Statistics
Which gender is more commonly diagnosed with BPD and what is the percentage?
75% women
What are the 4 subtypes of BPD?
Discouraged, Self Destructive, Petulant, Impulsive
Of the 9 total DSM V symptoms for BPD, how many are required to receive a diagnosis?
5
True or False: Symptoms can decline later in life without treatment
True
What is the highest risk factor for developing BPD?
Traumatic events during childhood
What percentage of BPD patients die by suicide?
10%
Which subtype is also referred to as "Quiet BPD" because patients may be high functioning?
Discouraged
Which Cluster of personality disorders is Borderline a part of?
DAILY DOUBLE: +200 points if you can name 2 of the other personality disorders in this cluster. An extra 100, if you can name all 3.
Antisocial, Histrionic, Narcissistic
What is the most common type of psychosocial therapy used?
Dialectical Based Therapy (DBT)
Give an example of how a person with borderline may end up pushing away their "Favorite Person"
jealousy, anger, clinginess, codependency, tests of love and loyalty
Childhood abuse was present in what percentage of those diagnosed with BPD?
70%
Which subtype can be described as the person acting in "angry child mode?"
Petulant
Which part of life is considered the worst for experiencing symptoms of BPD?
Early Adulthood
Which type of medication has the least evidence of treating patients with borderline?
Anxiolytics
Name at least 3 comborbidities of BPD
depression, bipolar, anxiety, substance use, PTSD, other personality disorders
Approximately what percentage of BPD patients makeup the inpatient population of mental health facilities?
~20%
Which subtype includes characteristics of constant conflict with society and seeking approval at any cost?
Impulsive
Brain development (smaller amygdala and hippocampus)
100 points for each of the 4 medication types prescribed to BPD patients
antidepressants, antipsychotics, mood stabilizers/anticonvulsants, anxiolytics
Name 3 safety behaviors used by those with BPD.
Splitting, frantic efforts to prevent abandonment, any of the self sacrificing defenses, projective identification, denial
What percentage of patients begin self-harming before age 18?
60%
Which subtype of BPD did John from the case study (most likely) have?
Self Destructive
List at least 5 of the 9 criteria for getting a BPD diagnosis.
1. fear of abandonment
2. unstable, intense relationships
3. unstable self image
4. rapid mood changes
5. at least two impulsive and potentially self damaging behaviors
6. repeated self harm or suicidal behavior
7. chronic feelings of emptiness
8. anger management issues
9. transient paranoid thoughts or severe dissociation
Of the 5 therapies mentioned, which is NOT considered to be a part of "the Big Four?"
CBT
The life expectancy of BPD patients is decreased by how many years? (I will accept any number that is within the range)
14-27 years