terça-feira, 4 de dezembro de 2012

Disturbance state limit of personality

The state limit disturbance of personality is characterized by a negative self-image, a sense of emptiness and a great difficulty dealing with the fact of being alone. People with this disorder have moods intense and highly reactive and unstable relationships. Their behavior may be impulsive and also have a higher than average likelihood of attempting or committing suicide. Sometimes, with no intention of committing suicide, can harm to themselves (eg, by cutting or burning) as a form of self-punishment or to combat a feeling of numbness.
When subjected to stress, people with a state limit disturbance of personality may develop psychotic-like symptoms, with distortion of perception or of thought and a commitment to the reality check. Especially in intimate relationships, tend to misinterpret or amplify what other people feel about them. For example, assume that there may persecutory feelings of hatred or when a friend or family member may be only slightly annoyed or angry.
The personality disorders develop as a result of both environmental and biological factors. Some researchers have suggested that the disturbance "borderline" personality stems from a childhood in which abuse or neglect occurred because a significant number of people with this disorder refers to a history of childhood abuse.
The experts also suggested that people with this disorder may have inherited a difficulty regulating their mood or anxiety, and may be more vulnerable to loss and more sensitive to stress than the average.
Beginning to be understood how these characteristics are reflected in the brains of people with a disturbance "borderline" personality. Some people with this disorder have an exaggerated response to unpleasant stimuli by surprise, with a different functioning of the brain regions involved in the management of fear and control of aggressive responses. The researchers also discovered distinct patterns in hormone levels and immune system of people with this disorder.
People with a disturbance "borderline" personality have a huge fear of being abandoned and compete for social acceptance, they are terrified of rejection and often feel alone even in the context of an intimate relationship. Thus, it is more difficult for them to cope with the normal ups and downs of a romantic relationship. The impulsive and self-destructive may constitute an attempt to protect themselves from being growing anxiety associated with the fear of being left alone.
The other side of fear is hope that a relationship is absolutely perfect. People with this disorder may idealize a relative, a friend or a romantic partner and then become enraged when an inevitable disappointment, that person may be responsible for the pain they feel and devalue the relationship.
It is quite common for people with a state limit disturbance of personality have also a mood disorder, an eating disorder or a substance abuse problem. The person may turn to alcohol or drugs to escape painful emotions as uncontrollable.
The disturbance "borderline" personality is diagnosed three times more often in women than in men.
Treatment
Psychotherapy
Psychotherapy is an essential aspect of the treatment of the state limit disturbance of personality.
The problems associated with this disorder are the usual forms of the person to relate to others and deal with obstacles. People with this disorder tend to idealize the therapist or to feel frustrated easily, presenting exaggerated reactions of disappointment. Thus, it may be difficult for them to maintain a relationship with a mental health professional. This perturbation tests the skill of practitioners, who have to use a combination of techniques to be effective.
It is not enough for a person with this disorder learn strategies to deal with problems on an intellectual level. The main challenge of the person is to learn how to tolerate emotional discomfort that is common in relationships and dealing with the intense emotions more successfully.
One form of treatment called dialectical behavior therapy seeks to take into account the special problems of disturbance "borderline" personality, using a combination of techniques of psychotherapy, education and psychotherapy both individually and as a group to support the progress of the patient.
We also successfully used structured forms of psychodynamic psychotherapy. In one version, psychotherapy focused on the transfer, the psychotherapist and the patient closely assess emotional issues that arise between them. People with a disturbance "borderline" personality are considered to have great difficulty in understanding the difference between their own perspective and that of others (including the therapist). Thus, and in a way, the goal of therapy is to get these guys to understand this difference and use what they have learned to cope in a better way with their own feelings and behaviors.
Whatever the approach used, the treatment aims to help the person cope with feelings of isolation, depression and anxiety without resorting to self-destructive behavior or a suicide attempt. Many people have difficulty discussing the self-destructive impulses with your health care professional, but it is important to be able to do it. Can be established specific plans to get help when these thoughts or impulses arise. Sometimes a hospital stay is required during periods of crisis.
Outside the hospital, a person with a disturbance "borderline" personality may need additional support, such as a daily treatment program, residential treatment or group therapy for couples or families. Given that research in this area is limited, it may be sensible to employ a combination of techniques psychotherapy.

Prevention
There is no known way to prevent disturbance "borderline" personality. Once identified, the treatment will likely increase the probability of obtaining relief with respect to the most painful aspects of this disorder.

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