Week 10 - BPD/EUPD Flashcards
1
Q
Define Personality Disorders
A
- Overwhelming negative features
- Emotionally disconnected
- Difficulty managing feelings
- Enduring traits leading them to suffer
2
Q
What are the three clusters of personality disorders
A
A = Odd / Excentric
B = Dramatic/Emotional/Erratic
C= Anxious/Fearful
3
Q
8 main characteristics of somebody with BPD/EUPD
A
- Abandonment
- Unstable self image
- Unstable relationships
- Impulsivity in self-damaging behaviour
- Reoccurent S behaviour
- Instability of reactivity of mood
- Anger
- Chronic emptiness
4
Q
Genetics and BPD
A
- Heritability but may be shared environment
- Polymorphisms of genes associated with serotonin/dopamine
5
Q
Environmental factors of BPD
A
- Childhood adversity
- Abuse / Neglect
6
Q
Genetic-Environment factors of BPD
A
- Interaction
-Genetic predisposition + childhood events - HPA Axis Dysregulation
7
Q
Main treatment of BPD
A
- Psychological Approach: DBT, Psychodynamic psychotherapy, mentalising therapy
- Medication
8
Q
How can DBT help treat BPD
A
- Focus on acceptance of behaviour
- Goal = more tolerance, less problematic behaviour
- 4 strategies of mindfulness, emotional regulation, distress tolerance, interpersonal effectiveness
9
Q
Evidence for DBT to treat BPD
A
- Reduction of s behaviour
- Patient engagement/therapeutic alliance is key
10
Q
How does psychodynamic psychotherapy treat BPD
A
- Assumption = weakness of ego (egos defence mechanism is splitting)
- Aim of turning black and white thinking into grey areas
11
Q
How can mentalisation therapy help BPD
A
- Reflection and understanding of ones state of mind
- Lack of evidence for proof but reductions in hospital use, medications, and increased employment
12
Q
Biological treatment for BPD
A
- Psychotropic medication
- Antipsychotics, SSRIs
- Neurobiology of BPD not understood well
- Reduced short term symptoms = more manageable therapy
