Borderline Personality Disorder

Borderline Personality Disorder

Anissa Guerin (Texas A&M University, Commerce, USA)
DOI: 10.4018/978-1-6684-8918-5.ch001
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Abstract

Borderline personality disorder (BPD) is characterized as a psychological disorder with a characteristic pervasive pattern of instability in affect regulation, impulse control, interpersonal relationships, self-image, and occupational attainment. Patients with BDP are often depicted as difficult because of aggressive outbursts, health-sabotaging behaviors, and high healthcare utilization. Despite that several evidence-based psychotherapies are recommended for BPD, neither psychotropic drugs nor medications for this condition have been approved by the FDA and none are known to be efficient treatments. Moreover, it is unclear how satisfactorily clinical—or research—diagnoses actually capture the experiences of African Americans who identify with BPD. Further research and development of care pathways for African Americans with BPD would help to ensure available resources are used effectively and services are suited to their specific needs.
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Borderline Personality Disorder

Borderline personality disorder (BPD) is a psychological disorder with a characteristic pervasive pattern of instability in affect regulation, impulse control, interpersonal relationships, and self-image (Mendez-Miller, 2022). Patients with borderline personality disorder are often characterized as difficult because of aggressive outbursts, health-sabotaging behaviors (i.e., exercising on an injury), and high healthcare utilization (Mendez-Miller, 2022). Borderline personality disorder is associated with significant impairment, especially in relation to the capacity to sustain stable relationships because of personal and emotional instability (Chapman et. al., 2023). Interpersonally, they have abandonment and trust issues. “Borderlines” are emotionally unstable, often overreacting to the smallest of things. They have an inconsistent self-image, inappropriate rage, chaotic relationships that mostly end badly, and some self-injure or are suicidal (McCloud, 2013). Furthermore, the severity of symptoms and behaviors that characterize borderline personality disorder correlates with the severity of personal, social, and occupational impairments (National Collaborating Centre for Mental Health, 2019).

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