Case Study: Borderline Personality Disorder
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- Опубліковано 16 сер 2019
- This video answers the question: Can I analyze a case study of Borderline Personality Disorder (BPD)? This presentation reviewed here discusses some of the challenges with treating BPD in a college counseling center setting.
Borderline Personality Disorder:
In the Diagnostic and Statistical Manual (DSM), we see nine symptom criteria for borderline personality disorder and five have to be met for a diagnosis. The symptom criteria include frantic efforts to avoid abandonment, unstable relationships, identity disturbance, impulsivity in two areas that are potentially self-damaging, suicidal behavior, affective instability, chronic feelings of emptiness, inappropriate or intense anger or difficulty controlling anger, and paranoid ideation or dissociation. Borderline personality disorder is a Cluster B personality disorder, so it’s in the same cluster is antisocial, narcissistic, and histrionic personality disorders.
Draper, M. R., & Faulkner, G. E. (2009). Counseling a Student Presenting Borderline Personality Disorder in the Small College Context: Case Study and Implications. Journal of College Counseling, 12(1), 85-96.
The presentation analysis/case studies are fast becoming my favorite uploads. Thank you for all your hard work!
Mine too cuz you see it all around you once you know what's going on especially if you're working in customer service or have friends and family members
Kelly Schittenhelm very true. I think this is probably the best mental health channel on UA-cam.
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yes, do more.
i believe he's all tapped out of disorders to make straigh tup descriptive videos about anyway
I wish he's still do stuff like this.
Dr. Grande,
Could you please make a video about male presentations of BPD itself, without focusing on comorbid personality disorders like ASPD?
I mean a real focus on how BPD symptoms themselves manifest in males. This topic isn’t talked about.
Thank you for considering this.
Its extremely rare, so rare i do not believe BPD is even a "thing" in males. However, since this new world, one of relativism, political correctness, and having to walk on egg shells anywhere we go, so we do not offend another human, it seems as though the powers that be are trying hard to equalize BPD between the sexes. Its primary diagnosed in women, essentially exclusively diagnosed in women, has been and will continue to be. Vulnerable Narcissism is more likely what you experienced if you're trying to validate your opinion re; a relationship with a male, past or present that is.
Cathartic Canuck you seem so confident about that, but, while women are more frequently diagnosed with BPD, it is not exclusively gendered. Just as an example, Pete Davidson has it. In fact, recent research indicates that women tend to be over diagnosed, while men are under diagnosed with the disorder.
im a male borderline
Cathartic Canuck I don’t think that’s right. It does seem as if women are “allowed to get away” with being that way, but I suspect males suppress it and express it in a different way.
Look up “Shinji Ikari”, the protagonist of the anime Neon Genesis Evangelion. That is a prime example of a male borderline.
Marmaduke Scarlet They’re under diagnosed because they have the assumptions Canuck has.
Very interesting. Also glad you mentioned that anyone with a Cluster B pd (eg BPD) has a greater chance of exhibiting characteristics of other cluster B pds (eg, ASPD, NPD, etc). Crucial info
I have bpd .. thank you Dr. Grande 👏🏼 I love your videos .. and I just wanna hug you ❤
I wish you'd be my therapist.
Me too!!
Me3
Me4
Me5
he's the man. if only there were clones of him am i right?
I really appreciate your no nonsense approach on different topics..Easy to understand and that makes it more interesting. Ty😊
THANK YOU Dr. Grande! I have had to deal with BPD in my family for my entire life, and understanding this very confusing and oft-misrepresented this order is challenging. This and other resources you've provided have been instrumental in helping me understand, cope, and support loved ones with this condition.
You are quite welcome 🙂
nimbleneedle lol they diagnosed me with that as well when I was in a psych ward for attempted suicide. two different psych wards to be exact lol
nimbleneedle for me I was 18 when they diagnosed me with It off record. And alcoholism on record
nimbleneedle and MDD. i’m almost 20 now
Excellent video! You never cease to amaze and educate me. I wish you were making these videos when I was married to my ex and my head was spinning due to his behavior. He was diagnosed as BPD, anti social disorder and narcissistic. I researched these, but never really understood how they applied to him and his behavior and attitude, both of which wrecked my life. Thanks, Dr. Grande! Now it is all making sense!
