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borderline personality disorder causes Archives - Suzanne Wallach

Does My Husband Have Borderline Personality Disorder Test?

Borderline Personality Disorder Test

Borderline personality disorder (BPD) is a chronic mental health condition that is listed in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). BPD is characterized by “a pervasive pattern of instability and hypersensitivity in interpersonal relationships, instability in self-image, extreme mood fluctuations, and impulsivity…often [causing one to] struggle with relationship issues, lack self-esteem, have a poor self-image, and have an inability to appropriately self-regulate.” A hallmark of BPD is a pattern of instability in personal relationships. As is explained by Harvard Medical School, “People with borderline personality disorder have a deep fear of abandonment… they compete for social acceptance, are terrified of rejection and often feel lonely even in the context of an intimate relationship.” If you are concerned that your husband may be struggling with borderline personality disorder it is helpful to learn about the common signs and symptoms, as there is no specific test for BPD.

Signs and Symptoms

For diagnostic purposes, the DSM-5 list nine primary symptoms for borderline personality disorder. Five of the nine must be detected before a mental health professional can make a diagnosis of BPD, although it is common for sufferers to demonstrate more than five. The nine symptoms are:

  1. Strong, largely irrational fears of abandonment accompanied by frantic, desperate efforts to avoid it.
  2. In the context of relationships, alternating periods of idealization (intense love and admiration) and devaluation (feelings of revulsion and disillusionment).
  3. Persistently unstable self-image and sense of identity.
  4. Impulsivity in at least two areas that can cause damage to self or others (e.g., reckless spending, substance abuse, binge eating, compulsive gambling, unsafe driving, etc.).
  5. Episodes of acute emotional disquiet (irritability, anxiety, or anguish) that last for hours or days.
  6. Chronic feelings of emptiness, meaninglessness, and low motivation.
  7. Explosive, intense bursts of uncontrollable anger.
  8. Outbreaks of dissociative symptoms marked by extreme paranoia, suspicion, and a disconnection from reality.
  9. Suicidal threats and actions and self-harming behavior (e.g., cutting, burning, pulling out hair, scratching the skin until it bleeds, etc.).

The overall symptomatic profile for borderline personality disorder is largely the same for men and women. Nevertheless, there are some differences in the way the symptoms of BPD manifest in the two genders. In general, men with BPD are:

  • Highly sensitive to criticism, and aggressive in response to perceived insults.
  • Overly controlling in relationships.
  • Intensely jealous and possessive.
  • Quick to become disillusioned with others, and openly expressive of their contempt.
  • Subject to instantaneous mood changes.
  • Excessively irritable and prone to episodes of explosive anger.
  • Likely to compensate for feelings of inadequacy through risky, dangerous behavior.

BPD is notorious for being an incredibly challenging mental health disorder to both diagnose and treat. This is partly because BPD symptoms often mimic those of other mental health disorders (e.g., histrionic personality disorder, narcissistic personality disorder, bipolar disorder, etc.). Therefore, the only way to truly know whether someone has borderline personality disorder is to undergo a comprehensive evaluation that is conducted by one or more qualified mental health professionals.

Treatment In Calabasas

Calabasas is a city in California. It is a well-known suburb of Los Angeles, located west of the San Fernando Valley and north of the Santa Monica Mountains. Over the past decade, the city of Calabasas has grown in its reputation for luxury as well as for privacy which makes it a hidden gem for residential living for society’s elite, and one of the most desirable destinations in Los Angeles County. It is also home to a plethora of highly qualified mental health clinicians providing an array of therapeutic services and treatment options.

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health. As such, please do not use any material provided above to disregard professional advice or delay seeking treatment.

Coping With Pregnancy And BPD

Coping With Pregnancy And BPD

Borderline personality disorder (BPD) is listed in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) as a chronic mental health disorder. It characterized by a pervasive pattern of instability in interpersonal relationships, self-image issues, difficulty managing emotions and behaviors, and an inability to appropriately self-regulate. The symptoms that manifest because of borderline personality disorder often mimic those of other mental health disorders such as histrionic personality disorder, narcissistic personality disorder and bipolar personality disorder. Individuals with borderline personality disorder feel prolonged, intense emotions and are unable to return to a neutral emotional baseline after facing an emotionally charged experience in a timely manner. This can affect all areas of one’s life as the duration it takes an individual with BPD to process, integrate, and recover from emotional challenges is elongated. Further, the symptoms associated with borderline personality disorder can interfere with an individual’s ability to function optimally in his or her daily life.

