Thursday, February 24, 2011

Co-Morbid Symptoms: Borderline Personality Facts and Statistics Part 5


- 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.

The MMPI is one of the most frequently used personality tests in mental health. The test is used by trained professionals to assist in identifying personality structure and psychopathology. I don’t actually know much about this test so I’ll be sure to do more research on this in the future.  However it doesn’t surprise me that BPD displays with a combination of personality disorder traits.  Since personality disorders encompass all aspects of a person’s life, the environmental and emotional factors that are experienced often overlap.  The very nature of BPD is a collection of problems that display together…





- Co-morbid conditions in BPD may also affect the ability to act responsibly.
BPD is not a single issue.  There is no single thing that you can point to and say, yep, that’s BPD. BPD is often referred to as a ‘catch-all’ personality disorder because there are so many influencing factors.  Rather than the type of symptom, are the number of proliferative psychiatric or medical symptoms that are diagnostically relevant. These multiple psychiatric symptoms appear to manifest as numerous comorbid Axis I and II diagnoses.  
       
Axis I:  Clinical disorders, including major mental disorders, and learning disorders
<!--[if !supportLists]-->-          <!--[endif]-->Axis II: Personality disorders and mental retardation (although developmental disorders, such as Autism, were coded on Axis II in the previous edition, these disorders are now included on Axis I)

Axis I disorders - Clinical ( Mental ) Disorders are used to report various disorders or conditions, as well as noting other conditions that may be a focus of clinical attention. Clinical Disorders are identified into 14 categories, including:  Anxiety Disorders, Childhood Disorders, Cognitive Disorders, Dissociative Disorders, Eating Disorders, Factitious Disorders, Impulse Control Disorders, Mood Disorders, Psychotic Disorders, Sexual and Gender Identity Disorders, Sleep Disorders, Somatoform Disorders, and Substance-Related Disorders. Other conditions, known as Adjustment Disorders, may also be a focus of clinical attention includeMedication-Induced Movement Disorders, Relational Problems, Problems Related to Abuse or Neglect, Noncompliance with Treatment, Malingering, Adult Antisocial Behavior, Child or Adolescent Antisocial Behavior, Age-Related Cognitive Decline, Bereavement, Academic Problem, Occupational Problem, Identity Problem, Religious or Spiritual Problem, Acculturation Problem, and Phase of Life Problem.

Axis II disorders - Personality Disorders and Mental Retardation are recorded so the clinician will give consideration to additional intervention and treatment choices. Personality is the qualities and traits of being a specific and unique individual. It is the enduring pattern of our thoughts, feelings, and behaviors, it is how we think, love, feel, make decisions and take actions. Personality is determined, in part, by our genetics and also, by our environment. It is the determining factor in how we live our lives. Individuals with Personality Disorders have more difficulty in every aspect of their lives. Their individual personality traits reflect ingrained, inflexible, and maladaptive patterns of behaviors that cause discomfort, distress and impair the individual’s ability to function in the daily activities of living. In Mental Retardation problems in brain development have usually occurred and virtually will affect all aspects of the individual’s cognitive functioning. Borderline Intellectual Functioning, as well as Learning Disabilities, may also be a consideration for clinical focus.
Common Axis II disorders:

Antisocial Personality Disorder.
Avoidant Personality Disorder.
Borderline Personality Disorder.
Dependent Personality Disorder.
Histrionic Personality Disorder.
Mental Retardation.
Narcissistic Personality Disorder.
Obsessive-Compulsive Personality Disorder.
Paranoid Personality Disorder.
Personality Disorder Not Otherwise Specified.
Schizoid Personality Disorder.
Schizotypal Personality Disorder.


I’ve mentioned co-morbid symptoms before as I have a metric butt-ton of these: Clinical Depression, General Anxiety Disorder, Eating Disorder (Bulimia), Dissociative Disorder, Sleep disturbance, Sexual/Gender Identification ‘issues’ (I don’t find this to be an issue at all), and possibly substance abuse problems (alcohol). Not to mention the obvious DSM criteria that qualify me for the Axis II Borderline Personality diagnosis.

When there are so many issues, so many overwhelming features to BPD it’s not at all surprising that it’s difficult for someone with BPD to act responsibly. It’s a lot to keep in mind, a lot to try to reign in. These are not issues that can be flipped on and off like a light switch, easily kept in check. You don’t get to choose when your emotions affect you, or how they affect you. And this CAN happen at the flip of a trigger in almost any situation. All of these things contribute to what makes BPD so difficult to control, and that lack of control comes out when we don’t want it to. 

7 comments:

  1. Thanks for this Haven. I've been avidly reading your posts, just not commenting all the time. :)
    The theory that BPD has a mixture of antisocial, narcissistic and histrionic seems to make a lot of sense. We're just a mixed bag of nuts aren't we?!

    Your last paragraph sums it up quite well. It is overwhelming, there are many many things to keep a lid on, triggers to avoid or deal with...and as for the emotion, no, it can't be fully contained.

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  2. Mixed bag of nuts for sure, hah. I think I'd be happy just being one kind of nut, maybe pistachio.

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  3. I'm with you guys, and ironically, eating mixed nuts while reading the blog...curious. :)

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  4. @Anon... ::smiles:: Entirely appropriate =)

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