Now you know: BPD especially is a dealbreaker. Sorry you went through that.
I just want to say I really like your videos. You kind of remind me of my own therapist and your voice is really calming. I find your videos very informative, straightforward, and interesting, and I like that you don’t sensationalize mental health topics for views.
Love your case study video(s)!!! So very interesting to watch!! Thank you for making all these great videos, Dr. Grande!🌟🌟🌟
Again an interesting case study. Looking forward to many more of these kind of videos Dr. Grande 👍. Thanks for all the work you have done in making these great videos. Be well doc 😃🇳🇱
I love these case studies! Please do them for all the personality disorders.
These videos are fantastic, I especially appreciate the deep dives! So interesting!!
I LOVE THESE. THANK YOU❤ you have been helping a lot of us learn about behaviour and learning how to see things from an objective point of view.... I greatly appreciate this channel 😊
these case studies are pretty interesting! I would love to see one (or more!) on avoidant. Thank you for these videos!
Amazed that this just came up in my recommendations! So relevant, so very much like what one of my siblings went through with a partner...
Your job requires remarkable patience, but you seem to have it. Listening to Nancy's tale of woe made me wonder how counselors endure that kind of behavior for years. Again, you and your colleagues have my empathy. "Nancy" must represent one of the most difficult kinds of clients to try to treat.
@@M_SC
Very true. I've never known anyone that I would guess, in hindsight, had "BPD;" and I think that's partly because I would never tolerate for long anyone who behaved that way--I'd get away quick.
I've had my worst luck with narcissistic people; I've known plenty of them throughout my life, from the beginning to the present.
Even still, that kind of "BPD" drama could wear away anyone's emotional strength and defenses, no matter how much training and compensation were involved. Maybe Dr. Grande might want to say a few words about "burnout" among mental health professionals.
People with "BPD" probably put a strain on police and hospital workers, too.
Thanks.
although I think he said he was reading a case study and therefore it wouldn't have been him treating the client
@@wendyleeconnelly2939 You're right!!!
But I was thinking and responding generally.
I imagine Dr. Grande has seen far more than his share of deeply troubled people, but he seems calm and very "well adjusted" 😊. I wonder how he does it.
Thanks.
These case studies help me study for my psych tests, thank you Dr. Grande!
Presentation analysis is my favorite series on UA-cam
Zachary Rodrigues hmm
Thanks for doing this video =) so helpful and appreciated. Have a great weekend Dr. G
Thank you. I look forward to watching this in the morning.🇬🇧 (I won’t sleep if I go on my iPad right before bed)
You're welcome 🙂
I really enjoy your videos so much. Thank you for sharing your knowledge with us.
Thank you for another informative video! In a way this helps me understand one of my friends who has BPD and probably has a long way to recovery ahead of her. I'm hoping you will make another video like this about AvPD.
I love this kind of stuff. I'm such a nerd. I wish you could just pass a knowledge test to get a mental health services degree, I know I know this stuff far better than many with licenses do after all the hours of research and study just because it is a subject that fascinates me. There should be a "skip college, self-study" course option for us aspies lol.
Maranda Russell - My World Right??? Same here
Maranda Russell - My World no, there shouldn’t!
@@marmadukescarlet7791 Not sure why you should care what I do, but ok. Self study isn't a whole lot different than online school which has become pretty common. The big difference? The enormous debt.
@Firebird Don Yeah, I wouldn't even necessarily want to be a counselor or therapist per se. Maybe mix in another special interest as well and be an art therapist or something. Or be on the research end of things.
@@marmadukescarlet7791 And you do realize many colleges offer some self-study programs and credits already, right? But again, I would prefer to avoid the ridiculous debt.
Great study Dr. Grande as BPD is of great interest to me with family diagnosed.
Awesome case study. This is my favorite case study you’ve shared
I find case studies fascinating!
Your lectures are best suited for students.
