trauma and PDs

Question 1

What percentage of BPD inpatients report at least one form of abuse?

Answer 1

1% of inpatients with BPD report at least one form of abuse

Question 2

What are the rates of different types of childhood trauma in BPD?

Answer 2

sexual abuse: 61%
physical abuse: 59%
emotional abuse: 73%
physical neglect: 26%
emotional neglect: 70%⁠
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Question 3

What are the key features of Borderline Personality Disorder?

Answer 3

Emotional instability/dysregulation
* Disturbed patterns of thinking or perception
* Impulsive behaviour
* Intense but unstable relationships
* Identity disturbance⁠
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Question 4

What are the core difficulties in Personality Disorder according to ICD-11?

Answer 4

Long-term difficulties (2+ years) in:
* Self-perception (identity, self-worth)
* Interpersonal relationships
Characterized by:
* Unhelpful and inflexible patterns
* Difficulty controlling behaviors
* Present across multiple situations
* Affects thoughts, emotions, and behavior⁠
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Question 5

What is the Biosocial Theory of BPD?

Answer 5

Linehan’s theory suggests BPD develops from the interaction between:
Emotional Vulnerability (biological):
Very sensitive to emotions
Strong emotional reactions
Takes long time to calm down
Invalidation (environmental):
Emotions are punished, ignored, or made to feel wrong⁠
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Question 6

What percentage of people with BPD meet criteria for complex PTSD?

Answer 6

Research suggests 40-55% of people with BPD have complex PTSD⁠
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Question 7

What is the typical structure of DBT treatment?

Answer 7

DBT is a 12-month program that includes:
* Individual therapy
* Group skills training
* Focus on: mindfulness, emotion regulation, distress tolerance, interpersonal effectiveness⁠