medial frontal cortex

May is BPD Awareness Month


Borderline Personality Disorder Facts and Statistics

Prevalence: BPD has a higher incidence of occurrence than schizophrenia or bipolar disorder,
· 2% of the general population
· 10% of all mental health outpatients
· 20% of psychiatric inpatients
· 75% of those diagnosed are women
· 75% have reported physical or sexual abuse
· 30 – 60% of those presenting with a personality disorder have BPD.

- Borderline personality disorder is also known as emotional regulation disorder (ERD).

- ERD is a debilitating biological disorder.

- 69% to 75% exhibit self-destructive behaviors such as self-mutilation, chemical dependency, eating disorders and suicide attempts.

- 8 - 10% die by suicide usually due to lack of impulse control over depression.
- Successful suicide rate doubles with a history of self-destructive behaviors and suicide attempts.

- 50% experience Clinical Depression

- Approximately 25% of those with ERD also meet the criteria for post traumatic stress disorder.

- Of Dual Diagnosed People, 50-67% have ERD.

- Most experts in this field agree that ERD is on the wrong axis code. Presently on Axis II. Should be Axis I.

- ERD has received very little attention and funding by our nation’s health care system.

- Most clinicians are either mis-educated or under-educated about ERD and appropriate treatment. Thus people continue to suffer.

- Those who received standard community based inpatient and outpatient psychiatric treatment show this form of treatment to be marginally ineffective when measured 2-3 years later.

- Treatable with medication initially and psychodynamic therapy complimented with dialectical behavior therapy (DBT). Therapy without proper medications is not recommended by many Drs. in this field.

- Cause of ERD is unclear but it appears to be a combination of genetic and environmental factors. More research is needed.

- Severe headaches and migraine appear to be more prevalent in patients with BPD than the general population.

- ERD is highly stigmatized in the world.

- Many clinicians refuse to treat ERD.

- ERD is virtually unknown to the public.

- Studies show inadequate regulation of serotonin, dopamine, and other neurotransmitters in those with ERD.

- Discontinuation of medications are high at 50%.

- On the Minnesota Multiphasic Personality Inventory (MMPI), ERD patients do not show a common profile. Personality traits appear to be a combination of histrionic, narcissistic, and antisocial personality.

- ERD (borderline personality disorder) can be extremely hard on families. - Families need support.

- Decreased glucose uptake in medial orbital frontal cortex may be associated with diminished regulation of impulsive behavior in BPD.

- Comorbid conditions in BPD may also affect the ability to act responsibly.

- Patients with borderline personality disorder remembered more difficulties with separation between ages 6 and 17 years, more mood reactivity and poorer frustration tolerance between ages 6 and 17, and the onset of more symptoms (most prominently sadness, depression, anxiety, and suicidality) before age 18 than did patients with other personality disorders.

- These results indicate that many of the features of adult patients with borderline personality disorder may initially appear during childhood and adolescence and that these features may be used to differentiate borderline from other personality disorders

- Traumatic events were reported by 70.7% of the borderline subjects. (aapel: For 30% thus, the cause is different)
Among them 25.8% sexual abuse, 36.4% physical abuses, 43.7% emotional abuses, 9.3% physical negligence and 43.0% witnesses of violence.

- Patients reported significantly higher rates of psychiatric disorders in their families in general, especially anxiety disorders, depression, and suicidality.