Compose a 2500 words essay on Borderline personalities and its impact on relationships. Needs to be plagiarism free!
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The DSM-IV mandates that an individual must meet five of the nine guidelines provided in the diagnostics manual. These include: avoidance behavior when dealing with reality or imagined abandonment, pattern of unstable interpersonal relationships, identity disturbance, impulsive behavior, recurrent suicidal behavior, chronic emptiness feelings, severe dissociative symptoms, unreasonable bouts of anger, and affective instability. The DSM-IV clearly states that health practitioners must ensure a thorough background check occurs before assigning any of the said diagnostics to an individual believed to be suffering from BPD. It is also necessary to note that because BPD borders between neurosis and psychotic disorders with regard to the symptoms manifested by afflicted patients, diagnosing proves extremely difficult. Therefore, the ways used in differentiating between neurotic and other psychotic disorders presenting similar symptoms include: clinical observations and intensive family history checkups. The following presents an outline of BPD symptoms: feelings of boredom and emptiness which are chronic compared to usual feelings of emptiness and boredom. There are also frequent outbursts of anger, for example, physical and verbal fights. Variations of moods present themselves more than all other symptoms. Episodes of hallucinations, impulsive thoughts, self-mutilation. The DSM-IV also states that diagnosis of BDP occurs between the late adolescent years and the early adulthood years. However, diagnosis is difficult because symptoms presented appear similar to those present in other psychological disorders (Paris 156).
Treatment of BPD either involves therapy or medication. However, it might involve both methods simultaneously. Therapy can either be individual or group therapy depending on the therapists’ expert recommendation. The role played by therapy includes helping both patients and those closest to them. Patients benefit from therapy by learning how to deal with self-destructive behaviors in an efficient way which prevents the possibility of self-infliction of injuries. On the other hand, family and friends of BPD patients benefit from therapy through receiving encouragement and advice on how to cope with loved ones suffering from BPD. Examples of psychotherapies used include Dialectical behavior therapy (DBT) and Mentalisation-based therapy (MBT). DBT assists patients by helping them accept their emotions while trying to eradicate feeling of worthlessness and guilt. MBT helps with the realistic evaluation of one’s thoughts and beliefs in order to come to terms with the implications brought about by a BPD diagnosis. Only in extreme cases do psychiatrists recommend the use of medications to help level mood swings.