BPD Flashcards
What are the 5 components of the “Big 5”?
Openness, consciousness, extraversion, agreeableness, neuroticism
Which bio-factors can contribute to BPD?
Emotional vulnerability, genetic temperament, neurological pathways, in-utero experiences
Which social factors can contribute to BPD?
Regulation, sense of self, mentalization and epistemic trust, trauma
What two factors combine to create pervasive emotional dysregulation?
Emotional sensitivity and an invalidating environment
How heritable is BPD?
40-60%
How heritable are the big five?
40-60%
What four types of attachment are there?
Secure, anxious, avoidant (dismissive) and avoidant (fearful)
Describe secure attachment
Trusts easily, attuned to emotions, communicates upset easily, cooperative and flexible behavior/relationships
Describe anxious attachment
Sensitive nervous system, struggles communicating directly, tends to “act out” when triggered
Describe avoidant (dismissive)
Downplays importance of relationships, extremely self-reliant, can become vulnerable during crisis
Describe avoidant (dismissive)
More dependent in relationships, fears rejection, low self-esteem, high anxiety in relationships
Describe functions of the brain stem
Most primitive part of the brain, autonomic reflexes, memory and learning
Describe functions of amygdala
Triggers emotional responses. Typically gets signals from neocortex, can hijack the brain in an emergency
Describe the functions of the neocortex
Most recently evolved, involved in complex thought
What are the three main components of emotional vulnerability?
High sensitivity, high reactivity and slow return to baseline
What is the DSM criteria for a disordered personality?
Enduring pattern of inner experience and behavior that deviates from the individual’s culture. In cognition, affectivity, interpersonal functioning and impulse control. This leads to distress or impairment of functioning
Name three common features of BPD
Frantic efforts to avoid abandonment, unstable and intense relationships with extremes of idealisation and devaluation. Distorted or unstable self-image. Impulsiveness. Recurrent SI/SH threats. Affective instability. Chronic feelings of emptiness. Difficulty controlling anger. Dissociative symptoms or paranoid ideation
What percentage of BPD dx if for women?
75%, but likely is closer to 50/50
What is the heritability of BPD?
42-68%
What percentage of the population has BPD? Including psychiatric outpatients and inpatients
1-2%. 15% of psychiatric outpatients and 25% of inpatients
What are the rates of self-injury and suicide of BPD consumers?
Self-injury: 75%
Suicide: 4-10%
What does anankastic mean?
OCPD
What the most common co-occurring conditions with BPD?
Avoidant and dependent personality disorders, OCPD, depression, anxiety, SUD and BPAD
What percentage of people with BPD have a history of trauma?
80%
