Category Archives: BPD

Borderline Personality Disorder Vs. Stability in Life

Stability in LifeHi folks! If you are someone who is experiencing BPD or if you are a friend/relative/partner/care-taker of someone with BPD, then this post is meant for all of you. I guess you already know what BPD actually is. In case, you want to know what BPD is, let us take a quick tour into its psychological and pathological aspect.

The World Health Organization’s ICD-10 considers BPD as Emotionally Unstable Personality Disorder. It states that there are two variations of it:

F60.30 Impulsive type

At least three of the following symptoms must be present, one of which must be:

  1. Marked tendency to act unexpectedly and without consideration of the consequences;
  2. Marked tendency to engage in quarrelsome behavior and to have conflicts with others, especially when impulsive acts are thwarted or criticized;
  3. Liability to outbursts of anger or violence, with inability to control the resulting behavioral explosions;
  4. Difficulty in maintaining any course of action that offers no immediate reward;
  5. Unstable and capricious (impulsive, whimsical) mood.

F60.31 Borderline type

At least three of the symptoms mentioned in F60.30 Impulsive type must be present, with at least two of the following in addition:

  1. Disturbances in and uncertainty about self-image, aims, and internal preferences;
  2. Liability to become involved in intense and unstable relationships, often leading to emotional crisis;
  3. Excessive efforts to avoid abandonment;
  4. Recurrent threats or acts of self-harm;
  5. Chronic feelings of emptiness.
  6. Demonstrates impulsive behavior, e.g., speeding, substance abuse

So that was bit of an idea about what BPD is and what are the symptoms of BPD. A Mental Health Professional or a Clinical Psychologist does the diagnosis of BPD after detailed behavioral and psychological assessment. The symptoms that you just read are just a minute view of what BPD patients suffer from. However, the personal, physical, psychological and social aftermath of BPD is really painful and intense. The turmoil that one goes through on all these levels is overwhelming indeed. That is why whether you are suffering from BPD or you are closely related to someone who has BPD… Each and every one of you needs to know the essential logistics related to it. Only then you can understand the vital aspects, help yourself and help others too.

One of the major issues in BPD is stability. Be it stability in relationships, thoughts-behavior-moods, profession/education, stability in commitment or overall stability in life as a whole, BPD has serious impact on these aspects. BPD suffers also face problems in consistency of treatment as well. They tend to start treatment or therapies with a lot of spur but often find difficulty in sticking to it, continuing it or completing the therapy procedures. Therefore, owing to this let me tell you some ways in which you can stay tuned to the different aspects of your life, maintain stability in those dimensions and effectively deal with BPD:

  • No Matter how strong the negative thoughts or impulses are, try your level best to push yourself towards your therapy sessions. Research studies and clinical outcomes show that most of the BPD cases get healed after successful treatment. Ongoing treatment and after-care also makes chances of relapse less.
  • Relationships suffer most in case of BPD. This is not your fault. The symptoms of BPD make you be so. If you see that your relationships are falling apart, then it’s high time to understand that this is due to BPD and take necessary steps to keep your bonding n ties intact.
  • Proper lifestyle management, routine management, time management will help you a lot in maintaining consistency in the different aspects of your life including social interaction, profession, education, etc.
  • BPD is also linked with fluctuating moods. Therefore, when you feel that your mood is fluctuating try to pacify yourself as much as you can.
  • Relaxation training, Yoga, Meditation, Reflex therapies…. Apart from psychological interventions these therapeutic avenues can also help a lot in achieving stability and improve the prognosis of BPD.
  • For BPD caretakers it is very important to understand the deep issues related to BPD so that you can understand the emotional and personality problems the person may go through.
  • With the help of empathetic understanding, timely and proper treatment, ongoing practice of therapy techniques, BPD can be easily dealt with and its stability issues can be pacified.

Best wishes,

Sareeta

An introduction to psychotic disorders

Brief-Psychotic-Disorder-PictureBy definition, a psychotic disorder is a chronic mental illness that requires long-term treatment, medication and sometimes hospitalization, in-patient care as well. This blog post will provide you information on different kinds of psychotic illness, their prevalence, signs and symptoms. Therefore, as soon as you identify them or feel them you can seek immediate medical assistance.

