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Widely Used Bipolar Screening Test Widely Wrong
A widely-used screening technique (the Mood Disorder Questionnaire) mistook borderline personality disorder for bipolar disorder. http://esciencenews.com/articles/2010/03/25/is.it.really.bipolar.disorder Is it really bipolar disorder? Published: Thursday, March 25, 2010 – 13:00 in Health & Medicine A study from Rhode Island Hospital has shown that a widely-used screening tool for bipolar disorder may incorrectly indicate borderline personality disorder rather than bipolar disorder. In the article that appears online ahead of print in the Journal of Clinical Psychiatry, the researchers question the effectiveness of the Mood Disorder Questionnaire (MDQ). The MDQ is the most widely-used and studied screening tool for bipolar disorder. It is a brief questionnaire that assesses whether a patient displays some of…
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Anti-social Personality Disorder mistaken for BPD – when people get it wrong
I was disturbed to read this column in which Caroline Hutchinson of (apparently) “Mix FM” (some sort of radio station) said this about a story in which a boy was bullyed at a disco in Sydney. What I find troubling about her post about the incident is this… She says: There is a diagnosable condition known as a personality disorder. According to the American Psychiatric Association personality disorder typically rears its ugly head in late adolescence but, in rarer instances, childhood. It’s subjective, but a person with borderline personality disorder, should exhibit three or more of the following: 1. Failure to conform to lawful social norms – repeatedly performing acts…
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Mentalization-Based Treatment Versus Structured Clinical Management for BPD
An abstract on MBT: Randomized Controlled Trial of Outpatient Mentalization-Based Treatment Versus Structured Clinical Management for Borderline Personality Disorder Anthony Bateman, M.A., F.R.C.Psych., and Peter Fonagy, Ph.D., F.B.A. Objective: This randomized controlled trial tested the effectiveness of an 18-month mentalization-based treatment (MBT) approach in an outpatient context against a structured clinical management (SCM) outpatient approach for treatment of borderline personality disorder. Method: Patients (N=134) consecutively referred to a specialist personality disorder treatment center and meeting selection criteria were randomly allocated to MBT or SCM. Eleven mental health professionals equal in years of experience and training served as therapists. Independent evaluators blind to treatment allocation conducted assessments every 6 months. The…
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Shame and BPD
In researching the implications of shame in BPD, I found this research study: Shame and Implicit Self-Concept in Women With Borderline Personality Disorder * Nicolas Rüsch, M.D., Klaus Lieb, M.D., Ines Göttler, M.D., Christiane Hermann, Ph.D., Elisabeth Schramm, Ph.D., Harald Richter, Ph.D., Gitta A. Jacob, Ph.D., Patrick W. Corrigan, Psy.D., and Martin Bohus, M.D. * *OBJECTIVE: *Shame is considered to be a central emotion in borderline personality disorder and to be related to self-injurious behavior, chronic suicidality, and anger-hostility. However, its level and impact on people with borderline personality disorder are largely unknown. The authors examined levels of self-reported shame, guilt, anxiety, and implicit shame-related self-concept in women with borderline…
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Study Shows Greater Prevaleance of BPD than Previously Expected
In case you missed my note from January of 2009 on the prevalence study of almost 35,000 adults (yep, that’s right 35,000!) by the NIAAA, here’s the abstract (emphasis is mine BTW): Prevalence, correlates, disability, and comorbidity of DSM-IV borderline personality disorder: results from the Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions. Full Abstract OBJECTIVES: To present nationally representative findings on prevalence, sociodemographic correlates, disability, and comorbidity of borderline personality disorder (BPD) among men and women. METHOD: Face-to-face interviews were conducted with 34,653 adults participating in the 2004-2005 Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions. Personality disorder diagnoses were made using the Wave 2…
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You can tolerate frustration (even though it hurts)
From my eBook Beyond Boundaries. An attitude for tough times… Pain hurts. Frustration is painful. It’s bothersome but it is bound to be a part of life. Not getting what you want, or having what you like taken from you, not getting your way and the many other of life’s frustrations can make you suffer. Like I said earlier, pain avoidance or the immediate cessation of frustration is one of life’s biggest motivators. Unfortunately, some of life’s frustrations don’t have an immediate remedy. Sometimes you have to live in a frustrating situation for a period of time. While you might start to believe “I can’t take it anymore,” I would…