• 1.Emotional responses, especially anger. 2. impulsive behaviors that harm themselves or others. 3. suspiciousness, poor sense of identity, and an unstable self-image. 4. instability patterns and in relationships.

Associated Features Thoughts• Seeing people as either “all good” or “all bad”• Seeing themselves worthless, and unwilling to accept blame • Remembering situations very differently from others.• Basing their beliefs on feelings rather than facts.• Unable to realize the effects of their behavior on other people.

Feelings• Feeling abandoned.• Have difficulty managing their emotions.• Suspicious and mistrustful.• Feeling ignored when they are not the center of attention.• Have difficulty expressing their anger.

Associated Features

• Actions :• Act impulsively like: engaging in dangerous sex,

fighting, gambling, abusing drugs or alcohol, (dui),shoplifting, or bad eating habits. And also Hurt themselves.

• Threatens to kill themselves, or suicidal attempts• Unpredictable rages that make no logical sense.• They physically abuse others, act chaotically, and

verbally abuse others.• want to be close to others.

Associated Features

• A person with borderline personality disorder:

Etiology • BPD is caused by biological, genetic &

environmental factors, but scientifically speaking the causes of this disorder is not yet known. So it’s all just a theory, research has been supported but has not been put to an end b/c research is still needed.

• EX: individuals will experience a disturbance in a parental relationship that interfered w/ emotional & personal development.

• These cases are: sexual abuse, physical abuse, or criminal behavior that has occurred in childhood histories and eventually grow into (BPD).

Prevalence

• RESULTS: (BPD) is common than many very well-known disorders.

• About 75% of women are diagnosed w/ this disorder.

• commonly to those who are separated, divorced, widowed adults, lower incomes and education. And also to be less widely spread among Hispanic men & women and Asian women.

Treatment• Treatment of alcohol or drug abuse problems

are often mandatory when a patient is under therapy.

• Psychotherapy: where the patient talks about present difficulties and past experiences. Therapy may help the patient from difficulties in mood swings. The patient is encouraged to talk about his or her feelings and sometimes medications are useful for certain patients.

• hospitalization may sometimes be necessary b/c it may remove an external stress.

Prognosis

• It happens at a young adulthood, and stabilizes after the age of 30. it is estimated that 75-80% w/ (BPD) patients attempt suicide, or threatens to commit suicide. If he/she suffers from depression the risk is higher. Also 8-10% are successful while having the disorder.

Prognosis

Outcomes: • Suicidal attempts • Suicide threatening • bursting in anger when he/ she is left alone

by close friend.

References • Swartz M, Blazer D, George L, Winfield I.

Estimating the prevalence of borderline personality disorder in the community. Journal of Personality Disorders, 1990; 4(3): 257-72.

• Koerner K, Linehan MM. Research on dialectical behavior therapy for patients with borderline personality disorder. Psychiatric Clinics of North America, 2000; 23(1): 151-67.

• (Bohus et al., 2000; shearing & linehan, 1994).• http://www.stanford.edu/~corelli/

borderline.html

Discussion Q’s ?

1. Who is most likely to get this disorder? And is it common?

2. Are the causes for (BPD) known? And why?