WHAT IS BORDERLINE PERSONAL DISORDER?
Borderline (Borderline personality disorder) It is a disorder that causes problems in the way a person perceives his environment, his way of thinking, his feelings about people and human relations.
It usually begins to develop during adolescence and young adulthood. In the name of the disease and ‘What is a borderline?’ the meaning of the word that prompted the question; It can be expressed as “borderline, indeterminate”.
Borderline personality disorder in people with; Sudden mood changes and indecisive thoughts about who they are and what their role in life is. As a result, their interests and values can change quickly.
People with borderline personality disorder tend to see things as extreme as very good or very bad. Their thoughts about people can change very quickly. They may see someone they see as a friend one day as an enemy the next day. Therefore, they establish intense and unstable relationships in social life.
FREQUENTLY Seen SYMPTOMS
Behave avoiding abandonment, such as establishing closeness with someone very quickly or interrupting communication with a person whom they think will distance themselves.
Rapidly changing extreme feelings of love and hate about family, friends and immediate surroundings
Imbalanced and distorted sense of self
Dangerous and impulsive actions such as careless driving, excessive and unreasonable spending, substance use, eating too much, engaging in excessive sexual behavior, gambling
· Do not hurt yourself
Repetitive suicidal thoughts or attempts
Sudden and intense mood swings that last from a few hours to a few days
Constantly feeling empty
Inappropriate and intense anger, anger control problems
Problems with trust can be counted as excessive and irrational skepticism about other people’s intentions.
There is no such thing as all symptoms will be seen in people with borderline disorder. Some patients have a few symptoms, while in others, almost all of the listed symptoms can be observed. Symptoms can be triggered by ordinary events.
For example, symptoms may begin to appear in a person who leaves his / her immediate environment due to a business trip. The severity and duration of symptoms vary from person to person. The general condition of the person and the degree of his illness determine the intensity of the symptoms.
WHY IS BORDERLINE PERSONAL DISORDER?
The causes of borderline disease have not been fully elucidated. However, scientific studies, some factors; It has shown that it may play a role in the development of borderline personality disorder or in increasing the risk of the disease.
Those with borderline personality disorder close to first degree are at risk of having this disease. This indicates that the disease may have a genetic basis.
In studies involving healthy individuals with borderline disease, some functional and structural differences were found in the brain structures of these two groups. However, it is not known to what extent these differences are effective in the development of the disease.
Environmental, social and cultural factors may also play a role in the development of the disease. People with borderline disease; She stated that she experienced traumas such as abuse and abandonment in her childhood.
Mental illnesses generally develop due to many factors. A single reason is insufficient to explain the development of the disease.
Although genetic, environmental and structural factors are potential causes of the development of borderline disease, it is not possible to say that those who carry these factors will definitely become sick, or those who do not have these factors will never become sick.
COMPLICATIONS OF THE DISEASE
Constantly losing or changing your job
Inability to complete their education
Having legal problems such as arrest, imprisonment
Having conflictual relationships, having problems in marriage, divorce
Self-harm and hospitalization due to this situation
Having abrasive relationships
· Taking part in situations such as unplanned pregnancy, sexually transmitted diseases, traffic accidents, getting involved in a fight as a result of risky behaviors
· Can be counted as attempting to commit suicide and ending life.
Complications of the disease can have serious consequences. Therefore, borderline disease is a disease that should not be ignored.
In addition to the health status of the person, it also has effects on work and social life. It is very important for a person with borderline disease to keep his / her discomfort under control with the help of a specialist, in order to reduce or avoid complications due to the disease.
People with borderline disease are also at risk for some other mental illnesses.
These diseases are:
Alcohol, drug addiction
· Eating disorders
· Bipolar disorder
Post-traumatic stress disorder
Attention deficit / Hyperactivity disorder
Can be listed as other personality disorders.
There are researchers who point out that multiple personality disorder is a specific example of borderline disease. It may take a long time to confirm these theories, as mental illnesses can be very interconnected.
BORDERLINE PERSONAL DISORDER DIAGNOSIS
In the past, borderline personality disorder has been viewed as a difficult disease to treat. However, nowadays, it has been possible to reduce and alleviate the symptoms of patients and increase their quality of life with evidence-based new treatment approaches.
The diagnosis of borderline personality disorder is made through an interview between the psychiatrist and the patient. It is not easy to diagnose a patient because it can be seen together with borderline disease and some other mental illnesses.
The psychiatrist evaluates the general mental state of the patient by talking about the signs and symptoms with the patient. The patient may be asked to fill in a sheet of paper that provides an idea of the mental state, which can also be called the borderline test.
During the interview, the person is questioned whether there is any borderline or different type of illness in the family. Other conditions that may cause symptoms seen in the patient are evaluated and these situations are tried to be excluded from possible causes. As a result of all this, the doctor makes the diagnosis.
BORDERLINE PERSONAL DISORDER TREATMENT
Borderline treatment is mainly performed to control the symptoms seen in the person and to increase the quality of life. The most commonly used method in treatment is psychotherapy. If necessary, medication can be added to psychotherapy.
Situations such as self-harm and severe symptoms may require hospitalization. In addition to borderline personality disorder, it is helpful to treat additional disorders that may be seen with the disease. Thus, the patient benefits more from the treatment and the quality of life increases more.
Psychotherapy, also known as talk therapy, is the main treatment approach in borderline disease. In therapy to the person; Helps are given in subjects such as controlling impulses, developing relationships by being aware of the person’s condition, and having knowledge about the disease.
There are many different types of psychotherapy. The therapist can meet with the person personally or arrange a group organization. Group sessions with therapist help the person to express their feelings and to understand the other person in a healthy way.
Although the problem of trust is often seen in people with borderline disease, the patient’s trust and belief in his therapist increases the chances of success of the treatment.
Medicines are not preferred much in borderline treatment. However, drugs can be used to improve depression, mood swings, and mental illnesses associated with illness.
People who have a close relationship with people with borderline personality disorder may also benefit from therapy.
It is not very easy to cope with borderline disease and the problems that come with it. The awareness of the patient and his / her close circle of these problems and the search for solutions to the problems together make the treatment much more effective.
Borderline personality disorder is a mental illness that can have serious consequences. It is recommended that people who show symptoms of this disease consult a psychiatrist and evaluate their mental health status.
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