Borderline personality disorder (BPD) refers to a mental illness that makes it difficult for individuals to feel comfortable in themselves. Also, the affected individuals experience problems while controlling impulses and emotions. Besides, the victims have problems while relating to other persons. As a result, they become antisocial, hence having high levels of anger and distress. In most cases, BPD symptoms begin when the patient is a young adult or at their teenage years. Gradually, the symptoms improve during the patient’s adult life. Similar to most disease, BPD has diagnostic criteria and differential diagnosis that it can be used to identify it. Psychopharmacology and psychotherapy are some of the treatment regimen recommended for individuals suffering from BPD. Additionally, referrals to the patients mostly help them recover at a faster rate.
Arguably, among other personality disorder subtypes, BPD is one of the most contentious. However, according to Lubit and Pataki (2018), the main features for this disorder are interpersonal relationships instability, a chronic feeling of emptiness, self-mutilation, impulsivity manipulative suicide, and brief psychotic episodes. Also, in early adulthood, the patient develops marked impulsivity. Comparatively, interpersonal problems are termed to be the specific indicators of BPD (Richetin, Preti, Constantini & Panfilis, 2017). For instance, most BPD patients have a problem with intolerance of aloneness and abandonment concerns. Although it is challenging to distinguish Borderline Personality Disorder from other related personal disorders, the interpersonal problem is the primary differential diagnosis.
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Similar to other personality disorder diseases, there are several effective treatments for borderline personality disorder. Commonly, medication and psychotherapy are usually combined to treat the disorder in question. Additionally, a period of hospitalization may be required as part of treatment to ensure that the affected individuals are safe. Currently, traditional therapies for BPD have been supplemented with self-help treatment tools. Arguably, psychotherapy is a significant treatment for long-term BPD outpatients. Dialectical Behavior Therapy, Schema Focused Therapy, Mentalization-Based Therapy, and Transference-Focused Psychotherapy are different types of psychotherapy used on different patients. Psychopharmacology is another method used to treat BPD. Antidepressants, mood stabilizers, and omge-3 fatty acids are used as psychopharmacology treatment. However, the classic clinical trial design used in most studies hardly translates into the recommendation of medical selection for different patients. Besides, the current trials do not indicate the starting dosage for the patients (Limandri, 2018). Due to this reason, psychotherapy is more recommended compared to psychopharmacology.
References
Limandri J. B. (2018). Psychopharmacology for Borderline Personality Disorder Journal of Psychosocial Nursing and Mental Health Services. Retrieved from https://www.healio.com/psychiatry/journals/jpn/2018-4-56-4/%7B195b549d-ff58-44a2-9011-41839e4cb0b2%7D/psychopharmacology-for-borderline-personality-disorder
Lubit H. R., & Pataki C., (2018). Borderline Personality Disorder Differential Diagnoses. Retrieved from https://emedicine.medscape.com/article/913575-differential
Richetin J., Preti E., Costantini G., & Panfilis D. C. (2017). The centrality of affective instability and identity in Borderline Personality Disorder: Evidence from network analysis. Retrieved from https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0186695
