Borderline disorder, also known as borderline personality disorder, is a complex psychiatric disorder whose manifestations are highly variable from one person to another (in this case, there is significant polymorphism).
Generally, people who suffer from this mental illness have significant emotional and emotional instability. They have difficulty managing their emotions. They can get carried away easily, unpredictably, and have impulsive behaviors. Mood swings or feelings of emptiness are common.
Hyperemotives, these people are often in excess. They usually have a very bad image of themselves. Often unstable in relation, they can be self-mutilating. Risk behaviors (alcohol, drugs, games, food, etc.) are common for people with borderline personality disorder; suicide attempts too.
The borderline disorder is sometimes classified between neurosis and psychosis. It has one thing in common with bipolar disorder and hyperactivity: cyclothymia (rapid change of mood). Borderline disorder can lead to depression. It is often associated with other personality disorders or other mental illnesses such as anxiety disorder, eating disorders, depressive disorders or ADHD.
It is difficult to share the daily life of borderline people because of the symptoms of the disease. It can be difficult to understand the behavior of the sick person. Sometimes she manages to hide her illness from those around her. Despite difficult symptoms, people can live normally and working with treatment and appropriate follow. In some cases, hospitalization is necessary.
For some time, studies have confirmed the possibility of effectively treating this psychiatric illness. Recently, BPD was still considered incurable, which is no longer the case today.
Prevalence of Borderline Personality Disorder
The borderline disorder affects 2% of the population. It usually begins in late adolescence, early adulthood. But some studies speak of early symptoms much earlier, during childhood.
Diagnostic of Borderline Personality Disorder
The diagnosis of borderline disorder is difficult. It is based on a psychological evaluation and a consultation with a psychiatrist. The signs and symptoms of the disease obviously guide the diagnosis.
BPD can lead to other psychiatric illnesses such as depression, bipolar disorder or generalized anxiety disorders. It can also affect work, social life, self-esteem. Borderline personalities often have addictive behaviors. The suicide rate among borderline people is particularly high.
Causes Borderline Personality Disorder
The causes of borderline personality disorder are multiple and not all well established. This disease would be multifactorial in any case. There exist for example biological causes, chemical (lack of serotonin in particular) but also genetic. Brain abnormalities, particularly in the emotion regulation area, may be responsible for the onset of this borderline personality disorder.
The symptoms are very variable from person to person. However, we can mention:
- mood swings
- intense anger
- invasive hyper motility
- difficulty controlling emotions
- impulsive behavior
- risky behavior
- destructive behavior (self-harm for example)
- afraid of loneliness, abandonment
- feeling of emptiness, despair
- feeling of insecurity
- self hatred
- substance addiction
People at risk
Women are more often affected than men (three times) .It has also been observed that people who suffered from abandonment , difficult separation, emotional neglect, maltreatment or trauma during Children had higher risks of suffering from borderline personality disorder .
There is a genetic predisposition in the borderline disorder. The risk of suffering from this disease is higher if her mother, father or sister suffers for example.
Now, it has been established that appropriate treatment can relieve and help people with BPD. This treatment usually involves the prescription of antidepressants and anxiolytics in order to alleviate the symptoms of depression and anxiety. This treatment does not directly attack the disease but the symptoms generated by it. Some antipsychotics (neuroleptics) may be prescribed in some cases of confusion of thought (state in which the person is disoriented, has disorders of attention, does not recognize his relatives, has memory disorders, looks absent. ..) or against dysphoria, that is to say a disturbance of mood. Finally, mood stabilizers, mood stabilizers, may be prescribed.
This drug treatment is completed by psychotherapy. Therapy work can help sick people better understand how they work and thus better manage their emotions.
Sometimes hospitalization may be necessary.
As part of its quality approach, Passeportsanté.net invites you to discover the opinion of a health professional. The psychologist Laure Deflandre gives you her opinion on borderline personality disorders:
|“In recent years, the prognosis for borderline personality disorder treatments has improved significantly, and in addition to the drug treatment that is helpful in helping the patient control symptoms, support from loved ones is also important. for a better psychological stabilization, it is necessary that the person suffering from a personality disorder turns towards professionals having experience in this kind of disorder Here are some psychotherapies towards which the person can choose to orient himself:
The individual psychotherapy: it is based on the exchange between patient and therapist. In order to have beneficial effects, it requires a bond of attachment between the two protagonists.
The cognitive-behavioral therapy: it helps the patient to understand and change their thought patterns to relearn appropriate behavior.
The Family Therapy: it helps to find better communication between all family members and relatives in integrating care strategies.
The Group Therapy: Group therapy is run by professionals who select few patients with the same disease. This allows patients to talk about their common problems and professionals to explain how the disease works and to provide adaptive strategies.
The hospitalization: The care team helps patients manage crises.