hard to treat. Individuals who suffer from this disorder find it hard to control themselves and often suffer from a sense of feeling empty. Furthermore, people who are diagnosed with Borderline personality disorder have usually had some physical or emotional abuse and hence feel as if people are attacking them or that something is being done to them. This often leads to a need for self-validation and a sense of feeling lost if that validation is not provided. Ultimately, if individuals realize was going on they can realize they need help and be open to getting assistance.
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Post by adebayo on Mar 31, 2017 2:41:31 GMT -4
Borderline personality disorder as we all know when read from our txtbooks is mostly common in those who cannot withstand rejection. This disorder can be difficult to diagnose due to the fact that some people do not even know they exhibit this type of trait or their behavior to be concerning to want to seek help. I reasoned with what said in the article that People who are diagnosed with BPD might have gone through traumatic childhood and abusive parenting that usually result in their hypersensitive to rejection especially if they were never loved or shown affection whiles they were growing up. Some people who are clue less about this disorder may consider the affected person as being a dramatic or classify them as being emotion driven
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Sanju R. Wadhwa - UMHS
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Post by Sanju R. Wadhwa - UMHS on Mar 31, 2017 12:04:30 GMT -4
When I think of someone with Borderline Personality Disorder I think of someone who is overly dramatic or someone that even craves drama but clearly it is pure ignorance on my behalf and many others who greatly misunderstand this disease. This article was enlightening and there were many parts of it that I enjoyed reading. I found it interesting that scientists correlated an over reactive limbic system in the brain which makes senses given that involvement of the amygdala of the brain which is considered the emotional center of the brain and correlates withe the finding of emotional outbursts and an inability to distinguish reality. Given the involvement of the limbic system it makes sense that treatment is focused on psychotherapy rather than medication. Dialectical behavioral therapy helps to with suicidal thoughts and behavior, with behavioral skills, and also with tolerance. This approach and technique seems perfect at is focuses on what is believed to be the source of the issue and I look forward to hearing and reading more about it.
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Post by Seanne Facho on Apr 5, 2017 10:21:29 GMT -4
The way Kiara displayed her reaction fits the criteria for Borderline Personality Disorder. The pattern of ongoing instability of moods, behavior, self image and functioning. The experience often results in impulsive action and unstable relationships. The intense episodes of Anger, depression, Anxiety in Borderline Personality disorder my last few hours to days. They have a fear of rejection assuming people close to them will abandon them. Borderline personality disorder can be misdiagnosed with Bipolar disorder because of episodes of mood swings ranging from depressive lows to manic highs. Dialectical Behavior therapy is a good treatment for Borderline Personality Disorder instead of using medications.
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Post by Josiane Asaba on Apr 5, 2017 10:35:27 GMT -4
"Life is like a ship in a stormy sea without a keel," the phrase used by Dr.Yeomans to describe people with borderline personality disorder. Borderline personalities are characterized more by volatility than by risk. Emotional dysregulation and impulsivity are at the disorder's core. Sufferers swing from happiness to despair to fury, often in minutes, and each feeling is vastly disproportionate to its trigger. This is very hard to watch a love one go through this escalate of emotions. The hardest thing to to know that they are not much in control at what is happening in their brain and the anxiety of not knowing when they will have an episode can be very distressing. I know often than not in every day conversation , people losely say others have borderline personality disorder. They may or may not have as this can only be done clinically after seeing or describing a roller coaster of emotions many patients go through. It is refreshing to know that those who are diagnosed get some form or treatment , or a combination or more than one such as therapy and medication.
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Post by Syed Ali Karim on Apr 6, 2017 21:51:17 GMT -4
If chaos and instability could manifest themselves to the fullest and be everlasting, it would fit the bill of Borderline Personality Disorder 100%. It's such a complex and severe disorder that even psychiatrists themselves shudder and despise the thought of having to treat a patient afflicted by this disease, and it's only for one simple reason; these patients don't want to be helped. What I found compelling and somewhat horrifying is that people who suffer from BPD find stability in chaotic situations, and their emotions fit the phrase "From zero to 60" perfectly". One example that intrigued me was how a girl diagnosed with the disorder was happy to have her significant other in her life and the second she witnessed him speaking to a former flame, she tossed out his belongings the next. However as clinics and researchers have compiled data from case studies, what's being observed that there are potential biological factors that can cause this disease such as a variant of the 5-HTT gene, or inappropriate activity in the portion of the Amygdala. Treatment options are emerging, one in particular being Dialectical Behavior Therapy has shown to reduce risk of suicide in these patients. Maybe future psychiatrists won't be so hesitant to treat Borderline patients as much as they are now as more therapeutic approaches come forth.
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