EUPD Flashcards
What is EUPD/Boderline personality disorder?
Disorder with long-term pattern of significant interpersonal relationship instability, distorted sense of self, and intense emotional responses
What can cause EUPD?
- Immature ego
- Disturbed childhood
- Abuse – emotional , sexual , physical
What are the differentials for EUPD?
- Depression
- Mania
- Schizophrenia
- Anxiety
What treatment is effective for EUPD/boderline personality disorder?
Dialectical behaviour therapy
What is splitting?
Relationships alternate between idealisation and hatred
Patients can regard their partner or others as amazing or horrible
What are the features of EUPD?
- Emotional dysregulation
- Impulsivity
- Interpersonal sensitivity/ fear or abandonment
- Impaired sense of self
Can be mild/moderate/severe
Problematic/pervasive/persistent
What is dialectical behavioural therapy?
Behavioural therapy that balances between acceptance and change
What are the different aspects of dialectical behavioural therapy?
Mindfulness
Interpersonal effectiveness
Emotional regulation
Distress tolerance
What does distress tolerance do?
Allows person to survive immediate emotional crisis and accept reality of situation when they feel out of control
Help people cope with their feelings when they don’t know exactly what they need or want at that moment
When should distress tolerance skills be used?
- Intense physical or emotional pain
- Strong urges to engage in unskilful behaviour (emotion mind)
- Emotional pain too strong and overwhelming
- Need to be productive but emotionally overwhelmed
What are the goals of emotional regulation?
Naming and understanding our own emotions
Decrease frequency of unpleasant emotions
Decrease vulnerability to emotions
Decrease emotional suffering
What is the ABC Please skill?
A Accumulate positive emotions by doing pleasant things
B Build mastery by doing things we enjoy
C Cope Ahead by rehearsing plan
What is the goal of interpersonal effectiveness?
Learning to get along with others while asserting your own needs
What does DEARMAN stand for?
Describe
Express
Assert
Reinforce
Mindful
Assertive
Negotiate
What is the point of systemic practise?
Seeks to make sense of the world through relationships, focusing on whole family rather than individuals
