Borderline: first signs and how to identify the condition

The psychiatrist explains what is the borderline personality disorder and reveals the main tests that can lead to diagnosis

THE Borderline Personality Disorder (TPB) It is a serious mental condition, marked by the instability in interpersonal relationships, distortions in the image of oneself and in the affection, as well as by impulsive behaviors. It usually manifests itself in the early adulthood or adolescence, causing a significant functional impairment and difficulties in relationships.

But how to identify the disorder? Understand below:

How to identify Borderline

According to the psychiatrist Vitalo Fernandes Araújo, one of the ways to perceive the disorder is to identify the models of instability combined with a marked impulsiveness, especially in adolescence or adulthood. In general, TPB is indicated when there are five or more of the following signs:

• Intense fear of abandonment, that the individual tries to avoid frantically, both real and imaginary;
• Unstable and intense interpersonal relationships, alternating the idealization and devaluation of the other;
• Identity disorder, with persistent instability of cars -image or self -sense;
• Impulsiveness in at least two potentially self -destructive contexts (such as excessive expenses, gender, use of substances, reckless food or coaction);
• Recurrent suicidal behavior (gestures or threats) or car -mutilation;
• Quick mood changes, leading to emotional instability – usually for a few hours and rarely more than a few days;
• Persistent feeling of emptiness;
• Difficulty controlling anger, often inadequate or excessive;
• Transient paranoid thoughts related to stress or serious dissociative symptoms.

Origin and evolution of the disorder

TPB does not suddenly appear in adulthood. “This is because the first signs and symptoms can already be observed in the younger age, especially during adolescence. But there are few studies with the younger audience,” explains Araújo.

The condition may vary in intensity, but often causes chronic instability in the early adulthood, with episodes of uncontrollable emotional and impulsive. Suicide rates among TPB patients are high, ranging from 8 to 10%.

“Children and teenagers with TPB have increased hospitalization rates for the attempted ideation or suicide, more serious comorbilities and worse clinical and psychosocial functioning, similar to those observed in adults. Unfortunately, the diagnosis and treatment of the TPB are often late, lead to a delay.

Diagnosis and treatment

The diagnosis of the disorder is based on four pillars:

• Detailed interview with the mental health professional;
• Psychological evaluation, which can include questionnaires;
• Medical history and exams;
• Observation of signs and symptoms.

“The treatment of patients with TPB should start with the revelation of the diagnosis and education on the expected course and the treatment of the disorder. This approach can reduce suffering and establish an alliance between the patient and the doctor. Furthermore, the treatment should also inform patients who are effective therapies, which involve learning to take learn of themselves and that drugs play only a support role”, says Araújo.

TPB has a treatment mainly with psychotherapy, but drugs can help. In case of risk for patient safety, hospitalization may be requested.

Follow -Up helps the individual to develop skills to deal with the condition and treat possible comorbilities such as depression or improper use of substances. “With the treatment, the person can feel better with himself and live a more stable and rewarding life”, concludes the psychiatrist.

Source: Terra

Ben

Ben Stock is a lifestyle journalist and author at Gossipify. He writes about topics such as health, wellness, travel, food and home decor. He provides practical advice and inspiration to improve well-being, keeps readers up to date with latest lifestyle news and trends, known for his engaging writing style, in-depth analysis and unique perspectives.