Psychosis and Borderline Personality Disorder - Part 1

Order The Borderline Personality Disorder Workbook by Dr. Fox: https://goo.gl/LQEgy1

The term “borderline” was actually originally created as those with the condition appeared to be on the border of psychosis. Research has not supported this over the years but psychotic symptoms can and do occur in those with BPD and this causes the disorder to be even more complex than it already is. This is going to be a two-part video. In this video I’m going to discuss the types of psychotic disorders and the signs and symptoms and relate them to BPD, and in the second video we’ll talk in greater detail about BPD and psychosis and I’ll give you some management tips. Let’s get into it.

In the general public, psychotic experiences are reported by approximately 8–17% of children and adolescents and 5% of adults. One study found that 24% of those with BPD reported severe psychotic symptoms and approximately 75% had dissociative and paranoid ideation. Notice I am saying psychotic symptoms, not disorder or schizophrenia and that’s import to note here. Let’s break the psychotic disorders down:
Psychosis on a spectrum, like all disorders from absent to extreme (show severity scale).

Key symptoms of the various psychotic disorders are delusions, hallucinations, disorganized thinking or speech, grossly disorganized behavior, and negative symptoms.

Types of psychotic disorders include:

Schizotypal PD, Brief psychotic disorder, delusional disorder, schizophreniform, schizoaffective disorder, and schizophrenia.
Schizotypal personality disorder is a persistent pattern of social and interpersonal deficits, including reduced capacity for close relationships; cognitive or perceptual distortions; and eccentricities of behavior that usually begins in early adulthood but in some cases first becoming apparent in childhood and adolescence.

Time is critical here. Brief psychotic disorder lasts more than 1 day and remits by 1 month. Schizophreniform disorder looks just like schizophrenia except that it lasts for less than 6 months.
Schizophrenia lasts for at least 6 months and includes at least 1 month of active-phase symptoms. In schizoaffective disorder, a mood episode and the active-phase symptoms of schizophrenia occur together and were preceded or are followed by at least 2 weeks of delusions or hallucinations without prominent mood symptoms.

In the next video we will dive deeper into psychosis and BPD, check it out!

Daniel J. Fox, Ph.D., is a licensed psychologist in Texas, international speaker, and a multi-award winning author. He has been specializing in the treatment and assessment of individuals with personality disorders for over 15 years in the state and federal prison system, universities, and in private practice.

He has published several articles in these areas and is the author of:

The Borderline Personality Disorder Workbook: An Integrative Program to Understand and Manage Your BPD. Available at: https://goo.gl/LQEgy1

Antisocial, Borderline, Narcissistic and Histrionic Workbook: Treatment Strategies for Cluster B Personality Disorders (IPBA Benjamin Franklin Gold Award Winner): https://goo.gl/BLRkFy

Narcissistic Personality Disorder Toolbox: 55 Practical Treatment Techniques for Clients, Their Parents & Their Children (IPBA Benjamin Franklin Silver Award Winner):: https://goo.gl/sZYhym

The Clinician’s Guide to Diagnosis and Treatment of Personality Disorders: https://goo.gl/ZAVe9v

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Amazon Author’s Page: amazon.com/author/drfox

Thank you for your attention and I hope you enjoy my videos and find them helpful and subscribe. I always welcome topic suggestions and comments.

Citations:
Kelleher I, Connor D, Clarke MC, Devlin N, Harley M, Cannon M. Prevalence of psychotic symptoms in childhood and adolescence: a systematic review and meta-analysis of population-based studies. Psychol Med 2012;42:1857–1863.

Linscott RJ, van Os J. An updated and conservative systematic review and meta-analysis of epidemiological evidence on psychotic experiences in children and adults: on the pathway from proneness to persistence to dimensional expression across mental disorders. Psychol Med 2013;43:1133–1149.

Niemantsverdriet, M.B.A., Slotema, C.W., Blom, J.D. et al. Hallucinations in borderline personality disorder: Prevalence, characteristics and associations with comorbid symptoms and disorders. Sci Rep 7, 13920 (2017) doi:10.1038/s41598-017-13108-6 .

Schroeder K, Fisher HL, Schäfer I. Psychotic symptoms in patients with borderline personality disorder: prevalence and clinical management. Curr Opin Psychiatry (2013) 26:113–9. doi:10.1097/YCO.0b013e32835a2ae7