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Morabeto Mind Legacy Associates Janice R. Morabeto, M.Ed. L.S.W. NLP Practitioner, C.H.T. 1. 2. 3. 4. To briefly identify the differences between an Axis I and Axis II disorder.( I.E. Between the symptoms that one suffers from compared to who the individual has become developmentally.) To identify the signs and symptoms of Borderline Personality Disorder To identify the prevalence and course of this disorder To identify common Axis I disorders associated with BPD Personality disorders are commonly referred to as disorders of the “self” or characterological disorders. They differ from Axis I disorders because they seem to: Develop over time Affect the individual’s belief systems about The world The self Other people Be pervasive, difficult, if not impossible to treat ◦ Axis I disorders are commonly referred to as having a set of psychiatric symptoms. Ex. Major Depressive Disorder Eating impairments Sleeping impairments A lack of desire to be involved in previously enjoyable behaviors or activities Lack of concentration Etc. Include the common diagnostics such as: ◦ ◦ ◦ ◦ ◦ ◦ ADHD Major Depressive Disorder Oppositional Defiant Disorder Bipolar Disorders Autism Substance Related Disorders Include only: ◦ 10 Personality Disorders ◦ Mental Retardation, Developmental Delay (MRDD) Most research regarding Personality Disorders suggest an: ◦ Over-developed or hypervigilance in some personality characteristics common in most, if not all people. For example: Paranoia Fear of Rejection Dependency Low self esteem Etc. A. An enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual’s culture. This pattern is manifested in two (or more) of the following areas: 1. Cognition: ways of perceiving and interpreting self, other people, and events 2. Affectivity: range, intensity, lability, and appropriateness of emotional responses 3. Interpersonal functioning 4. Impulse control B. The enduring pattern is inflexible and pervasive across a broad range of personal and social situations. C. The enduring pattern leads to clinically significant distress or impairment in social occupational, or other important areas of functioning. Diagnostic Criteria DSM IV (1994) DSM IV-TR (2000)APA Patterns of Instability Patterns of Impulsivity Beginning (at least and often sooner) by early adulthood Consistent across a wide variety of contexts: (family, work, friendships, academic) A Pervasive Pattern of Instability in: Instability Interpersonal Relationships Affect Self-Image Marked impulsivity beginning by early adulthood Present in a variety of contexts, as indicated by at least 5 of the following: Frantic efforts to avoid real or imagined abandonment. A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation Identity disturbance: markedly and persistently unstable self-image or sense of self Spending Binge eating Sex 4. Impulsivity in at least two areas that are potentially selfdamaging: Reckless driving Substance Abuse 5. Affective instability due to A Marked Reactivity of Mood Intense Episodic Dysphoria Irritability, or anxiety (usually lasting a few hours and only rarely more than a few days.) Recurrent suicidal behavior, gestures, or threats, or selfmutilating behavior 7. Chronic feelings of emptiness Frequent displays of temper Constant anger Recurrent physical fights Transient, stress-related paranoid ideation or severe dissociative symptoms 75% of this PD is diagnosed in women. Comprises 2% of the general population 10% of clients seen in out-patient mental health centers 20% of inpatient psychiatric patients ◦ Indicates: Need for help Their ability to ask for it Has been diagnosed in all regions of the world Quite variable Usually worse in the young-adult years Gradually decreases with age. During their 30’s and 40’s the majority of individuals with this disorder attain greater stability in their relationships and vocational functioning. After about 10 years, about half of the individuals with this disorder no longer meet the full criteria for Borderline Personality Disorder. Mood Disorders ◦ Unipolar/Bi-Polar PTSD Substance Related Disorders Eating Disorders (Mostly Bulimia) Antisocial Personality Disorder Anxiety Disorders, Generalized Panic Attacks Somatoform Disorders Brief Reactive Psychosis Psychogenic Fugue States American Psychological Association, 1997, 2000 Gunderson J. G. Borderline Personality Disorder: A Clinical Guide American Psychiatric Publishing, Inc.;( 2001) Heller L .M. (1999) Life at the Border Understanding and Recovering from Borderline Personality Disorder Okeechobee Fla. Dyslimbia Press Inc. Kriesman J. J. and Strauss H: (1991 ) I Hate you -don’t leave me :Understanding the Borderline Personality New Your NY Avon Books Linehan M. M. (1993) Cognitive Behavioral Treatment of Borderline Personality Disorder New York Guilford Press Linehan M. M. (1993) Skills training manual for treating Borderline Personality Disorder New York Guilford Press Mason P.T. and Kreiger R. Stop Walking on Eggshells: Taking back your life when someone you care about has Borderline Personality Disorder. Oakland CA. New Harbinger Publications Santoro J. and Cohen R. (1997) The Angry Heart: Overcoming Borderline and Addictive Behaviors, an Interactive and Self Help Guide. Oakland CA. New Harbinger Publications The American Psychiatric Publishing Textbook of Personality Disorders (2005) by John M. Oldham (Editor), Andrew E. Skodol (Editor), Donna S. Bender (Editor) American Psychiatric Publishing, Inc.; 1 edition