Borderline Personality Disorder
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Borderline Personality Disorder is a serious mental disorder. It is characterized by an intense emotional dysregulation that creates a complex and dysfunctional cluster of symptoms that creates the following forms of dysregulation: instability in emotion regulation (emotional), difficulties in impulse control (behavioral), difficulties in interpersonal relationships, and disturbance in sensation of self, paranoid ideas, disconnection (cognitive).
The mental state of the person with borderline personality disorder presents the following characteristics:
✓ Self-destructive impulsivity with behaviors such as spending money, substance abuse, unsafe sex, overeating, dangerous driving, etc.
✓ Intense and unstable interpersonal relationships (family, friends, loved ones), which are characterized by alternating between idealization (extreme closeness and love) and devaluation (extreme dislike or anger).
✓ Manifestation of suicidality with repeated self-destructive behavior or suicidal ideation or threats of self-destructive behavior or self-injurious behaviors (e.g. cutting, burning, etc.).
✓ Aggressive attempts to avoid real or imagined abandonment.
✓ Intense anger or difficulty controlling anger.
✓ Transient and stress-related paranoid ideas and/or dissociative symptoms.
✓ Disturbed and unstable self-image.
✓ Intense mood swings.
✓ Chronic feeling of emptiness.
Borderline Personality Disorder is a particularly painful, complicated and difficult condition for the person who has it and for those close to them. Its treatment is a challenge. For the majority of people, the main option is psychotherapy and/or in combination with the administration of medication to treat the symptoms of borderline or other coexisting disorders (depression, anxiety, etc.). One of the most systematically applied and effective treatment models is Dialectical Behavioral Therapy.
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Frequently asked questions
What is psychotherapy?
Psychotherapy is the treatment of psychological issues and mental disorders carried out mainly through discussion and communication between the therapist and the patient, rather than through the use of pharmaceuticals or other medical and biological methods. There are different types of psychotherapy: individual, group, couple and family. Psychotherapy is a systematic approach to understanding mental health problems and a method of dealing with psychological problems and difficulties. It is based on clinically proven theories, good clinical practice with the application of specific techniques and interventions to address the causes of psychological problems, and is supported by empirical data. According to the British Psychological Society, psychotherapy is considered an additional qualification for someone already working as a psychologist or psychiatrist. To specialize in psychotherapy, training in a specific psychotherapy model is necessary. There are different approaches to psychotherapy for a psychiatrist and a psychologist (e.g. psychoanalytic, cognitive-behavioral, systemic, etc.).
What is the difference between a psychiatrist and a psychologist?
Many people confuse and equate the role of a psychologist with that of a psychiatrist, since both are mental health professionals. However,there are significant differences. A psychiatrist is a doctor, that practices the medical specialty of Psychiatry and can prescribe medication to relieve discomfort and treat mental health disorders, whenever it is required. Psychiatry is a specialized category of medicine that includes the prevention, diagnosis, treatment and research of mental disorders. Psychiatry differs from psychology in that it approaches emotional and behavioral problems using a medical model. A psychologist is not a doctor and cannot prescribe psychotropic medication. However, in many cases the two specialties can work together and help to deal with psychological difficulties.
Is there a possibility that I might need medication?
There is a possibility that, after the evaluation and in the context of the therapeutic planning, the therapist could also propose collaboration with a psychiatrist for the administration of medication. The answer to the question: “Is there a possibility that I might need medication?” is not simple. Prescribed medication is necessary in specific disorders and is useful in cases where the person is in a period of exacerbation of a certain problem. Cognitive Behavioral Therapy is combined with pharmacotherapy in specific cases for better therapeutic results and until there is a remission of the unpleasant symptoms. Medication is not helpful in personal difficulties that are not due to the existence of a mental disorder and in functioning problems that exist in the personality level.
Will treatment help me?
There is a possibility that, after the evaluation and in the context of the therapeutic planning, the therapist will also propose collaboration with a psychiatrist for the administration of medication. The answer to the question: “It may be normal to have some misgivings about whether to start treatment because there are doubts about the prospect of improvement and fears about the process and the impending change. That’s why some clients go into the process of postponing (“It’s not the right time”) or avoiding altogether. The truth is that you cannot be sure in advance whether the treatment will help you. There is no such thing as a “right time”, and any delay can exacerbate any difficulty. However, it is worth giving yourself the opportunity to try and do something that can bring about a significant change in your life, as this is a highly effective treatment that has helped many people. Finally, if you have decided that that the desired changes are not there, you can stop.
Can I stop before the treatment is completed?
Some people stop treatment without completing it. This can be due to several reasons. For example, some patients stop treatment when initial goals have been met and they feel better, or conversely, when they believe there is no improvement and they are not doing well enough. Improvement is gradual and comes with time and effort. Changes occur upon completion of the treatment. When there are similar concerns and thoughts it would be beneficial and helpful to discuss them in therapy.
What happens when there is a lack of improvement?
There is also the possibility that a long period of time may pass without progress (no change in your thoughts and mood). In this case it will be necessary to: investigate the possible problems that may have arisen within the therapeutic relationship, deal with the behaviors that hinder the therapeutic process, review the interpretation and the plan for each case, and choose different techniques and interventions that best meet your specifics.
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Konstantina P. Google
She helped me a lot and luckily I overcame the problems I was facing.
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