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BIPOLAR PERSONALITY
DISORDER
SHEEZA MAHAK
BUT FIRST
WHAT YOU UNDERSTOOD ABOUT
PERSONALITY DISORDER
UMMMM……???
Cont…
• First listed as diagnosable illness in 1980 by
DSM-III
“Borderline personality disorder (BPD)
is a mental health disorder that generates
significant emotional instability. This can lead
to a variety of other stressful mental and
behavioral problems.”
• begin in adolescence or early adulthood,
continue over many years
BORDERLINE AND CONDUCT
DISORDER
• On the “borderline” between “neurosis” and
“psychosis”
• Current trend is to call it “Emotional Intensity
Disorder”
DESTORTED SELF IMAGE
Worthless
Anger, impulsiveness and frequent mood swings
may push others away
fundamentally flawed
Self harm
Suicidal thoughts
SYMPTOMS
• distorted self-image
• Worthless
• fundamentally flawed
• Anger, impulsiveness and frequent mood
swings may push others away
• Self harm
• Suicidal thoughts
• Low self esteem
Cont…
• treatable disorder
• Not all people who harm themselves have
BPD
• People with BPD are not ‘bad’
• they are sometimes labeled as ‘bad,‘
‘manipulative’ or ’attention-seeking’
CRITERIA IN DSM-IV TR
Presence of five or more of the following in many
contexts beginning in early adulthood:
• Frantic efforts to avoid abandonment
• Unstable interpersonal relationships in which
others are either idealized or devalued
• Unstable sense of self
• Self-damaging, impulsive behaviors in at least
two areas, such as spending, sex,
substance abuse, reckless driving, binge eating
Cont…
• Recurrent suicidal behavior, gestures, or self-
injurious behavior (e.g., cutting self)
• Chronic feelings of emptiness
• Recurrent bouts of intense or poorly
controlled anger
• During stress, a tendency to experience
transient paranoid thoughts and dissociative
Symptoms.
Can look like…..
• Schizophrenia
– hallucinations, illusions, paranoia
• Bipolar Affective Disorder
– mood liability and anger
• Major Depressive Disorder
– suicidal, depressed
• Antisocial Personality Disorder
– legal problems
Epidemiology
• 2 % of the general population
• Females 4 times the rate of males
• 11 % of psychiatry outpatients
• 25 % of acute psychiatry inpatients
• 50 % of long term psychiatry inpatients
• 60 % with co-existing Major Depressive Disorder
• 7% complete suicide. ( 7 X General population)
ETIOLOGY
ETIOLOGY
Most experts agree there is not one single cause of
borderline personality disorder (BPD). It is likely the
condition is caused by a combination of factors.
• Genetics
• Neurotransmitters
• Neurobiology
• Environmental factors
GENETICS
NEUROTRANSMITTERS
NEUROBIOLOGY
ENVIRNOMENTAL FACTORS

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Bipolar Personality Disorder Symptoms, Causes & Treatment

  • 3. WHAT YOU UNDERSTOOD ABOUT PERSONALITY DISORDER UMMMM……???
  • 4.
  • 5.
  • 6.
  • 7.
  • 8. Cont… • First listed as diagnosable illness in 1980 by DSM-III “Borderline personality disorder (BPD) is a mental health disorder that generates significant emotional instability. This can lead to a variety of other stressful mental and behavioral problems.” • begin in adolescence or early adulthood, continue over many years
  • 9. BORDERLINE AND CONDUCT DISORDER • On the “borderline” between “neurosis” and “psychosis” • Current trend is to call it “Emotional Intensity Disorder”
  • 12. Anger, impulsiveness and frequent mood swings may push others away
  • 16. SYMPTOMS • distorted self-image • Worthless • fundamentally flawed • Anger, impulsiveness and frequent mood swings may push others away • Self harm • Suicidal thoughts • Low self esteem
  • 17. Cont… • treatable disorder • Not all people who harm themselves have BPD • People with BPD are not ‘bad’ • they are sometimes labeled as ‘bad,‘ ‘manipulative’ or ’attention-seeking’
  • 18. CRITERIA IN DSM-IV TR Presence of five or more of the following in many contexts beginning in early adulthood: • Frantic efforts to avoid abandonment • Unstable interpersonal relationships in which others are either idealized or devalued • Unstable sense of self • Self-damaging, impulsive behaviors in at least two areas, such as spending, sex, substance abuse, reckless driving, binge eating
  • 19. Cont… • Recurrent suicidal behavior, gestures, or self- injurious behavior (e.g., cutting self) • Chronic feelings of emptiness • Recurrent bouts of intense or poorly controlled anger • During stress, a tendency to experience transient paranoid thoughts and dissociative Symptoms.
  • 20. Can look like….. • Schizophrenia – hallucinations, illusions, paranoia • Bipolar Affective Disorder – mood liability and anger • Major Depressive Disorder – suicidal, depressed • Antisocial Personality Disorder – legal problems
  • 21. Epidemiology • 2 % of the general population • Females 4 times the rate of males • 11 % of psychiatry outpatients • 25 % of acute psychiatry inpatients • 50 % of long term psychiatry inpatients • 60 % with co-existing Major Depressive Disorder • 7% complete suicide. ( 7 X General population)
  • 23. ETIOLOGY Most experts agree there is not one single cause of borderline personality disorder (BPD). It is likely the condition is caused by a combination of factors. • Genetics • Neurotransmitters • Neurobiology • Environmental factors