Borderline Personality Disorder: Understanding the Syndrome addressed in Globo’s soap opera

Borderline Personality Disorder: Understanding the Syndrome addressed in Globo’s soap opera


The disease, without well-defined causes, is characterized by an extreme instability of mood, affections, self-esteem, relationships and behaviors.

Characterized by sudden and intense changes in feelings, as well as unstable behavior, the Borderline Personality Disorder (BPD) is a severe mental illness characterized by extreme instability of humor, affections, self-esteem, relationships and behaviors. People who have been diagnosed with the syndrome, also called borderline personality disorder, are afraid that emotions will get out of hand and end up acting irrationally to contain feelings. The theme will be addressed in the new novel by Globe, all flowers, by João Emanuel Carneiro, premiered on Wednesday 19th on Globoplay. In the plot, Joy, a character played by Yara Charry, will suffer from psychiatric disorder.

Although the causes of the syndrome are not yet well defined, symptoms are known to usually appear in early adulthood. It usually involves people who have suffered bullying, sexual abuse or had a traumatic childhood. Self-destructive actions, such as self-harm and attempts to do so suicide, they are frequent, according to experts.

See below for more information on the syndrome:

What is Borderline Personality Disorder (BPD)?

Severe mental illness characterized by extreme instability of mood, affect, self-esteem, relationships and behavior.

“Usually people who have this disorder have unstable and intense relational patterns, with a very high fear of abandonment, an instability in the perception of themselves and their image, with a feeling of internal emptiness, irritability and emotional lability, with self-destructiveness impulsive behaviors, sometimes presenting behaviors of automation and flagellation “, says Israel Montefusco Florindo, head of the psychiatric team of the Leforte Liberdade and Morumbi Hospitals.

Why was the disorder given that name (something bordering on it)?

according to Ministry of Health, the borderline is a category of psychiatry that describes a certain symptomatology. The expression in English means something that is borderline or borderline.

“It received this name because this disease lies on the border between neurosis and psychosis. In other words, it is on the border between neurosis and psychosis,” explains Valdenir Tofolo, psychiatrist at the Samaritan Higienópolis hospital.

Florindo points out, however, that although the name derives from the mid-20th century, originating from psychoanalytic theory, nowadays the criteria are based on more behavioral descriptions.

At what age does it usually appear?

In early adulthood. “This diagnosis should not be made in children or adolescents, when the personality is still forming. However, in some cases, we can say that, in this adolescent, symptoms and signs ‘remind’ of borderline disorder,” adds Tofolo.

What is the connection with past experiences?

According to the psychiatrist Hospital Samaritan Higienópolis, there is usually a connection with a past of conflict or abuse of any kind above average suffered in childhood and practiced by adults.

How to differentiate yourself from diseases like bipolar disorder and schizophrenia, for example?

Through the patient’s life history or evolution and psychic examination. “It is very different from bipolar disorder. Differential diagnosis is made with schizophrenia and other personality disorders,” says Tofolo.

The head of the psychiatry team of the Leforte Liberdade and Morumbi Hospitals clarifies that, in order to be able to make the differential diagnosis of these diseases, which have similar pictures and symptoms, the fundamental thing is a clinical follow-up for a certain time. “This helps to differentiate one condition from another or to understand if both are occurring at the same time. In general, the behavioral pattern of borderline personality disorder is perennial, that is, more fixed over time,” he said.

What are the symptoms of Borderline Personality Disorder?

Individuals appear to be in a permanent state of crisis. Behavior is highly unpredictable. Relationships are very tumultuous.

“Self-destructive actions, such as self-mutilation and suicide attempts, are frequent. Chronic feelings of emptiness and boredom. They feel dependent and tend to hate those they depend on. They are subject to episodes of severe depression and psychosis of very short duration, minutes or hours. They often threaten abandonment “, warns Tofolo.

How is the diagnosis made?

Through information on the patient’s life history and psychic examination. Structured psychological tests often help with diagnosis.

When some of the symptoms are observed, the patient should seek medical attention. Physiological tests may also be required which can help rule out diseases that have similar symptoms.

Is there a cure? What treatments?

There is no cure, but it improves a lot with treatment. “The treatment consists of individual psychotherapy, orientation to family members or cohabitants and drugs, such as antidepressants and tranquilizers, always with the indication and guidance of a specialist. Sometimes hospitalization in a psychiatric clinic may be necessary ”, adds the psychiatrist Samaritan Hospital Igienopoli.

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Source: Terra

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