What is Borderline Personality Disorder?
Borderline personality disorder is a type of personality disorder that is usually characterized by deterioration in interpersonal relationships that occur during puberty, and changes in emotions such as excessive imbalance in the feelings of people.
For example, when a man or woman is very happy in a moment, he feels worthless and unimportant. He believes that no thought that he hopes or imagines will make true. He experiences sudden outbursts and soon regrets it.
Borderline personality disorder is a condition that starts in puberty and it is characterized by inconsistencies in relationships with people, self-perception and sudden impulsive behaviors. Borderline personality disorder occurs in people including 5 of the following situations below.
Borderline Personality Disorder Symptoms
- Making insane efforts to avoid a real or imaginary abandonment
- Inconsistent relationships with excessive value, worthlessness to others, such as over-enlarging, exalting and over-valorizing and discrediting others
- Variations in the self-perception, called identity complexity, in the understanding of cultural-moral values that are given importance.
- Sudden actions such as sudden spending of a lot of money, substance abuse, fast and dangerous driving, multiple eating, unpredictable inappropriate sexual behavior), in two or more situations, with a high probability of self-harm.
- Repeated suicide attempts, suicide threats, self-harm (cutting their own skin with a knife, razor, etc., burning the head with cigarettes).
- The state of continuous emotional variability due to overactivity in emotion (alternating periods of anger, sadness, anxiety, joy during varying hours in hours)
- The person is constantly feeling in the void.
- Inability to control anger (frequent fights, loud insults, screaming).
- Stress-related, transient, self-inflicted thoughts or dissociative symptoms.
Borderline Personality Disorder Treatment
BSD focuses on problems on three main points:
- Variability in interpersonal relationships
- Self-perception and affect
- Marked impulsivity
First of all, their perceptions are vary. A person may feel like a very successful person, but the person may perceive itself as unimportant by showing variability. This variability is reflected in the perception of people. While the person in a relationship with the most wonderful person in the world, he can suddenly become a very bad person. Therefore their relationship is intense and stormy, fluctuations between good and bad are very evident.
How Is Friendship with a Person Having BSD?
Depression is common in people having borderline personality disorder. The fluctuations in mood, such as continuous changes in mood, have raised the question of whether borderline personality disorder should be evaluated in a class of mood disorder (bipolar disorder). In psychiatry, ICD-10 was chosen as emotionally variable personality disorder. Although research on this subject is ongoing, it is currently considered as borderline personality disorder.
How to Help a Person with BSD?
There are many effective ways to help individuals with BPD and their families. Some of these options are below:
Drug Therapy: Drug therapy; It is effective to reduce symptoms of depression, anxiety, restlessness, and paranoid delusions. Drugs can also improve emotion and impulse control; thus, it helps to reduce stress in couple or family life and to develop new interpersonal relationships and stress control through psychotherapy.
Individual Psychotherapy: Psychotherapy usually aims at a continuous personality change. Short-term therapy is used to stop sudden crises. Psychodynamic therapy works to understand a link between early traumatic experiences and the repetition of learned behavior patterns in today’s relationships. Cognitive – Behavioral therapy and Dialectic Behavior Therapy, which is a type of it, are useful for changing negative patterns of thought and gaining new behavior and coping skills.
Group Therapy: This therapy helps to gain and try new interpersonal behavioral skills. Aims to gain awareness about problematic social features and behaviors.
Short Hospitalization: This treatment may be necessary to ensure the safety of the patient during suicide attacks or self-harm attacks. Some hospitals offer short-term intensive treatment programs for borderline personal disorder.
Couple or Family Therapy: Couple therapy aims to correct the couple’s relationship to reduce marital conflict and stress, which may increase the symptoms of BPD. Family Therapy or family education trains family members to develop family communication and problem solutions and to support family members to cope with the problems of their loved ones. Marriage and family therapists can offer useful programs to individuals and family members struggling with the effects of BPD. Family therapists are trained to diagnose BPD and use many of the above treatment methods. Because of their knowledge of family relationships, they help to reduce the harm that BPD causes to the family and to improve marriage and family functions.