1)    Schizophrenia:

Schizophrenia is considered as one of the most severe forms of mental disorders. It requires long-term treatment. Medications as well as Psychotherapy, both are needed for its management and treatment. Its typical onset is around young adulthood and its global prevalence rate is about 0.3-0.7%. See below to find the different symptoms of schizophrenia:

Symptoms Meaning
Delusions Irrational belief about something. E.g: Limbs turning into stones, someone plotting against the person, thought broadcasting
Hallucination Sensing or feeling something without the presence of any apparent stimulus. E.g: Hearing voices, visual distortions
Flat Affect Lack of ability to express feelings and emotions
Physiological Disturbances Disturbances in sleep, appetite and major physiological functions
Avolition Lack of motivation to do something, even daily activities, hygiene etc are also hampered in this disorder

Other symptoms of schizophrenia include poverty of speech, social isolation, impairment in significant cognitive functions, paranoid delusions and so on. It can be caused due to genetic factors, situational factors, environmental factors, neurochemical disturbances in the brain, etc. If you are currently feeling suicidal or are in immediate crisis, please contact your national emergency number or go to Befrienders Worldwide that offers crisis resources worldwide.

2)    Bipolar Disorder:

Bipolar disorder as the name suggests, is a disorder where mood swings between the two poles of depression and mania occur. Here is an illustration of symptoms during each stage:

Phase Symptoms Treatment Methods
Depression Phase Feelings of sadness, melancholy, dejection, social isolation, flat affect, lack of appetite, lack of motivation, insomnia, suicidal feelings, self harm etc. Medication, psychotherapy
Mania Phase Feelings of euphoria, drug and substance abuse, becoming overly extravagant and socially interactive, high energy levels, can harm self and others, high levels of voice, verbal abuse, can resort to anti-social activities,lack of sleep, increased appetite etc. Medication, chronic mania can require hospitalization and intensive in-patient care, psychotherapy

3)    Paranoia:

Paranoia is a delusional disorder. It means it is a disorder characterized by distorted thought process. Under the influence of paranoia you would experience strange irrational belief or delusions. I have mentioned about some common forms of delusions with their meanings below:

Delusion Meaning
Delusion of Grandeur or Grandiosity An irrational thought in which one feels to be a supreme human being or supernatural power. One claims to be a Prime Minister or God, Superman in this form of delusion.
Delusion of Persecution In this form of delusion one thinks as if everyone is trying to kill him or her.
Delusion of Reference This form of delusion suggests that one always thinks that others are talking about him/her.
Thought broadcasting  In this form of delusion they think that their thoughts are being broadcasted in News and information channels.

Paranoia can lead to serious problems like social isolation, fear, self-harm, harming others and even suicide. If you are currently feeling suicidal or are in immediate crisis, please contact your national emergency number or go to Befrienders Worldwide that offers crisis resources worldwide.

4)    Borderline Personality Disorder (BPD):

BPD is a personality disorder characterized by maladaptive personality and behavior in a person. Peolpe with BPD have a lot of trust issues. Due to this they can hardly believe in someone and stick to a relationship. They are more prone to drug and substance abuse too.

These were some of the common psychotic illnesses. The intention of writing this post was not to scare you, but to sensitize you and make you informed about these forms of mental illnesses. Gone are the days when people having mental health problems were subjected to social taboos and discrimination, when they were dumped in mental asylums without proper treatment and care. Today with the progress and advancement in medical science and technology, no matter how chronic or acute a disorder may be, it can be prevented, treated and managed. The best weapons we have so far are medications or psycho-pharmacological interventions, psychotherapeutic treatment, alternative therapies and so on. What is important is identifying them at the earliest and seeking treatment at the earliest.

Therefore, if you get a slight clue about these ailments within you or any of your near ones, do not step back in seeking immediate and proper treatment. There is a way out of every problem!

Best Wishes,

Sareeta