Borderline Personality Disorder Facts
- Borderline personality disorder is also known as emotional
regulation disorder (ERD).¹
- ERD is a debilitating biological disorder.
- 2% of adults have this disorder.
- 20% present in psychiatric hospitals.
- 11% in outpatient clinics.
- 69% to 75% exhibit self-destructive behaviors such as
self-mutilation, chemical dependency, eating disorders and suicide
- 8 - 10% die by suicide usually due to lack of impulse control
- Successful suicide rate doubles with a history of
self-destructive behaviors and suicide attempts.
- 50% experience Clinical Depression
- Approximately 25% of those with ERD also meet the criteria for
post traumatic stress disorder.
- Of Dual Diagnosed People, 50-67% have ERD.
- Between 40% and 71% of ERD patients report having been sexually
abused, usually by a non-caregiver.
- Characteristics of ERD are described here
in the DSM IV.
- Most experts in this field agree that ERD is on the wrong axis
code. Presently on Axis II. Should be Axis I.
- Diagnosed more often in females - approximately 75%.
- ERD has received very little attention and funding by our
nation's health care system.
- Most clinicians are either mis-educated or under-educated about
ERD and appropriate treatment. Thus people continue to suffer.
- Those who received standard community based inpatient and
outpatient psychiatric treatment show this form of treatment to be
marginally ineffective when measured 2-3 years later.
- Treatable with medication initially and psychodynamic therapy
complimented with dialectical behavior therapy (DBT). Therapy without proper medications is not
recommended by many Drs. in this field.
- Cause of ERD is unclear but it appears to be a combination of
genetic and environmental factors. More research is needed.
- Severe headaches and migraine appear to be more prevalent in patients with BPD than the general population.
- ERD is highly stigmatized in the world.
- Many clinicians refuse to treat ERD.
- ERD is virtually unknown to the public.
- Studies show inadequate regulation of serotonin, dopamine, and
other neurotransmitters in those with ERD.
- Discontinuation of medications are high at 50%.
- On the Minnesota Multiphasic Personality Inventory (MMPI), ERD
patients do not show a common profile. Personality traits appear
to be a combination of histrionic, narcissistic, and antisocial
- 22-35% of domestic violent perpetrators meet the criteria for
- ERD (borderline personality disorder) can be extremely hard on
families. Families need support.
- Decreased glucose uptake in medial orbital frontal cortex may be associated with diminished regulation of impulsive behavior in BPD.²
- There is no link between ERD and schizophrenia.³
- Comorbid conditions in BPD may also affect the ability to act responsibly.
¹ Borderline Personality Disorder: Proposal to include a supplementary name in the DSM-IV text revision
² Impulsivity and prefrontal hypometabolism in borderline personality disorder.
³ Family studies of borderline
personality disorder: a review.
4 Moral responsibility and borderline personality disorder.
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