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Psychological interventions in borderline personality disorder with self-harm behaviors


Journal of Psychology & Clinical Psychiatry
Juliana Corrêa da Silva, Luís Maia 

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Abstract

Borderline Personality Disorder (BPD) is a disorder that is characterized by the delimitation of the limit state, where the patient constantly navigates between the fields of neurosis and psychosis, presenting repetitive manifestations of chronic anxieties, phobias, obsessions, compulsions, symptoms of bizarre conversion, dissociations, hypochondria, perverse sexual tendencies, constant tendencies to impulsivity, abuse of drugs, alcohol and medication, emotional lability, great needs for exhibitionism, chronic feelings of emptiness, difficulties in disengagement, difficulties in sustaining bonds, self-injurious behaviors, among others.1 It is important to collect data on the patient’s life history and current repetitive behaviors that are presented. The first potential symptoms usually emerge in adolescence and early adulthood, thus reverberating throughout life, diagnoses are more common after 17 years of age.2 Symptoms, among self-injurious behaviors, tend to decrease when appropriate treatment occurs, with continuous medical, psychological and psychiatric/medication monitoring. The importance of psychological assessment and interventions is associated with an in-depth study of the cognitive, emotional and behavioral functions that are presented by these subjects, thus allowing for appropriate treatments and accompaniment. Psychology can make use of several tests, the professional is the one who decides which are the most pertinent and appropriate for each case, however, the evaluation is not based only on tests, it is up to the professional to seek other intervention techniques relevant to the diagnosis.3 Throughout the process, it is important for the family to be present, along with the development of the work to observe the improvements and persistent behaviors that accompany the patient diagnosed with the disorder. The study looks at the various possibilities of psychological/neuropsychological interventions for harm reduction and subsequent changes in the framework of characterized destructive behaviors.

Keywords

adolescents, adults, disorder, borderline personality, impulsiveness, autolesivo behavior, psychic constitution, building emotional bonds, self-mutilation behaviors, strengthening social insertions

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