BPD Criteria for a Diagnosis
Chronic feelings of emptiness. Emotional instability in reaction to day-to-day events (e.g., intense episodic sadness, irritability, or anxiety usually lasting a few hours and only rarely more than a few days) Frantic efforts to avoid real or imagined abandonment.
Borderline personality disorder is a mental illness that severely impacts a person's ability to manage their emotions. This loss of emotional control can increase impulsivity, affect how a person feels about themselves, and negatively impact their relationships with others.
ICD-10 code F60. 3 for Borderline personality disorder is a medical classification as listed by WHO under the range - Mental, Behavioral and Neurodevelopmental disorders .
There's no specific test for BPD, but a healthcare provider can determine a diagnosis with a comprehensive psychiatric interview and medical exam. After that, you can get appropriate treatment and begin to manage your symptoms better and move forward in your life.
The most popular and most effective form of therapy for BPD is dialectical behavioral therapy (DBT). This form of therapy was created for people with borderline personality disorder in mind. If you've been diagnosed with BPD, know that you're not alone.
DBT is considered the gold standard treatment for borderline personality disorder, but is also applied to substance abuse, bingeing, and other problems which include emotion dysregulation.
Quiet borderline personality disorder, or quiet BPD, is a classification some psychologists use to describe a subtype of borderline personality disorder (BPD). While many symptoms of BPD can manifest outward (such as aggression toward others), individuals with quiet BPD may direct symptoms like aggression inward.
Individuals with Borderline Personality Disorder (BPDs) become overwhelmed and incapacitated by the intensity of their emotions, whether it is joy and elation or depression, anxiety, and rage. They are unable to manage these intense emotions.
Another hallmark of borderline personality disorder is having a favorite person—usually a family member, romantic partner, or someone in a supportive role, such as a teacher or coach. For someone with this type of BPD relationship, a “favorite person” is someone they rely on for comfort, happiness, and validation.
The 3 C's are: I didn't cause it. I can't cure it. I can't control it.
Things that can indicate an episode is occurring: Intense angry outbursts. Suicidal thoughts and self-harm behavior. Going to great lengths to feel something, then becoming increasingly avoidant and withdrawn.
DBT is the most studied treatment for BPD and the one shown to be most effective. Mentalization-based therapy (MBT) is a talk therapy that helps people identify and understand what others might be thinking and feeling.
Some experts have speculated that BPD symptoms decline because the symptoms naturally “burn out” or that people simply grow out of the symptoms as they mature. In particular, research has shown that the impulsivity symptoms of BPD are the most likely to decline over time.
First-line treatment for BPD is psychotherapy [5-7]. Psychotropic medications are used as adjuncts to psychotherapy, targeting specific BPD symptom clusters. Adjunctive use of symptom targeted medications has been found to be useful [8].
When stressed, people with borderline personality disorder may develop psychotic-like symptoms. They experience a distortion of their perceptions or beliefs rather than a distinct break with reality. Especially in close relationships, they tend to misinterpret or amplify what other people feel about them.
Feelings are the principal value for the borderline person. Norms are inauthentic because they disregard the intimate feelings of the person whose behaviour they are meant to inform and orient.
Borderline personality disorder (BPD) can be hard to diagnose because the symptoms of this disorder overlap with many other conditions, such as bipolar disorder, depression, anxiety, and even eating disorders.
Having quiet borderline personality disorder (BPD) — aka “high-functioning” BPD — means that you often direct thoughts and feelings inward rather than outward. As a result, you may experience the intense, turbulent thoughts, emotions, and behaviors that characterize BPD, but you try to hide them from others.
Personality disorders, including borderline personality disorder, are diagnosed based on a: Detailed interview with your doctor or mental health provider. Psychological evaluation that may include completing questionnaires. Medical history and exam.
Splitting is a psychological mechanism which allows the person to tolerate difficult and overwhelming emotions by seeing someone as either good or bad, idealised or devalued. This makes it easier to manage the emotions that they are feeling, which on the surface seem to be contradictory.