Borderline personality disorder and substance abuse consequences of comorbidity

Borderline personality disorder and substance abuse: consequences of comorbidity.

borderline personality disorder and substance abuse consequences of comorbidity

Can J Psychiatry. Feb;40(1) Borderline personality disorder and substance abuse: consequences of comorbidity. Links PS(1), Heslegrave RJ, Mitton.

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People with borderline personality disorder BPD are more likely to have trouble with their self-image, experience intense feelings like anger, dissociate from reality or their identity, feel depressed or anxious for several days, enter into unstable relationships that may enhance negative moods, and participate in risky behaviors. Substance abuse is common among people with BPD. Additionally, people with BPD are more likely to struggle with polydrug abuse, ingesting multiple drugs at once to change or enhance the high. While about percent of the adult population has been diagnosed with borderline personality disorder, people with a personality disorder including BPD are much more likely to develop a substance use disorder and represent the majority of people who struggle with these issues and enter treatment repeatedly. For example, one survey found that people with borderline personality disorder represented 40 percent of people who sought buprenorphine to help with opioid addiction treatment. About 50 percent of people with BPD self-report a history of prescription drug abuse about 9. A different study found that over half of people with a lifetime diagnosis for BPD had a diagnosed substance use disorder in the past 12 months; similarly, the study also found that 9.

Keywords: Borderline personality disorder, Substance use disorder, Alcohol use disorder, Comorbidity . feature of BPD can lead to a number of negative consequences including substance abuse and dependence.
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The objective of this paper was to examine the prognostic significance of borderline personality disorder BPD and substance abuse in a cohort of former inpatients screened for BPD and followed up prospectively seven years after the index admission. The impact of comorbidity on borderline psychopathology, impulsivity and psychosocial functioning was examined. The original cohort was assembled between April and December Admissions were screened for borderline characteristics which resulted in a sample of subjects, 88 of whom were positive for BPD based on the Diagnostic Interview for Borderlines. At seven years follow-up, 81 out of

Substance Use Disorders in Patients with Borderline Disorder

Borderline personality disorder, or BPD, is a debilitating condition that is often misrepresented in popular culture and misunderstood by the general public. Those who suffer from BPD are seen as highly manipulative, dependent and dramatic, but mental health professionals understand that this behavior arises as a dysfunctional way to cope with overwhelming fear and emotional pain. The pain, emotional instability and impulsive behavior of borderline personality disorder place these individuals at risk of drug or alcohol abuse.

Borderline personality disorder and substance use disorders: an updated review

A great deal of research has been conducted on the relationship between psychiatric disorders and substance use disorders. One extensive study collected data from the National Comorbidity Survey Replication. Researchers found that having any psychiatric disorder increases the risk for substance dependence. In fact, they found that as the number of psychiatric disorders present increased, so too did the risk for substance dependence. In other words, having any psychiatric disorder increases the risk for a lifetime of substance dependence. Different psychiatric disorders have different risk levels, so the level of risk for substance abuse is not equal among the disorders in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition DSM-IV.

For decades, clinicians and researchers have recognized that borderline personality disorder BPD and substance use disorders SUDs are often diagnosed within the same person e. Borderline personality disorder: A clinical guide. Washington, D. Borderline personality disorder: A multidimensional approach. American Psychiatric Pub, ; Trull et al. Previously, we documented the extent of this co-occurrence and offered a number of methodological and theoretical explanations for the co-occurrence Trull et al.

Please take this quick survey to tell us about what happens after you publish a paper. Current Psychiatry Reports. Personality disorders PDs and substance use disorders SUDs frequently co-occur in both the general population and in clinical settings. Literature is reviewed documenting high comorbidity between these two classes of disorders, possible mechanisms of comorbidity, and the clinical implications of this comorbidity. Special emphasis is given to antisocial personality disorder ASPD and borderline personality disorder BPD as these disorders not only co-occur frequently with SUDs in the clinical populations and present clinical challenges, but also because recent research points to etiologic processes that are common to these specific PDs and SUDs. Unable to display preview. Download preview PDF.

Borderline Personality Disorder and Addiction

Alcohol and drugs are often abused by people with borderline disorder to temporarily relieve the severe emotional pain that they experience, especially when under stress. Predictably, this relief is short-lived. Even worse, the use of these substances markedly increases many of the symptoms of borderline disorder, making substance abuse treatment all the more important. It seems likely that some of the genetic risk factors in borderline disorder may also be among the group of genetic factors that predispose people to alcoholism and drug abuse. Substance abuse treatment is important in both types of substance use disorders.


The impact ofcomorbidity on borderline for borderline characteristics which resulted in a sample of with comorbid BPD and substance abuse should be.
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