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Within ten years, many of these approaches will become closer and closer to reality.
Currently, research into the biological basis of BPD is in its infancy. A great deal of concerted research is necessary to ascertain the specific impairment in the regulation of neural paths that modulate impulsivity, mood instability, aggression, anger, and negative emotions seen in the BPD patient. These are complex pathways, and it will require a significant amount of research to determine the precise changes that occur in BPD.
One of the more interesting and promising areas for research will be in the area of brain imaging. Recent research in this area shows that the ability to suppress negative emotions can be correlated with individual differences in the ability to activate areas of the prefrontal cortex involved in inhibition. Clearly, more research in this area will likely help to broaden our understanding of the impulsivity in BPD.
Future directions for treatment of BPD include combinations of behavioral and medical treatments for the disorder. Further, results from the first longitudinal study of BPD personality treatment are expected to reveal a great deal about the effect of treatment....
Future directions for treatment will undoubtedly incorporate many of the results from research into the biological basis of BPD.
The need for effective treatments and research into BPD is easily justified. Corelli estimates the prevalence of BPD of "running as high as 10-14% of the general population." This high prevalence ensures that virtually every person has been impacted by BPD at some time in their lives. Thus, many of our personal and professional relationships have been colored by the disorder, often without our knowledge. As such, research and effective treatment of the disorder stand to benefit not only the sufferers of the disease, but their families and society as a whole.
References
Corelli, Richard J. Borderline Personality Disorder. 04 November 2004. http://www.stanford.edu/~corelli/borderline.html
National Institute of Mental Health. Borderline Personality Disorder: Raising Questions, Finding Answers. 04 November 2004. http://www.nimh.nih.gov/publicat/bpd.cfm
Shapiro, E.R. (1978). The psychodynamics and developmental psychology of the borderline patient: a review of the literature. Am J. Psychiatry. 1978 Nov;135(11):1305-15.
32) The overall diagnostic and symptomatic patterns described by these points indicate that BPD is a serious disorder and is "...classified as a major personality disorder involving dramatic, emotional, or erratic behavior; intense, unstable moods and relationships; chronic anger; and substance abuse." (Boucher, 1999, p. 33) There are a number of criteria which, in line with DSM-IV, are used to identify and characterize this disorder. The first of these criteria refers
People living with mental illness are often marginalized, demeaned, and seen as being outside the normal boundaries of society. For people with BPD, this is doubly painful as it reinforces their sense of worthlessness and victimization, and may even lead to suicide attempts. For those who can recognize they have BPD, yet not know how to deal with it, the social stigma may lead them to attempt to cope with
According to Philip W. Long, M.D., "During brief reactive psychoses, low doses of antipsychotic drugs may be useful, but they are usually not essential adjuncts to the treatment regimen, since such episodes are most often self-limiting and of short duration. It is, however, clear that low doses of high potency neuroleptics may be helpful for disorganized thinking and some psychotic symptoms. Depression in some cases is amenable to neuroleptics.
Etiology Borderline Personality Disorder (BPD), as is the case with several psychiatric disorders, is viewed widely as a consequence of the complex interaction of many factors such as psychological, neuroanatomical, neurochemical, and genetic factors. a) Genetic factors: There is growing evidence that BPD is genetic and can run in some families. A study of people with BPD has shown that the prevalence of BPD among the relatives of people suffering from the
Borderline Personality Disorder Borderline personality disorder (BPD) is defined as a condition wherein the patient suffers from a difficulty in regulating his or her emotions (NAMI, 2018). Individuals suffering from BPD can lack impulse control, have a poor self-image, and experience severe emotional responses when stressed. The inability to regulate the emotions can lead the individual to lash out at the self and engage in self-harm in some cases (NAMI, 2018).
Borderline Personality Disorder Individuals with Borderline Personality Disorder are afflicted with a continual state of emotional conflict and chaos, often swinging from one extreme of emotion to another. Patients with BPD are traditionally known to exhibit symptoms of depression, anger and anxiety at varying times, and traditionally demonstrate self-injurious behavior. The road to treatment and recovery is often a different one, as traditional psychotherapeutic approaches often fail treating patients with DSM-IV.