I'm devoting this week to Borderline Personality Disorder (BDP). We'll kick-off in this post with a broad overview, and then over the week, we'll look at what causes, and two avenues to dealing with: the secular route via Dialectical Behaviour Therapy (DBT) and the God-based holistic way. If you have any questions you'd like answered, please get in touch.
What is Borderline Personality Disorder (BPD)?
Borderline Personality Disorder, or BPD, for short is one of the four main 'Cluster B' personality disorders defined by the Diagnostic and Statistical Manual of Mental Disorders (DSM).
How is the diagnosis for BPD made?
The DSM sets out the following 9 criteria for Borderline Personality Disorder, and you'd have to meet at least 5 of them, to be considered as having BPD. The criteria used by mental health professionals are as follows:
APA Diagnostic Criteria: (I'll explain the gobbledy-gook in a minute, read on)
A pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:
1) Frantic efforts to avoid real or imagined abandonment. Note: Do not include suicidal or self-mutilating behaviour covered in criterion 5.
2) A pattern of unstable and intense interpersonal relationships, characterised by alternating between extremes of idealisation and devaluation.
3) Identity disturbance: markedly and persistently unstable self-image or sense of self.
4) Impulsivity in at least two areas that are potentially self-damaging (eg, spending, sex, substance abuse, reckless driving, binge eating). Note: Do not include suicidal or self-mutilating behaviour covered in criterion 5.
5) Recurrent suicidal behaviour, gestures, or threats, or self-mutilating behaviour.
6) Affective instability due to a marked reactivity of mood (eg, intense episodic dysphoria, irritability, or anxiety usually lasting a few hours, and only rarely more than a few days.)
7) Chronic feelings of emptiness.
8) Inappropriate, intense anger or difficulty controlling anger (eg, frequent displays of temper, constant anger, recurrent physical fights.)
9) Transient, stress-related paranoid ideation or severe dissociative symptoms.
The essential feature of Borderline Personality Disorder (BPD) is a pervasive pattern of instability or interpersonal relationships, self-image and affects, and marked impulsivity that begins by early adulthood and is present in a variety of contexts.
What the gobbledy-gook actually means:
To make broad, sweeping generalisations that are 99% accurate but still don't capture the true reality of BPD, if you're dealing with the following things, or acting in the following ways, you may get diagnosed with BPD: