Borderline personality disorder is a complex and serious mental disorder due to the severe dysfunction it causes and the high risk of suicide. Borderline personality disorder, which is 3 times more common in women than men, is seen in 2% of the general population.
Individuals with BPD have difficulty controlling their impulses and regulating their emotions. They may exhibit uncontrolled fits of rage, and most of these crises result in self-harming behavior and suicide.
Borderline Personality Disorder Symptoms;
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Persistent feeling of boredom and emptiness
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Avoidance of real or imagined abandonment
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Attachment problems
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Identity confusion; inconsistent self-perception
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Impulsive behaviors that will harm oneself in at least two areas (risky sexual experiences, substance use, spending money, binge eating or purging, risky driving behavior, etc. )
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Tensioned and inconsistent way of establishing relationships (going back and forth between extremes of exaggeration and disdain)
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Repetitive self Harmful and suicidal behaviors
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Inconsistent and constantly fluctuating mood
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Custic way of thinking that comes and goes periodically
Looking at all these symptoms, 'Borderline Personality' is a complex personality disorder that leads to unpredictable, colorful and dangerous relationships.
Who gets it?
Biological factors and gene-environment interaction play a role. When looking at the past of most borderline individuals, they have traumatic childhood experiences.
It is known that 50-70% of them were exposed to sexual, physical and psychological violence and neglect in childhood. Inconsistent parenting, inadequate care, and parental loss or separation at an early age are among the common causes. Individuals who had an insecure attachment to their caregiver during infancy may also be prone to this personality trait.
These individuals, whose spiritual and physical basic care was not adequately provided in their childhood, will suffer from this throughout their lives. They live with deprivation and feel an attraction towards people who trigger these schemas.
According to Young, every individual has certain schemas, whether they are psychologically healthy or not. However, in individuals with borderline personality disorder, 5 of these schemas are in active mode.
Individuals with borderline personality disorder generally continue their lives in a 'detached and protective' mode.
Angry Child Mode: In this mode, the person believes that he/she has been treated unfairly and may act impulsively and rebelliously to get his/her needs met.
Abandoned – Abused Child Mode:Care for him/her. A child who thinks that he or she has been abandoned by those who give him/her feels insecure, lonely and helpless. He tries to be good in order not to be abandoned later in life.
Punitive Parent Mode:The person feels that he and other individuals deserve to be blamed and punished. He feeds these feelings by blaming himself, punishing himself or exhibiting abusive behavior.
Detached Protective Mode:In this mode, the person moves away from the people who cause him pain in order to get away from the painful emotions and devotes all his energy to himself. or may turn to substances such as alcohol and drugs. This mode keeps the person away from other people and emotional bonds.
Healthy Adult Mode: Since this mode is not sufficiently developed in individuals with borderline personality disorder, therapy aims to develop this mode and enlarge the adult side. Healthy adult mode helps the person overcome problems and cope with negative emotions.
TREATMENT
Long-term psychotherapies may work in the treatment of borderline personality disorder, but borderline personality disorder Individuals with this disorder may overestimate their therapists and then tend to devalue them, just like in their relationships. In this case, it may make it difficult for them to continue therapy in a determined and consistent manner. Once a trusting relationship is established, psychotherapy and drug treatment should occur simultaneously. Recently, the schema therapy method has also been shown to be very effective in borderline personality disorder. It is known that it is clay.
A borderline does not grow easily. It is necessary to process the trauma step by step, to the heart of a fresh person.
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