11Different types of self-harming treatment for Borderline P.docxdrennanmicah
11
Different types of self-harming treatment for Borderline Personality Disorder I would change title to something like:
Review of Interventions for Self-Harm in the context of a diagnosis of Borderline Personality Disorder
A human being’s personality is affected by surroundings and life situations experiences (eEnvironment) and , biologically inherited traits and daily life experiences. Individual personalities may develop into long term maladaptive patterns of behavior and experiences that differ significantly from what is ‘normal’ and expected by human beings toincrease the risk of give rise to vulnerability to developing different personality disorders Wetterborg (2015). The personality disorders may be develop gradually from adolescence to adulthood and may cause distress to the individual or problems in functioning. Without proper evidence based care and treatment personality disorders may affect the way of thinking about oneself and others and emotional response that will affect how an individual will relate to other people and how one controls his or her behavior. Comment by Ibrahim, Jeyda: Could you break this into two sentences? Comment by Ibrahim, Jeyda: Subtitle- Borderline personality disorder
Borderline personality disorder (BPD) is a type of personality disorder characterized by ongoing pattern of varying mood, self-image and changing behavior. (Wetterborg, 2015)
These individuals may have mood swings, and be uncertain of their place in the world and how they see themselves, hence they may have an intense and unstable pattern relationships with other people. BPD is mostly a mental disorder and is recognized by the Statistical Manual of Mental Disorders (DMS) and is thought to affect at least one percent of the population diagnosed and three quarters are women (Daubney, 2015). This may be because of how sexes deal with criticism in different ways with males tending to cast out issues while females internalize or due to different brain functions of the sexes. Comment by Ibrahim, Jeyda: I am not sure what you mean by mostly a mental disorder? Comment by Ibrahim, Jeyda: I think this needs to be a separate sentence
These people view things in extreme cognitive biases? and may quickly change individual opinionhow they feel about people and be a result of tense relationssomeone?. There are many other symptoms relating to borderline personality disorderBPD such as unstable and distorted self-image or sense of self, having dangerous and impulsive behaviors during periods of elevated moods, self-harming behaviors and procuring thoughts of suicidal behaviors among many others. Borderline personality disorderBPD is not usually diagnosed before adolescence and symptoms may improve or even disappear with time. Full range of most symptoms appear during teenage life and early child hood because diagnosis is difficult in children and some people may not have prevalent signs and symptoms until their mid to late life. AfterIf symptoms begi.
All of the personality theories focus at least some of their attention on understanding personality and identifying aspects of personality. Most are also. concerned with the application of theory to facilitate personality change probably biological and trait theory being exception which are more concerned with the identification of traits and far less concerned with change. We will focus on specific personality disorders and the 'symptoms' or personality characteristics associated with them. We will discuss the application of the theories that extend beyond understanding and reach into the realm of psychotherapy, or change. These theories include psychoanalytic and psychodynamic, behavioral and social learning theory, humanistic, and cognitive. Together, these four approaches predominate the world of psychotherapy.
11Different types of self-harming treatment for Borderline P.docxdrennanmicah
11
Different types of self-harming treatment for Borderline Personality Disorder I would change title to something like:
Review of Interventions for Self-Harm in the context of a diagnosis of Borderline Personality Disorder
A human being’s personality is affected by surroundings and life situations experiences (eEnvironment) and , biologically inherited traits and daily life experiences. Individual personalities may develop into long term maladaptive patterns of behavior and experiences that differ significantly from what is ‘normal’ and expected by human beings toincrease the risk of give rise to vulnerability to developing different personality disorders Wetterborg (2015). The personality disorders may be develop gradually from adolescence to adulthood and may cause distress to the individual or problems in functioning. Without proper evidence based care and treatment personality disorders may affect the way of thinking about oneself and others and emotional response that will affect how an individual will relate to other people and how one controls his or her behavior. Comment by Ibrahim, Jeyda: Could you break this into two sentences? Comment by Ibrahim, Jeyda: Subtitle- Borderline personality disorder
Borderline personality disorder (BPD) is a type of personality disorder characterized by ongoing pattern of varying mood, self-image and changing behavior. (Wetterborg, 2015)
These individuals may have mood swings, and be uncertain of their place in the world and how they see themselves, hence they may have an intense and unstable pattern relationships with other people. BPD is mostly a mental disorder and is recognized by the Statistical Manual of Mental Disorders (DMS) and is thought to affect at least one percent of the population diagnosed and three quarters are women (Daubney, 2015). This may be because of how sexes deal with criticism in different ways with males tending to cast out issues while females internalize or due to different brain functions of the sexes. Comment by Ibrahim, Jeyda: I am not sure what you mean by mostly a mental disorder? Comment by Ibrahim, Jeyda: I think this needs to be a separate sentence
These people view things in extreme cognitive biases? and may quickly change individual opinionhow they feel about people and be a result of tense relationssomeone?. There are many other symptoms relating to borderline personality disorderBPD such as unstable and distorted self-image or sense of self, having dangerous and impulsive behaviors during periods of elevated moods, self-harming behaviors and procuring thoughts of suicidal behaviors among many others. Borderline personality disorderBPD is not usually diagnosed before adolescence and symptoms may improve or even disappear with time. Full range of most symptoms appear during teenage life and early child hood because diagnosis is difficult in children and some people may not have prevalent signs and symptoms until their mid to late life. AfterIf symptoms begi.
