Emotionally unstable personality disorder - Causes, Symptoms and Treatment .MF .

August 12, 2017 17:52 | Mental Disorders

patoharakterologicheskie properties uniting this group of personal rasstroystv- impulsiveness with a pronounced tendency to act without considering the consequences and lack of self-control, combined with the instability of mood and a storm occurring at the slightest provocation affective outbursts.

prevalence among the population reaches about 2% to 5%, "border" form is more common among women.

Symptoms emotionally unstable personality disorder

These people have an increased irritability, excitability, combined with explosive, malice, rancor, vindictiveness, viscosity affective reactions.Their usual mood swings with a predominance of gloomy and evil background combined with a storm of explosions of emotion.This affective fluctuations, as well as discharges of emotions normally associated with external causes, although the causes for irritation and discontent may be minor.These people are always dissatisfied with everything, looking for a reason to nit-picking.Typically, such individuals do not have

enough discernment to calm cool assessment of the situation.Casual everyday troubles are perceived with a tinge of unhappiness leads them to emotional stress, often for trifling occasion arise anger.Particularly noticeable such a lack of restraint at intrafamily conflict, when a quarrel often ends by violent acts by whipping up dishes beating family members.

Emotionally unstable (excitable) the person can not tolerate objections, they are extremely impatient, the dispute does not listen to other people's opinions, do not agree with him.They did not reckon with the interests of others, selfish, because of this, they often occur conflicts with others.At the same time they are completely unable to understand their own role in the frequent conflicts.Constant quarrels, accompanied by clarifying the relationship, determine their belief in their special role and importance.There are notions of bias against them, that they do not appreciate or understand the collective and family.

There are two types of options personality disorders - impulsive and border.

impulsive type corresponds excitable psychopathic . Psychopathy of this type, characterized by an unusually strong emotional excitability.Starting its manifestations detected before school age.Children often cry, embittered.Any restrictions, prohibitions and punishments cause them Violent reactions protest from malice and aggression.In the lower grades is "difficult" children with excessive mobility, rampant pranks, capricious and touchy.Along with the temper and irritability they are characterized by cruelty and gloom.They are vindictive and quarrelsome.Early detect a tendency to gloom combined with periodic short duration (2-3 days) dysphoria.In communicating with their peers, they claim to leadership, trying to command, to set their own rules, which is why quite often there are conflicts.Study them often are not interested.They are not always held in the school or vocational school and taking a job soon dismissed.

Formed psychopathy excitable type is accompanied by bouts of anger, rage, affective discharges, sometimes with affective narrowing of consciousness and rapid motor excitation.In a fit of temper (especially easily occurs during alcoholic excesses) excitable personality able to make rash and sometimes dangerous activity.In life it is active, but incapable of long-term purposeful activity, uncompromising, tough people, with a vengeance, with a viscosity of affective reactions.Among them, those with frequent disinhibition of instincts, prone to perversion and sexual excesses.

subsequent dynamics of excitable psychopathy uniform.

At congenial psychotic symptoms are stabilized and even relatively fully compensated, which greatly contribute to the positive influence of the environment and the necessary educational activities.Violations of conduct in such cases to the 30-40 year smoothed considerably, gradually decreases and emotional excitability.

However, other possible dynamics of the gradual strengthening of psychopathic characteristics.A disordered life, an inability to restrain desire, joining alcoholism, intolerance to any restrictions, finally, the tendency to rapid affective reactions are used in such cases causes prolonged violation of social adaptation.In the most severe cases of aggression and acts of violence committed during affective outbursts lead to a clash with the law.

