-Instability in relationships, self- image, effects & impulse control

• Abandonment fear
• Unstable & intense relationships (idealization/ devaluation)
• Identity Disturbance
• Self damaging impulsivity (sex, substances, driving, binging, spending)
• Suicidal behavior, gestures, threats, self mutilating
• Affective instability & reactivity
• Chronic emptiness
• Inappropriate, intense anger
• Paranoid ideation or dissociation

Treatment approach for people with borderline personality disorder that integrates supportive and cognitive- behavioral treatments to reduce the frequency of self- destructive acts and to improve the client’s ability to handle disturbing emotions, such as anger and dependency

• Validation and benevolent demanding

• Support & confront

A defense in which individuals perceive others, or themselves, as being all good or all bad, usually resulting in disturbed interpersonal relationships

• Common in people with borderline personality disorder

A cluster of cognitive, behavioral, and physiological symptoms indicating that the individual uses a substance despite significant substance related problems

       -Pattern of use to impairment or distress (2+)

• Impaired control over substance use

• Large amounts or use over longer periods than intended

• Desire/ efforts to cut down

• Excessive time devoted to obtaining, using, or recovering

• Craving

• Social Impairment

• Failed obligations at work, school, or home

• Continued use despite social or interpersonal problems

• Important activities are given up or reduced because of use

• Risky Use

• Use of substance in physically hazardous situations

• Continued use despite physical or psych problems due to substance

• Pharmacological Criteria

• Tolerance (increased dose needed to achieve effect)

• Withdrawal symptoms

The extent to which the individual requires larger and larger amounts of a substance in order to achieve its desired effects, or the extent to which the individual feels less of its effects after using the same amount of the substance

Giving in to them (giving money, a place to stay), not holding them accountable for what they are doing.

They will continue to abuse their particular substance because they know they will have a place to stay and food to eat.  

An eating disorder characterized by the inability to maintain normal weight, an intense fear of gaining weight, and distorted body perception

• Experience of an uncontrollable impulse

• Building up of feeling/pressure inside the individual

• Once the individual engages in the behavior, they have feelings of gratification, pleasure, cleansing

• Regret/self-hatred

• Examples: pyromania, kleptomania

• Not in DSM

• Categorized as impulse control disorder

An impulse control disorder that involves the persistent urge to steal

A psychological disorder in which an otherwise healthy individual feels that they are meant to be disabled

• Typically accompanied by the desire to amputate one or more healthy limbs

Health Insurance Portability and Accountability Act 

• Privileged communication

• Mandated reporter

• Duty to protect

One who is required by law to report reasonable suspicions of abuse

for groups such as children, disabled, elderly (60+ yrs)

Mental health professionals must notify police, warn the intended

victim, and/or taking other reasonable steps to protect the threatened individual

• Mental health professionals have a duty to protect individuals who are being threatened with bodily harm by a patient

• Tarasoff was murdered by male who claimed in therapy session that he was going to harm her

• Lack of awareness, understanding, or acceptance of emotions; inability to control the intensity or duration of emotions
• Unwillingness to experience emotional distress as an aspect of pursuing goals
• An inability to engage in goal directed behaviors when experiencing distress

A permanent form of neurocognitive disorder associated with long-term alcohol use in which the individual develops retrograde and anterograde amnesia, leading to an inability to remember recent events or learn new information

An impulse-control disorder involving an inability to hold back urges to express strong angry feelings and associated violent behaviors

The state’s authority to protect those who are unable to protect themselves