Borderline Personality Disorder
What is Borderline Personality Disorder?
Personality disorders affect about 10% of the general
population. This group of mental disorders is defined by
maladaptive personality characteristics that have a
consistent and serious effect on work and interpersonal
relationships. DSM-IV defines ten categories of personality
disorder. Of these, Borderline Personality Disorder (BPD) is
the most frequent in clinical practice. BPD is also one of
the most difficult and troubling problems in all of
psychiatry.
The term "borderline" is …
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…system. In other words, normal levels of this brain
chemical inhibit impulsive aggression directed either at
oneself or other people. Low levels of serotonin appear
related to more impulsive and destructive behavior.
Serotonin abnormalities may help explain recent
findings that medications that increase serotonin levels
improve many symptoms. Selective serotonin reuptake
inhibitors like Prozac (fluoxetine) may result in less
impulsivity, less anger, and more stable moods. These
findings require corroboration, but the implications are
promising.
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