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Introduction
There are a multitude of different mental disorders that exist in the world. Mental disorders alter the normal operation of the brain and the chemicals of the brain that communicate with the rest of the body. There are a sufficient number of criteria that one must meet in order to be diagnosed with Borderline. Discovered in 1938, we continue to learn and unpack what exactly Borderline Personality Disorder is, and the different alterations that occur in parts of the brain. As a chronic illness, there is no assured cure for it. Someone who is diagnosed with BPD has to live with it for the rest of their lives. Although it is an incurable disease, there are ways to make life with the disease slightly easier. A common question asked about BPD is what form of therapy is of most assistance to those with it. Although both do help, there are benefits and deficits that are characterized by both.

History
Borderline Personality Disorder (BPD) was discovered in 1938 by Adolph Stern. He attempted to use the usual psychoanalytic treatments on the patients he studied, and it was proven that the treatments did not work on this group of individuals. They were then classified into a “borderline” group because their illness is closely between neurosis and psychosis. Many people did extensive research on BPD, and finally developed common criteria necessary for diagnosis. Roy Grinker conducted a study in 1968 where he observed his patients and their According to the Borderline Personality Disorder article written by Linah Al-Alem and Hatim A. Omar, BPD is characterized by instability in mood, self-esteem, relationships, impulses, and suicidal thoughts and or actions. Those who do have BPD, often have some sort of trauma associated with a certain point in their lives. Sexual trauma, family trauma, and other forms of abuse all contribute to BPD in a person. Sexual trauma is often discovered and a consistant characteristic of people with Borderline. Child abuse is not the sole reason for BPD, but it definitely contributes to the disease. These trauma filled events usually occur in an unstable family environment; consisting of an absent father, and a mentally distressed mother. This causes the environment around the child to become part of an abrogate environment. Being exposed to this environment forces those with BPD to find validation within other people and separate environments. Borderline Personality Disorder not only appears because of events that happen throughout one's life, it can also be passed down genetically. In a study, it was shown that it is more common for BPD to appear in paternal twins rather than fraternal ones. With the 36 paternal twins and the 19 fraternal twins, it was found that paternal twins were 35% more likely to be diagnosed compared to the 7% of fraternal twins. Personality disorders present chemical imbalances in the amygdala, hippocampus, and the orbitofrontal cortex. The amygdala is responsible for emotion regulation, and it controls responses to negative stimuli as well. Since the amygdala works improperly in those with BPD, it causes fluctuations in the emotion regulation process. The result of this is intensely experiencing anxiety, anger, and depression. The hippocampus controls our impulsivity, and allows us to control ourselves and our actions. Individuals with borderline personality disorder lack this control, which often leads to unhealthy and risky behaviors such as stealing, abusing drugs, and even having sex. These behaviors are often self destructive, and not accurately thought through. The reason that these actions can not be thoroughly analyzed is due to the improper function of the orbitofrontal cortex. This allows us to think about our actions before we do them, rather than simply acting on a whim. The self-destructive behaviors are a result of not only the malfunction of the orbitofrontal cortex, but the hippocampus as well. Many of the treatments for BPD are created to balance the chemicals of the brain and allow normal function, but there is a debate on what exactly the most productive treatment is.

Treatments and Statistics
There are many different ways to provide treatment to this illness. There are the methods that are the most talked about, and most familiar universally. However, there is another form of therapy that benefits the individual more than the classical methods. One method of treatment that is commonly used amongst borderline patients is medication. Medication is a short-term treatment used to lessen the severity of the symptoms present. The responsibility of the medication is to improve mood stability and decrease self-destructing behaviors. Although medication can assist with living with this disorder, there are more helpful methods that can actually be worked through to provide relief to the person. Psychotherapy; referred to as talk therapy, allows for the individual to work through their trauma rather than keeping it suppressed. By using talk therapy, it provides a holistic approach in relation to healing with BPD. By using a holistic approach, the individual can then see that there is more to life than just the painful aspects that are being experienced. The form of therapy discussed earlier in this essay is referred to as DBT, or Dialetcial Behavioral Therapy discovered by Marsha Linehan. DBT is a form of behavioral therapy that provides thinking and problem solving skills. DBT therapy is used to regulate unstable mood fluctuations, and to control impulsivity. With BPD patients it is hard to differentiate vulnerability and invalidation, passivity and competence, and miniscule inconveniences and grief. DBT consists of an individual session and a group session that teaches a specific set of skills to the patients being treated. These four skills are core mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance. DBT has been proven to help with interpersonal relationships, and also decreased hospitalizations. I personally have not tried DBT, but I do agree with the idea of medication being a short term solution. Medication has helped me a lot, but I know that medication is not the best solution to making life with BPD easier. Talk therapy helped me talk through all of my issues stemming from my childhood instead of keeping all of those feelings bottled up. DBT seems like an extremely good solution to treat BPD. Unlike talk therapy, DBT provides those four sets of specific skills for those with BPD to use whenever needed. This allows for the person to have better judgments, and exterior validation which eventually leads to internal validation. There is a very small number of individuals that participate in DBT therapy. It is not a cure, but in a study conducted, it was found that 77% of people that participated in DBT therapy no longer met the requirements to be diagnosed with BPD. The patients that this decrease was discovered in were all participants in DBT therapy for at least one year. Most of these treatments can only help with BPD short-term. DBT provides insight on the events of one’s childhood, and uses these negative factors to produce a positive outcome to patients with Borderline Personality Disorder.

Conclusion
Borderline Personality Disorder affects thousands of people and their daily lives. There are different treatments for the disease, but since the disease is chronic none of them can rid BPD from an individual permanently. Medication helps with BPD; as it alters the brain chemicals back to normal operation. Talk therapy is also a form of treatment that is available to those with this disorder, this therapy normally occurs about once a week with a sincle therapist. Borderline Personality Disorder: An Overview of History, Diagnosis, and Treatment in Adolescents claims that DBT allows for people with borderline to understand their manic and impulsive behaviors and provide them with skills to manage them. Along with these management skills, DBT can provide the feeling of hope to those with BPD, and also sheds light on the beauty of life rather than focusing on the dread and negativity that occurs while living the human experience. The data provided by The Berlin Boderline Study proves that DBT therapy can have the patient work through their traumas and develop healthy coping mechanisms long-term. After participating in DBT therapy for a year, the number of patients qualifiable for BPD decreased by 77%. Other forms of therapy can be extremely helpful at the moment, but the overall quality of life in Borderline patients is improved significantly by using Dialetic Behavioral Therapy. ===== Works Cited ===== of History, Diagnosis, and Treatments in Adolescents."     Uknowledge.uky.edu, U of Kentucky, Dec. 2008, uknowledge.uky.edu/cgi/      viewcontent.cgi?article=1019&context=pharmacol_facpub. Accessed 9 Dec.      2021.
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