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The document discusses the similarities and differences between borderline personality disorder (BPD) and bipolar disorder. Both disorders involve unstable moods and impulsivity. However, they differ in the type of mood swings experienced. Those with BPD experience shifts between normal mood, anger, and anxiety, while those with bipolar disorder cycle between normal mood, mania, and depression. The presence of past trauma such as sexual abuse can help distinguish between the two diagnoses as BPD is often associated with trauma. The author questions whether a history of trauma could determine whether a patient receives a diagnosis of BPD or bipolar disorder.
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Respond
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Paranoid Personality Disorder (301.0), which comes out of general personality disorder. These individuals have a constant distrust and suspicion of others around them, thinking that everyone has a motive against them. These patients start having problems from childhood and it presents in a variety of ways. Some of them are being apprehensive and doubtful of others thinking they are going to exploit, harm, or deceive them. Constantly preoccupied with unjustified doubts about the loyalty or trustworthiness of the people closest to them. Reluctant to confide with the fear that their information will be used maliciously against them. Persistently bears grudges, perceives attacks on their character when it is not so and quick to react with ager or counterattack (A.P.A., 2013).
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The essential feature here with these patients is distrust and being suspicious of others and their surroundings, therefore in order to be able to have any kind of therapeutic or therapist relationship with them one has to first get their trust completely. Make them feel that you are completely on their side by sharing with them that you respect what they believe but you don’t share it or have the same belief, that you have nothing that can harm them, that you are genuine and are there only for them (Carroll, 2018). Once that is established, which may take some time and patience on the therapist part, then little by little we can point various things out to them to help them see that what they perceived as evil is not it and from these little examples that are clarified then we can explain to them the disorder or problem they have.
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- 2. My interest is piqued