Yes. Over time and with a sustained and committed effort, people do recover from this incredibly painful disorder. In addition, there is evidence people in their mid 40's begin to "age out" of the condition and become more grounded in their identities, their relationships and their emotions.
The two most effective ways to treat borderline personality disorder are through psychotherapy and medication. Psychotherapy is the most effective for the long haul as it helps a person deal with their emotional reactivity and gives them tools to manage their emotions. The specific modality that I recommend in this regard is called dialectal behavioral therapy. In addition, medications can be prescribed to help a person manage their impulsivity, intense mood swings and paralyzing emotions.
Psychotherapy may help patients with borderline personality disorders. Both schema-focused therapy and transference-focused psychotherapy may be helpful psychotherapy techniques. These patients usually need one to three years of therapy before they begin to see clinical improvement.
You should read product labels, and discuss all therapies with a qualified healthcare provider. Natural Standard information does not constitute medical advice, diagnosis, or treatment.
Copyright © 2012 by Natural Standard Research Collaboration. All Rights Reserved.
1 AnswerMichael Mufson, MD, Psychiatry, answeredTherapy can help people with avoidant personality disorder reduce their extreme behaviors and possibly their tendency to develop anxiety. Various therapeutic approaches, including cognitive behavioral therapy (CBT), can help them become more aware of how their habits affect their lives and can aid in modifying those habits. Some people find that medications are quite helpful, too.Helpful? 1 person found this helpful.
1 AnswerMichael Mufson, MD, Psychiatry, answeredThose with avoidant personality disorder are hesitant, tense, fearful, self-deprecating, and exceedingly sensitive to social rejection. They see criticism and mockery everywhere. Their low threshold for fear is coupled with a heightened arousal of the autonomic nervous system, which induces the fight-or-flight response. To prevent the rejection that they anticipate, people with avoidant personalities narrow their interests and range of activities. These behaviors set the stage for social phobia.Helpful? 1 person found this helpful.
2 AnswersRonald Siegel, Psychology, answeredDialectical behavior therapy (DBT) has become an established treatment for borderline personality disorder, a difficult-to-treat condition in which people experience extreme fluctuations in mood and in their opinions of themselves and others. Unable to tolerate frustration, people with borderline personality disorder often lash out, and their lives are characterized by chaotic and difficult relationships and by self-destructive behaviors such as eating disorders, self-mutilation, and suicide attempts. Mindfulness skills learned as part of DBT help patients watch their thoughts and emotions nonjudgmentally, enabling them to better tolerate distress and gain more control over their reactions. In one two-year study, patients treated with DBT had far fewer suicide attempts and psychiatric hospitalizations, and they were more likely to stick with their treatment.
1 AnswerHealthwise answeredA person with a neurotic personality exhibits characteristics of excessive worry and anxiety over normal life events. Symptoms can include depression, unrealistic fears, obsessions and repetitive, compulsive behaviors as well as low self-esteem and being tense or irritable. Treatment is not usually needed unless these traits interfere with the ability to function in daily life. Treatment for severe neurotic personality may include counseling and medicines for anxiety.
© Healthwise, Incorporated.
There is no actual diagnosis of psychopathy in the Diagnostic and Statistical Manual of Mental Disorders. The best diagnostic instrument to date is the Psychopathy checklist-Revised, is designed to evaluate the recognized characteristics of psychopathic personality and behavior:
- glibness/superficial charm
- grandiose sense of self worth
- need for stimulation/prone to boredom
- pathological lying
- lack of remorse or guilt
- shallow emotional response
- callous/lack of empathy
- parasitic lifestyle
- poor behavioral controls
- promiscuous sexual behavior
- early behavioral problems
- lack of realistic long term goals
- failure to accept responsibility for their own actions
- many short term relationships
- juvenile delinquency
- revocation of conditional release
- criminal versatility
The PCL-R assesses these traits with a clinical rating scale of 20 items. Each item is scored on a three-point scale of 0, 1 or 2, according to specific criteria that is obtained through file information and structured interviews. A value of 0 is assigned if the item does not apply, 1 if it applies somewhat, and 2 if it fully applies. Anyone who scores over 30 is diagnosed with psychopathy.
1 Answer"Psychopath" is the term used to describe a person who has certain personality traits associated with criminal behavior. These traits include callousness, a lack of empathy, irresponsibility, a lack of remorse or guilt about harming others, and the tendency to exploit, manipulate and engage in predatory behavior towards others. Psychopathic individuals view others as pawns to be used to gain whatever it is they want, and they seem to lack the moral brakes that would prevent most of us from hurting or manipulating others. One reason for this may be that recent research indicates that psychopathic individuals may be "emotionally blind" - not only do they have trouble recognizing fear and other emotions in others, they lack the capacity to feel genuine emotions themselves.
1 AnswerAccording to Robert Hare, the foremost researcher on psychopathy, 1% of the general population suffers from this personality disorder. Take a visit to a prison, however, and you are likely to find a diagnosable psychopath in one out of every 4-6 inmates.