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Emptiness:
and feelings of Anger
It is common for people
with borderline personality disorder to be misdiagnosed with bipolar disorder,
where mood swings persist for a longer period of time and are less common, with
symptoms other than mood swings distinguishing between each disorder.
Peripheral personality
disorder is a mental disorder characterized by poor emotional control,
self-esteem, impulsivity, and communication problems. The problem is usually
not diagnosed until after the age of 18, although the symptoms may appear much
earlier. About 2-6% of people have a peripheral personality disorder and the
gender ratio is the same, although previous studies have indicated that the
disorder is more common in women. Other mental health problems are often
associated with ADHD, such as depression, anxiety, alcohol or drug abuse, and
eating disorders.
To be diagnosed with a
mental disorder, five of the nine symptoms of the disorder need to be present
over a long period of time and in a variety of conditions.
"What makes the
disorder a personality disorder is that the problem reflects on how an
individual thinks, behaves and feels in general, unlike some disorders that usually
last for a limited time, such as major depression."
The main symptom of
borderline personality disorder is poor emotional control, which can often be
attributed to high emotional sensitivity. People with high emotional
sensitivity need less to evoke emotions and their reactions are stronger and
last longer than other people. In other mental disorders, people often have an
increased sensitivity to certain emotions, such as anxiety in anxiety
disorders. But the emotional sensitivity of people with borderline personality
disorder is towards most emotions. Both in relation to comfortable and
uncomfortable feelings. People therefore easily become very happy, very sad and
so very anxious within a few hours or days.
It is common for people
with borderline personality disorder to be misdiagnosed with bipolar disorder,
where mood swings persist for a longer period of time and are less common, with
symptoms other than mood swings distinguishing between each disorder. It is
therefore important that professionals working in the diagnosis of bipolar
disorder are well acquainted with the differential diagnosis of peripheral
personality disorder and vice versa in order for people to receive the right
treatment. But the difference between these diagnoses has a great influence on
whether medication is recommended and what medication and what kind of psychotherapy
and to what extent the person is most suitable.
This disorder is often
accompanied by great anger, why?
"Perhaps it's because it's common for people with this disorder to use anger to deal with other emotions. People often feel that feelings like depression and sadness are not right or that they are a sign of weakness. Many people also find sadness or grief unbearable and use anger more to express their feelings. However, anger can also be caused by certain core beliefs, such as that life or others are unfair.
People with peripheral
personality disorder also experience a high and repeated feeling of emptiness,
which they find to be a very uncomfortable condition and it is common for
people to have high suicidal thoughts. The feeling of emptiness can be caused
by people disconnecting from their emotions because they are so many and
strong. Such disconnection, called a state of mind, also causes people not to
show facial expressions when telling very difficult things, but it also makes
it difficult for others to understand and put themselves in their shoes, or
take note of what they say. But it is hopeless to try to ward off emotions for
a long time, so they often become very strong and strong as a result. People
with borderline personality disorder go between these extremes, there is no
middle ground. Also, the notice period is often as small as no one and
therefore very difficult for others to understand what is going on.
First and foremost,
emotional problems that lead to communication problems
It is debatable whether a
peripheral personality disorder is primarily an emotional or communication
problem. Research supports both, but the preliminary results of a study she is
doing indicate that the main symptom of the disorder is poor emotional control,
which in turn causes communication problems.
The aim is to develop and improve services for young people with relaxed emotional control, both those who meet the diagnostic criteria for borderline personality disorder and also those who have milder symptoms but still need help with emotional control. This is in line with the development of treatment for emotional control abroad, but among those who are later diagnosed with a borderline personality disorder, one can often detect difficulties with emotional control much earlier that could have been intervened and possibly prevented from becoming so great in adulthood.
Another symptom of borderline
personality disorder is rejection sensitivity. It is not strange that these
people experience it strongly when they are rejected, it is because of the
emotional sensitivity. But they are also more likely to think they are being
rejected when they are not.
"Maybe it doesn't
take more than a friend calling and saying she doesn't want to come to the park
with you, then you experience it so that the friend does not want to come with
you to the park. The reaction to rejection is often unhelpful and even pushes
people away, such as saying they are going to end their own lives or begging
the person not to leave. People with the disorder also tend to be black and
white in thinking that affects how they look at people. It often manifests
itself by worshiping people and revering one moment but not enduring the next.”
Impulsive one of the side
effects
Impulsivity is very
common in people with borderline personality disorder. For example, driving
recklessly, having careless sex or with strangers, alcohol or drug problems and
binge eating. There is a possible reason why people with the disorder are often
misdiagnosed with many other disorders such as bipolar disorder, alcohol or
drug problems and an eating disorder. Also, these people often have anger
problems, but this means that the core of the problem is never addressed, which
is poor emotional control.
"Self-harm and
suicidal intensions are common in people with borderline personality disorder
(BPD). This behavior is sometimes used to alleviate difficult emotions.
However, suicidal ideation, self-harm, or suicidal ideation can greatly reduce
short-term discomfort but do not help in the long run and prevent recovery.
Sometimes people hurt
themselves or show suicidal behavior because it leads to support and care from
others and they do not know more suitable ways to get what they want. It is
important to keep in mind that research has shown that people with this
disorder often have difficulty remembering the course of events and have
difficulty understanding why they are harming or engaging in suicidal behavior.
It is therefore not necessarily conscious to injure oneself or show suicidal
behavior in order to receive support and care.
Others think of suicide
and show suicidal behavior because they want to die and about 8-10% of people
with borderline personality disorder end up having their own life. It is
therefore clear that suicidal thoughts and behaviors can play different roles
and it is important to identify them so that the treatment is both targeted and
effective.
Dialectical Behavioral
Therapy (DAM), developed by Marsha Linehan around 1980, is evidence-based
treatment for borderline personality disorder. DAM is based on the idea that people
are generally doing their best but can do better by learning more helpful ways
to deal with their emotions. Then it can build a life worth living. If people
do not have the tools and equipment needed to deal with very difficult emotions
then it is not strange that they use the methods they know to reduce or control
them even though they are helpful in the long run, because they work at the
moment. For example, self-harm can get people out of a state of mind, but there
are far more convenient and harmless ways to get out of a state of mind.
Most recover within a few
years
Peripheral personality disorder is a persistent phenomenon, but now this is not true. A lingered study that has lasted for more than 25 years has shown, about 50% of those diagnoses with a borderline personality disorder are no longer diagnosed four years later and more recover as time passes on. Almost 6% of those who have been kept under observation have been diagnosed with the disorder again later. It is a considerably lower proportion than in those people who are diagnosed more than once in their life spam in a severe depression or which is commonly known as depression.
Prejudice prevails over
the disorder
All sorts of prejudices
against peripheral personality disorder and even from those who treat her. As a
result, professionals are less likely to diagnose people with the disorder and
even refrain from telling the client that they meet the diagnostic criteria for
the disorder.
"But it's kind of
like not telling a person with cancer about the disease, how should people seek
appropriate treatment if they do not know what the problem is?" says Inga.
We are cognizant of
simply providing a client with a borderline personality disorder with education
about the disorder, its progression and treatment reduces the number and
severity of the symptoms. Therefore, clear that most people who need help do
not receive it or receive it from a wrong source when, for example, eating
disorders, alcohol and drug problems or depression are treated instead of the
core of the problem.
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