Borderline Personality Disorder (BPD) Essay

Borderline Personality Disorder (BPD) Essay

Discussion: Therapy for Clients with Personality Disorders

According to the American Psychiatric Association (2014) Borderline Personality Disorder (BPD) is characterized by persistent pattern of unstable interpersonal relationships, self-image, and affects, as well as significant impulsivity that starts during early adulthood and symptoms present in behaviors such as: avoiding abandonment; an unstable interpersonal relationships typified by splitting; identify disturbance; impulsive behavior; suicidal behavior; emotional instability when responding to daily events; chronic feeling of emptiness; difficulty in anger management; and severe dissociative symptoms (American Psychiatric Association, 2014). Borderline Personality Disorder (BPD) Essay

Psychotherapy is the main form of treatment in individuals with borderline personality disorder. Psychotherapy helps individuals with personality disorder to change conception about the disorder. Examples include dialectical behavior therapy (DBT) and transference-focused psychotherapy (TFP). DBT involves individual and group therapy designed for the treatment of borderline personality disorder (Dixon-Gordon et al, 2011). DBT focuses on teaching clients to manage their emotions, tolerate distress, as well as improve interpersonal relationships. On the other hand, TFP focuses on helping clients understand their emotions and interpersonal challenges using the developing relationship between the therapist and client (Paris, 2004). The clients are then instructed to apply the learned insights and skills to the ongoing life situations (Dixon-Gordon et al, 2011). Borderline Personality Disorder (BPD) Essay

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There are no FDA approved medications used in the treatment of borderline personality disorder. However, antidepressants, mood stabilizers, and antipsychotics can be used in the treatment of symptoms and comorbidities such as anxiety, impulsivity, depression, and aggression.

The disclosure of the diagnosis of borderline personality disorder should be done professionally and empathically in order to ensure the therapeutic relationship is not damaged. Immediately after the diagnosis, the therapist to conduct brief psychoeducation in order to attenuate core symptoms of borderline personality disorder (Farooq et al, 2017).

References

American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.

Dixon-Gordon, K. L., Turner, B. J., & Chapman, A. L. (2011). Psychotherapy for personality disorders. International Review of Psychiatry. 23(3), 282–302.

Paris, J. (2004). Personality disorders over time: Implications for psychotherapy. American Journal of Psychotherapy. 58(4), 420–429.

Farooq S, Johal K, Ziff C & Naeem F. (2017). Different communication strategies for disclosing a diagnosis of schizophrenia and related disorders. Cochrane Database Syst Rev. 9(1). Borderline Personality Disorder (BPD) Essay