alternate ways of treating borderline personality disorder

[hsieh]

this thread is made to discuss and debate alternate ways of treating borderline personality disorder. the point is to "think outside the box" and "stirring the pot" is also acceptable and encoraged. please respond to subject only and not the specific member who is posting the subject. for example if somebody says - i think the world is flat - please do not respond with - the reason you think the world is flat is because you're an idiot. i can't wait to read other's ideas of alternate ways to treat boderline personality disorder. let the posting begin.

[LydiaNN]

LOL.

Nothing else, just lol.

[hsieh]

well that's a start.

[Thunderwolf, MSN, RN]

hsieh....I like the way you started off this thread. In this, you are most correct and is often the determining factor if a thread remains opened or is closed. We all can learn from your opening post and generalize it out to all threads/forums. Good starting post....especially on a controversial topic.

Thank you.

[Psychaprn]

hsieh....I like the way you started off this thread. In this, you are most correct and is often the determining factor if a thread remains opened or is closed. We all can learn from your opening post and generalize it out to all threads/forums. Good starting post....especially on a controversial topic.

Thank you.

I agree-interesting post.I need more info though. What do you mean alternate ways-like what alternate ways? Do you mean sspecific therapy approaches, meds etc....?

[cardiacRN2006, ADN, RN]

LOL.

Nothing else, just lol.

:yeahthat:

Wasn't this thread just closed? I'm pretty sure we all have the same opinions.

Psychaprn-by alternative ways, hsieh means dropping them off in the middle of Africa. No joke.

https://allnurses.com/forums/f46/regarding-borderline-patients-163163.html

.

[hsieh]

by alternate ways i mean with your experience what would be another way to help people with this disorder? i don't think the current system is helping this disorder. for example i thought a drastic change in enviroment or culture would help treat this disorder. this was not popular in my last thread.

[WhatNext?]

In the years that I have worked with people who carry the diagnosis of borderline personality disorder, I have found that understanding their view of the world as a scary and chaotic place is key to establishing the trust relationship that is critical to working with them effectively. For myself, IMHO, I like to avoid using loaded (judgemental) words like "drama queen" and even "manipulative." Those are words I use when I am tired and frustrated and they are neither helpful to me nor to the client. As hard as it may be to understand, something in the pattern of behavior is meeting an internal need for the client. The client 's view is that this is somehow adaptive in their world, even though it may not appear that way to anyone around them.

The hospital is not the place where anyone is functioning at their best--if they were doing well, they wouldn't be there. It helps me to remember that as well.

In the land of managed care where I have practiced these past couple of decades, I've seen the in-pt focus change from doing exploration and uncovering of past traumas (which usually resulted in extended hospital stays) to rapid stabilization of the crisis and return to out-patient care. Out-patient setting is where the bulk of the work is done anymore.

I have seen remarkable progress in clients who have participated in Dialectical Behavior Training (DBT). It is education and practice in self-care and self-nurture, something that is deeply needed by these clients.

There is so much to say about working with these very challenging people. Kindness, boundaries and consistency on the part of the professional really goes a long way to interrupt the chaos that is often present in the client's daily life.

Thanks for restarting this thread.

[LydiaNN]

In the years that I have worked with people who carry the diagnosis of borderline personality disorder, I have found that understanding their view of the world as a scary and chaotic place is key to establishing the trust relationship that is critical to working with them effectively. For myself, IMHO, I like to avoid using loaded (judgemental) words like "drama queen" and even "manipulative." Those are words I use when I am tired and frustrated and they are neither helpful to me nor to the client. As hard as it may be to understand, something in the pattern of behavior is meeting an internal need for the client. The client 's view is that this is somehow adaptive in their world, even though it may not appear that way to anyone around them.

The hospital is not the place where anyone is functioning at their best--if they were doing well, they wouldn't be there. It helps me to remember that as well.

In the land of managed care where I have practiced these past couple of decades, I've seen the in-pt focus change from doing exploration and uncovering of past traumas (which usually resulted in extended hospital stays) to rapid stabilization of the crisis and return to out-patient care. Out-patient setting is where the bulk of the work is done anymore.

I have seen remarkable progress in clients who have participated in Dialectical Behavior Training (DBT). It is education and practice in self-care and self-nurture, something that is deeply needed by these clients.

There is so much to say about working with these very challenging people. Kindness, boundaries and consistency on the part of the professional really goes a long way to interrupt the chaos that is often present in the client's daily life.

Thanks for restarting this thread.

Great post, but actually the good thread wasn't restarted. This is a new one.

[hsieh]

well who wouldn't be manipulative or a drama queen when one is "locked up" in a psych hosp. that's why i thought the amazon rain forest or a 3rd world country is better than "locking" somebody up. people aren't going to develop when they're "locked up". when you put somebody in a challeging enviroment but they still have their freedom - that promises the most development i believe. or culture where the pt is free but nobody is going to "react" to their disorder - that will develop them.

[LydiaNN]

well who wouldn't be manipulative or a drama queen when one is "locked up" in a psych hosp. that's why i thought the amazon rain forest or a 3rd world country is better than "locking" somebody up. people aren't going to develop when they're "locked up". when you put somebody in a challeging enviroment but they still have their freedom - that promises the most development i believe. or culture where the pt is free but nobody is going to "react" to their disorder - that will develop them.

Praytell, do you intend on keeping them in the Amazon rain forest or some 3rd world country for the rest of their lives? Have you any plans for their care should they develop dysentery, cholera, malaria, or any of the other unpleasantries that contribute to the lowered life expectancy in these nations that you tout as cutting edge treatment possibilities? Or is a dx of BPD supposed to subject Westerners to a life in a developing nation sans all the things we take for granted.

[hsieh]

well how long are you going to keep bpd in traditional treatment? you can get vaccinated before you go to the tropics. what we take for granted is luxery not nesessity. they can stay however long it takes.