Many of the affected individuals usually present patterns of idealize and excessively devalue others, which is why they often alternate between a positive conception and great disappointment.
Borderline individuals are characterized by feeling the emotions in a deeper way and for a longer period than average, resurfacing and persisting these emotions for a long time, so these individuals usually take longer to to return to an emotionally stable state, after having suffered an intense emotional experience.
Often people with this disorder are more enthusiastic, cheerful, affectionate and idealists than the average of the normal population and, on the contrary, tend to feel overwhelmed by negative emotions, experiencing a intense pain instead of sadness, as well as embarrassment and humiliation instead of low-level embarrassment, anger instead of annoyance, and panic instead of nervousness. These people usually present a sensitivity especially to feelings of rejection, criticism, isolation and the perception of failure. If borderline is not capable of developing her own resources to control her feelings and the disorder is not treated by a health professional mental healthsome of the ways to escape from your intense negative emotions can be self-injury or behavior suicide.
Impulsive behavior is a characteristic present in borderlines, including alcohol abuse and disorders (in its various forms), indiscriminate with multiple partners and without protection, reckless and compulsive spending, and reckless risky driving. for oneself and others. In the same way, they usually present patterns of instability labor, with frequent job and sentimental changes, entering and leaving relationships in an accelerated and recurring manner.
People who suffer from Borderline Personality Disorder have a very high sensitivity to the way others treat them, showing feelings of intense joy and gratitude when they perceive signs of kindness towards them and, of intense hatred, anger and sadness, towards criticism or negativity that they may perceive from others. This usually generates alternation between the idealization of others and the disappointment in front of them, being also extreme or high intensity feelings.
The borderlines They also present patterns of handling in order to achieve the protection of others and, they are usually prevented from visualizing a clear image of their personal identity, preventing them from building medium and long-term goals in relationships and jobs.
Causes and origins of borderline disorder
Borderline Personality Disorder may be generated by various triggers or a combination of them, such as post-traumatic stress disorder, childhood trauma accused and untreated, abnormal social development in relationships with family, friends and other children, congenital abnormalities of the brain and genetic factors.
There is a strong correlation between child abuse, especially child sexual abuse, and the borderline disorder, which could have been verbal, emotional, or physical; as well as the loss of caregivers in early childhood, generating an early feeling of abandonment and dire need of protection.
For this reason, it is of great importance that the psychological evaluation and diagnosis inquire together with the patient about the origin, beginning and severity of the symptoms.
In our clinical centers of de Madrid and de la , in Pozuelo, Las Rozas, Torrelodones, Villalba, Galapagar, Boadilla, Majadahonda and El Escorial, we treat Borderline Personality Disorder by applying third-generation therapeutic techniques and psychotherapy advanced method of , adapting our methodology to the sociocultural reality of the patient and the result of the diagnosis, establishing mechanisms and disciplines in harmony with the life and socio-cultural environment of the patient, reducing the anguish caused by the disorder in the first sessions and allowing develop and fully integrate into their social, work and family group, thus managing to balance their quality of life and that of his close circle.
Diagnosis and treatment of borderline disorder
The diagnosis Borderline is based, in the first instance, both on the detailed clinical report of its symptoms, and on the patient’s own observations and experience. The psychotherapist You can ask the patient for additional tests such as a physical and laboratory examination, in order to rule out other possible causes of the symptoms he is suffering from, such as thyroid disorders or drug abuse or .
Generally speaking, an individual must meet 5 to 9 criteria to receive a diagnosis of Borderline Personality Disorder, with patterns of instability emotional and interpersonal relationships, impulsive behavior and unclear or defined personal image (sense of self), as well as a series of traits maladaptive sufficiently marked and specific patterns of cognition.
The psychotherapy It is the main and most recommended treatment for borderline personality disorder. In Vertices Psychologists We base our treatments on the needs of the individual, rather than on the general diagnosis of the borderline. Medication for the treatment of comorbid disorders, such as and , may also be necessary and useful. It is very important to develop with the patient, from the first sessions, prevention mechanisms to avoid self-injurious or suicidal behaviors.
The treatment of this disorder is carried out in the long term, using various types of psychotherapy, depending on the symptoms and the depth of the disorder, as well as a set of them, such as dynamic deconstructive psychotherapy, based on the mentalization of the patient towards the treatment, transference-focused psychotherapy (based on psychodynamic principles), dialectical behavior therapy (based on principles) and schema-focused therapy; all of them with sufficient experience in scientific and clinical development and effectiveness proven.