The description of the individual, her family history, and past issues sounds exactly like that of my ex-husband...hot and cold mother, inconsistent and often absent parenting, throwing money at the problem, extreme enabling. Dr. Grande, I really enjoy listening to your detailed analysis of mental health cases. And although anecdotal, in my personal experience I believe that I've encountered more males who fit most, if not all of the criteria for a diagnosis of BPD.
There was a wonderful book I found one time in a book store, by pure chance called, "I Hate You! Don't Leave Me!" The cover of the book is what caught my eye. Had to read it all about the BPD. Raw and eye opening. That was in the early to mid 1990s. might still be out there. Made me understand these ppl.
Thank you for sharing these.
I really enjoy your scientifically informed insider view on mental health topics.♧
As an RN who currently works jn long term care, I have seen these behavior patterns in both an individual resident and their families-they often do have this diagnosis. A history of mental healrh problems doesn't go away because a person grows old. As I have learned, a lot of acquiescence occurs with staff as well as the families. A challenge I have had historically is setting limits and boundaries, plus maintain their health and safety in a way that doesn't violate their resident rights and remain within regulations. I balance this with keeping in mind where they have ended up and advocate for their well being as well. Sorry for the length of this, I did want to say your videos have helped improve my understanding and validated my efforts. Thank you.
Fascinating, thank you!
Love the case studies, great to have them explained by a professional in a way that makes sense. What a relief. I personally do not think involving the ras in this would have been a good idea, if I heard that correctly. That seems like it might have been asking too much of them, and way outside the scope of the ra position,. again, I think I heard you say the campus clinic could have cooperated w the dwelling circumstances somehow.
Could you consider discussing presentation of borderline personality disorder in males? The reason I ask is because a once spoke with a psychiatrist in a case conference who suggested that males with BPD present with more dependent traits than women with BPD.
You should do a video on new possible disorders/ things that should be added or subtracted in the next DSM.
Great video!! There was an argument in comments about whether men can be Dx’d with BPD or if it’s solely female. *Its not* Females are more commonly Dx’d with it, but males absolutely are also. Professionally, I’ve worked with men who are Dx’d BPD, many times they’re also Dx’d bipolar (or other cluster B Dx’s). Another commenter wrote they believe males are under-diagnosed and females over-diagnosed, that’s been my experience. There seems to be pervasive stereotypes about BPD, even among mental health professionals.
Very insightful.
Would love to see some content on living with someone who has BPD. I love my roommate/best friend, and it's hard because she experiences life so differently (though I don't think she realizes this because it's her normal). My family doesn't really understand why we're friends because she can be so black and white and intense... it often overshadows her many positive qualities. But I'd really like to know how to compassionately assert boundaries with someone who has this disorder when you're living in close quarters. I'm a laid back person and she needs more structure and definition than I feel I should need to give, and when she does cross a boundary, it's really crossed. I also worry if I'm too assertive, she'll interpret it as being unwanted or abandoned.
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After three years, I’m really interested in how things as they were stated in your comment, played out.
I went through a similar experience with a close friend. And regret to say, that I just had to walk away for my own sake.
Great case study on BPD....maybe not the study itself but YOUR analysis. U rock. 🤗
Thank you so much 🙂
the case study videos are my favorite videos
These new videos on case studies or amazing! Keep them coming 😉 😁👏👏👏
Defenetly, the real deal!
I agree.e I might be a little late to the party so many conversations going on already. But this just came up in my recommends... and is so timely, someone close to me going through this now.
Your case study videos are so interesting! :)
Why do you think we see clinicians having so much trouble treating clients with personality disorders versus someone with an Axis I disorder? Is the behavior itself more troublesome with PDs, or is it there something in the nature/duration of PDs that make them more difficult to treat for someone who hasn't dealt with them as much?
EXCELLENT EXPLANATION FOR BORDERLINE PERSONALITY DISORDER!
*HEY, DR. GRANDE! I didn’t give you permission to tell my story!* 😉😂 (basically 75% on point)
Yeah it's SO SIMILAR to something someone close to me has going on with a partner...
