Subtypes of BPD, Part III

“A crucial element of the real self is its unconditional acceptance of itself.”
― Michael Adzema
        The first post provided a brief overview of BPD by way of metaphor and part II reviewed the first two types of BPD and provided some initial treatment possibilities. This final post will review the last form of BPD, initial treatments, and suggest ways existentialism can continue to provide treatment for people with BPD. Lastly, this post will propose new research to help anticipate and reduce recidivism in people with BPD.
Subtypes of BPD
Type III
         The metaphor of the Window Painter applies to all three types of BPD. However, in the third type of BPD, the person with BPD has grown up in a reassuring and secure environment with few double-bind messages or abandonments. They have experienced adequate safety and security with little social, familial, or psychological instability. While this person may struggle with some minor forms of mood lability and a flair for the dramatic, overall functioning is healthy and they are able to maintain long lasting relationships. BPD would, rightfully so, not be diagnosed, although borderline traits may be noticeable. However, they would not meet the essential criteria for BPD.
          According to the DSM 5, the essential feature of BPD “is a pervasive pattern of unstable interpersonal relationships, self-image, and affects, and marked impulsivity that begins by early adulthood and is present in a variety of contexts” (2013, p. 663). In this sense, BPD could be sitting dormant. While the diagnostic criteria does not allow for a diagnosis without at least 5 specific symptoms. Most experienced clinicians will assess for personality traits and provide treatment focusing on attachment, boundaries, and relationship maintenance.
     Gestational diabetes (GD) is a discrete episode of diabetes which occurs during pregnancy. It is monitored and treated until several hours after delivery. There are several factors that can Most of the time, blood sugar levels return to normal within a few hours after birth. However, having GD can increase the risk of permanently developing type II diabetes. 

Treat personality shifts like internal fugue state. Situational dependency. Catastrophic events removing available

Initial Treatment
      Sperry, L. (2003). Handbook of diagnosis and treatment of DSM-IV-TR personality disorders. New York, NY: Brunner-Routledge.