bolile psihice

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    • 43 mesaje
    20 Iun 2005, 09:58
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    hallou...ma intrebam daca stie cineva ce este sindromul borderline si cum se manifesta...astept raspunsuri..va multumesc
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    • 455 mesaje
    20 Iun 2005, 10:37
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    PERSONALITATEA BORDERLINE
    E vorba de o TULBURARE A PERSONALITATII frecventa. Cam 3 % din populatie sunt borderline.
    Bolnavii au dificultati pentru a-si controla emotiile. Ii recunostem prin comportamentul IMPULSIV. Disopzitia psihica (buna sau proasta) se schimba frecvent, e impulsiv, coleric (se enerveaza), e anxios, are un sentiment de vid, are probleme in relatiile cu ceilalti. Comportamentul bolnavului pare bizar pentru ceilalti. Vede totul in ALB sau NEGRU. Ii vede pe ceilalti ca fiind foarte buni sau foarte rai. Are un statut de victima. Are in general o imagine foarte haioasa despre el. Exista un risc de sinucidere asa ca bolnavul trebuie vazut de un psihiatru.
    CAUZE: predispozitie genetica, traumatisme craniene, boli in timpul copilariei, traumatisme in timpul copilariei.
    TRATAMENT: Se poate vindeca prin psihoterapie si antidepresoare (exemplu PROZAC) prescrise doar de psihiatru.
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    • 318 mesaje
    20 Iun 2005, 14:04
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    A person with a borderline personality disorder often experiences a repetitive pattern of disorganization and instability in self-image, mood, behavior and close personal relationships. This can cause significant distress or impairment in friendships and work. A person with this disorder can often be bright and intelligent, and appear warm, friendly and competent. They sometimes can maintain this appearance for a number of years until their defense structure crumbles, usually around a stressful situation like the breakup of a romantic relationship or the death of a parent.
    Symptoms
    Relationships with others are intense but stormy and unstable with marked shifts of feelings and difficulties in maintaining intimate, close connections. The person may manipulate others and often has difficulty with trusting others. There is also emotional instability with marked and frequent shifts to an empty lonely depression or to irritability and anxiety. There may be unpredictable and impulsive behavior which might include excessive spending, promiscuity, gambling, drug or alcohol abuse, shoplifting, overeating or physically self-damaging actions such as suicide gestures. The person may show inappropriate and intense anger or rage with temper tantrums, constant brooding and resentment, feelings of deprivation, and a loss of control or fear of loss of control over angry feelings. There are also identity disturbances with confusion and uncertainty about self-identity, sexuality, life goals and values, career choices, friendships. There is a deep-seated feeling that one is flawed, defective, damaged or bad in some way, with a tendency to go to extremes in thinking, feeling or behavior. Under extreme stress or in severe cases there can be brief psychotic episodes with loss of contact with reality or bizarre behavior or symptoms. Even in less severe instances, there is often significant disruption of relationships and work performance. The depression which accompanies this disorder can cause much suffering and can lead to serious suicide attempts.
    Etiology
    It is a common disorder with estimates running as high as 10-14% of the general population. The frequency in women is two to three times greater than men. This may be related to genetic or hormonal influences. An association between this disorder and severe cases of premenstrual tension has been postulated. Women commonly suffer from depression more often than men. The increased frequency of borderline disorders among women may also be a consequence of the greater incidence of incestuous experiences during their childhood. This is believed to occur ten times more often in women than in men, with estimates running to up to one-fourth of all women. This chronic or periodic victimization and sometimes brutalization can later result in impaired relationships and mistrust of men and excessive preoccupation with sexuality, sexual promiscuity, inhibitions, deep-seated depression and a seriously damaged self-image. There may be an innate predisposition to this disorder in some people. Because of this there may ensue subsequent failures in development in the relationship between mother and infant particularly during the separation and identity-forming phases of childhood.
    Treatment
    Treatment includes psychotherapy which allows the patient to talk about both present difficulties and past experiences in the presence of an empathetic, accepting and non-judgemental therapist. The therapy needs to be structured, consistent and regular, with the patient encouraged to talk about his or her feelings rather than to discharge them in his or her usual self-defeating ways. Sometimes medications such as antidepressants, lithium carbonate, or antipsychotic medication are useful for certain patients or during certain times in the treatment of individual patients. Treatment of any alcohol or drug abuse problems is often mandatory if the therapy is to be able to continue. Brief hospitalization may sometimes be necessary during acutely stressful episodes or if suicide or other self-destructive behavior threate
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    • 318 mesaje
    20 Iun 2005, 14:09
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    Brief hospitalization may sometimes be necessary during acutely stressful episodes or if suicide or other self-destructive behavior threatens to erupt. Hospitalization may provide a a temporary removal from external stress. Outpatient treatment is usually difficult and long-term - sometimes over a number of years. The goals of treatment could include increased self-awareness with greater impulse control and increased stability of relationships. A positive result would be in one's increased tolerance of anxiety. Therapy should help to alleviate psychotic or mood-disturbance symptoms and generally integrate the whole personality. With this increased awareness and capacity for self-observation and introspection, it is hoped the patient will be able to change the rigid patterns tragically set earlier in life and prevent the pattern from repeating itself in the next generational cycle.


