Borderline Personality disorder Flashcards
Which therapy is used for BPD?
Dialectical Behaviour therapy
Features of anankastia?
Perfectionism incl concern with rules, norms of right and wrong, details, hyper-scheduling, orderliness, neatness. Emotion and behavioural constraint including rigid control over emotional expression, stubbornness, risk-avoidance, perseveration, deliberateness
Pervasive patterns in BPD?
Instability of interpersonal relationships, self image, affects, marked impulsivity
What marked impulsivitiy features are there in BPD?
Frantic efforts avoid real or imagined abandonment
unstable + intense interpersonal reslationships
identity disturbance
tendency act rashly when negative state recurrent self harm
emotional instability- mood reactivity
chronic feelings of emptiness
inapparopriate intese anger or difficulty controlling
transient dissociative symptoms or psychotic like features in situations of high affective arousal
General approach in management of personality disorders?
Calm approach, validating feelings, need for sense of safety
focus on next 24 hours
estabilishing risk (establish routes that would support first)
establish1 positive thing that could happen tomorrow
What is transference?
Projections of attitudes/feelings form past onto people in present
What is counter transference?
Unconscious attitudes that a clinician develops/acts out in response to patients behaviour
bIOLOGICAL HELP FOR PERSONlaity disorders
None licensed
Treat comorbidities
In crisis - benzos, haliperidol
Unlicensed - mood stabilisers short term
What is DBT?
group work, skill based and mindfulness, individual therapy reinforce sklls, look at behavioural changes
Modules of DBT
Emotional regulation, distress tolerance and interpersonal effectiveness
Social support for personality disorders
Support – practical eg benefits, housing, substance misuse. Finding purpose – employment, voluntary work, social groups/hobbies
Social support for personality disorders
Support – practical eg benefits, housing, substance misuse. Finding purpose – employment, voluntary work, social groups/hobbies
