Rules of conduct with a person suffering from borderline personality disorder, during the trauma.

Borderline Personality Disorder (BPD) is a common mental disorder in the modern society.

The causes of this disorder are multifactorial, and the so-called biopsychosocial model where the factors contributing to the formation of BPD may be:

  • personality traits,
  • training (not enough satisfied with the needs of the child aged 0-3 years),
  • variety of social stresses,
  • neurochemical features of the brain (biological factor).

The upward trend in the volume of information, the replacement of natural communication "communication" with the help of computer technology (Skype, social networks, etc.) Often lead to deformation of the communication process and to earlier abuses of children that may be a factor in the formation of BPD.

This article is intended both for specialists in the field of mental health and people interacting with the person with BPD.

For a person suffering from BPD during trauma is characterized by:

  • preoccupation with thoughts of the traumatic event;
  • isolation or aggression;
  • suspicion (ideas of persecution, hostile ideas against maliciously-minded people);
  • the low level of self-regulation (lack of ability to self-organization, lack of emotional regulation);
  • conflicts;
  • chicanery;
  • suicidal thoughts and actions;
  • distortion perception information (cognitive error);
  • high sensitivity to various stimuli, influences, verbal statements interlocutor;
  • memory disorders;
  • decreased concentration;
  • sleep disorders and others.

In connection with some features of the psyche that occur in people with BPD during the trauma, it is necessary to develop a competent strategy of behavior and human interaction.

Rules of conduct with a person suffering from borderline personality disorder, during the trauma.

  1. It is necessary to ensure the human security situation.
  2. Exclude sources of negative information, stress, additional trauma (care of a loved one, neglect, abuse, etc.), Potential events that can cause pain.
  3. You must surround the human care.
  4. It is necessary to build a border communication, where people could feel comfortable.
  5. To enable a person to talk about the fact that he cares and worries. In particular, allow to pronounce the memories of traumatic events (skype, e. Mail or in person).
  6. Give clear instructions person and supervise their implementation, because in this period the resources of people with borderline personality disorder (BPD) is limited to the extent that they are not able to follow the instructions.
  7. Do not say anything instructing, ashamed. During this period, a so-called "thought-agnosia" and violated mentalization. Man perceives all the words spoken from the perspective of a traumatic experience, inadvertently changes the speech and written lexical structure incorrectly perceives the essence of what was said.
  8. During the mental trauma it is best to stay calm next to a man, sometimes just keep quiet and stay close.
  9. Organize the work of the man suffering from BPD with a good therapist, where he could verbalize traumatic experiences in a safe environment.
  10. To exclude from the therapeutic work exercises Refundable in any situation of stress and trauma. Even if a traumatic or stressful events took place a long time ago.
  11. It is recommended to conduct the relaxation activities.
  12. If a person has a strong mentality, the norm it should recover in a period of 8-10 months at the organization of a secure environment, including work with the therapist.
  13. In the period of acute trauma performing any exercises on the training skills will be ineffective, except for some exercise on transferring distress. Man with inflamed psyche will not be able to fully perceive and assimilate information from the training skills.
  14. In extreme cases, in lingering over the reactions to stress and trauma is necessary to organize a person with BPD aid (treatment and follow-up at the psychiatrist) .
  15. You must not remain indifferent to a person suffering from BPD during the trauma. referred to as a person with understanding and sympathy, because people with BPD may be the behavior with a predominance of aggression and suspicion .
  16. It is important not to conflict with the person and not to succumb to provocation of conflict. Keep your cool and try to help.
  17. It is necessary to provide social support to people with BPD (relatives, friends, psychologists, psychotherapists).

It is important to remember that people with BPD suffer psychological trauma is much harder than people with neurotic personality organization.

Recovery is slower and more difficult.

Remember! During trauma the psyche of people with BPD are highly sensitive to any shocks.