Borderline Personality Disorder
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- Опубликовано: 14 май 2019
- During the course of a lifetime as many as 1 in 16 people will experience the Borderline Personality Disorder with the prevalence nearly the same in men as in women. Unfortunately the name misrepresents the underlying abnormality and leads to a fair degree of confusion as to what it actually represents. A more illuminating name, accepted in Europe and throughout the rest of the world, is Emotionally Unstable Personality Disorder.
The condition initially manifests during the late teens to early 20s. Among the major indicators are intense mood swings within minutes to hours. These occur in response to changes in the person’s interactions with others or perceived slights. The resulting anger or dislike undermines relationships at home, work or during social engagements. While these individuals demonstrate marked sensitivity to criticism, they intensely fear abandonment and often inappropriately react to situations with inappropriate rage and uncontrollable anger.
Impulsive behaviors manifest as reckless spending, unrestrained driving, excessive alcohol or substance use and perhaps indiscriminate sexual activities. They often engage in self-injurious behavior principally as “cutting” but sometime as biting or burning. Boredom and emptiness increase the risk of suicide which appears as relatively common among these individuals.
As if the core symptoms of Borderline Personality Disorder were not sufficient, these individuals experience a significant risk of anxiety, depression, substance abuse, PTSD and eating disorders. And to make matters even more dire, the majority will also manifest characteristics of other personality disorders including features suggestive of the antisocial, narcissistic, paranoid, schizoid and obsessive compulsive types.
In many the symptoms persist throughout life but may vary in intensity or may seem to wax and wane in intensity. Not all of the symptoms appear in any given individual. Diagnosis may be quite difficult since none of the symptoms are specific for this disorder and many people, especially men, never engage with a mental health professional. Even worse, the diagnosis may vary significantly between different providers.
Treatment remains problematic. Many individuals fail to view their condition as problematic and fewer still demonstrate the capacity for engaging in long term psychotherapy. Drug treatment appears minimally effective and then only for complications such as depression or anxiety. Long term dialectic behavioral therapy is the current in vogue treatment with relatively few providers available to care for these individuals. Fortunately with appropriate care, long term improvement frequently develops.
man has great skin
I just recently got diagnosed and it’s been hard. It definitely takes a large weight off of my shoulders but without a strong support system it’s difficult to deal with. Thanks for this informational video, hope to see some more on this topic.
same. ive read a few books on it and it really helped me alot
A wealth of info here. The Dr. is the best.
Very comprehensive account! Thank you Doctor!
Thank you very much for this!
I have BPD with OCD symptoms and this video was very eyeopening and helpful for me.
Great videos! Lots of information and easy to understand
Once again another incredible video
Excellent. Thanks.
I’m 100% positive I’m Borderline. The doctor wouldn’t give me the diagnosis because I wasn’t acting a certain way in his office. I was so angry I have been a psychiatric nurse for 14 years so I know what borderline is. I really need the diagnosis so I can get the therapy to help me. Borderline disorder has ruined my life
Same!!! They told me I don't have it because I have no criminal record!
@@heathernikki5734 wtfff
@@heathernikki5734 that's insane
@@heathernikki5734 they shouldn't work un mentally health then cus they're clearly mixing it up with psychopathy. Which is not the fucking same... grrr. ..
Wonderful breakdown of this disorder….. don’t we all know someone like this?
Brilliant video Doctor, Am suffer from BPD but I don't care very much about abandons and my emphaty is switched off to some people and I think because is cluster b I have some aspd traits,very hard to get a proper diagnos because of that, you provide so rich info Doctor Cheers .
Hello. You are very good. What kind of doctor are you?
Kind Regards.
I have it. Well explained
I would be interested to see studies of the overlap between Borderline Personality Disorder diagnoses and reaction sensitivity in ADHD patients. In the ADHD field some treat reaction sensitivity with Clonidine or Guanfacine, looking for self reported life changing results within weeks, and some psychiatrists that treat BPD patients also have had success with these drugs. The physiological mechanisms for reaction sensitivity in both ADHD patients and BPD patients seem to be similar. This would seem to imply a neurological/physiological component that perhaps is significant and should be a focus of treatment, in addition to the skill building therapy. If you’ve seen a BPD episode, you know that the person’s physiological stress response (going between fight and flight until they dissociate) to the stimuli or perceived stimuli often overrides their ability to reason or really apply coping skills; there seem to be medications that can help diminish the physiological reaction to give the person the chance to access their coping skills.
Like all challenges, if this one was approached at a spiritual level, rather than a clinical one, there would be some hope. Not to detract from your very good analysis of the condition.
Church and spirituality did nothing for me
DBT works.
@@wrxstigrl what is DBT ?
@@lecomte7671 dialectical behavior therapy, there's some good books on Amazon that teaches some techniques
My grandma and mom had it. Me and my five siblings were put up for adoption at different homes and we all developed it... Three of us head trauma. Two were raised really well. Its genetic
I just read that Dr. Landow passed away back in 2022. May he rest in peace
How sad. He was a very smart man. RIP 😢
what medication works for this trouble please ??
Jodi Arias and Shana Hubers
Paroxetine 40 every morning change my life
I’m scared to take it but I’m prescribed it
Lie... I M💔💤♠️
I don’t agree with what he said about the self harm aspect, Because I have had lots of borderline patients and they did self harm for attention. I never saw any of them self harm as a punishment
Self harm is not just about cutting your skin, I never do that. I was diagnosed with it and the kind of self harm is when I remember situations that make me mad at myself and I always end up hitting my hand into the nearest wall or solid thing, digging my nails into my skin. None of it leaves any kind of marks but it’s what happens to me when my brain reminds me of situations that leave me ashamed of myselfZ
@@sandymekky154 same
I do it for both reasons
'These people' is a very dehumanising phrase.
Not really he’s just referring to a group of people I don’t think he meant in a derogatory way but I could see how it might seem that way
“These people” is putting it mildly
midcentury american you’d rather them be more dehumanised?
Layered Hollister Polos and what kind of chav scruff wears Hollister.
Layered Hollister Polos you offend me