Fornits
Treatment Abuse, Behavior Modification, Thought Reform => The Troubled Teen Industry => Topic started by: Anonymous on February 08, 2004, 09:35:00 PM
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Does anyone know if these BM programs accept kids diagnosed with a mental illness called Borderline Personality Disorder (BPD) and whether a behavior modification program is an appropriate treatment modality? Please, I need good advice ASAP.
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i went to a wilderness program and while i was there they diagnosed me with borderline they never really explained to me what it was do you what it is? what kind of treatment program are you looking for the one i went to is a really good one!
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On 2004-02-08 18:35:00, Anonymous wrote:
"Does anyone know if these BM programs accept kids diagnosed with a mental illness called Borderline Personality Disorder (BPD) and whether a behavior modification program is an appropriate treatment modality? Please, I need good advice ASAP. "
http://www.mhsanctuary.com/borderline/artindex.htm (http://www.mhsanctuary.com/borderline/artindex.htm)
Try the above site.
Treatment for BPD is medication first, followed by a course of therapy--CBT or DBT.
The programs I've seen try to be all things to all people to some degree. As a result, I would not recommend putting your child with BPD in a program unless your child's psychiatrist and therapist recommend not only inpatient treatment but a specific program.
If your BPD child is behaving violently and is dangerous to self or others, inpatient treatment until he/she is stable on medication and has gone through CBT or DBT may be appropriate.
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Thanks, I appreciate your response and the link, too.
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Borderline Personality Disorder
Also known as:
Description
Borderline Personality Disorder (BPD) is characterized by a pattern of unstable personal relationships, a self-image that is not well formed, and poor impulse control. The person suffering from BPD fears abandonment and will go to any length to prevent this, including threats of suicide and self harm.
ICD-10 Criteria
The ICD-10 Classification of Mental and Behavioural Disorders
World Health Organization, Geneva, 1992
F60.3 Emotionally Unstable (Borderline) Personality Disorder
A personality disorder in which there is a marked tendency to act impulsively without consideration of the consequences, together with affective instability. The ability to plan ahead may be minimal, and outbursts of intense anger may often lead to violence or "behavioural explosions"; these are easily precipitated when impulsive acts are criticized or thwarted by others. Two variants of this personality disorder are specified, and both share this general theme of impulsiveness and lack of self-control.
Impulsive type: The predominant characteristics are emotional instability and lack of impulse control. Outbursts of violence or threatening behaviour are common, particularly in response to criticism by others.
Includes:
explosive and aggressive personality (disorder)
Excludes:
dissocial personality disorder
Borderline type: Several of the characteristics of emotional instability are present; in addition, the patient's own self-image, aims, and internal preferences (including sexual) are often unclear or disturbed. There are usually chronic feelings of emptiness. A liability to become involved in intense and unstable relationships may cause repeated emotional crises and may be associated with excessive efforts to avoid abandonment and a series of suicidal threats or acts of self-harm (although these may occur without obvious precipitants).
Includes:
borderline personality (disorder)
Personality Disorders
A personality disorder is a severe disturbance in the characterological constitution and behavioural tendencies of the individual, usually involving several areas of the personality, and nearly always associated with considerable personal and social disruption. Personality disorder tends to appear in late childhood or adolescence and continues to be manifest into adulthood. It is therefore unlikely that the diagnosis of personality disorder will be appropriate before the age of 16 or 17 years. General diagnostic guidelines applying to all personality disorders are presented below; supplementary descriptions are provided with each of the subtypes.
Diagnostic Guidelines
Conditions not directly attributable to gross brain damage or disease, or to another psychiatric disorder, meeting the following criteria:
markedly dysharmonious attitudes and behaviour, involving usually several areas of functioning, e.g. affectivity, arousal, impulse control, ways of perceiving and thinking, and style of relating to others;
the abnormal behaviour pattern is enduring, of long standing, and not limited to episodes of mental illness;
the abnormal behaviour pattern is pervasive and clearly maladaptive to a broad range of personal and social situations;
the above manifestations always appear during childhood or adolescence and continue into adulthood;
the disorder leads to considerable personal distress but this may only become apparent late in its course;
the disorder is usually, but not invariably, associated with significant problems in occupational and social performance.
For different cultures it may be necessary to develop specific sets of criteria with regard to social norms, rules and obligations. For diagnosing most of the subtypes listed below, clear evidence is usually required of the presence of at least three of the traits or behaviours given in the clinical description.
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Suicide rate for BPD's is 10%, 25% if the patient also has Panic Disorder.
Admission to a "troubled teen" behavior modification program would be *STRONGLY CONTRAINDICATED* for a patient with BPD.
BPD's are serious risks of suicide in response to stress. Stress is *very* bad for them. Troubled teen BM programs provide stress by the truckload.
If your BPD teen needs hospitalization while waiting for the medication to kick in, it needs to be in a real mental hospital or real regular hospital instead of a program.
Current evidence indicates that regardless of whether a particular patient's BPD is genetic or environmental or some combination of both, BPD is biological---a malfunction of the limbic system in the brain.
Medicate first, then CBT or DBT *while medicated* may help increase the patient's functionality in daily life.
Reduce stressors. Your BPD child is *not* mentally normal and shouldn't be expected to have to cope with the same level of stress a normal person would. The less stress on your child, the less maladaptive behavior you will have while you're waiting for the medication and CBT or DBT to do their things.
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Anon, thank you very much for providing this information. I hope it may also be useful for others who are facing the dilemma of how to best help a child suffering from BPD. All things considered, it's clear a behavior mod program would NOT be an appropriate treatment modality.