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decodeMR Team
Aug 83 min read

Borderline Personality Disorder: Strategies for Management and Recovery: Q & A Session with an Expert




Welcome to another episode of Inline, decodeMR’s podcast! 


In this episode, we talk about borderline personality disorder (BPD) with Dr. Jacob Rajesh, Senior Consultant Psychiatrist at Promises Healthcare Pte. Ltd in Singapore. 

 

BPD is characterized by instability in relationships, self-image disturbances, mood swings, impulsivity, and a fear of abandonment. Dr. Rajesh explains that these symptoms typically emerge in early adulthood and can profoundly impact an individual’s life if left untreated. 


How do early life experiences influence the development of BPD? 


Dr. Rajesh discusses how traumatic childhood experiences, such as abuse or instability within the family increase the risk of developing BPD later in life. He also highlights various treatment modalities including Dialectical Behavior Therapy (DBT) which focuses on reducing self-harm behaviors and helping individuals cope with negative emotions. Dr. Rajesh advises those with BPD or their supporters to seek therapy early as the condition can improve over time with proper treatment and support.  


Key discussion points: 


  1. Understanding BPD (0:51)


    • BPD involves instability in interpersonal relationships, self-image, mood, and impulsive behaviors 

    • Symptoms typically manifest in early adulthood and persist, causing significant impairment 


2. Diagnosis and Importance of Early Intervention (3:20)

 

  • Early diagnosis and intervention are crucial due to the onset of the BPD in early adulthood 

  • Screening individuals at risk, such as those with a history of childhood trauma or abuse is essential for timely intervention 


3. Neurological and Biological Factors (4:22)  


  • Research indicates involvement of brain regions like the amygdala, hippocampus, and prefrontal cortex in BPD influences emotional regulation and impulsivity 


4. Role of Early Life Experiences (5:17)

  

  • Traumatic childhood experiences, including abuse and unstable family environments increase the risk of developing BPD 


5. Treatment Modalities (6:35)   


  • Psychotherapy, particularly Dialectical Behavior Therapy (DBT), is the primary treatment 

  • Other therapies like Cognitive Behavioral Therapy (CBT) and medication (e.g., mood stabilizers) may also be utilized depending on individual needs 


6. Support and Management (10:05)


  • Effective management strategies include DBT to help individuals manage intense emotions and reduce self-harm behaviors 

  • Social support from family and friends plays a critical role in recovery 


7. Technological Support (12:30)


  • Various apps, such as BPD Insight and Awareness app and Borderline Personality tracker app aid individuals in tracking emotions and managing symptoms, enhancing therapeutic outcomes 


8. Long-term Outlook and Advice (13:54)  


  • BPD is a chronic condition but can improve with age and appropriate treatment 

  • It is essential for individuals and caregivers to recognize the chronic nature, manage comorbidities like depression, and seek timely therapy 


Take-Home Messages: 


  • BPD involves complex symptoms that impact relationships and emotional stability 

  • Identifying symptoms early and initiating therapy improves long-term outcomes 

  • Non-judgmental support from family and friends is crucial for those managing BPD 

  • Apps and digital tools can effectively support BPD management by tracking symptoms and aiding therapy 

  • BPD is a long-term condition, but with appropriate treatment and support, individuals can manage symptoms and lead fulfilling lives 


About Dr. Jacob Rajesh: 


Dr. Jacob Rajesh is a Senior Consultant Psychiatrist at Promises Healthcare Pte Ltd in Singapore.  Dr Rajesh’s professional experience in three different countries, working with a host of cultures and ethnic groups, has bestowed upon him a unique understanding of transcultural psychiatry. He has numerous publications in local and international indexed journals. 


Dr. Jacob’s areas of interest are general adult psychiatry and forensic psychiatry. He has done numerous forensic reports for the courts and lawyers and given evidence in both the state courts and the high court in Singapore. 




Relevant links: 



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