![]() ![]() ![]() There is no definitive medical test to diagnose BPD, and a diagnosis is not based on one specific sign or symptom. Specifically, the portions of the brain that control emotions and decision-making/judgment may not communicate optimally with one another. The emotional regulation system may be different in people with BPD, suggesting that there is a neurological basis for some of the symptoms. People who experience traumatic life events-such as physical or sexual abuse during childhood or neglect and separation from parents-are at increased risk of developing BPD. While no specific gene or gene profile has been shown to directly cause BPD, research suggests that people who have a close family member with BPD may be at a higher risk of developing the disorder. The causes of BPD are not fully understood, but scientists agree that it is the result of a combination of factors, including: Severe cases of stress can also lead to brief psychotic episodes. Dissociative feelings-disconnecting from your thoughts or sense of identity or “out of body” type of feelings-and stress-related paranoid thoughts.Inappropriate, intense or uncontrollable anger-often followed by shame and guilt.Chronic feelings of boredom or emptiness.Periods of intense depressed mood, irritability or anxiety lasting a few hours to a few days.Self-harming behavior including suicidal threats or attempts.Impulsive behaviors that can have dangerous outcomes, such as excessive spending, unsafe sex, reckless driving, or misuse or overuse of substances.Distorted and unstable self-image, which affects moods, values, opinions, goals and relationships.This is also sometimes known as "splitting." Unstable personal relationships that alternate between idealization (“I’m so in love!”) and devaluation (“I hate her”).Frantic efforts to avoid real or imagined abandonment by friends and family.According to the Diagnostic and Statistical Manual diagnostic framework, some key signs and symptoms may include: People with BPD experience wide mood swings and can feel a great sense of instability and insecurity. Recent research suggests that men may be equally affected by BPD, but are commonly misdiagnosed with PTSD or depression. Nearly 75% of people diagnosed with BPD are women. ![]() It’s estimated that 1.4% of the adult U.S. ![]() Struggling with self-regulation can also result in dangerous behaviors such as self-harm (e.g. This difficulty can lead to impulsivity, poor self-image, stormy relationships and intense emotional responses to stressors. This means that people who experience BPD feel emotions intensely and for extended periods of time, and it is harder for them to return to a stable baseline after an emotionally triggering event. Weight Gain Related to Psychiatric TreatmentsĮCT, TMS and Other Brain Stimulation Therapiesīorderline Personality Disorder (BPD) is a condition characterized by difficulties regulating emotion. What to Avoid with Psychiatric Medications Methylphenidate or Dexmethylphenidate (Concerta, Ritalin and others) Other opportunities may include holistic therapies, like yoga or music therapy, as well as mindfulness training and wellness education.Dextromethorphan and Bupropion (Auvelity) Or, if you are not in crisis, you may start your treatment as an outpatient.Īt our Cleveland, OH-area facility, both inpatient and outpatient services typically offer individual, group, and family therapy, along with medication management. When you no longer require constant medical monitoring, you may step down to outpatient mental health treatment. If you’re experiencing severe symptoms, especially if you are a threat to yourself or others, you may be recommended for inpatient mental health treatment. CBT can help you learn new ways to interact with others while teaching you skills to manage your emotions. Specifically, Cognitive Behavioral Therapy (CBT) helps people with BPD challenge their core beliefs and negative patterns of thinking. Medication is usually prescribed in conjunction with psychotherapy, sometimes called talk therapy. People with BPD may benefit from antidepressants or mood stabilizers to help with extreme mood swings. There’s no one medication that is specifically made to treat BPD, but medication can often help relieve symptoms and treat other co-occurring illnesses, like depression. When you seek treatment, you may be prescribed therapy, medication or, likely, both. With treatment, people who have BPD can live healthy, productive, and fulfilling lives. What Does Borderline Personality Disorder Treatment Look Like? ![]()
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