BPD Flashcards
(15 cards)
What is BPD and its potential causes?
Emotionally unstable personality disorder caused by childhood trauma, maladaptive parenting, invalidating environments, brain differences, hereditary factors, and biosocial factors.
Who does BPD affect and when is it diagnosed?
Affects 1–6% of the population; more prevalent than schizophrenia or bipolar. Diagnosed in late adolescence/early adulthood; equal gender prevalence, but females show more symptoms in clinical settings.
What is the long-term outcome of BPD?
High suicide risk (50x), 75% self-harm, 85% remission over 10 years, 92% no longer met diagnostic criteria after 27 years. Better outcomes with high IQ, stable job/relationship.
What disorders co-occur with BPD?
Anxiety, PTSD, ADHD, substance misuse, eating disorders, mood/depression
What is optimal parenting and how does BPD affect it?
Optimal: warm, sensitive, secure, emotionally available. BPD mothers: less sensitive, more intrusive, hostile, and inconsistent, though warmth may be intact.
What does Bowlby’s attachment theory state?
Infants attach to caregivers as a secure base for survival and exploration; key in emotional development.
Are BPD mothers emotionally available?
No. They are more intrusive/hostile, less sensitive. Mental health severity predicts lower EA; maternal EA predicts child EA.
: How are children of BPD mothers affected?
Increased emotional dysregulation, psychopathology, attachment insecurity, poor executive/interpersonal functioning, and family instability.
What affects the impact of parental mental illness?
Strongest during early years. Impact varies with chronicity, symptom severity, child’s temperament, and inter-parental conflict.
What buffers the impact?
Social support, secondary caregiver, friends, secure attachment, high IQ, positive traits, adaptive coping.
What are effective therapies for BPD?
Dialectical Behaviour Therapy (DBT), Mentalization-Based Therapy (MBT), Schema-Focused Therapy.
What are parenting interventions for BPD?
Supportive therapy for mentalizing, attachment-focused approaches, promoting sensitive caregiving, involving other caregivers.
What are barriers to parenting interventions in BPD?
A: Stigma, lack of insight, service gaps, fear of child removal.
How to overcome barriers
Build trust, reduce stigma, involve families, early support.
Why is BPD parenting research important?
Due to impact on parenting/child, high prevalence, female bias in clinical settings, and need for early intervention.