Edge type direct analogues in the domestic taxonomy of psychopathy is not, although some personal parameters comparable to unstable type of psychopathy .Borderline personality disorder needs to be differentiation with schizotypal disorder, schizophrenia, anxiety and phobic and affective disorders.

borderline personality distinguished by an increased sensibility, affective lability, the liveliness of the imagination, the mobility of cognitive processes, the constant "on" in the events related to the field of topical interest or hobbies, extreme sensitivity to obstacles on the path to self-realization, functioning at maximum capacity.Exacerbations and perceived difficulties in interpersonal relationships, especially the situation of frustration.Reactions of such entities even trivial events can acquire hyperbolized, demonstrative character.They are too often experience the feelings that are usually found only in a stress situation.

patoharakterologicheskie Initial symptoms (emotional lability, suggestibility, a tendency to fantasize, rapid change of lifestyle, the instability of relationships with peers) are detected as early as adolescence.These children ignore the orders of school and parental prohibitions.Despite the good intellectual capacity, they do not have time because they do not prepare for classes, distracted in class, reject any attempt to regulate their daily routine.

The distinctive properties of borderline personalities are self lability, variability of representations both of reality and of the self - identify oneself violation, the volatility of attitudes, goals and plans, inability to resist the opinion of others.Accordingly, they are suggestible, malleable influences from the outside, easy to adopt is not approved by society forms of behavior, indulge in drunkenness, take stimulants, narcotics, crime can even purchase experience, to commit an offense (most often it is a small-scale fraud).

borderline type Psychopaths easy to fall into dependence on other, often unfamiliar people.Close together, they quickly form a complex structure of relations with excessive subjugate, hatred or adoration, formation overvalued attachments;the past serve as a source of conflict and suffering associated with the rupture of fear and loneliness of the future, and may be accompanied by suicidal blackmail.

The life of the borderline personality is very uneven, replete with unexpected twists in the social route, marital status.Periods of relative calm are replaced by all sorts of collisions;Easy transition from one extreme to another - this sudden, overcoming all obstacles love, culminating as sudden rupture;and passion for new business with objectively high professional successes, and sudden sharp change of place of work after a minor industrial action;it is a passion for travel, leading to the change of residence and progression.However, despite all the turmoil of life, these people do not lose their sanity in trouble, are not as helpless as they might seem, it is the right time to find an acceptable way out.Common to most of these "zigzags" behavior does not interfere with fairly good adaptation.Easily adapting to new circumstances, they retain the ability to work, find work, arrange life again.

Within the dynamics of borderline personality disorder occur long periods of recovery with increased activity, a sense of the best intellectual functioning, heightened perception of life around them, which can be replaced (most often in connection with psychogenic or somatic - pregnancy, childbirth, illness, provocation) dysthymic phases.At the forefront of the clinical picture in these cases, the complaints put forward to reduce the mental capabilities, a sense of incomplete sensory and cognitive functions, and in more severe cases - the phenomenon of mental anesthesia.

Among other pathological reactions in borderline disorders are the most common psychogenic provoked transient flash with variegated clinical picture that includes, along with affective dissociative hysterical, malosistematizirovannye delusional disorder.Unlike schizophrenia characterized by their psychogenic provoking, transient, reversibility.

criteria emotionally unstable personality disorder

Personality disorder in which there is a strong tendency to act impulsively and without consideration of the consequences, together with the instability of mood.Ability minimal planning;flash of intense anger affect often lead to violence or "behavioral explosions", they are easily provoked when impulsive acts are condemned by others or prevent them.Distinguish two kinds of this personality disorder, and there is both a general framework of impulsiveness and lack of self-control.

Included:

  • aggressive personality;
  • borderline disorder;
  • borderline personality;
  • excitable personality.

F60.30h emotionally unstable personality disorder, impulsive type.

predominant characteristics are emotional instability and lack of impulse control.Outbreaks of violence and threatening behavior are common, especially in response to condemnation of others.

Included:

  • excitable personality disorder;
  • explosive personality disorder;
  • aggressive personality disorder;
  • aggressive personality.

excluded:

  • - antisocial personality disorder (F60.2h).

F60.31h emotionally unstable personality disorder, border type.

There are some characteristics of emotional instability, and in addition, self-image, intentions and internal preferences (including sexual) (characterized by chronic feelings of emptiness) is often unclear or disturbed.The tendency to be included in tense (fragile) relationship could lead to a renewable emotional crises and accompanied by a series of suicidal threats or acts of self-harm (though it can also occur without any obvious precipitating factors).

Included:

  • borderline personality disorder.