Mine too. Except I have brothers and I haven't had a diagnosis yet
You are the best! ❤
This is truly one of the most heartbreaking of mental disorders for me. To be so desperate for that human connection and yet so afraid of it that you often destroy it....and through no fault of your own.
love how you mouthpeices talk about accountablility for everyone but the abusers that caused the issues in the first place
What are your thoughts on hypnosis/memory regression therapy, and is it a viable option for someone with questions of fragmented memories from past abuse traumas?
So if u mean that a person can have 2 personality disorders at a time, can u please bring us a case study about it, like someone with BPD and NPD.
I love ur videos they're so educative.
Dr G, great case study, which brings me to a key question: you talk about holding someone responsible for their actions when they dont want to or are not used to. Could you talk about that more, from the perspective of both a Therapist/Authority Figure and the perspective of a Friend/Family Member? how can someone hold another person accountable?
by drawing boundaries, not enabling, not rescuing, practicing "tough love", consistent responses to the behavior, avoiding the emotion and concentrating on the action
It is very interesting and very nicely described , in so heavenly bites !
According to Science Daily, a study by Baylor University College of Medicine concluded that people with people with BPD attach a lot of value to the money they hand out and very little to the money they receive in return.
That's interesting, but I would argue that money could just as easily represent anything that could be considered valuable, even transactional, such as time, energy or love. What this experiment suggests to me is that people with BPD not only perceive what they receive from others as never being good enough, but also believe themselves to have more at stake and that anything they give to others is more of a sacrifice.
And that would certainly explain a lot.
A video on dominant traits from the big personality traits in a person with bpd would be appreciated.
You should do a video on Bryer Schmegelsky and Kam Mcleod. I think both had Avoidant Personality Disorder and Borderline Personality Disorder.
I love those case Studies - very informative.
What about malignant Borderlines(aka sociopathic Borderlines)?Just like in this case it was totally dismissed.
Man these casy studies are amazing
Thanks again, for a great session. I do not have anything to do with my sister. It’s been 7 years. When you mentioned, at the end of your Case Study about how you found it a shame that (I paraphrase!) anti social personality disorder was not seen or utilised, as a possible cluster C disorder, as having comorbidity to disorders such as Borderline Personality Disorder as similar traits are shared. My sister, I thought, in my “lay way,” had BPD but the sociopathic way that she has always lived her life shows a comorbid type mixture. Could you, sometime, Dr Grande, do a discussion on the co-morbidity within the diagnosed Cluster C disorders. I love the way that you present cases et al, in a clinical yet understandable way. They say that intelligence is the ability to be understandable to anyone. You do it but also, without hubris. Hope the above made sense! Mistress Bex 💋
Very good video.
Thank you .
Gracias
I was diagnosed as a quiet Borderline. I don't have rage issues but I do have a lot of the issues, maybe it's why I was told I ticked all the boxes bar one. It was a blessing and a curse when I was diagnosed because then I could look for treatment and look into what was going on with me but at the same time people would stare at me like I had some hideous deformity or acted like they would catch my crazy if got to close. I have had to deal with the stigma that comes along with BPD like professionals just jumping to the assumption that I am violent or have anger issues when with me it's quiet the opposite. The thought that scared me is my daughter's ending up with it because I don't want them to ever feel like they are not enough or to feel as low as I did when I self harmed. I have done DBT therapy but couldn't take full advantage of it as I was with a mentally and emotionally abusive partner, I mean to the point he made out he had poisoned me and didn't say otherwise till I was manic trying to claw at the door to get out, I couldn't just leave as he always had the door locked with a key that he kept on him.
Dr Grande with regards BPD what treatment if any, does the evidence show as being most helpful? Or, does it depend on a multi therapeutic approach depending on the particular needs of the individual?
good video very interesting
Hi, maybe you already made videos about this, but I couldn't find any:
How does someone with NPD become a "normal" person? If you're aware that you have NPD and you truly want to change, how can you make those NPD thoughts that always pop up in your mind stop?
Would be so cool to see some videos about this!
I believe understanding others and understand yourself can really help not that I know much! It seem to kind of run in my family (at least6 that I know for a fact are and a few some questionables. I have a very large family) some got better or more normal with age but some got worse depends on the person.
Hey, check out : Dr. Ramani Durvasula .. she is a specialist at this topic ..
