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Borderline Personality Disorder
Borderline Personality Disorder (BPD) is best defined by its symptoms of emotional instability. Patients demonstrate wildly erratic emotions with no external stimulation, and their thinking will become erratic and unstable. This state can alternate with a state of calm rational thinking, and with symptoms of psychosis. BPD affects self-image, behavior and moods, and it can be very disruptive to close personal relationships. Patients with this disorder are often intelligent, warm, friendly and very competent in life.
They can maintain this appearance for years, only showing symptoms of BPD when a very stressful life event occurs. Doctors believe that both environmental (nurture) and genetic (nature) factors play a role in this disorder. BPD remains one of the most controversial diagnoses in mental health. Since the introduction of the BPD diagnosis, doctors have tried to give this disorder a more solid definition. Some research indicates that BPD is a form of Post Traumatic Stress Disorder (PTSD) that is characterized by severe disruption of identity and relationships. Other research indicates that BPD is simply a misused diagnosis, and cannot be considered a defined disorder; noting instead that the symptoms can be attributed to other illness or disease. Whatever the cause or name, BPD is a serious disorder that creates instability in one’s sense of self, and in mood, function, and relationships. With treatment, patients can improve and lead productive lives.
What are the symptoms?
Patients with depression, bipolar and other disorders will often go through ‘phases’ with the same symptoms and mood for several weeks, whereas patients with BPD often exhibit extreme anger or rage, depression, or anxiety for at most, a day, and most often for mere hours. Symptoms can include:
How is it diagnosed and treated?
The assessment for BPD typically includes a physical, and the doctor will take a medical history, to ensure that other health conditions are not causing the symptoms. Since the symptoms of BPD can masquerade as other mental health conditions the doctor will also do a complete mental health exam. It is not unusual for BPD to coincide with other mental health disorders like bipolar disorder or bulimia nervosa, so the resulting diagnosis may include more than one condition. Treatment for BPD has drastically improved in the past few years, as doctors have learned more about the symptoms and patterns of the disorder.
Treatment can include one or more of the following:
Treatment(s) can include:
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The Warning Signs Of An Impending Bipolar Disorder Manic Episode
Bipolar disorder - as the name implies - involves two distinct set of symptoms. One set throws the individual down into the depths of a massive depression. The other places the individual who suffers with bipolar disorder at the top of a peak manic episode.
Most everyone can eventually recognize the warning signs of an impending depressive episode related to bipolar disorder. More likely than not, individuals with bipolar disorder try very hard to avoid it.
However, for many individuals with bipolar disorder, it's more difficult to recognize the signs of an impending manic episode. After all, a manic episode of bipolar disorder can be mistaken in some cases - especially in the very early formation -- for the lifting of the corresponding mood swing of the depression.
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