Borderline Personality Disorder

5 categories of symptoms

difficulty with affect regulation

impulsivity

unstable interpersonal relationships

unstable sense of self

transient stress related to paranoia or dissociation

definition of BPD

a pervasive pattern of instability in affect regulation ad impulse control, interpersonal relationships and self control

Neurobiological findings

volume reduction in the fronto-limbic network

altered white matter in emotion regulation areas

hyporesponsive HPA axis

Environmental contribution

low SES

maltreatment

negative parenting

family history of psychopathology

peer victimization

what is DBT

combination of acceptance and change and problem solving

Stages of DBT

1: increase coping skills

2: work through trauma/PTSD

3: self sustaining and long term goals

4: face feelings of emptiness and reconnect with those in their environment