Borderline and Paranoid Personality Disorders

Paranoid personality disorder and borderline personality disorder are mental conditions that require specialist intervention and a specific approach to treatment in combination with therapy and medication. Those disorders are characterized by difficulties in daily life and cause discomfort to the patient. To address these two conditions, it is necessary to describe the features of the symptoms of these disorders, the diagnosis and the immediate treatment that can be prescribed by a specialist.

Both disorders have prominent symptoms that can lead to a diagnosis. Patients with borderline personality disorder usually express excessive anger when they feel rejected from other people (Perrotta, 2020). These patients are inclined to change their minds suddenly and abruptly. In paranoid disorder, the hallmark symptom is persistent one-sided thinking a strong tendency to view actions as hostile and threatening (Cheli et al., 2021). Symptoms of both disorders often begin at a young age and persist throughout life.

Diagnosis of both disorders requires patients to have several signs that appear during communication with a doctor. The most important symptom for diagnosing borderline disorder is the patient’s demonstration of persistent instability. (Perrotta, 2020). Criteria can also be a depressive state and a tendency to impulsive behavior. The diagnosis of paranoid psychopathy is established by identifying characteristic personality traits that persist throughout life. The diagnostic criteria for this disorder are persistent maladaptive behavior and the display of paranoid thoughts (Cheli et al., 2021). Diagnosing such disorders is a complex process that involves observation, questionnaires, and the patient’s sense of self.

The treatment of both disorders is often a complex process consisting of a combination of drug therapy and psychotherapy. The main treatment for paranoid psychopathy is psychotherapy. Psychoanalytic therapy, behavioral therapy and other techniques are used (Stangor, 2018). The main drugs for paranoid personality disorder are tranquilizers and antipsychotics (Braslow, & Marder, 2019). Psychotherapy also remains the primary treatment for borderline personality disorder. Medications are most effective when used systematically, with antidepressants being the most common choice for addressing the mental state.

In conclusion, paranoid and borderline personality disorders are pronounced mental conditions that cause discomfort to the patient. The symptoms of the mentioned disorder are intrusive delusions and emotional withdrawal associated with impulsivity, respectively. Diagnosis must be based on clear criteria demonstrated by the patient in behavior. The treatment of these disorders combines an integrated approach based on psychotherapy and the use of medications to relieve acute symptoms.

References

Braslow, J. T., & Marder, S. R. (2019). History of psychopharmacology. Annual Review of Clinical Psychology, 15(1), 25-50. Web.

Cheli, S., Cavalletti, V., Popolo, R., & Dimaggio, G. (2021). A case study on a severe paranoid personality disorder client treated with metacognitive interpersonal therapy. Journal of Clinical Psychology, 77(8), 1807-1820. Web.

Perrotta, G. (2020). Borderline personality disorder: Definition, differential diagnosis, clinical contexts and therapeutic approaches. Ann Psychiatry Treatm, 4(1), 043-056. Web.

Stangor, C. (2018). Introduction to Psychology. FlatWorld.

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