    Richard J. Corelli, M.D. corelli@leland.stanford.edu
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    • 43 mesaje
    21 Iun 2005, 14:00
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    Dragele mele, va multumesc pentru raspunsuri ... desi ma asteptam la mai multe detalii...ma refer la chestiuni precise, persoane pecare le-ati cunoscut care sufeteau de aceast sindrom, cu care ati intrat in contact ... medici care se ocupa cu asa ceva..astept in continuare, poate cineva s-a intalnit cu o astfel de problema in viata de zi cu zi...va multumesc
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    • 5 mesaje
    9 Feb 2008, 00:16
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    dc mai ai nevoie dupa 2 ani de informatii,da-mi id-ul...sufar in prezent de asa ceva
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    • 3158 mesaje
    10 Feb 2008, 02:01
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    sady,ce varsta ai?
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    • 1258 mesaje
    11 Feb 2008, 10:51
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    Esmeralda , este foarte interesanta descrierea bolisi cred ca mi se potriveste f bine si mie .Eu am suferit in copilarie o cazatura puternica la cap ,dar mai tirziu adulta fiind am facut o encefalograma care mi-a confirmat aceasta lovitura ,dar din nou nu atrebuit sa fac cine stie ce tratament A am facut tratament pentru o perioada cu xanax si altele pe care nu mai stiu cum se cheama.Eu vad totul in negru de mult timp chiar si daca nu am motiv. Sunt intr-o continua panica cu toate ca vesnic lupt cu mine. Nu am fost diacnosticata de nici un medic psihiatru dar fiind o persoana mai in virsta am considerat ca ate boli sunt mai prioritare osteoporoza si tensiunea arteriala.Mama mea a avut boala altzaimer si a murit de cancer mamar ,iar in final si-a fracturat piciorul din soldul. S-a chinuit mult si sunt speriata sa nu patesc si eu la fel si sa mor in chinuri. Sunt speriata ,dar in viata de ce iti este frica nu scapi.Imi pare rau ca nu stiu engleza si nu am putut sa traduc si alte comentarii legate de aceasta boala. Daca imi raspunde=ti va pup .
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    • 988 mesaje
    11 Feb 2008, 12:08
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    borderline e o tulburare de personalitate aflata la granita dintre nevroza si psihoza.

    desi nevroza e resimtita dureros, ea presupune o ancorare a persoanei in cauza in realitate, pe cand in psihoza (si un borderline prezinta episoade psihotice) sunt prezente tulburari e gandire si perceptie (schizofrenie)

    in concluzie, bordeline prezinta un amalgam de manifestari specifice psihozei, si mai ales nevrozelor

    de ex, in relationarea cu ceilalti, un depresiv nu poate stabili contacte pt ca vede totul in negru si e lisit de speranta, un anxios nu poate pt ca ii e frica, un psihotic pt ca are o alta perceptie a realitatii, iar un borderline va fi in mijlocul campului e lupta al manifestariilor de mai sus.

    cum poate fi recunoscut de obicei un borderline: se simte lipit de identitate, trece f des de la o stare la alta, e genul de 'om problema', are tendinte antisociale, are episoade de manie precedate sau urmate de episoade in care se retrage intr-o cochilie, si foarte frecvent are tot felul de adictii: alcool, droguri. are o viata dezordonata si se simte permanent neinteles.

    spre deosebire de un depresiv, el nu are sentimente de vinovatie, iar episoadele psihotice, care sunt rare, nu-i pericliteaza integrarea in societate, deci persoana nu e perceputa ca 'nebuna' de catre ceilalti
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    • 1258 mesaje
    11 Feb 2008, 12:42
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    Nu categoric sunt mult mai bine si iti multumesc pentru precizari f24fun.Am personalitate numai ca vesnic presimt si chiar mi sa spus sa nu mai zic sa presupun nimic ca tot ce zic asa se intimpla . Asta tine cred mai curind pe premonitie sau chiar de experienta mea.Dar prea vad totul in negru.parca nu mai vad nimic bun in viata mea cu toate ca nu este asa.Stiu ca asa este in viata fiecaruia cind vine o perioada se tristete si suferinta ,si chiar stiu ca trece dar trebuiesa am rabdare .vA PUP
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    • 3158 mesaje
    11 Feb 2008, 20:29
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    doica, nu cred ca ai tulburarea borderline..

    Tulb. borderline se caracterizeaza prin instabilitatea relatiilor interpersonale, a imaginii de sine, a afectelor si este insotita de o impulsivitate accentuata.Apare sentimentul de vid interior si intoleranta solitudinii.
    Ca trasaturi asociate pot enumera instabilitatea dispozitiei, comportament imprevizibil, acte autodistructive repetitive, acreditarea afectiva binoma(pozitiva sau negativa).

    abordarea terapeutica se face cu ajutorul psihoterapiei individuale, comportamentale, terapia de familie si cea de grup, uneori tratament psihofarmacologic...

    am uitat sa precizez, debuteaza la varsta adulta tanara.