Personality Disorders in Adolescents and Different Therapeutic Approaches

Kumperščak, Hojka Gregorič

doi:10.5772/intechopen.93110

Cited by 2 publications

(1 citation statement)

References 14 publications

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“…BPD is a prevalent (0.9%-3% in the adolescent population [1][2][3]) complex disorder with a multifactorial etiology, including genetics, maladaptive attachment, and trauma, that cannot be explained by a normative developmental perspective or externalizing and internalizing disorders. It also subsumes theories derived from descriptive analytical literature, attachment theories, temperamental studies, self-psychology, identity formation, and empirical knowledge of its links with co-occurring disorders, impairments, costs, long-term prognosis, and lastly, the emergence of evidence-based interventions.…”

Section: Introductionmentioning

confidence: 99%

Integrating Psychosocial Risks With Emerging Evidence for Borderline Personality Disorders in Adolescence: An Update for Clinicians

Gupta¹,

Gupta²,

Madabushi³

et al. 2023

Cureus

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Borderline personality disorder (BPD) has seen significant advances in the knowledge of its developmental phenomenology during late childhood and adolescence. Various genetic, neurobiological, psychological, and social factors are implicated in the etiology of BPD. With emerging evidence on BPD development in adolescence, the review focused on recent literature to understand the role of psychosocial risk factors. The effects of adverse familial environment, physical, emotional, verbal, and sexual abuse, intergenerational transmission of psychopathological traits, maternal neglect and rejection, low socioeconomic status, bullying victimization, and dating violence were reviewed to understand their role in the development of BPD. BPD is a highly complex, serious, and enduring mental illness that has now been widely accepted to have symptoms that onset in early adolescence and could be diagnosed as early as age 12. BPD symptoms are stable, phenomenologically distinct from externalizing and internalizing disorders, and often present with co-occurring disorders, which during assessment could not explain impairments associated with BPD. New measures like the Difficulties in Emotion Regulation Scale (DERS), detailed developmental histories, understanding of psychosocial risks, shared decision-making, and psychoeducation could assist in early diagnosis and improvement of long-term outcomes. The implementation of evidence-based treatments is a challenge given higher costs and access to services; therefore, modifications in the treatment based on the core principles of these strategies should be considered. It is imperative to screen for psychosocial factors early in higher-risk groups. The assessment of familial factors, parental histories of psychopathologies, and histories of childhood abuse is important in context with impairing symptoms of clinical presentation and dimensional aspects of self-functioning. The role of family therapies, parental psychoeducation, and the integration of trauma-informed care approaches are important for clinical outcomes. Also, coordinated efforts with multiple stakeholders like school awareness programs, anti-bullying policies, legislation, and enforcement of existing laws might be instrumental in addressing issues related to victimization by peers.

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Section: Introductionmentioning

confidence: 99%

Integrating Psychosocial Risks With Emerging Evidence for Borderline Personality Disorders in Adolescence: An Update for Clinicians

Gupta¹,

Gupta²,

Madabushi³

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

Assessment and Management of Emerging Personality Disorders in Adolescents

Gupta,

Gehlawat

2023

Advances in Psychology, Mental Health, and Behavioral Studies

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Adolescence is a crucial period for developing certain personality traits that shape a person's behavior throughout life. Each person has a unique set of positive and negative traits that build a person's personality, which remains relatively stable and permanent. It has been a matter of controversy for the last many decades that personality disorders cannot be diagnosed before 18 years, considering the evolving personalities of these young people. However, recent personality assessment models and a growing body of research have proven the existence of personality pathology during adolescence. Hence, the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM 5) considers the developmental perspective of personality pathology and emphasizes the presence of maladaptive personality traits during adolescence. The primary purpose of the present chapter is to discuss the recent models of personality assessment and how these models can be applied to adolescents.

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Personality Disorders in Adolescents and Different Therapeutic Approaches

Cited by 2 publications

References 14 publications

Integrating Psychosocial Risks With Emerging Evidence for Borderline Personality Disorders in Adolescence: An Update for Clinicians

Integrating Psychosocial Risks With Emerging Evidence for Borderline Personality Disorders in Adolescence: An Update for Clinicians

Assessment and Management of Emerging Personality Disorders in Adolescents

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