EUPD

Question 1

Mx

Answer 1

-bio- NICE dont indicate a drug. But treat adjuvant disorders eg dep, ADs. Often on quetiapine sedating antipsychotic to try to reduce risk, but no evidence.
-psycho- gold standard, rarely indiv.
Dialectical BT- 4 compons: distress tol, emot regulat, interpersonal effectiveness, reduce self harm. 6 discrete months on each aspect. Mostly grp therapy, strict rules. Self harm hotline. Teaches skills eg mindfulness, safe self harm, self soothe, interactions with others.
Also therapeutic community- live with other EUPD pts up to 1yr. Normalise rels. Group discussions, delays impulsive behav and gives feedback from others.
-people often recover naturally LT. relearn throughout life or burnout.

Question 2

Aetiology

Answer 2

usually abused or other trauma.

Disorder of attachment- att been violated.

Question 3

Px

Answer 3

Unclear ID, intense unstable rels, unpredictable affect, self harm or threats to, impulsivity. 
Impulsive
Emotional dysregulation
Cant deal with interpersonal rejection. 
Act to avoid abandonment 
Cant form normal rels. 
Often risk self harm

Question 4

Prevalence

Answer 4

5 to one female to male.

EUPD borderline is most commonly encountered ina cute sits, is most trouble to services, tx is variable and changing.

Question 5

Borderline type

Answer 5

Distrubed self image
Unclear internal prefs
Intense unstable rels
Emot instabil, rep crises
Efforts to avoid abandonment
Recurr threats or acts of self harm
Chronic emptiness

Question 6

Impulsive type

Answer 6

Lack impulse control
Anger and violence
Unstable capricious mood
Argumentative
Diffic maint a course of action