The Borderline Disorder in Adolescence

Borderline personality disorder in adolescents: prevalence, diagnosis, and treatment strategies
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http://kamishiro-hajime.info/voice/localiser-un/application-iphone-pour-surveiller-son-conjoint.php Aguirre notes, suicidal feelings are almost universal in people with BPD, and reflect a desperate need to escape extreme emotional distress. These are the criteria mental health professionals use to diagnose borderline personality disorder:. In the past, mental health professionals were reluctant to diagnose anyone under 18 with BPD, even though symptoms usually develop during the teen years.

That was, in part, because emotional intensity and impulsive risk-taking are to some extent characteristic of adolescence itself. Typical teenage behavior , it was thought, could be confused with BPD. But even if the behavior looks similar, the reasons for it are different in typical adolescents and those with BPD, Dr. Aguirre notes.

Typical teens experiment with alcohol and sex out of curiosity and impulsivity, while people with BPD use them to escape acutely painful feelings. They may seek out sexual encounters, for instance, because they feel abandoned, and crave closeness, rather than sex itself. But as the treatment picture has changed, so has the aversion to diagnosis in adolescence.

One large study called the McLean Study of Adult Development , which followed BPD patients for 12 years, found that 74 percent of participants had no active symptoms after 6 years, and only 6 percent relapsed in the following 6 years. This is particularly important as young people are developing their identity and sense of self, which is made incredibly difficult for young people with BPD symptoms. Another reason experts urge earlier diagnosis of BPD is to lessen inaccurate diagnosis of more common disorders like ADHD , depression and bipolar disorder. Sometimes these are co-occurring disorders, but often they are misdiagnoses.

Borderline Personality Disorder: Not Just an Adult Condition

And no medication is going to correct the invalidation that these people feel. BPD patients who are admitted to Dr. When they are discharged, he says, half are on no meds at all. There are a number of specialized psychotherapies that have been developed to treat BPD, but the gold standard treatment — the one with the most evidence for its effectiveness — is called dialectical behavioral therapy, or DBT.

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When people feel accepted and understood, it has a calming effect and allows them to learn skills to regulate emotions and develop safer, more effective alternatives to the self-destructive behaviors they have been using. DBT skills are very effective for getting patients to stop self-injury and suicidality, Dr. Skip to search form Skip to main content. Michonski and Amanda C. There is growing consensus that the early identification and treatment of emerging borderline traits may be an important focus.

However, few diagnostic questionnaire- or interview-based measures specifically developed or adapted for adolescents and children exist. View on PubMed. Alternate Sources. Save to Library.

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Create Alert. Share This Paper. Tables and Topics from this paper. Citations Publications citing this paper. Leigh Noblin , Amanda C. Borderline personality disorder BPD is part of a cluster of diagnoses called the personality disorders.

BPD In Adolescence: Early Detection and Intervention - Blaise Aguirre, MD

Personality disorders are a group of psychiatric conditions that are characterized by enduring long-term patterns of inner experience and behavior that are significantly different from the experiences or behaviors of most other individuals in the patient's culture. These patterns are pervasive stable over time , inflexible, have an onset in adolescence or early adulthood, and lead to distress or impairment. The diagnosis of personality disorders and BPD in particular in adolescents is controversial, as there is evidence that personality continues to develop throughout adolescence and into young adulthood.

Additionally, the reliability of the BPD diagnosis in adolescents has been called into question, in light of the finding that many adolescents with the disorder appear to 'outgrow' it. Nevertheless, expert consensus is that the BPD diagnosis has clinical utility in adolescent samples and can be applied when appropriate. BPD is characterized by a pattern of impulsivity and instability in interpersonal relationships, self-image, and affect, as indicated by five or more of the following symptoms:.

What is Borderline Personality Disorder?

Symptoms of BPD are often triggered or exacerbated by interpersonal stressors, including perceived rejection, neglect, or abandonment. Recurrent suicidal ideation is the reason that many individuals with BPD present for treatment and risk of completed suicide is elevated in individuals with this disorder. For BPD to be diagnosed, the symptoms must be present across a variety of contexts.

Although the disorder is often chronic, many adolescents who meet criteria for the disorder will remit by early adulthood. Because many adolescents experience some of these symptoms from time to time, BPD should be diagnosed only when these patterns persist for at least one year and cause clinically significant distress or impairment. BPD severity can range from mild to debilitating. In severe cases, BPD can lead to severely impaired functioning at work or school and an inability to maintain successful interpersonal relationships.

Self-injurious behaviors can lead to medical complications.

Learn More About Borderline Personality Disorder

Misdiagnosis presents problematic possibilities. As part of the treatment process here at SUWS of the Carolinas, we also provide each student and their family with transitional planning to help determine the most appropriate placement, upon graduation from our treatment center. In the present study, although higher levels of childhood abuse or neglect were reported by borderline adolescents, the selected attachment representations predicted group membership over and above what these reported events accounted for. Still, per recent scientific models, borderline traits concentrate in families. In such cases, the organized relationship may provide an alternative to the disorganized model, offering the opportunity for more stable functioning. Unresolved states of mind, disorganized attachment relationships, and disrupted interactions of adolescent mothers and their infants. Consequently, this rate of death is two to three times greater than that of schizophrenia.

Risk of attempted and completed suicide is elevated among individuals with this disorder. Many people with BPD also have other psychiatric conditions, most notably bipolar disorder, other personality disorders, depression, anxiety, and substance use disorders.