Impact Of BPD In Pregnancy

To effectively cope with pregnancy and BPD it is helpful to be aware of some of the effects that can occur when these two conditions coincide. Women with borderline personality disorder during pregnancy are faced with additional challenges, as risk of certain complications increase, and BPD symptoms influence various aspects of pregnancy. For example, leading experts assert “Women with borderline personality disorder during pregnancy have been found to be at increased risk of gestational diabetes, premature rupture of the membranes, chorioamnionitis, venous thromboembolism, caesarian section and preterm birth.” It is not uncommon for women with BPD to experience distress when touched. The anticipation of birth is often perceived as traumatic, and women will frequently request early delivery. 

What To Do

Pregnancy is a major period of transition in one’s life that is filled with wide ranging emotions. Along with the typical strains and stressors that can accompany pregnancy, individuals that simultaneously struggle with managing symptoms of BPD while pregnant are at increased risk of encountering avoidable challenges. Fortunately, there are a variety of ways to help woman with BPD navigate her pregnancy and manage her symptoms. Consider the following suggestions:

  • Minimize the number of people caring for the pregnant woman: leaning on the same person or small group of people during the pregnancy can be helpful for women with BDP, as continuity of caretaker/s provides consistency and familiarity. 
  • Encourage the pregnant woman to identify and seek practical and/ or emotional support services.
  • Urge the pregnant woman to focus on making healthy daily choices (e.g., eating nutritiously, establish good sleeping patterns, etc.).
  • Engaging in regular exercise can be advantageous, as it promotes the release of endorphins and increases serotonin levels.

Although for some women with borderline personality disorder, the idea of getting pregnant may seem outlandish or dangerous, it is important to note that with the proper support, a woman with BPD is fully capable of having a perfectly healthy pregnancy. 

Disclaimer: 

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health. As such, please do not use any material provided above to disregard professional advice or delay seeking treatment. 

Are Binge Eating and Borderline Personality Disorder (BPD) Connected?

Are Binge Eating and Borderline Personality Disorder (BPD) Connected?

Borderline personality disorder (BPD) is listed in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) as a chronic mental health disorder. It characterized by a pervasive pattern of instability in interpersonal relationships, self-image issues, and difficulty managing emotions and behaviors, which interfere with one’s ability to function in everyday life. Although there is no single cause of borderline personality disorder, the National Institute of Mental Health (NIH) alludes to research that “suggests that genetics, brain structure and function, and environmental, cultural, and social factors play a role, or may increase the risk for developing borderline personality disorder.” Akin to BPD, the exact cause behind why individuals develop eating disorders remains unknown, but research has found that it is likely due to a combination of psychological, biological, and environmental factors. 

 

Binge eating disorder (BED) is listed in the Diagnostic and Statistical Manual for Mental Disorders, Fifth Edition (DSM-5) as a severe, life-threatening eating disorder. According to National Eating Disorder Association (NEDA), it is characterized by “recurrent episodes of eating large quantities of food (often very quickly and to the point of discomfort); a feeling of a loss of control during the binge; experiencing shame, distress or guilt afterwards and not regularly using unhealthy compensatory measures (e.g., purging) to counter the binge eating.” Binge eating disorder is currently known to be the most common eating disorder in the United States.

 

Are They Connected?

Yes, binge eating, and borderline personality disorder are connected. More so, research has found an undeniably strong relationship between borderline personality disorder and dysregulated eating behaviors, such as binge eating. The symptoms of BPD often result in reckless and hasty actions, negatively affecting one’s relationships. Some highly regarded professionals in the mental health field suggest that it may be that the symptoms of BPD play an active role in the development of binge eating disorder. For example, common symptoms of BPD such as chronic impulsivity and urges to self-harm could lead to an individual engaging in detrimental eating behaviors, which would subsequently increase one’s susceptibility for developing an eating disorder. Conversely, engaging in dysregulated eating behaviors may cause an individual to experience overwhelming stress, which may trigger BPD in someone with a genetic vulnerability for the disorder. The prevalence of eating disorders is about 6 to 11% in those with borderline personality disorder, which is far greater than individuals with an eating disorder in the general public that amount to an approximate 2 to 4%. Hence, the rate of BPD in people with eating disorders is notably elevated when compared to the general population.

 

Disclaimer: 

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health. As such, please do not use any material provided above to disregard professional advice or delay seeking treatment. 

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