Borderline personality disorder (BPD) is “ a disorder characterized by a pattern of intense and chaotic relationships, with affective instability, fluctuating and extreme attitudes regarding other people, impulsivity, direct and indirect self-destructive behavior, and lack of a clear or certain sense of identity, life plan, or values.” (Townsend, 2015, p.900). I chose BPD as my topic because my most interesting patient on the behavioral health unit was diagnosed with BPD. Also, BPD appears to be a difficult disorder to diagnose, as the symptoms can range from severe to mild. I reviewed two articles pertaining to BPD. One article was written by the Journal of Psychiatric Nursing, and the other was by Open Journal of Nursing. BPD is not culture
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“BPD is medically diagnosed by the existence of at least five of the nine symptomatic criteria. These are: (a) fears of abandonment; (b) unstable interpersonal relationships; (c) unstable sense of self; (d) impulsivity, which is potentially self-damaging; (e) par suicidal behavior or self-mutilation; (f) affective instability; (g) chronic feelings of emptiness; (h) inappropriate anger; (i) transient paranoid ideation or dissociate symptoms.” (Reeves-Dudley, 2016, p.83). It is unclear what exactly causes BPD. The Journal of Psychiatric Nursing discusses the possibility of a neurochemical component, involving decreased endogenous opioids. If this theory can be proven it may open doors to better pharmacotherapy. The article by the Journal of Psychiatric Nursing states that evidenced based practice shows that dialectical therapy is one of the more effective treatments for someone with BPD. Dialectical therapy is “cognitive based, and has four components to it: Core mindfulness, interpersonal effectiveness, emotion modulation, and distress tolerance. This therapy lasts around eight weeks” (Reeves-Dudley, 2016, p.85). I feel this dialectical therapy is taking place in …show more content…
Suzanna goes down a path of destruction that led to her attempting suicide. Suzanna took a bottle of aspirin, followed by vodka. The suicide attempt was unsuccessful, and landed her in a psychiatric ward. Prior to the admission to the ward, Suzanna sat down with a therapist to discuss her suicide attempt. During this meeting Suzanna’s thought process was confused. She kept trying to explain to the therapists that gravity is not always true, that what goes up does not always come down. She kept trying to explain away the laws of physics to a doctor, which she knew wasn’t possible to do. When she was in the hospital ER for her overdose, she was having somatic delusions, where she thought the bones in her wrists were gone. When the therapists asked her about that she responded her wrists are fine now, the bones are back. Suzanna’s speech, mood, and affect all correlated together. When she was feeling depressed, her speech was slow and her affect was more flat. When she was feeling irritable, her speech was more rapid, and her affect hyper expressive. During her therapy sessions her cognition, and behavior varied. In the beginning of the movie when she was in denial of her illness, she had a hard time concentrating, she was very argumentative, with poor eye contact. Suzanna showed her impulsiveness when she had sexual
“BPD is medically diagnosed by the existence of at least five of the nine symptomatic criteria. These are: (a) fears of abandonment; (b) unstable interpersonal relationships; (c) unstable sense of self; (d) impulsivity, which is potentially self-damaging; (e) par suicidal behavior or self-mutilation; (f) affective instability; (g) chronic feelings of emptiness; (h) inappropriate anger; (i) transient paranoid ideation or dissociate symptoms.” (Reeves-Dudley, 2016, p.83). It is unclear what exactly causes BPD. The Journal of Psychiatric Nursing discusses the possibility of a neurochemical component, involving decreased endogenous opioids. If this theory can be proven it may open doors to better pharmacotherapy. The article by the Journal of Psychiatric Nursing states that evidenced based practice shows that dialectical therapy is one of the more effective treatments for someone with BPD. Dialectical therapy is “cognitive based, and has four components to it: Core mindfulness, interpersonal effectiveness, emotion modulation, and distress tolerance. This therapy lasts around eight weeks” (Reeves-Dudley, 2016, p.85). I feel this dialectical therapy is taking place in …show more content…
Suzanna goes down a path of destruction that led to her attempting suicide. Suzanna took a bottle of aspirin, followed by vodka. The suicide attempt was unsuccessful, and landed her in a psychiatric ward. Prior to the admission to the ward, Suzanna sat down with a therapist to discuss her suicide attempt. During this meeting Suzanna’s thought process was confused. She kept trying to explain to the therapists that gravity is not always true, that what goes up does not always come down. She kept trying to explain away the laws of physics to a doctor, which she knew wasn’t possible to do. When she was in the hospital ER for her overdose, she was having somatic delusions, where she thought the bones in her wrists were gone. When the therapists asked her about that she responded her wrists are fine now, the bones are back. Suzanna’s speech, mood, and affect all correlated together. When she was feeling depressed, her speech was slow and her affect was more flat. When she was feeling irritable, her speech was more rapid, and her affect hyper expressive. During her therapy sessions her cognition, and behavior varied. In the beginning of the movie when she was in denial of her illness, she had a hard time concentrating, she was very argumentative, with poor eye contact. Suzanna showed her impulsiveness when she had sexual