Borderline Personality Disorder (BPD) is a personality disorder which is characterized by the following symptoms; extreme emotional reactions, History of unstable relationships and highly impulsive behavior, among others. As a clinician, I have had various incidences which involved dealing with individuals who have BPD. The major challenges working with clients with BPD is actually ruling out about their condition. This is especially when dealing with women. About 70% of women and youth that I have been involved in showed extreme symptoms of having BPD, which at the end of the session I was able to establish that only 30% of the individuals actually had BPD ( Sansone & Sansone, 2011). This is a challenge for the clinician since the same symptoms observable from a normal client can also be observed from an affected individual. I agree with Jasmine Woodson’s post that at times, as a clinician, one needs to go an extra mile to establish whether their clients are really BPD affected or the behaviors portrayed are of a normal person.
In my approach to Mentalization and Transference-Focused therapy to these individuals, I first have to sit them down and while facing each other and looking straight to the eyes and inquire various aspects of the client's life. The questions include the history in relations to the symptoms portrayed and if that was a family thing or acquired in the process of growing up. Others include how they have to cope with other people around them and if they experienced difficulties maintaining relationships with various people ( Bateman & Fonagy, 2010). After such a session, I am able to rule out the client's condition, and the decision on the implementation of Transference-Focused therapy begins. In my reaction, I have to act normal and much understanding as much a possible to make the clients feel comfortable sharing their history so that I can rule out on their conditions.
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Life Passages traditional psychoanalytic therapy sessions done with the high functioning (non-borderline) client can be a challenging one due to the nature of the disorder and the symptoms exhibited by the client. At time, these therapies may incorporate Mentalization and Transference-Focused therapy to ensure that if the client attains the required and beneficial therapy at the end of the exercise ( Proverbs 17:17). How are the future studies aim at making the BPD distinct symptoms?
References
Bateman, A., & Fonagy, P. (2010). Mentalization based treatment for borderline personality disorder. World psychiatry, 9(1), 11.
Proverbs 17:17
Sansone, R. A., & Sansone, L. A. (2011). Gender patterns in borderline personality disorder. Innovations in clinical neuroscience, 8(5), 16.
