Photo credit: Victoria Nevland Borderline Personality Disorder (BPD) is a much misunderstood, even maligned diagnosis. Therapists and clients often dread hearing those words. My experience has been different. While I don’t deny the challenge, I find working with persons with BPD to be enjoyable and rewarding as well. The DSMIV criteria for BPD includes the following [some paraphrasing]: A pervasive pattern of instability of interpersonal relationships, self-image, and affects [feelings], and marked impulsivity beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following: 1.
Dr. Deb made some comments about the finale of The Sopranos. I never watched Sopranos, I don’t watch much TV. So I won’t comment about the show. But I was struck by one of Dr. Deb’s comments. “Personality disorders are resistant to cure – so Tony’s antisocial and narcissistic personality issues were not changeable. That is true. But treatment was successful in reducing panic attacks and his depression – and the insight gained helped Tony find an greater understanding to his life experiences.