Borderline Personality Disorder [The Co-Occurring Disorders You Should Know]

[Music] many people with borderline personality disorder also have co-occurring disorders here to talk about what this means for those patients is clinical psychologist dr. Romani in other videos we talk about the nine traits that go into diagnosing someone with this but there are a lot of people who have borderline personality disorder along with yeah another disorder talk to me about that it is very common for borderline personality disorder to co-occur with other severe mental illnesses the ones we most commonly see are mood disorders such as depression anxiety disorders substance use disorders and eating disorders so those are the disorders we'll often hang out with borderline personality disorder in some cases we will also see that bipolar one bipolar two can also Co occur borderline personality disorder because bipolar is in and of itself a far less common mental illness it's you know it's obviously gonna be less likely to co-occur right because borderline personality disorder is such a disorder of mood dysregulation if you will it's not unexpected that mood disorders would co-occur with it and that what that does is it raises additional treatment challenges because what you want to do is you want to get that mood disorder or that anxiety disorder well-managed because that just becomes one more challenge for the individual borderline personality disorder to manage so when a person with borderline personality two sort of goes into treatment and they have these co-occurring disorders you don't treat them one after the other you do need to treat them simultaneously all of it yeah all of it together because it's not like now what you often will see is that we will treat the more acute crisis first so for example if the person is severely depressed if they have paralyzing anxiety if they're using drugs in a way that's getting in the way of their life or as dangerous to them obviously they would either be hospitalized go into rehab or focus on that symptomatology through a combination of medication and therapy but you can't forget that borderline personality becomes a backdrop against which this is occurring and for folks with borderline personality disorder engaging in therapy can be challenging not just for the client but also for the therapy I can imagine so it does become a bit of a mixed bag in terms of really needing us not only a skilled therapist but an entire team of psychologists psychiatrists and other support staff that help that client you know kind of get over the hump because there is this sense sometimes because said you can if you're a person with borderline personality you can be experiencing psychotic or paranoid symptoms you may not even believe that the treatment team is working in your best interest so you'll get pushback right so that's why it has to be a very sort of it's a slower process and it's a more comprehensive process I hear the term comorbid yeah what is that comorbid is I actually think sort of not a very nice term because it's really kind of a more I don't know medical term for co-occurring comorbidity implying the idea of illness that's what we use those interchangeably changeably and I like co-occurring better because morbidity to me is so much more of a medical term nice I like co-occurring us that co-occurring presence of substance use disorders and borderline personality disorder is also a clinically critical issue to address because of borderline personality disorder symptomatology can make maintaining sobriety really challenging so what it means is that upon leaving rehab and perhaps entering sort of after rehab halfway houses sober houses 12-step there also needs to be a very structured therapeutic kind of safety net around that individual to help them when they experience really strong moods like anger frustration a sense of abandonment because all of those may be vulnerabilities to relapsing again is there a higher chance that someone who has depression that they will then develop borderline personality disorder or is it the other way around no it's the other way around or personality disorders tend to be very developmental in nature so for example someone's not going to wake up at the age of 35 and develop borderline personality disorder if you kind of you rewind that tape on the person with borderline personality you would have already seen sort of the gurglings of this in adolescence and then it really takes on full form in fact we don't diagnose personality disorders until the person is an adult anyone who's ever seen a teenager knows that they're all narcissistic and they're all emotionally sort of all over the map yes that's why we want to be really careful because part of that is sort of growing into their personality and then around 22 23 24 is when we might sort of make our initial forays into saying this is a pattern that is a really really good and I also love the take away of when we have a co-occurrence between borderline personality disorder or anything else like depression we don't just take something we do it all it has to be all otherwise it's not going to work and then many times when you have sort of what we call a treatment failure the client feels like a failure too so it's don't understand that and it's also understand how much treatment you need like sometimes you do need much something much more intensive if a person is binging and purging every day in the case of bulimia nervosa they have to be an inpatient treatment right a person with anorexia nervosa have to be an inpatient treatment these are very very dangerous disorders and when you add sort of the instability of the borderline personality on top of that it's very it's potentially quite dangerous so they're also observing that person medically mm-hm so this again you're looking at the clients experience as a whole and that thus these co-occurring disorders become critical and I have to tell you in all my years of working with clients with borderline personality I've never met a single one who had only borderline personality there was always a co-occurring disorder always yeah and so and I do well over half of individuals living with borderline personality have at least one other co-occurring disorder so to keep that in mind and it's also not unusual for people with borderline personality to have co-occurring medical disorders in addition sleep disturbances are almost endemic almost everyone with borderline personality you'll see that there's a major sleep disturbance they go to sleep very very late in the night two three four in the morning and then want to wake up at noon or 1:00 it's a circadian dysregulation that's actually considered to be part of the disorder and that's actually not good for your health either so we do see problems with chronic pain sleep disruption and lots of other medical that often do co-occur with borderline personality well in other videos you've given great advice on how to approach somebody that you might think has borderline personality disorder and how to hopefully get them into some sort of treatment yeah so we'll link to that video here as well dr. Romani thank you so so much for being here and it's always a pleasure to sit down with thank you that thanks for watching your next step is to head on over to med circle comm and sign up for the med circle digest what is it well med circle will send you the latest articles and the latest videos on the mental health topics that matter most to you so go to med circle comm sign up for that digest and let's keep this journey on better mental health moving forward [Music]

Channel: MedCircle

Views: 341,027

Keywords: borderline personality disorder, medcircle, kyle kittleson, mental illness, mental, health, discussion, dr. ramani, dr. ramani borderline, bipolar, borderline, personality, disorder, interview, ramani, durvasula, psychologist, psychology, expert, identity, bpd, mood, fear, relationships, behavior, antisocial, good, evil, emotion, depression, anxiety, suicidal, thoughts, behaviors, documentary, podcast, conversation, talk show, trait, instability, help, anger, eupd, dr ramani, ramani durvasula, video, youtube, risks

Id: fZM8KMLFQm8

Length: 7min 31sec (451 seconds)

Published: Thu Aug 30 2018