DSM-5 Personality Disorders Essay
DSM-5 Personality Disorders Essay
Explain the diagnostic criteria for your assigned personality disorder (Borderline Personality Disorder).
Diagnosis for borderline personality disorder (BPD) is dependent on the symptoms that patients present. In fact, there are no imaging or laboratory tests that can be applied in diagnosis. Rather, the patients are subjected to semi-structured and structured interviews. The interviews determine whether the patient presented pervasive patterns of instability in relationships with other members of the community, self-image and affects, and significant impulsiveness in social contexts. The diagnosis takes note of nine significant point. The first point is severe dissociation and paranoid ideation from stress. The second point is intense and inappropriate anger that is difficult to control as evidenced by incidences of physical fights, constant anger and temper displays. The third point is feeling empty (Biskin & Paris, 2012). The fourth point is instable mood that evidenced by anxiety, irritability and dysphoria that could last for days. The fifth point is suicidal ideation and behaviors that is evidenced by self-mutilation, threats and gestures. The sixth point is self-damaging impulsiveness that could present as binge-eating, driving recklessly, substance abuse, sex and spending money. The seventh point is disturbed identity that is marked by an unstable self of self and self-image. The eighth point is patterns of intense and unstable relationship that present as either devaluation or idealization. The final point is imagined abandonment. The presence of five or more of these points results in a positive diagnosis for BPD (Biskin & Paris, 2012).DSM-5 Personality Disorders Essay
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Explain the evidenced-based psychotherapy and psychopharmacologic treatment for your assigned personality disorder (Borderline Personality Disorder).
Treatment for BPD uses a combination of psychotherapy and psychopharmacology. Psychotherapy involves subjecting the patient to talk therapy that focuses on the patient’s capacity to function in social settings, managing emotions, reducing impulsiveness, and improving relationships. Six types of therapies can be used for treatment. The first type is psychiatric management that focuses on evaluating the interpersonal contexts and social expectations. The second type is transference-focused psychotherapy that explores interpersonal difficulties and emotions. The third type is systems training for emotional predictability and problem solving that exposes the patient to social situations to solve relationship problems. The fourth type is mentalization-based therapy that identifies feelings and thoughts from alternative perspectives. The fifth type is schema-focused therapy that addresses negative life-patterns. The final type is dialectical behavior therapy helps in the management of distress and emotions while improving relationships (American Psychiatric Association, 2013; Sperry, 2016). Concerning psychopharmacologic treatment, there is no FDA approved medication that is specifically targeted at BPD. However, medication can be prescribed to addressed symptoms that include anxiety, aggression, impulsiveness and depression. These medication are used under prescription to include mood-stabilization drugs, antipsychotics, and antidepressants (Aguire, 2014).DSM-5 Personality Disorders Essay
Describe clinical features from a client that led you to believe this client had this disorder(Borderline Personality Disorder). Align the clinical features with the DSM-5 criteria.
DSM-5 mentions that diagnosis for BPD must meet a three-point criteria. The patient under review met five of these conditions. The first point is personality functioning impairment that took the form of self-functioning impairment and interpersonal functioning impairment. The second point is pathological personality traits in negative affectivity (anxiousness, emotional liability, depression and separation insecurity), disinhibition (impulsive and risk taker), antagonistic (hostile). The third point is personality functioning impairment through instability that takes the form of medication and drugs abuse as well as a prior head injury. These clinical features support a BPD diagnosis (Sperry, 2016).
Aguire, B. (2014). Borderline personality disorder in adolescents (2nd ed.). Beverly, MA: Fair Winds Press.
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (DSM-5) (5th ed.). Arlington, VA: American Psychiatric Association.
Biskin, R. & Paris, J. (2012). Diagnosis borderline personality disorder. Canadian Medical Association Journal, 184(16), 1789-1794.
Sperry, L. (2016). Handbook of diagnosis and treatment of DSM-5 personality disorders: assessment, case conceptualization and treatment (3rd ed.). New York, NY: Routledge. DSM-5 Personality Disorders Essay