1. BORDERLINE PERSONALITY DISORDER By: Brenda Vazquez, Doua Xiong, Dominique Yang

2. EXPLANATION  Pattern of instability in interpersonal relationships, self- image, and emotions-usually impulsive behavior  Beginning by early adulthood

3. DIAGNOSTIC CRITERIA  Frantic efforts to avoid real/imagined abandonment  Identity disturbance-unstable self-image/sense of self  Pattern of unstable & intense interpersonal relationships  Impulsivity in at least 2 areas that are self self-damaging (ex. Spending, sex, substance abuse, binge eating)

4. DIAGNOSTIC CRITERIA CONTINUED…  Suicidal behavior  Emotional instability  Feelings of emptiness  Intense anger/Difficulty controlling anger  Stress related, paranoid thoughts

5. DIAGNOSTIC FEATURES  Abandonment fears & inappropriate anger when faced with realistic time separation/unavoidable changes in plans May believe the “abandonment” implies they’re “bad” A need to have other people with them  Empathize with & nurture others, but only when expectation that the other person will be there in return to meet their demands Sudden, dramatic shifts in view of others

6. DIAGNOSTIC FEATURES CONTINUED…  Sudden and dramatic shifts in self-image, characterized by shifting goals, values, & vocational aspirations  Self-damaging impulsive behavior & recurrent suicidal behavior

7. PREVALENCE  Median population: 1.6% but may be as high as 5.9%  6% in primary care settings, about 10% among individuals and 20% among psychiatric inpatient  Although it may decrease in older age groups

8. DEVELOPMENT AND COURSE  Borderline Personality Disorder generally starts in early adulthood.  It could start with episodes of serious affective and impulsive dyscontrol, leading to risk of suicide. These episodes are could be life long.  Impairment & suicide greatest in young adult years  Although during their 30’s and 40’s majority of the patients no longer have the pattern of behavior that meets the criteria.

9.  This disorder usually appears in adolescents and young adults.  Gender related: about 75% of patients are females CULTURE-RELATED DIAGNOSTIC ISSUES

11. RISK & PROGNOSTIC FACTORS  Five times more common in first-degree biological relatives w/ the disorder than in a general population.  Meaning: It fades away with every generation.  Risks: generally leads to other disorders such as Bipolar disorder and substance abuse.

12. DIFFERENTIAL DIAGNOSIS  Borderline Personality Disorder generally occurs with depressive and bipolar disorders.  Other personality disorders are often confused with BPD because of similar features. If a patient meets the criteria for multiple personality disorders all may be diagnosed  Must be distinguished from: substance use disorders, personality changes due to medical conditions, & identity problems

13. CASE STUDY  Case study: Brandon Marshall  http://www.youtube.com/watch?v=YsjcyV_Kvp8 http://www.youtube.com/watch?v=YsjcyV_Kvp8

14. GROUP’S PERSPECTIVE  Psychodynamic : This particular disorder could stem as a result of an individuals past. This certain individual could have experienced a large amount of neglect and insecurity growing up resulting in a fear of abandonment and lost of self image.

15. SOLVING  Humanistic: To solve Borderline Personality Disorder, we would recommend taking a Humanistic approach. The reason being, the Humanistic perspective emphasizes on changing thought and behavior with no use of drugs.