Borderline Personality Disorder (cont.)
Where to can I get more information on borderline personality disorder?
Borderline Personality Disorder Research Foundation
340 West 12th Street
New York, NY 10014
Phone: 212-421-5244
Fax: 212-421-5243
Email: BPDRF.USA@Verizon.net
Web site: http://www.borderlineresearch.org
Borderline Personality Disorder Resource Center
New York Presbyterian Hospital -- Westchester Division
21 Bloomingdale Road
White Plains, NY 10605
Phone: 1-888-694-2273
Email: info@bpdresourcecenter.org
Web site: http://www.bpdresourcecenter.org/index.htm
Borderline Personality Disorder Resources.net
Web site: http://www.bpdresources.net
Borderline Personality Disorder Today
Web site: http://www.borderlinepersonalitytoday.com
National Alliance on Mental Illness (NAMI)
Colonial Place Three
2107 Wilson
Boulevard Suite 300
Arlington, VA 22201-3042
Phone: 1-800-950-NAMI
1-800-950-6264 hotline for help with depression
703-524-7600
Fax: 703-524-9094
TDD: 703-516-7227
Email: info@nami.org
Web site: http://www.nami.org
National Education Alliance for BPD
PO Box 974
Rye, New York 10580
Web site: http://www.neabpd.org
National Institute of Mental Health (NIMH)
6001 Executive Boulevard
Room
8184, MSC 9663
Bethesda, MD 20892-9663
Phone: 1-866-615-6464 toll-free
301-443-4513
Fax: 301-443-4279
TDD: 1-866-415-8051 toll-free
Email:
nimhinfo@nih.gov
Web site: http://www.nimh.nih.gov
- Borderline personality disorder is a personality disorder characterized by consistently
problematic ways of thinking, feeling, and interacting.
- BPD is associated with unstable self-image, feelings, behaving, and relating to others.
- BPD affects 6% of adults, men as often as women.
- Antisocial personality disorder in adults, substance abuse problems in men, eating disorders in women, and anxious and odd personality disorders in adolescents tend to co-occur with BPD.
- There has been some controversy about whether or not BPD is its own disorder or a variation of bipolar disorder, but in many countries, there is more agreement on the existence of BPD.
- Like most other mental disorders, it is understood to be the result of a combination of biological vulnerabilities, ways of thinking, and social stressors (biopsychosocial model).
- BPD sufferers are more likely to have a learning problem or certain temperaments as children, or to come from families of origin where divorce, neglect, sexual abuse, substance abuse, or death occurred.
- In order to be diagnosed with BPD, the sufferer must experience at least five of the following symptoms: unstable self-image, relationships or emotions, severe impulsivity, repeated suicidal behaviors or threats, chronic feelings of emptiness, inappropriate anger, trouble managing anger, or transient paranoia or dissociation.
- As with other mental disorders, there is no specific definitive test, like a blood test, to diagnose BPD. Therefore, practitioners conduct a mental-health interview that looks for the presence of the symptoms previously described and usually explore the person's history for any medical problem that may show symptoms of the disorder.
- Psychotherapy approaches that have been helpful in treating BPD include dialectical behavior therapy, cognitive behavioral therapy, interpersonal therapy, and psychoanalytic psychotherapy.
- The use of psychiatric medications like antidepressants, mood stabilizers, and antipsychotics may be useful in addressing some of the symptoms of BPD but do not manage the illness in its entirety.
- Partial hospitalization can help treat BPD by providing frequent supervision and assessment in a safe environment, while allowing the sufferer to go home each evening.
- The presence of BPD tends to worsen the symptoms of other mental illnesses and increase the risk for self-mutilation, as well as for attempting or completing suicide.
- People with BPD are at somewhat higher risk for engaging in violent behavior. That risk is further increased when
the individual with BPD also is suffering from antisocial personality disorder, has
a previous history of violent behavior, frequently uses sedative medications, or experiences several changes in their psychiatric medications.
- How well or poorly people with BPD progress over time seems to be influenced by the severity of the symptoms, the individual's current personal relationships, as well as whether or not the sufferer has a history of being abused as a child.
- Steady employment or school status once symptoms of BPD subside (remit) tends to protect BPD sufferers from experiencing a future relapse.
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