COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006
DSM-IV-TR
Diagnostic Criteria for
301.83 Borderline Personality Disorder:
A pervasive pattern of instability of
interpersonal relationships, self-image,
and affects, and marked impulsivity
beginning by early adulthood and present
in a variety of contexts, as indicated by
five (or more) of the following (CRITERIA):
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DSM-IV-TR Criteria for BPD
1. FRANTIC EFFORTS TO AVOID REAL OR
IMAGINED ABANDONMENT
2. A PATTERN OF UNSTABLE AND INTENSE
INTERPERSONAL RELATIONSHIPS
3. IDENTITY DISTURBANCE OR PROBLEMS
WITH SELF-IMAGE OR SENSE OF SELF
4. IMPULSIVITY THAT IS POTENTIALLY SELF-
DAMAGING
5. RECURRENT SUICIDAL BEHAVIOR OR
PARA-SUICIDAL BEHAVIOR
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DSM-IV-TR Criteria for BPD
(CON’T)
6. AFFECTIVE INSTABILITY
7. CHRONIC FEELINGS OF EMPTINESS
8. INAPPROPRIATE INTENSE OR
UNCONTROLLABLE ANGER
9. TRANSIENT,STRESS-RELATED
PARANOID IDEATIONS OR SEVERE
DISSOCIATIVE SYMPTOMS
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BPD and SUD (Rosenthal, 2006)
• May share common etiological and
maintaining factors:
– Difficulties with the regulation of emotional
experience and expression
– Impulsivity
• Those with BPD and SUD, compared to
those with BPD only, may show more
severe psychopathology
– Greater anxiety
– More suicide attempts
• Attachment problems, e.g. to treatment
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Vulnerability Factors That May
Contribute to BPD-SUD
• Acute physical
distress
• Chronic illness
• Deterioration of
health/strength
• Anger
• Fatigue
• Loneliness
• Major life loss
• Chronic pain
• Poor problem solving
ability
• Poor impulse control
• New life
circumstances
• Co-morbid disorders
such as PTSD
• Fear of changing
• Limited motivation
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Dialectical Behavior Therapy
Theory of BPD
(Linehan, 1993)
• What is Dialectical Behavior
Therapy?
• A modification of standard
cognitive-behavioral therapy which
was designed for treatment of
parasuicidal consumers with
borderline personality disorder
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