Nine Myths about Borderline Personality Disorder скачать в хорошем качестве

Nine Myths about Borderline Personality Disorder

This video describes nine myths of borderline personality disorder. Myth number one is that all presentations of borderline personality disorder look the same. What this myth is really saying is that if we see one presentation of borderline personality disorder we've seen them all. There are a number of reasons why this myth is not true. First of all, each individual is unique so each presentation is going to be unique. Also, if we look at the symptom criteria for borderline personality we see that for a diagnosis of this disorder an individual has to have at least five of nine symptom criteria. If we do the math here in terms of combinations, we see that there are 256 possible combinations, because it's not just the five out of nine in terms of the combinations it's also six out of nine, seven out of nine, eight out of nine, and of course somebody could have all nine symptom criteria. If you add up all those combinations that's 256 combinations without counting differences in severity, duration, and frequency, and of course without counting possible comorbid mental disorders and other factors. Another important point to make with this myth is that if you look at the symptom criteria, you can see that two individuals could have borderline personality disorder and only share one symptom. Myth number two is that a diagnosis of borderline personality can only be provided to an individual who is 18 years or older. This is the case with antisocial personality disorder, however it is not the case with borderline personality disorder. Myth number three is that borderline personality disorder only affects females. There are more diagnoses of borderline personality into females as compared to males. About 75% of the diagnosed presentations of borderline personality disorder are with females, but recent literature shows us that borderline personality disorder may affect females and males at the same rate. Myth number four is that borderline personality disorder is easy to diagnose. There are a lot of complicating symptoms that make it difficult to diagnose borderline personality disorder. As with diagnosing any mental disorder, appropriate assessment takes time, clinical skill, and should be approached with caution Myth number five is that borderline personality disorder is rare. Actually, borderline personality is fairly common. We don't know the exact prevalence, but research indicates that it's somewhere under 2% all the way up to almost 6%. It affects about 10% of individuals in outpatient mental health care and about 20% of individuals in inpatient mental health care. Myth number six is that borderline personality disorder is always caused by trauma. We don't know if trauma causes any of the presentations of borderline personality, although it does seem fairly clear that there's some connection there. Certainly, it's a risk factor and it may be a causal factor, but we just don't know. Even if we want to assume it is an etiological factor, we know that about 10 – 20% of individuals diagnosed with borderline personality disorder don't have any trauma history at all. This idea that all borderline personality disorder is caused by trauma this is a myth. Myth number seven is that an individual with borderline personality disorder is dangerous. There's a slight increased risk of violence with borderline personality disorder and other personality disorders, but it's quite small. Sometimes it's made worse by mixing substances in with the disorder. Myth number eight is that for borderline personality disorder to be treated effectively, it must be treated by dialectical behavior therapy (DBT). This simply isn't the case. We know that DBT appears to be as effective as other treatment modalities when it comes to borderline personality disorder, but it's also impractical sometimes because it's thought of as a program only type of treatment. In most cases it can also be quite expensive. The problem with this myth is that it allows somebody to see DBT as the only potential effective treatment and therefore they would overlook other treatments, which have been shown to be equally as effective. DBT is an important treatment, but it's not the only treatment. Myth number nine is that borderline personality disorder cannot be treated at all. We know this isn't true. A number of modalities can be effective in many cases we see with borderline personality disorder. There are a lot of variables that go into how effective any particular treatment will be with a specific individual including level of insight, motivation, how much family support is available, the duration, frequency, and severity of the symptoms, and comorbid mental disorders.