All of the personality theories focus at least some of their attention on understanding personality and identifying aspects of personality. Most are also. concerned with the application of theory to facilitate personality change probably biological and trait theory being exception which are more concerned with the identification of traits and far less concerned with change. We will focus on specific personality disorders and the 'symptoms' or personality characteristics associated with them. We will discuss the application of the theories that extend beyond understanding and reach into the realm of psychotherapy, or change. These theories include psychoanalytic and psychodynamic, behavioral and social learning theory, humanistic, and cognitive. Together, these four approaches predominate the world of psychotherapy.
· 22 sub Diagnostic Case ReportsThere, you will see twchestnutkaitlyn
· 2:2 sub
: Diagnostic Case Reports
There, you will see twelve different disorders listed. For this module, view the following disorders:
· Borderline Personality Disorder
· Substance Use
After clicking a disorder, click the Diagnostic Overview tab in the left column. This will cover the major diagnostic features of the disorder. After that, click the
DSM-5
Features tab. You can then go though the Case History, Interview, and Treatment sections on the website. Finally, in the Assessment section, you can complete an optional multiple-choice quiz. You have to write a case report for each case study. You should use the format provided on the web page. There is a sample report that you can also view by clicking the link in the upper-right corner.
The format for the sample report is as follows:
Your Name
Instructor's Name
Class/Section Number
Background
· Outline the major symptoms of this disorder.
· Briefly outline the client's background (age, race, occupations, etc.).
· Describe any factors in the client's background that might predispose him or her to this disorder.
Observations
· Describe any symptoms that you have observed that support the diagnosis. You can include direct quotes or behaviors that you may have observed.
· Describe any symptoms or behaviors that are inconsistent with the diagnosis.
· Provide any information that you have about the development of this disorder.
Diagnosis
· Did you observe any evidence of general medical conditions that might contribute to the development of this disorder?
· Did you observe any evidence of psychosocial and environmental problems that might contribute to this disorder?
· As per your observations, what is the client's overall level of safety regarding the potential harm to self or others (suicidality or homicidality)?
· What cross-cultural issues, if any, affect the differential diagnosis?
Therapeutic Intervention
· In your opinion, what are the appropriate short-term goals of this intervention?
· In your opinion, what are the appropriate long-term goals of this intervention?
· Which therapeutic strategy seems the most appropriate in this case? Why?
· Which therapeutic modality seems the most appropriate in this case? Why?
Described the major symptoms of each disorder, outlined each person's background, and described any factors in the person's background that might predispose him or her to their disorder.
20
Described any symptoms that were observed that support each diagnosis and any symptoms or behaviors that are inconsistent with each diagnosis and provided relevant information from the case history about the development of each disorder
20
Described any evidence of psychosocial or medical issues that might have contributed to each disorder, identified any safety concerns regarding suicidality or homicidality, and discussed any cross-cultural issues affecting the differential diagnosis.
20
Discussed appropriate short-term and long-term goals of each i ...
