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Borderline Personality Disorder with Psychosis | Comorbidity or Part of Borderline?

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This video answers the question: Can borderline personality disorder be present with psychosis even if there's not a comorbid disorder to explain the psychosis? What this question is really getting at is: Can borderline personality disorder have a psychotic component to it that doesn't have another explanation? First, I will briefly review borderline personality disorder and psychosis. Borderline personality disorder is a Cluster B personality disorder in the Diagnostic and Statistical Manual (DSM), so it's in the same cluster as antisocial, narcissistic, and histrionic personality disorders. This is called the dramatic, erratic, and emotional cluster. There are nine symptom criteria associated with borderline personality disorder: frantic efforts to avoid abandonment, an unstable relationship pattern, identity disturbance, impulsivity at least two areas that could be self-damaging, suicidal behavior, affective instability, inappropriate intense anger, a chronic feeling of emptiness, and the last one is paranoid ideation and severe dissociation.
Psychosis is a construct that we see in a number of disorders and what it essentially means is a break from reality. The way we know psychosis is occurring is usually through hallucinations, delusions, or both. Hallucinations would be seeing or hearing something that other people can't see or hear or otherwise perceiving something they can't perceive. Delusions would be a fixed, false belief that doesn't change even when there's evidence that shows that that belief is not correct.

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