Borderline personality disorder is a mood disorder in which a person feels beautiful, successful, happy and valuable, but then suddenly feels very unimportant, worthless, worthless and ugly. It is a personality structure that displays characteristics such as feelings of emptiness, identity confusion, uncontrolled anger reactions, fears of deception and abandonment in private relationships, manipulative behaviors to attract the attention of the other party in relationships, suicide attempts, intimidation, and occasional loss of perception of reality.
They have little tolerance for loneliness, and these people experience a feeling of unfillable emptiness. They always need someone's presence. They become attached to the person they are in a relationship with as if they worship, they make intense efforts to win their love, and when they think that they cannot get anything in return, the person they adore quickly turns into the person they hate. Because their sense of trust is very fragile, they are extremely sensitive to being accepted or rejected by people. . In cases of separation or not getting what is desired, intense anger and other symptoms are experienced. They clearly display their anger towards these people, and then they experience feelings of guilt, regret, and shame, and their feelings of worthlessness, weakness, and badness are reinforced.
They experience extreme fear of abandonment. They constantly struggle with the panic created by the feeling of abandonment. To prevent this, they may resort to methods such as threatening or attempting suicide. Impulsive sexual relationships and frequent change of partners can be observed frequently. They have difficulty controlling their anger.
They experience fluctuations in interpersonal relationships and communication, resulting from the intensity of the need for trust and the belief that they cannot trust at the same level. . Since their first relationships were quite traumatic due to the parent's approach of neglect, rejection, violence or abuse, the basic sense of trust was never felt. Therefore, the expectation that all relationships will bring similar shocking experiences prevails. Directly related to this expectation, relationships become unhealthy with defensive maneuvers displayed to protect oneself.
People always have positive or negative extremes in their perception of other people and situations. Perception is unrealistic. For example, if you ask what your mother is like, she may portray her as completely bad, or she may perceive a certain situation as completely positive and glorify it. Just like in fairy tales, it distinguishes between good and bad and judges accordingly. These extremes are striking for other people who perceive them realistically and neutrally.
The synthesis of their positive and negative aspects could not be made. That's why there is uncertainty about who he is. The search for who one is, specific to adolescence, is intensely experienced in borderline personality. That's why inconsistencies are observed from time to time in the perception of the self.
Two basic impulses; sexuality and aggression are expressed uncontrollably. Aggression may be expressed rawly from the first moments of a newly established relationship, or sexuality may be experienced randomly.
They are most concerned about being deceived and abandoned. Every relationship carries this threat and requires intense self-protection measures. It is more common in women.
A persistent disorder characterized by inconsistency in interpersonal relationships, self-perception, and affect and marked impulsivity, beginning in young adulthood and occurring under a variety of circumstances, characterized by the presence of five (or more) of the following: is a pattern.
1. Fact Makes frantic efforts to avoid a realistic or imaginary abandonment.
2. Tense and inconsistent interpersonal relationships are seen, oscillating between extremes of exaltation and disdain.
3. Identity confusion. There are variations in self-perception and in the understanding of cultural-moral values that are important, and there is an inconsistent self-understanding. use, fast and dangerous driving, sudden overeating, inappropriate sexual behavior that was not previously thought of).
5. Recurrent suicidal behaviors, attempts, intimidation or self-mutilating behavior are observed.
6. In emotional state There is a constant state of emotional lability due to over-reactivity. (periods of anger, sadness, anxiety, joy that follow each other for varying periods of time within hours)
7. He constantly feels empty.
8. Inappropriate, intense anger or the inability to keep his anger under control is observed (e.g. frequent rage, persistent anger, frequent fights)
9. Inability to cope with stress, temporary paranoid thoughts or severe states of trance are observed.
In order to diagnose a personality disorder, the person's most Must be at least 18 years old and have been exhibiting the same behavioral pattern consistently since the age of 15. Identity confusion, substance use, emotional ups and downs, and identity-related searches, especially seen in adolescence, have the feature of being confused with borderline personality. However, in order to call it a personality disorder, there must be a stable and permanent personality pattern.
Why Does Borderline Personality Disorder Occur?
Childhood relationships are decisive. The quality of the relationship the baby establishes with the caregiver (usually the mother) and its form in adolescence constitute borderline personality disorder. When a borderline mother feels worthless, she makes her child feel worthless and makes him go through hell; When he feels good, he praises his child and makes him experience heaven. Bipolar emotional state occurs in this process.
Treatment in Borderline Personality Disorder
It used to be impossible to treat, but with recent developments, successful results are obtained with medication and psychotherapy. However, it is a long and laborious process and requires patience
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