Disclaimer
This is a project for a high school AP Psychology course. This is a fictionalized account of having a psychological ailment. For questions about this blog project email the teacher Chris Jocham: jocham@fultonschools.org
Milen xx philippines mental health promotion and practice strategiesMilen Ramos
PROMOTION OF MENTAL HEALTH AMONG WOMEN IN PHILIPPINES
CELEBRATION OF INTERNATIONAL WOMEN S DAY
STAGING MENTAL HEALTH PROMOTION AND SERVICES
INDIVIDUAL, COMMUNITY AND NATIONAL INTERVENTION
· 22 sub Diagnostic Case ReportsThere, you will see twchestnutkaitlyn
· 2:2 sub
: Diagnostic Case Reports
There, you will see twelve different disorders listed. For this module, view the following disorders:
· Borderline Personality Disorder
· Substance Use
After clicking a disorder, click the Diagnostic Overview tab in the left column. This will cover the major diagnostic features of the disorder. After that, click the
DSM-5
Features tab. You can then go though the Case History, Interview, and Treatment sections on the website. Finally, in the Assessment section, you can complete an optional multiple-choice quiz. You have to write a case report for each case study. You should use the format provided on the web page. There is a sample report that you can also view by clicking the link in the upper-right corner.
The format for the sample report is as follows:
Your Name
Instructor's Name
Class/Section Number
Background
· Outline the major symptoms of this disorder.
· Briefly outline the client's background (age, race, occupations, etc.).
· Describe any factors in the client's background that might predispose him or her to this disorder.
Observations
· Describe any symptoms that you have observed that support the diagnosis. You can include direct quotes or behaviors that you may have observed.
· Describe any symptoms or behaviors that are inconsistent with the diagnosis.
· Provide any information that you have about the development of this disorder.
Diagnosis
· Did you observe any evidence of general medical conditions that might contribute to the development of this disorder?
· Did you observe any evidence of psychosocial and environmental problems that might contribute to this disorder?
· As per your observations, what is the client's overall level of safety regarding the potential harm to self or others (suicidality or homicidality)?
· What cross-cultural issues, if any, affect the differential diagnosis?
Therapeutic Intervention
· In your opinion, what are the appropriate short-term goals of this intervention?
· In your opinion, what are the appropriate long-term goals of this intervention?
· Which therapeutic strategy seems the most appropriate in this case? Why?
· Which therapeutic modality seems the most appropriate in this case? Why?
Described the major symptoms of each disorder, outlined each person's background, and described any factors in the person's background that might predispose him or her to their disorder.
20
Described any symptoms that were observed that support each diagnosis and any symptoms or behaviors that are inconsistent with each diagnosis and provided relevant information from the case history about the development of each disorder
20
Described any evidence of psychosocial or medical issues that might have contributed to each disorder, identified any safety concerns regarding suicidality or homicidality, and discussed any cross-cultural issues affecting the differential diagnosis.
20
Discussed appropriate short-term and long-term goals of each i ...
Disclaimer
This is a project for a high school AP Psychology course. This is a fictionalized account of having a psychological ailment. For questions about this blog project email the teacher Chris Jocham: jocham@fultonschools.org
Milen xx philippines mental health promotion and practice strategiesMilen Ramos
PROMOTION OF MENTAL HEALTH AMONG WOMEN IN PHILIPPINES
CELEBRATION OF INTERNATIONAL WOMEN S DAY
STAGING MENTAL HEALTH PROMOTION AND SERVICES
INDIVIDUAL, COMMUNITY AND NATIONAL INTERVENTION
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
2. CASE STUDY
This is a case of a walk in patient who travelled all the way from
BGC to my office in Quezon City. His call for session is a cause of
concern as he seems to be very much distraught and anxious.
According to him his symptoms emanated from recent break up with
a girlfriend who broken up with him because of disparity in choice of
political figure as presidential candidate
But one has to consider that this is the fourth time that he has broken
off with partner. The first one is the longest one (i.e. 4 years) and
involves a female. The second and third one are males. And the
more recent one is a female
3. When asked about his formative years he said that as a child he
did performed well in school. But according to him his maternal
figure tend to be punitive to achieve the end result of being on top
of his class. But he is really endowed with intelligence He was
also able to finish college even while he was away from home and
land on a job despite emotional . He is from Cotabato and decided
to go MetroManila as he tend to go after the person he is in
relationship with which happened to be in the city.