NPDs never change.
Lord Baelish Dr. Grande did.
Search for the video titled "How to appear less narcissistic"
Practice makes perfect.
First you feel like faking it.
After practice for a while, you will start to feel for others.
It needs a lot of work on the side of the narcissist.
Every argument, you need to try hard to put yourself in the other person's place.
This is where a mental health professional can help you.
Sometimes this is hard to do.
Especially dealing with the defense mechanisms and the emotions you feel when criticized.
In time it will develop naturally, without effort.
Just like learning to ride a bicycle.
First it needs conscious effort, after that it becomes auto pilot.
The problem is nobody showed the narcissist empathy growing up.
You cannot give what you don't have.
But narcissist can learn by example from the therapist.
The experience with a therapist is a corrective parenting example.
Quite amazing experience!
In case counseling is not possible.
One can always do self work on emotional intelligence.
In order to understand how others feel, we have got to understand ourselves first.
We gain self awareness through journaling our reactions to everyday events.
This is a successful method to self reflect.
But sometimes we fail to see the reasons we have strong reactions to different stimuli.
A therapist can make it easier and shortens the amount of time and effort needed.
Gifts and transportation, that sounds very familiar. The backing out of plans and physical violence ending in a restraining order to gain power / free ticket. Just to go on with manipulative behaviour.
Will there be a video on being even keeled and presenting both sides of a controversy? I could use those Dr Grande skills. :)
One wonders when and if this case study will ever find treatment or healing in some manner. Narcissus in myth was raised by overly protective parents, who were trying to avoid a curse, but, of course, heading straight into one. Perhaps she will find your video!
Please look into Andrea Yates.🌹🌹
Would you be able to do a video about object constancy please?
Do more videos like this
The one thing that helped a borderline I was involved with up to the point of her death of alcoholism, was a program in Washoe County NV called "Women in Recovery."
the only trouble was that the girls were supposed to graduate in six weeks and be cured.---The answer for the borderline is "LIFETIME" therapy. If K.C. could have checked into that group
once a week for the rest of her life she could have been healed. This despite a soulless therapist who was as asinine as any they make. We tried everything with her . She was just among the 25%
of alcoholics who could not respond to AA. How frustrating it is to not find a therapist who wants to deal with a borderline. Then find the answer in that low-bottom group of substance
abusers and have it withdrawn after six weeks.--Again the answer for a borderline is "LIFETIME" therapy in a group, such as "women in Recovery."
How rare is it for someone with bdp to have 9 out of 9 symptoms?
Dr. Grande, can you please make a new playlist for these case studies you're doing? Thank you 😃🇳🇱
Yes, I will put one together 🙂
@@DrGrande Thanks 👍
Dr. Grande, thanks for your knowledge. Can you explain the differences between borderline personality, narcissism and bipolar disorder. thank you
R V the difference is BPD has abandonment issues and has strong relationships with Impulsivity. Classic NPD is that they tend to care only about self and will not have abandonment issues but thrive on supply from any one! Point is a person with BPD can have NPD traits.
@@halfmanhalfamazing9812 I wanted to know if bipolar disorder would make a person use fear to control and keep their partner in the relationship. Thank you
@@rv7130 that doesn't sound like bi polar but I'm no expert. They might have bipolar as well as a personality disorder
I hope you're planning to do this on all the PDs.
Second that .
Please do a video on Transgenerational Trauma... please... 🙏
I love your insite into BPD . I have it but was wondering what cluster schizoaffective disorder comes under.
Angie Hunter cluster a
@@irenedevet1917 thank you.
I am 48 and have very few memories of my childhood, and most of the remainder of my time on Earth has been a blur. I do believe I have BPD and possibly Dissociative Disorder. What would cause all of my memory loss and are there effective treatments for healing from the these mental health disorders?
I feel a bit called out by this case-study - although I'm not violent, disruptive and I tend not to abuse substances (although I have in the past), in terms of getting into counselling as part of a frantic attempt to win a toxic ex partner back I line up almost perfectly. As well as the history of relationship with mother being inconsistent - with controlling tendencies but a lack of emotional availability. I'm currently diagnosed with CPTSD but I'll definitely be bringing this up with my psychologist as I have had concerns about diagnosis in the past.
