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Borderline Personality Disorder Facts

 

  • Borderline personality disorder is also known as emotional regulation disorder (ERD).
  • 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 attempts.
  • 8 - 10% die by suicide usually due to lack of impulse control over depression.
  • 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 personality.
  • 22-35% of domestic violent perpetrators meet the criteria for ERD.
  • 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.
  • There is no link between ERD and schizophrenia.
  • Comorbid conditions in BPD may also affect the ability to act responsibly. 4

Borderline Personality Disorder: Proposal to include a supplementary name in the DSM-IV text revision

Impulsivity and prefrontal hypometabolism in borderline personality disorder.

Family studies of borderline personality disorder: a review.

4 Moral responsibility and borderline personality disorder.



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