اختلال شخصیت مرزی یا BDP، نوعی بیماری روانی است که با تغییرات شدید در خلق و خو، تصور از خود و روابط مشخص میشود. People with borderline personality disorder have a sensitive and fragile personality and show impulsive, risky and unstable behaviors. Also, people with BPD often experience extreme emotional swings and have trouble regulating their emotions. In this article, we discuss the causes, symptoms and treatment methods of this disorder.
What people are most involved in borderline personality disorder?
People with a history of trauma: Many people diagnosed with BPD have experienced severe trauma in their lives, such as physical or sexual abuse, neglect, or early separation from caregivers. Traumatic experiences can lead to BPD symptoms and problems in emotional regulation.
Genetic and biological factors: There is evidence that BPD can be inherited. People with a family history of BPD or other mental health conditions are more likely to develop the disorder. In addition, some brain abnormalities, such as differences in the structure or function of brain areas involved in emotion regulation, have been observed in people with BPD.
Environmental factors: Environmental factors can play a role in the development of BPD. Disturbed family environments, inappropriate and ineffective parenting patterns, and unstable relationships during childhood can lead to BPD symptoms. Growing up in an environment where one's feelings are ignored may also increase the risk of developing BPD.
Co-occurring mental health conditions: BPD is often associated with other mental health disorders such as depression, anxiety disorders, substance use disorders, and eating disorders. These conditions can complicate the symptoms and challenges faced by people with BPD.
It's important to remember that while these factors are commonly associated with BPD, not everyone who experiences them will develop the disorder. BPD is a complex condition, and its causes are a combination of genetic, biological, and environmental factors.
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symptoms of borderline personality disorder
1. Intense and unstable emotions: People with BPD often experience intense and rapidly changing emotions that can last from hours to days. These people may experience extreme sadness, anger, anxiety, or irritability. These emotional fluctuations can be caused by seemingly minor events and are difficult to control.
2. People with this disorder may have a strong fear of being abandoned or rejected by others. Because of this fear, they may go to great lengths to avoid being alone. For this purpose, they may show impulsive behaviors such as anger and violence or go towards unhealthy relationships.
3. Unstable and distorted image of self and identity: People with borderline personality disorder may have an unstable image of their identity. They may experience and feel changes about their identity over time. The feeling of instability can lead to a feeling of emptiness and identity confusion.
4. Impulsive and self-destructive behaviors: People with BPD may engage in impulsive behaviors such as reckless driving, substance abuse, overeating, or unsafe sex. These behaviors are often used as a way to cope with intense emotions or reduce feelings of emptiness.
5. Unstable and troubled relationships: Unstable and troubled relationships are the main characteristics of people with borderline personality disorder (BPD). People with BPD usually have unstable and unhealthy relationship patterns that can lead to great problems in their personal, family and social relationships.
6. Chronic emptiness: People with BPD may experience constant feelings of emptiness and boredom. They may also feel a deep inner disturbance and a lack of meaning in their lives. This absurdity can lead to impulsive behavior.
7. Intense and inappropriate anger: People with BPD may have trouble controlling their anger. People with borderline personality disorder (BPD) usually have problems controlling their anger and may react inappropriately to situations. Intense and inappropriate anger along with the inability to control it is one of the characteristics of this disorder.
Important Note: It is important to note that not all people with BPD exhibit all of these symptoms, and the severity of symptoms can vary. A diagnosis of BPD requires a persistent pattern of these symptoms that significantly affects a person's functioning.
What is the cause of borderline personality disorder?
Many experts believe that the following factors are effective in the occurrence of borderline personality disorder:
Parents' lack of personality stability
Severe conflicts between parents
Ignoring one's feelings in childhood
parents divorce
Lack of security and attachment in one's childhood
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treatment of borderline personality disorder
1. Talk-Based Behavior Therapy (DBT): This treatment includes group and individual therapy designed specifically for people with borderline personality disorder. The main goal of DBT is to teach skills to manage and control emotions, anxiety and improve relationships.
2. Schema therapy focused on borderline personality disorder: This therapy helps people to identify negative patterns in their life, communication, beliefs and perspectives and to strengthen and develop positive patterns. The main goal of this treatment is to improve the quality of life.
3. Mindfulness-Based Therapy (MBT): This therapy emphasizes thinking before action and helps people understand their feelings and thoughts and change negative patterns.
4. Emotional Predictability and Problem Solving System Training (STEPPS): This therapy is conducted in a group setting and includes family members, friends, and caregivers. The main goal of STEPPS training is to increase emotional predictability and problem solving skills.
5. Transference-based psychotherapy (TFP): In this treatment, the therapist assumes the role of a positive model for the person with borderline personality disorder and helps the person to understand their experiences and feelings more deeply. Specific methods are used in TFP, which include talking sessions, active participation of the person in the treatment process, examining relationships and emotional bonds in the person's life, and paying attention to certain protocols to maintain the boundary between the therapist and the person. This treatment method aims to help a person understand his feelings and personal problems and increase his ability to face them.
There are currently no medications approved by the FDA to treat BPD, but some medications are used to help control symptoms.
Antidepressant drugs
These can help improve depressed mood, anger or impulsivity.
Anti-psychotic drugs
These items may be useful for people who are often disconnected from reality.
mood stabilizers
These prevent mood swings and reduce irritability and aggression.
4 false beliefs about borderline personality disorder
Borderline personality disorder is a type of mental illness that many people think wrongly about it, below are some of the wrong thoughts and beliefs about it:
False belief 1: all people with BDP disorder are victims of child abuse
This belief is completely wrong, BDP can be treated, psychiatrists can reduce the severity of the symptoms of this disease through psychotherapy, and even without treatment the symptoms are reduced in some cases.
People who don't understand this disorder think it happens because of sexual abuse and rape. It must be said that some sick people had this bitter experience and it does not happen to all borderline personality disorder sufferers.
False belief 2: BDP is not seen in adolescents and children
Such an opinion is wrong, because although BDP disorder is seen in adulthood, the roots of this disease are being formed during puberty and childhood.
False belief 3: BDP is the same as bipolar disorder
BDP and bipolar disorder are two completely different things, although they share some of the same symptoms. Therefore, different treatment methods are used to treat each one.
False belief 4: BDP is only seen in women
Old observations showed that such BDP disorder is more common in women, but new statistics indicate that this disease is also seen in men, and the only difference between the two sexes is related to the signs and symptoms that women show symptoms such as mood disorders and feelings of emptiness, while men tend to behave impulsively.
Conclusion
Borderline personality disorder (BPD) is a complex mental health condition characterized by unstable emotions, distorted self-image, difficulty maintaining stable relationships, etc. In this article, we investigated the cause of this disorder, symptoms and treatment methods.