What should you do if you suspect you or a friend may have bpd?
Thank you Dr Grande. I think this is the worst illness ever. But maybe that's because it's my job every afternoon. These people like "Nancy" (who sounds just like my own charge - parents too), belong in a controlled environment. If all else fails and you have a 44 year old who can't function unless there's high, and usually illegal, drama; then I think they should be put in group homes. Ugh. I'm tired.
Thank you as always, doctor. 👍🌹
Odd choice of words. These people can definitely learn how to function in society. They need therapy.
@rose petals I think he just reads every comment without reading them
What I took was that therapy cannot be effective if the rest of the social system fails to support it with appropriate measures including boundaries and consistent consequences for violating them. I was wondering about antisocial tendencies too but also about histrionic tendencies when you were outlining the case study but was a bit surprised neither of these made it into the diagnosis.
Most people with BPD do not have antisocial tendencies
The day I got the diagnosis I felt like I have been sentenced. But worse I feel like I lived my whole life I didn’t have a chance. That I have been controlled by this disease all my life especially th more I remember mistakes I made or how I reacted and my relationship with people. And I fear the rest of my life I’m under control of this disease no matter how much DBT or drugs they give me. I feel my life has been stolen. I feel chronically empty.
5:50 ... and 5:56... I'm curious why you deemed it necessary to re-read this statement. How many takes do you do, and by what quality do you deem a take is worth making the final cut?
What job markets should somebody with BPD look into? Asking for a friend.
Play More no parachute skydiver
@@uricacidcrystals9921 *writes that on the list*
Maybe bar or something with alcohol or parties . You can have a wider range of emotions and social interaction.
Encounter Psychology because living on an emotional edge day to day may give a deeper range of emotional coherence or Method Acting again for the same reasons. Maybe Mood stabilizing Rx for those times when unsteady emotions are too much?
@@chiccorealo Car Sales was actually my longest held job. That's interesting to think about..
I’ve been interested in getting involved in case studies.
I was mis-diagnosed with it
I had three of the traits.
Well I had to quit my job cuz i was not allowed counceling while ot was reinvesteogated and the negated.
On thursday o start new tests to see if its adhd
I can't see how slapping more and more personality disorder diagnoses helps anything. It's not as if there's some precise form of treatment for borderline and another for antisocial. Aren't they all just descriptions of behaviour society doesn't like anyway? What independent meaning do personality disorders have?
Jeff Day
I found that the videos and case studies help me identify myself.
So diagnosis not therapy
There are different treatment methods, depending on each case. For BPD, cognitive behavioral therapy is more effective than others. Same happens with other diagnosis, where sometimes psychotherapy is better, etc. So yeah, it's not to stigmatize or label, but to help accordingly. And by "help" I don't mean trying to "normalize" a person but to help them heal whatever is making them feel unhappy/unhealthy and be able to live in a diverse society, still being themselves.
Dialectical behavioral therapy is often used to treat BPD and was developed by a therapist who has the condition herself.
Do you have a Patreon? I would like to support you more!
I am working on setting one up now - thank you for your support!🙂
Dr grande 😍
Iv'e had 9 years of living with this disorder by my partner. would like some help.Been through so much through it. My story is wanted to hear.
Can you do a critique of Leo Gura (Actualized.org).
Dr Grande, could you do a presentation on Ronnie Watts I think his behaviour is very disturbing. RN Rona
Your case studies are incredibly interesting. On another note...if Freud has a field day, would Grande have a grand day? 🤔
I just realized that Dr. Todd looks like Barney's doppelganger, Lily's gynecologist in How I Met Your Mother.
"She made it clear at the beginning of therapy that she was not interested in moving past what had occurred, rather in learning techniques to win Marsha back. Her goal was to change so that Marsha would love her again and they could be together romantically."
Good god that's exactly why I went to therapy, too.
14:14 Karen needed to speak to the manager and demanded to know why there were so mean to her little angel.
very comprehensive....but think this patient would never get better alone...in her parent or family love her i wish they go to teraphy also