EUPD

Question 1

What is EUPD/Boderline personality disorder?

Answer 1

Disorder with long-term pattern of significant interpersonal relationship instability, distorted sense of self, and intense emotional responses

Question 2

What can cause EUPD?

Answer 2

• Immature ego
• Disturbed childhood
• Abuse – emotional , sexual , physical

Question 3

What are the differentials for EUPD?

Answer 3

• Depression
• Mania
• Schizophrenia
• Anxiety

Question 4

What treatment is effective for EUPD/boderline personality disorder?

Answer 4

Dialectical behaviour therapy

Question 5

What is splitting?

Answer 5

Relationships alternate between idealisation and hatred

Patients can regard their partner or others as amazing or horrible

Question 6

What are the features of EUPD?

Answer 6

• Emotional dysregulation
• Impulsivity
• Interpersonal sensitivity/ fear or abandonment
• Impaired sense of self

Can be mild/moderate/severe
Problematic/pervasive/persistent

Question 7

What is dialectical behavioural therapy?

Answer 7

Behavioural therapy that balances between acceptance and change

Question 8

What are the different aspects of dialectical behavioural therapy?

Answer 8

Mindfulness
Interpersonal effectiveness
Emotional regulation
Distress tolerance

Question 9

What does distress tolerance do?

Answer 9

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

Question 10

When should distress tolerance skills be used?

Answer 10

• 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

Question 11

What are the goals of emotional regulation?

Answer 11

Naming and understanding our own emotions
Decrease frequency of unpleasant emotions
Decrease vulnerability to emotions
Decrease emotional suffering

Question 12

What is the ABC Please skill?

Answer 12

A Accumulate positive emotions by doing pleasant things
B Build mastery by doing things we enjoy
C Cope Ahead by rehearsing plan

Question 13

What is the goal of interpersonal effectiveness?

Answer 13

Learning to get along with others while asserting your own needs

Question 14

What does DEARMAN stand for?

Answer 14

Describe
Express
Assert
Reinforce

Mindful
Assertive
Negotiate

Question 15

What is the point of systemic practise?

Answer 15

Seeks to make sense of the world through relationships, focusing on whole family rather than individuals

Question 16

What behaviours does a person with EUPD exhibit?

Answer 16

EUPD
Emotional instability due to marked reactivity of mood
Unstable and intense interpersonal relationships with splitting
Pissed off, inappropriate anger or difficulty controlling
Desire for closeness and intimacy

Question 17

What can patients with EUPD do to stop feelings of abandonment?

Answer 17

Recurrent episodes of self-harm or frantic efforts to avoid real or imagined abandonment

Question 18

How do patients with EUPD view themselves?

Answer 18

A view of the self as inadequate, bad, guilty, disgusting, and contemptible