Imaging Brain Abnormalities in Borderline Personality Disorder

Borderline personality disorder is one of the most challenging conditions to treat, Dr. Charles Nemeroff notes in his latest videoblog. What does imaging tell us about its neurologic underpinnings?

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People & Blogs

Tags:

• borderline
• personality
• disorder
• disease

[spershall]

It gives me so much comfort to know there's something actually going on physically with my brain and that I'm not just a terrible person!

For those wondering what treatment works, DBT (Dialectical Behavioral Therapy) was a miracle for me!

[aprilbear101]

do you think theres any psychiatrists with bpd , i do , the realy inteligent high functioning one, and they use their relationships with patients to feed their need for intimacy and good bad dicotomy ,

[missdarkangelxxx]

most mental health professionals are just as fucked up as their clients/patients!

[shelllj68]

I was officially diagnosed with BPD after being wrongly diagnosed with endogenous depression over 25yrs ago. I took all the meds and did all the therapy and never got well. I am still learning about my disorder, but am in dbt and therapy and can finally at age 42yrs, understand why I behave the way I do. I appreciate anyone who brings our illness into the light. We need more understanding and acceptance that we suffer from a debilitating invisible illness, we did not choose.

[Raina430]

I understand why people don't like this. However if there is faulty brain functioning such as literally not being able to discern good and bad qualities in people or irrationally thinking people will abandon one in the face of all contrary evidence, then it's important to know it and address it. Some people with BPD for decades do not seem to respond to anything. I think he is trying to help them.

[MonacoBlast]

I'm not borderline. I'm very opinionated, and I hate being taken advantage of. Someday I hope everyone rebels against "being medicated". I certainly am.

[44prot]

These people(I wont call Drs) do more harm to the population than the drug dealers on the streets ever could.Marijuana proven to besohelpful?illegal!Why?That would mess up the whole bogus "war on drugs"bullshit.Cigarettes AND definitely alcohol should be illegal too.How many are killed by those?get Busted for DUI,yet there r public places where alcohol is served.How do they think your leaving the place? "Drink responsibly"Ok,Shoot up responsibly,leave loaded guns lying around responsibly too!

[44prot]

Every human in the population exhibits every trait of every Disorder EVER tagged by the Psychiatric pseudo organization. NOTHING can be proven they claim.They exist to feed the pharmaceutical companies and then themselves thru gaining income from those companies,and overmedicating the population with the poisonous drugs they pedal legally.Prozac =Flouride! Look up what Flouride does to your brain.All the antipsycotics?even w/ all the warnings,theyre still pushing em!

[Intelwethink4u]

The evidence we have does not show that chemical imbalances are causing these so called disorders. There is no objective way of testing chemical balances in the brain. A scan of a patient's brain does not illuminate the cause of the behavior, there are hundreds of variables that cause differences in brain activity. Changes in brain activity can be a result of emotional baggage and deeply ingrained maladaptive patterns of behavior, which is not a disease and is treatable using CBT.

[Intelwethink4u]

Psychiatry is pseudo-science, there is no biological test for mental illness. Listen carefully to what this man is saying, he is describing moral and philosophical problems with "patients" and then dressing it up in medical terminology. I am a psychology major in college and recall the dark history of psychiatry and the fact that many social and moral problems are being labeled as mental disorders for the sake of profiteering and exploitation of the patient. There are no cures in psychiatry.

[13abbitt]

"a sponge with horns" - well, I suspected as much from the defensiveness I have felt in the past, when inpatient. I try to never phone my therapists; I am not an asker of special favors. I am a "quiet Borderline." Of course, it is not conclusive: I could be just having a very long, bad day. Thanks for mentioning the anterior insular cortex.

[davidmorrison1955]

The guy is well intentioned but he is a little light on the biological logic.

A perspective shift might be useful.

What the imaging is showing are the artefacts of early childhood mistreatment.

See Van de Kolk and "The body keeps the score."

It is normally very early and continuous mistreatment that cause the results unfortunately labelled as BPD. Of course the result is structurally stored in the brain. Everything is structurally stored in the brain!! Everything is chemical.

Stop the abuse.