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Complex PTSD and Bordeline Personality Disorder
- 3. PTSD, Complex PTSD and Borderline Personality Disorder A Complex Dx David Butler Differential Diagnosis November 11, 2009
- 14. Case Study
- 37. Differences?
Hinweis der Redaktion
- 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- The goals for today’s presentation are to take a look at a cluster of symptoms not yet included in the DSM. The concept of CPTSD has been around for at least 17 years, since the term was first used by Judith Herman in Trauma and Recovery (1992). In 1997 it was called Disorders of Extreme Stress, Not Otherwise Specified (DESNOS) studied in a field trial for potential inclusion in the DSM-IV. Rather than introducing CPTSD as a new diagnosis, as recommended by Pelcovitz, Kaplan, & Spitzer and the field trial group, 9 of the 12 recognized symptoms were included in the Associated Features of PTSD. We will look at the ways in which the current PTSD diagnosis does not properly describe the symptoms experienced by those who would be diagnosed with CPTSD, as well as a number of diagnoses that might be comorbid with PTSD or subsumed under CPTSD. One of the more controversial conclusions dranw by some researchers is that many people currently diagnosed with Borderline Personality Disorder might actually have CPTSD, which might have the benefit of reducing the stigma attached to BPD. 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- This slide is an abbreviated version of the DSM-IV TR criteria for BPD. We will be looking at these more later. The full criteria follow. A pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following: 1. frantic efforts to avoid real or imagined abandonment. Note : Do not include suicidal or self-mutilating behavior covered in Criterion 5. 2. a pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation. 3. identity disturbance: markedly and persistently unstable self-image or sense of self. 4. impulsivity in at least two areas that are potentially self-damaging (e.g., spending, sex, substance abuse, reckless driving, binge eating). Note : Do not include suicidal or self-mutilating behavior covered in Criterion 5. 5. recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior 6. affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days). 7. chronic feelings of emptiness 8. inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights) 9. transient, stress-related paranoid ideation or severe dissociative symptoms The essential feature of Borderline Personality Disorder is a pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity that begins by early adulthood and is present in a variety of contexts. 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- Now we will shift gears briefly to discuss Dissociative Disorders. 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- Here we have the six general criteria for the diagnosis of PTSD. In the following sections we will consider the ways in which these criteria may be inadequate to describe the closely related, yet distinctly different, cluster of symptoms ‘unofficially’ called Complex Posttraumatic Stress Disorder. 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- The associated features of PTSD are subsumed within the aspects of CPTSD as defined by the DSM-IV field trial for DESNOS. 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- FIND CITATION 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- Splitting off of elements of trauma 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- Here is a comparison between CPTSD and BPD. As you can see, there are significant similarities between the two. 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- 46 questions within 6 subscales 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- ADD ROTH 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation
- 11/12/2009 Complex PTSD Dave Butler: Differential Dx Facilitation