Bipolar personality disorder
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Borderline personality disorder (BPD) is a mental health disorder characterized by unstable moods, relationships, self-image, and behavior. People with BPD may experience distorted self-image, feelings of emptiness, anger, impulsiveness, mood swings, self-harm, and suicidal thoughts. BPD often begins in adolescence or early adulthood and can continue for many years if not treated. While there is no single known cause of BPD, factors such as genetics, neurotransmitters, neurobiology, and environmental influences during development may play a role.
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Bipolar personality disorder
- 2. BUT FIRST
- 3. WHAT YOU UNDERSTOOD ABOUT PERSONALITY DISORDER UMMMM……???
- 8. Cont… • First listed as diagnosable illness in 1980 by DSM-III “Borderline personality disorder (BPD) is a mental health disorder that generates significant emotional instability. This can lead to a variety of other stressful mental and behavioral problems.” • begin in adolescence or early adulthood, continue over many years
- 9. BORDERLINE AND CONDUCT DISORDER • On the “borderline” between “neurosis” and “psychosis” • Current trend is to call it “Emotional Intensity Disorder”
- 11. Worthless
- 12. Anger, impulsiveness and frequent mood swings may push others away
- 14. Self harm
- 16. SYMPTOMS • distorted self-image • Worthless • fundamentally flawed • Anger, impulsiveness and frequent mood swings may push others away • Self harm • Suicidal thoughts • Low self esteem
- 17. Cont… • treatable disorder • Not all people who harm themselves have BPD • People with BPD are not ‘bad’ • they are sometimes labeled as ‘bad,‘ ‘manipulative’ or ’attention-seeking’
- 18. CRITERIA IN DSM-IV TR Presence of five or more of the following in many contexts beginning in early adulthood: • Frantic efforts to avoid abandonment • Unstable interpersonal relationships in which others are either idealized or devalued • Unstable sense of self • Self-damaging, impulsive behaviors in at least two areas, such as spending, sex, substance abuse, reckless driving, binge eating
- 19. Cont… • Recurrent suicidal behavior, gestures, or self- injurious behavior (e.g., cutting self) • Chronic feelings of emptiness • Recurrent bouts of intense or poorly controlled anger • During stress, a tendency to experience transient paranoid thoughts and dissociative Symptoms.
- 20. Can look like….. • Schizophrenia – hallucinations, illusions, paranoia • Bipolar Affective Disorder – mood liability and anger • Major Depressive Disorder – suicidal, depressed • Antisocial Personality Disorder – legal problems
- 21. Epidemiology • 2 % of the general population • Females 4 times the rate of males • 11 % of psychiatry outpatients • 25 % of acute psychiatry inpatients • 50 % of long term psychiatry inpatients • 60 % with co-existing Major Depressive Disorder • 7% complete suicide. ( 7 X General population)
- 22. ETIOLOGY
- 23. ETIOLOGY Most experts agree there is not one single cause of borderline personality disorder (BPD). It is likely the condition is caused by a combination of factors. • Genetics • Neurotransmitters • Neurobiology • Environmental factors
- 24. GENETICS
- 26. NEUROBIOLOGY