Bilisoly_E_Final_Research_Week_7.docx

An already complex disorder suds are common in bpd

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An already complex disorder, SUD’s are common in BPD patients estimating the rate of SUD’s among BPD’s are as high as 65% (Lee, Cameron & Jenner, 2015). When BPD co-occurs with a SUD increased rates of self-harm, suicide and impairment increase, as well as hospital admissions (Lee, et. al., 2015). Impulsivity increases with BPD and SUD as well (Maraz, Ando, Riggo, Harmatta, Takach, Zalka, Bonca, Lacko, Urban, Brink & Demetrovics, 2016). Using a narrative analysis, ten studies and three treatment interventions including DBT, DDP and DFST to determine the best treatment for the dual diagnosis of BPD and SUD. This study resulted in DBT more likely to result in full and partial remission of symptoms and drug and alcohol- abstinent days than community treatments with experts (Lee, et. al., 2015). Further, substance
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CLUSTER B PERSONALITY DISORDERS 10 abuse exacerbates symptoms of BPD causing deeper depression and lower levels of functioning (Penzenstadler, Rothen, Khazaal & Kramer, 2018). A newer treatment plan has developed called General Psychiatric Management (GPM) focusing on a psychoeducational aiming to improve the patient’s functionality and quality of life. Two studies using 114 BPD patients based on 10 GPM sessions yielded promising results showing a reduction in symptoms and better relationship management for both groups, including the BPD and SUD dual diagnosis group (Penzenstadler, et. al., 2018). It appears evident that although BPD is a chronic mental illness, the prognosis for treatment is manageable and provides hope for a better quality of life for these individuals. Histrionic Personality Disorder The histrionic personality disorder has characteristics of craving attention and being the center of attention. Characteristics include sexually provocative behaviors, impressive speech with little to no basis to substantiate it. These personalities are easily suggestible and rapidly shift in hallow emotions (DSM-5, 2013). These individuals are highly dramatic, theatrical and enthusiastic. Their attention-seeking behavior applies to partners as well as others in a socially inappropriate setting. They will often express opinions strongly and with force, however, when challenged in that opinion, there is no evidence or substantial reasoning to support their strong conviction. In addition, this personality spends ample time on clothing, grooming and utilizing a physical appearance to attract attention (DSM-5, 2013). These personalities are highly suggestible and easy to influence. Lastly, they consider relationships with others more intimate and important than they actually are (Emmelkamp & Kamphuis, 2013). Researchers have proposed histrionic disorder carries a bright and dark side with the dark side becoming maladaptive when the individual comes under pressure or stress causing the darker traits to become pathological (Furnham, 2014). For example, an individual with this disorder may excel
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CLUSTER B PERSONALITY DISORDERS 11 in the workplace due to the bright features such as being theatrical, conscientiousness, and agreeableness whereas if stress or pressure ensues, the features of the dark side appears in neuroticism, impulsivity and anger.
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  • Spring '18
  • Borderline personality disorder, Antisocial personality disorder, Narcissistic personality disorder

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