BPD Overview & Stressors
This mental health condition involves difficulty regulating emotions, an unstable sense of self, impulsivity, and challenges in relationships.
What is Borderline Personality Disorder (BPD)?
During a BPD crisis, emotions feel extremely intense and the person may have difficulty using these usual tools.
What are coping skills?
This form of care is considered the main treatment for BPD.
What is psychotherapy?
This type of stress involves difficulty with attachment, relationship conflict, and becoming very sensitive to changes in another person's tone or availability.
What are social and interpersonal stressors
When a patient is angry or agitated, nurses should use a calm voice, nonthreatening body language, clear boundaries, and offer these instead of power struggles.
What are choices?
This specialized therapy focuses on deeply rooted negative patterns or "schemas" developed from early life experiences.
What is Schema Therapy?
Impulsive spending, unstable employment, or the cost of specialized care can add this category of stress to a patient's life.
What are economic stressors
This specific safety concern requires nurses to assess behavior and risk factors, follow facility policy, and maintain appropriate observation.
What is flight or elopement risk?
This therapy helps a person slow down and become better at understanding their own mental state and the thoughts, feelings, and intentions of others.
What is Mentalization-Based Therapy (MBT)?
Stigma, fear of being judged, and this specific type of environment make it harder for people to seek help or talk openly.
What is chronic invalidation (or cultural stressors)?
Deep breathing, grounding, journaling, self-soothing, and movement are examples of these strategies that create space between intense emotions and impulsive reactions.
What are helpful coping mechanisms?
This therapy uses the relationship between the patient and the therapist to examine relationship patterns in real time.
What is Transference-Focused Psychotherapy (TFP)?
This term describes an extreme, all-or-nothing awareness of social cues leading to severe emotional pain from minor slights.
What is hyper-rejection sensitivity?
This must always come before trying to reason through a highly escalated crisis situation.
What is safety?
This practical, generalist approach combines education, case management, attention to daily functioning, and supportive psychotherapy.
What is Good Psychiatric Management (GPM)?