BIPOLAR PERSONALITY DISORDER

SHEEZA MAHAK

BUT FIRST

RECALL

WHAT YOU UNDERSTOOD ABOUT PERSONALITY DISORDER

UMMMM……???

Cont…

• First listed as diagnosable illness in 1980 by DSM-III

“Borderline personality disorder (BPD) is a mental health disorder that generates

significant emotional instability. This can lead to a variety of other stressful mental and

behavioral problems.”• begin in adolescence or early adulthood,

continue over many years

BORDERLINE AND CONDUCT DISORDER

• On the “borderline” between “neurosis” and “psychosis”

• Current trend is to call it “Emotional Intensity Disorder”

DESTORTED SELF IMAGE

Worthless

Anger, impulsiveness and frequent mood swings may push others away

fundamentally flawed

Self harm

Suicidal thoughts

SYMPTOMS• distorted self-image • Worthless• fundamentally flawed• Anger, impulsiveness and frequent mood

swings may push others away• Self harm• Suicidal thoughts• Low self esteem

Cont…

• treatable disorder• Not all people who harm themselves have

BPD• People with BPD are not ‘bad’• they are sometimes labeled as ‘bad,‘

‘manipulative’ or ’attention-seeking’

CRITERIA IN DSM-IV TR

Presence of five or more of the following in many contexts beginning in early adulthood:

• Frantic efforts to avoid abandonment• Unstable interpersonal relationships in which

others are either idealized or devalued• Unstable sense of self• Self-damaging, impulsive behaviors in at least two

areas, such as spending, sex, substance abuse, reckless driving, binge eating

Cont…

• Recurrent suicidal behavior, gestures, or self-injurious behavior (e.g., cutting self)

• Chronic feelings of emptiness• Recurrent bouts of intense or poorly

controlled anger• During stress, a tendency to experience

transient paranoid thoughts and dissociative Symptoms.

Can look like…..

• Schizophrenia– hallucinations, illusions, paranoia

• Bipolar Affective Disorder– mood liability and anger

• Major Depressive Disorder– suicidal, depressed

• Antisocial Personality Disorder– legal problems

Epidemiology

• 2 % of the general population• Females 4 times the rate of males• 11 % of psychiatry outpatients• 25 % of acute psychiatry inpatients• 50 % of long term psychiatry inpatients • 60 % with co-existing Major Depressive Disorder• 7% complete suicide. ( 7 X General population)

ETIOLOGY

ETIOLOGY

Most experts agree there is not one single cause of borderline personality disorder (BPD). It is likely the condition is caused by a combination of factors.

• Genetics• Neurotransmitters• Neurobiology• Environmental factors

GENETICS

NEUROTRANSMITTERS

NEUROBIOLOGY

ENVIRNOMENTAL FACTORS