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Borderline Personality Disorder: Cluster A Or Cluster B

1017 words - 5 pages

If someone said to you “I am having trouble with faces changing” or “I am confusing a dream with life” or “I don’t think there are any bones in my hand” would you think they were being emotional, or would you suspect a more serious problem? Suzanna Kaysen, writer of Girl, Interrupted, writes of these symptoms in her book about her stay in McLean Hospital. Suzanna was diagnosed with Borderline Personality Disorder. BPD is considered a cluster B disorder, classified for its emotional behavior. After reading about Suzanna’s symptoms and researching the prevalence of psychotic features in the disorder, I feel that these symptoms, such as hallucinations, magical thinking, paranoia, ...view middle of the document...

Borderline Personality Disorder patients certainly have unstable relationships experiencing periods of intense iconic love followed by equally intense dislike for their loved one; however, there are underlying symptoms that I feel are causing these fluctuating emotions. BPD patients often have a hard time regulating emotions and find themselves experiencing feelings of intense anger or rage. These are often overreactions to minor separations from a loved one or simply an overreaction to a word that carries a negative meaning. The patient will often associate this with abandonment from their loved one. This intense love-abandonment-anger cycle is continuous and is what often causes those suffering from this disorder to have several intense relationships or be promiscuous.
Borderline Personality Disorder is quite often comorbid with many other disorders including depression, anxiety, substance abuse, antisocial disorder, and eating disorders and can even co-occur with high blood pressure, fibromyalgia, arthritis, and back pain. It is very common for patients diagnosed with BPD to have a difficult time in treatment and therapy because the symptoms from the co-occurring disorders may be more prevalent than those that would help point the diagnosis toward Borderline Personality. The symptoms that differ from these common disorders are psychotic symptoms, including distorted self-image, rage/panic, feeling cut off from one’s self, hallucinations, or dangerous behavior. The patient loses touch with reality.
Psychosis is thought of as chaotic thinking where the patient cannot tell fantasy from reality. Some psychotic states are short-lived and can be reactions to stress. These last from a few hours to a few days. Psychotic micro episodes are common in personality disorders like Borderline and Schizotypal. Persistent psychoses can manifest for months or years. Psychotics cannot separate what is really happening in the world and what is being created by their internal metal process. They confuse the external universe with their inner emotions, cognitions, preconceptions, fears, expectations, and representations. Both psychotics and those with personality disorders have a distorted view of reality and can be irrational; no amount of proof to the contrary can convince them their reality isn’t real.
DSM-IV-TR defines a delusion...

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