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Borderline Personality Disorder Treatment Seattle WA

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Dean Mitsuo Ishiki, MD
(206) 622-9496
First Hill Medical Building 515 Minor Ave Ste 220
Seattle, WA
Specialties
Psychiatry
Gender
Male
Education
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduation Year: 1968

Data Provided By:
Craig Stephen Smart, MD
(206) 624-0247
601 Union St
Seattle, WA
Specialties
Psychiatry
Gender
Male
Education
Medical School: Med Univ Of Sc Coll Of Med, Charleston Sc 29425
Graduation Year: 1984

Data Provided By:
Mi Kyung Lee, MD
(206) 625-7180
925 Seneca St Mailstop H10-SDC
Seattle, WA
Specialties
Psychiatry, Child & Adolescent Psychiatry
Gender
Female
Education
Medical School: Ewha Women'S Univ, Coll Of Med, Seoul, So Korea
Graduation Year: 1964

Data Provided By:
August Thomas Piper Jr, MD
901 Boren Ave Ste 701
Seattle, WA
Specialties
Psychiatry
Gender
Male
Education
Medical School: Howard Univ Coll Of Med, Washington Dc 20059
Graduation Year: 1969

Data Provided By:
Peter James Manos, MD
(206) 223-6600
1100 9th Ave
Seattle, WA
Specialties
Psychiatry
Gender
Male
Education
Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduation Year: 1979

Data Provided By:
Stephen Roger Dager, MD
325 9th Ave
Seattle, WA
Specialties
Psychiatry
Gender
Male
Education
Medical School: Univ Of Ne Coll Of Med, Omaha Ne 68198
Graduation Year: 1978

Data Provided By:
Amy Jo Henry, MD
(206) 548-3300
325 9th Ave
Seattle, WA
Specialties
Psychiatry
Gender
Female
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1996

Data Provided By:
Enrique Carlos Villacres, MD
325 9th Ave
Seattle, WA
Specialties
Psychiatry
Gender
Male
Education
Medical School: Med Coll Of Wi, Milwaukee Wi 53226
Graduation Year: 1981

Data Provided By:
Grant Gilbert Haven, MD
(206) 286-9570
901 Boren Ave Ste 1910
Seattle, WA
Specialties
Psychiatry
Gender
Male
Education
Medical School: Univ Of Mo, Columbia Sch Of Med, Columbia Mo 65212
Graduation Year: 1989

Data Provided By:
Lawrence H Schwartz, MD
(206) 624-0296
1120 Cherry St Ste 240
Seattle, WA
Specialties
Psychiatry, Psychoanalysis
Gender
Male
Education
Medical School: Duke Univ Sch Of Med, Durham Nc 27710
Graduation Year: 1949

Data Provided By:
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Borderline Personality Disorder

Disorders - Borderline Personality Disorder
Written by National Institute of Mental Health   

Borderline personality disorder (BPD) is a serious mental illness characterized by pervasive instability in moods, interpersonal relationships, self-image, and behavior. This instability often disrupts family and work life, long-term planning, and the individual's sense of self-identity. Originally thought to be at the "borderline" of psychosis, people with BPD suffer from a disorder of emotion regulation. While less well known than schizophrenia or bipolar disorder (manic-depressive illness), BPD is more common, affecting 2 percent of adults, mostly young women.1 There is a high rate of self-injury without suicide intent, as well as a significant rate of suicide attempts and completed suicide in severe cases.2,3 Patients often need extensive mental health services, and account for 20 percent of psychiatric hospitalizations.4 Yet, with help, many improve over time and are eventually able to lead productive lives.

Symptoms

While a person with depression or bipolar disorder typically endures the same mood for weeks, a person with BPD may experience intense bouts of anger, depression and anxiety that may last only hours, or at most a day.5 These may be associated with episodes of impulsive aggression, self-injury, and drug or alcohol abuse. Distortions in cognition and sense of self can lead to frequent changes in long-term goals, career plans, jobs, friendships, gender identity, and values. Sometimes people with BPD view themselves as fundamentally bad, or unworthy. They may feel unfairly misunderstood or mistreated, bored, empty, and have little idea who they are. Such symptoms are most acute when people with BPD feel isolated and lacking in social support, and may result in frantic efforts to avoid being alone.

People with BPD often have highly unstable patterns of social relationships. While they can develop intense but stormy attachments, their attitudes towards family, friends, and loved ones may suddenly shift from idealization (great admiration and love) to devaluation (intense anger and dislike). Thus, they may form an immediate attachment and idealize the other person, but when a slight separation or conflict occurs, they switch unexpectedly to the other extreme and angrily accuse the other person of not caring for them at all. Even with family members, individuals with BPD are highly sensitive to rejection, reacting with anger and distress to such mild separations as a vacation, a business trip, or a sudden change in plans. These fears of abandonment seem to be related to difficulties feeling emotionally connected to important persons when they are physically absent, leaving the individual with BPD feeling lost and perhaps worthlessness. Suicide threats and attempts may occur along with anger at perceived abandonment and disappointments.

People with BPD exhibit other impulsi...

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