Borderline Personality Disorder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
By Kenneth Kee
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About this ebook
This book describes Borderline Personality Disorder, Diagnosis and Treatment and Related Diseases
Borderline personality disorder (BPD) is a medical disorder of mood and how a person interacts with others.
It is the most often recognized personality disorder.
Generally, someone with a personality disorder will differ significantly from an average person in terms of how he or she thinks, perceives, feels or relates to others
Borderline personality disorder is a mental illness marked by a persistent pattern of varying moods, self-image, and behavior.
These symptoms often lead to impulsive actions and problems in relationships.
People with borderline personality disorder may have intense episodes of anger, depression, and anxiety that can continue from a few hours to days.
BPD is likely to happen more often in women e.g., Princess Diana.
Causes
The precise cause of BPD is not known.
Genetic, family, and social factors are believed to play parts.
As with most disorders, BPD appears to result from combined genetic and environmental factors.
Problem with brain chemicals
It is thought that many people with BPD have something wrong with the neurotransmitters in their brain, particularly serotonin.
Changed levels of serotonin have been linked to depression, aggression and destructive urges.
Problem with brain development
In many people with BPD, 3 parts of the brain were smaller or had abnormal levels of activity:
1.The amygdale -control emotions
2.The hippocampus–regulate behavior
3.The orbitofrontal cortex–affected in decision making
These parts of the brain are also responsible for mood regulation in people with BPD having close relationships.
Environmental factors
A number of environmental factors seem to be frequent and widespread among people with BPD:
1.Being a victim of emotional, physical or sexual abuse
2.Being exposed to chronic fear or distress as a child
3.Being neglected by one or both parents
4.Growing up with another family member who had a serious mental health disorder, such as bipolar disorder or drug misuse problem
Symptoms
The symptoms of BPD can be categorized into 4 main areas:
1.Emotional instability –affective dysregulation
2.Disturbed patterns of thinking or perception
3.Impulsive behavior
4.Intense but unstable relationships with others
Diagnosis
BPD is diagnosed based on a psychological evaluation.
1.Completing a thorough interview
2.Performing a careful and complete medical examination
3. Asking about family medical histories
Treatment
Many people with BPD can improve from psychological or medical treatment.
Psychotherapy is the main line treatment for BPD
1. Dialectical Behavior Therapy (DBT)
DBT uses concepts of mindfulness and acceptance or being aware of and attentive to the present situation and emotional state.
DBT also teaches skills that can help:
1.Control intense emotions
2.Reduce self-destructive behaviors
3.Improve relationships
DBT is based on the idea that 2 important factors add towards BPD:
1.The patient is emotionally vulnerable
2.The patient grew up in an environment where the emotions were dismissed by those around the patient
These 2 factors may cause the patient to fall into a vicious cycle of intense and upsetting emotions
The focus of DBT is to break this vicious cycle:
1.Validation: accept the emotions are valid
2.Dialectics: a school of philosophy that says most things in life are black or white
DBT tries to dispute that self harm is the only way to cope with sadness.
Mentalization-based therapy (MBT)
Mentalization is the ability to think about thinking
Medicines to treat specific symptoms:
1.Mood swings
2.Depression
3.Anxiety disorder
TABLE OF CONTENT
Introduction
Chapter 1 Borderline Personality Disorder
Chapter 2 Causes
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Borderline Personality Disorder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee
Borderline Personality Disorder,
A
Simple
Guide
To
The Condition,
Diagnosis,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2018 Smashwords Edition
Published by Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes Borderline Personality Disorder, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.
(What The patient Need to Treat Borderline Personality Disorder)
This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.
My purpose in writing these simple guides was for the health education of my patients.
Health Education was also my dissertation for my Ph.D (Healthcare Administration).
I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog: http://afamilydoctorstale.blogspot.com.
This autobiolographical account A Family Doctor’s Tale
was combined with my early A Simple Guide to Medical Disorders
into a new Wordpress Blog A Family Doctor’s Tale
on http://kenkee481.wordpress.com.
From which many free articles from the blog was taken and put together into 800 eBooks.
Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical disorders.
The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.
Since 2013, I have tried to improve my spelling and writing.
As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.
Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.
I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.
I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.
I apologize if these repetitions are irritating to some readers.
Chapter 1
Borderline personality disorder
What is Borderline personality disorder?
Borderline personality disorder (BPD) is a medical disorder of mood and how a person interacts with others.
It is the most often recognized personality disorder.
Generally, someone with a personality disorder will differ significantly from an average person in terms of how he or she thinks, perceives, feels or relates to others
Borderline personality disorder is a mental illness marked by a persistent pattern of varying moods, self-image, and behavior.
These symptoms often lead to impulsive actions and problems in relationships.
People with borderline personality disorder may have intense episodes of anger, depression, and anxiety that can continue from a few hours to days.
BPD is likely to happen more often in women.
Symptoms may get better after middle age.
What are the causes of Borderline personality disorder?
Causes
The precise cause of BPD is not known.
Genetic, family, and social factors are believed to play parts.
As with most disorders, BPD appears to result from combined genetic and environmental factors.
There is no single cause of borderline personality disorder (BPD) and it is likely to be caused by a combination of factors.
The things that are likely to contribute to BPD are:
1. Genetics
Genes the patient inherits from the parents may make the patient more vulnerable to developing BPD.
One study found that if one identical twin had BPD, there was a two-in-three chance that the other identical twin would also have BPD.
These results have to be treated with caution, and there is no evidence of a gene for BPD.
2. Problem with brain chemicals
It is thought that many people with BPD have something wrong with the neurotransmitters in their brain, particularly serotonin.
Neurotransmitters are messenger chemicals used by the brain to move signals between