While being assessed he got so symptomatic. He is having
hallucinations ….. auditory halludination mostly persecutory. It
turned out that he was also on fasting because of the Ramadan.
4. He was with his mother who came all the way from Cotabato and
decided that she would like to take care of him even for a week
to his discomfort. Maternal figure came due to his ex girlfirends
communication with his sister and told the family that he is sick.
It is so bothersome to him that he would be seen as a failure
and have not succeed.
Breathing technique was employed at the time that he got
symptomatic during assessment. He uttered the classic
statement “ Don’t leave me” or rather you will not leave me
which is associated with those with borderline personality
disorders
5. CERTIFICATE FOR
DISABILITY
MANAGEMENT
Subject was referred to a psychiatrist
for psychopharmacological
management , Dr XXX and will
undergo psychotherapeutic
intervention for behavioural
management
DIAGNOSTIC RESULTS
Subject is noted to be suffering from
BRIEF REACTIVE PSYCHOSIS
(which explains the presence of
auditory hallucination. There is also a
concomitant BORDERLINE
PERSONALITY DISORDER (for self
harming behaviour)
He did underwent psychological assessment using the
gold standard diagnostic test for psychological
assessment of Wechsler Social Intelligence Test,
Minnesota Multiphasic Personality Inventory, MIllon s
Test, Hand test, Rorschach test (Exner s Comprehensive
System) Sacks Sentence Completion test
6. HIGHLIGHTS OF THE CASE FROM THE SYMPTOMS
symptoms emanated from recent break up with a girlfriend who broken up with him
because of disparity in choice of political figure as presidential candidate
this is the fourth time that he has broken off with partner.
his maternal figure tend to be punitive to achieve the end result of being on top of
his class. But he is really endowed with intelligence He was also able to finish
college even while he was away from home and land on a job despite emotional
He is from Cotabato and decided to go MetroManila as he tend to go after the
person he is in relationship with which happened to be in the city.
Breathing technique was employed at the time that he got symptomatic during
assessment. He uttered the classic statement “ Don’t leave me
7. In the clinic nowadays
there s a lot of referral for
SELF HARMING BEHAVIOR
8. NONSUICIDAL SELF INJURY
(NSSI)
Nonsuicidal self-injury (NSSI) can be defined
as “directly and intentionally inflicting damage
to one’s own body tissue without intention of
suicide and not consistent with cultural
expectations or norms.”
9. NSSI manifests in a variety of different forms,
including cutting, skin carving, burning, severe
abrading or scratching, punching or hitting,
bone breaking, biting, pinching, interfering with
wound healing, and (rarely) auto-amputation
and ocular enucleation
18. recent reviews of community samples
have found mean and pooled rates as
high as 17% to18% of the population
NSSI is “distinct in intent, function and
epidemiology” from suicidality and a
separate entity.
19. “NSSI is not, in and of itself, a suicide attempt,” On
the contrary, it is often “used as a coping strategy to
avoid suicide.”
What distinguishes it from nonfatal suicide
attempts, since it is associated with decreased
negative emotion and increased positive affect. In
contrast, suicide attempts can lead to more
depressive symptoms and suicidal behavior due to
distress that the attempt did not actually result in
death
20. more likely to be repeated and become chronic, with
roughly one-quarter of individuals who self-injure
reporting 11 to 50 separate episodes of self-injury
The average age of onset is 13 to 14, and a second
age of onset is late adolescence —Those are key
developmental transition periods. During the first,
individuals are transitioning from junior high school
to high school, or when they are transitioning from
high school to college
21. there are gender differences in the method of self-
injury chosen, with cutting being more common in
females and burning and self-battery more common in
males. females are more likely to be identified and/or
seek help than males.
The most common reason is emotional regulation not
attention getting according to myth, when people
are trying to cope with overwhelming distress or self-
punishment, which has its origins in self-hatred.”
22. What diagnostic criteria is strongly associated
with self harm
Borderline personality disorder (BPD) or known
as emotionally unstable personality
disorder (EUPD
24. The 9 symptoms of BPD
Fear of abandonment. People with BPD are often
terrified of being abandoned or left alone. ...
