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Borderline Personality Disorder - Coggle Diagram
Borderline Personality Disorder
Other names
Emotional Dysregulation Personality Disorder
Emotionally Unstable Personality Disorder (EUPD), borderline type
Differentials/Comorbidities
ADHD/ASD
Additional symptoms above
BPD associated with higher rates of mental illnesses
Depression
Look at length of mood changes and emotional changes in the day
BPAD (type II)
Presence/length of underlying mood changes
Can be difficult to differentiate
Complex PTSD
Some symptoms of PTSD
Some symptoms of BPD
Newer diagnosis
Long-term trauma (vs classic one-off event for PTSD)
Treatment
Psychological
Initial treatment to enhance coping skills (e.g. Decider Skills)
Dialetical Behavioural Therapy
Gold standard
Stepwise approach
Therapeutic communities
Mentalisation-based therapy
Social
Reduce ongoing stressors
Biological
(Low dose) quetiapine
Mood stabiliser (lamotrigine)
NICE don't recommend - poor evidence
Avoid benzos (impulsivity)
Symptoms/Signs
Insecure sense of self
Insecure intense relationships
Abandonment issues
Underlying "numb" mood
Emotional dysregulation
Impulsivity
Drugs/alcohol
Paranoia/dissociation in high stress
Self-harm and suicidal ideation
Chronic
(Auditory) pseudohallucinations
Demographics/Associations
F>M
Stigma
?Genetics
Stress/trauma, often in childhood
"Fight, flight or freeze"
Attachment difficulties