This article makes clear the medical diagnosis for Borderline Personality Disorder and recommends means of coping.

Unlike physical problems, psychological health troubles are a lot more complicated to detect. If you visited to ten different doctors with a broken leg, top ten physicians would tell you that your leg was broken. If you saw top ten psychiatrists with a variety of odd sounding emotional and "undetectable" grievances I would be shocked if you came back with 10 comparable diagnosis. If you mix into this picture small cultural differences, such as the unwillingness in the UK to detect ased opposed to the easy medical diagnosis handed out in the United States, the picture ends up being even more confused.

This is the method that physicians will explain and identify Borderline Personality Disorder.

Borderline Personality Disorder is identified by a long standing pattern of instability in relationships, unpredictable self image and severe impulsivity. It is usually noticeable in very early adulthood and exists in a range of different contexts. It is indicated by 5 or more of the following:.

- Frenzied efforts to prevent actual or envisioned abandonment.
- Re-occurring patterns of unpredictable and extreme relationships characterized by alternating extremes of idealization of an individual and followed by devaluation.
- Unpredictable identification, a constantly unsteady self image and sense of self.
- Impulsivity in at least 2 locations that are self damaging such as hazardous driving, sex, spending, liquor or substance abuse or binge eating.
- Reoccurring suicidal behavior, gestures or risks or self mutilating habits.
- Instability due to sensitivity of mood, such as intense irritation, temper and hostility, dullness or anxiety typically lasting a couple of hours and seldom up to a couple of days.
- Persistent sensations of emptiness.
- Trouble in controlling temper, or intense or unsuitable anger such as reoccurring fights and ongoing misplaced temper.
- Transient and tension related paranoid thinking or extreme dissociative symptoms (losing sense of ourselves and truth) often experienced as sensations of "going bananas" or "out of control".





As you can see it's a serious pathology, which triggers individuals enormous distress. Having actually dealt with many individuals with Borderline Personality Disorder I value exactly how challenging it is to treat. By definition it's part of the "character" and as such is challenging (some would share difficult) to alter; a bit like trying to alter your funny bone.

There are, as always, an array of medications that can help. They appear to work well for some people and not for others. Other interventions that work are the basic, simple ones; things that act to stabilise and streamline instead of to add to the already hectic psychopathology. The top 3 on my list are:.

Consistency.

People who are coping with Borderline Personality Disorder are riding a psychological roller coaster. The last thing they require people around them to do is join in, which paradoxically, is what tends to take place. As hard as it is, (and it is truly hard) it's important not to become part of the psychological roller rollercoaster; to not be drawn into arguments, not to react to insults, rejection or adulation but to continue to be consistent, compassionate and trusted.

Keep It Simple.

Avoid complicated coping mechanisms. Re-enforce a basic message that "sensations are not reality" and "feelings do not remain the same". No matter exactly how bad we might feel, and people who live with Borderline Personality Disorder in some cases feel as bad as it's possible to get and are definitely desperate and suicidal, it's vital to remember that it will not stay the same. All sensations alter.

Deal with The Symptoms.

As Borderline Personality Disorder shifts slowly over extended periods of time it's often useful to focus on linked signs, such as offering ways to handle anxiety and anxiety, ways to take care of suicidal ideation or methods to give up drugs.

Borderline Personality Disorder is not a simple disorder to either diagnose or deal with. It is typically obscured by the high profile signs such as substance abuse or suicide attempts.

If you feel that you, or somebody you know possibly dealing with this personality disorder try to find an expert who has a great deal of experience dealing with it. It typically confounds unskilled professionals who unknowingly get drawn into the troubles instead of stabilising them.





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