Question

Imagine that you are counseling someone with a Borderline Personality Disorder; what would be the most difficult therapeutic issues and concerns during sessions? How would you work with someone with BPD?

Answer 1

Borderline personality disorder (BPD) is a psychological disorder in which a person misses a clear awareness of self, has trouble in holding limits in relationships with others and might indulge in episodic acts of self-harm.

Symptoms:-

Individual with BPD might undergo mood swings and show dubiousness about how they see themselves and their part in the world. Due to this, their involvement and belief changes promptly.

Their opinions of other people can also change quickly. A person who is viewed as an acquaintance might be reckoned an enemy the next day and these shifting feelings leads to aggravated and rickety relationships.

Other signs or symptoms may include:

• Misrepresented and volatile self-image or cognizance of self
• Spontaneous and frequently hazardous behaviors, such as unsafe sex, substance abuse, reckless driving etc
• Behavior of Self-harming such as cutting
• Continual notions of behaviors of suicides or threats

Treatments and Therapies

Borderline personality disorder has been viewed as challenging to treat. But many people with the disorder experience fewer or less severe symptoms, and an improved quality of life.

Once the treatment begins many factors affect the length of time it takes for symptoms to improve.

Studies demonstrates that people with borderline personality disorder who don’t get sufficient care are:

Much probably to acquire another prolonged medical or mental health problem

Less likely to get healthy life style quality

It is also connected with a notably high rate of self-harm and suicidal behavior as compared to the generic public.

Some of the options that may be available to a person with borderline personality disorder.

• Psychotherapy - Psychotherapy is the most important kind of treatment for people with BPD. Group sessions led by therapist helps to educate people with BPD how to iterconnect with others and how to effectively express themselves.

Two examples of psychotherapies used to treat borderline personality disorder include:

1. Dialectical Behavior Therapy (DBT)
2. Cognitive Behavioral Therapy (CBT

• Pharmacotherapy and other somatic treatments - pharmacotherapy is used to treat those with symptoms during times of severe decompensation as well as attribute dangers. Symptoms displayed by patients with BPD generally falls down within three behavioral dimensions—

affective dysregulation,

impulsive-behavioral dyscontrol,

and cognitive-perceptual difficulties,

for which particular medicinal aid scheme can be used.