Unstable relationships. ...
Unclear or shifting self-image. ...
Impulsive, self-destructive behaviors. ...
Self-harm. ...
Extreme emotional swings. ...
Chronic feelings of emptiness. ...
Explosive anger.
30. Cognitive-behavioral treatments are the
cornerstone of therapy for people with borderline
personality disorder.
It is particularly helpful in the treatment of BPD when
combined with focus on understanding of thought
distortions related to self and others. Borderline
personality disorder includes symptoms that change
thought patterns, and CBT can reframe these thoughts
to manage those symptoms
31. CBT is based on several core principles, including:
1.Psychological problems are based, in part, on faulty or
unhelpful ways of thinking.
2.Psychological problems are based, in part, on learned
patterns of unhelpful behavior.
3.People suffering from psychological problems can
learn better ways of coping with them, thereby relieving
their symptoms and becoming more effective in their
lives.
32. CBT treatment usually involves efforts to change
thinking patterns. These strategies might include:
•Learning to recognize one’s distortions in thinking
that are creating problems, and then to reevaluate
them in light of reality.
•Gaining a better understanding of the behavior and
motivation of others.
•Using problem-solving skills to cope with difficult
situations.
•Learning to develop a greater sense of confidence
in one’s own abilities.
33. CBT treatment also usually involves efforts to
change behavioral patterns.
These strategies might include:
•Facing one’s fears instead of avoiding them.
•Using role playing to prepare for potentially
problematic interactions with others.
•Learning to calm one’s mind and relax one’s body.
35. Dialectical behaviour therapy (DBT)
is a type of talking therapy. It's
based on cognitive behavioural
therapy (CBT), but it's specially
adapted for people who feel emotions
very intensely. The aim of DBT is to
help you: Understand and accept your
difficult feelings. Learn skills to
manage them.
36. Dialectical behaviour therapy (DBT) is a type of
talking therapy. It's based on cognitive
behavioural therapy (CBT), but it's specially
adapted for people who feel emotions very
intensely. The aim of DBT is to help : Understand
and accept difficult feelings. Learn skills to
manage them
37. There are four components of comprehensive
DBT: skills training group, individual treatment,
DBT phone coaching, and consultation team. DBT
skills training group is focused on enhancing clients'
capabilities by teaching them behavioral skills
Dialectical behavior therapy (DBT) must follow five
basic functions to be comprehensive in nature. These
five functions include motivating clients, teaching
skills, generalizing skills to natural environments,
motivating and improving the skills of therapists,
and structuring the treatment environment.
39. Schema therapy (ST) is an integrative approach
that brings together elements from cognitive
behavioral therapy, attachment and object
relations theories, and Gestalt and experiential
therapies. It was introduced by Jeff Young in 1990
and has been developed and refined since then.
40. Schema therapy shows promise as a treatment for
many mental health concerns, including eating
disorders and depression. Most of the existing
research has looked at the role of schema therapy in
treating borderline personality disorder and other
personality disorders.
41. Cognitive techniques used within
schema therapy include: data
collection, reframing/reattribution,
schema flashcards and diaries, and
schema dialogues. Emotion-focused
techniques used with schema
therapy include: role-play / chair
work, and guided imagery.
42. RELATIONSHIP BETWEEN CBT
AND DBT
CBT DBT
CBT mainly helps clients identify and change problematic ways of
thinking and behaving, while DBT also helps clients regulate extreme
emotions to improve relationships through validation and behavior
change
43. RELATIONSHIP BETWEEN CBT AND
SCHEMA
CBT SCHEMA
Schema therapy is a psychological approach that was developed by Jeffry
Young as a modification of cognitive behavioral therapy (CBT) for patients
for whom a standard CBT was not effective
44. RELATIONSHIP BETWEEN SCHEMA
AND CBT
DBT focuses on the dialectic underlying both acceptance and change
of the patient concurrently, while schema therapy focuses on
uncovering the early maladaptive schemas that lead to dysfunctional
relationships and behavior
DBT SCHEMA
45. To answer the question
NNSI is not a form of
nihilism in fact it is to
prevent suicide BUT
accidents to happen