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    12 1 Borderline Personality Disorder

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    vanja mihalić
    Borderline Personality Disorder (BPD) is characterized by unstable relationships, shifting self-image, impulsivity, suicidal behaviors, mood swings, feelings of emptiness, anger, and temporary paranoid or dissociative symptoms. It is important to avoid power struggles and be empathetic with those displaying BPD, as their behaviors stem from pain and anxiety. Treatment focuses on psychotherapy rather than medication. When responding to a BPD crisis, emergency responders should listen actively, validate experiences, avoid physical contact if possible, set limits with choices, and maintain control of their own emotions.

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    12 1 Borderline Personality Disorder

    Uploaded by

    vanja mihalić
    42 views30 pages
    Borderline Personality Disorder (BPD) is characterized by unstable relationships, shifting self-image, impulsivity, suicidal behaviors, mood swings, feelings of emptiness, anger, and temporary paranoid or dissociative symptoms. It is important to avoid power struggles and be empathetic with those displaying BPD, as their behaviors stem from pain and anxiety. Treatment focuses on psychotherapy rather than medication. When responding to a BPD crisis, emergency responders should listen actively, validate experiences, avoid physical contact if possible, set limits with choices, and maintain control of their own emotions.

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    Bpd

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    Borderline Personality Disorder (BPD) is characterized by unstable relationships, shifting self-image, impulsivity, suicidal behaviors, mood swings, feelings of emptiness, anger, and temporary paranoid or dissociative symptoms. It is important to avoid power struggles and be empathetic with those displaying BPD, as their behaviors stem from pain and anxiety. Treatment focuses on psychotherapy rather than medication. When responding to a BPD crisis, emergency responders should listen actively, validate experiences, avoid physical contact if possible, set limits with choices, and maintain control of their own emotions.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    42 views30 pages

    12 1 Borderline Personality Disorder

    Uploaded by

    vanja mihalić
    Borderline Personality Disorder (BPD) is characterized by unstable relationships, shifting self-image, impulsivity, suicidal behaviors, mood swings, feelings of emptiness, anger, and temporary paranoid or dissociative symptoms. It is important to avoid power struggles and be empathetic with those displaying BPD, as their behaviors stem from pain and anxiety. Treatment focuses on psychotherapy rather than medication. When responding to a BPD crisis, emergency responders should listen actively, validate experiences, avoid physical contact if possible, set limits with choices, and maintain control of their own emotions.

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    of 30

    Borderline Personality

    Disorder
    Shah Jalees, MD
    The passionate character is believing, powerful,
    active, inspired. It proceeds by a feeling for
    things, and produced by a natural abundance.
    Capacity for work. Keen, enthusiastic, absorbed
    worker

    Anonymous
    The Encyclopedia of Occult Sciences
    What is a personality
    disorder?
    Enduring subjective experiences and behavior
    that deviate from cultural standards and are
    rigidly pervasive and stable through time

    Start in adolescence or early childhood

    Cause impairment in many areas of a person‟s


    life
    Classification of Personality
    Disorders
    Cluster A: (odd) Paranoid, Schizoid,
    Schizotypal personality disorders

    Cluster B: (dramatic) Antisocial, Borderline,


    Histrionic, Narcissistic personality disorders

    Cluster C: (anxious) Avoidant, Dependent,


    Obsessive-Compulsive personality disorders
    Borderline Personality Disorder
    criteria
    Fears abandonment
    Unstable relationships
    Changing self image
    Impulsive sex, spending, etc
    Suicidal/self mutilating behavior
    Mood shifts
    Feels empty
    Anger
    Temporary paranoia/dissociation
    Fears abandonment
    Unstable relationships
    Identity disturbance: unstable self
    image and impulsivity
    Suicidal/self-mutilating behavior
    Mood shifts
    Feels empty
    Anger
    Temporary
    Paranoia/dissociation
    QuickTime™ and a
    decompressor
    are needed to see this picture.
    Important to remember
    The obnoxious and irritating behaviors of
    people displaying various personality
    disorders is a response to their pain and
    anxiety
    Characteristics of BPD
    Often perceived by others as:

    More competent than they feels themselves

    Manipulative

    Evoke reactive feelings in others

    Projective identification
    Treatment
    No curative medication

    The treatment of choice is


    PSYCHOTHERAPY
    Tool kit for emergency
    responder
    Listening skills

    Validation

    Identifying the need

    Avoiding power struggle


    Tool kit for emergency
    responder
    Avoiding physical contact where possible

    Helping them save face

    Honesty

    Being in touch with your own feelings


    Listening skills
    Assume they are competent responsible
    adults

    Ask questions

    Validate their experience

    Assume a non-threatening posture


    Validation
    Does not necessarily imply “agreement” with
    their view of circumstances

    Willingness to accept another persons


    subjective experience

    Attempt to understand how their experience


    “makes sense”
    Avoiding power struggle
    BPD - problematic relationship with parents

    Re-create these problems in interaction with


    authority figures

    Don‟t get pulled into it

    Active listening
    Avoid physical contact
    History of physical/sexual abuse

    Expect authority figures to be abusive

    Touching --> power struggle --> escalation of


    the situation
    Handling self-injurious
    behavior
    Don‟t intervene physically unless absolutely
    necessary

    Focus on the cause of their distress

    Avoid pejorative terms to label their behavior (


    i.e words like crazy, senseless or stupid
    Being honest
    Don‟t offer or threaten anything you can‟t or
    are unwilling to deliver

    Set limits but offer them choices - increases


    their sense of control and helps them save
    face
    Things to avoid
    Being reactive or in a hurry

    Role of an authoritarian „bad parent‟

    Threatening unenforceable consequence

    Promising anything you can‟t deliver

    Physical contact
    Handling extremes of
    emotions
    BPD patients don‟t believe they can control
    themselves

    If you lose control of your emotions --> effect


    is additive

    Conveying you are in control of your emotions


    --> helps them gain control

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