Video Transcription

Hi everyone, welcome to another psych student video.

Today we're thinking about personality disorders, but more specifically, focused on two types and their terminology because we get a lot of questions about this.

So, what is the difference between emotionally unstable personality disorder and borderline personality disorder? Well, fundamentally it comes down to their criteria. So EUPD comes under the ICD-10 and within that there's the impulsive type and the borderline type. So, impulsive type looks more outbursts and emotional instability. So, times where they feel really high and really low but within really quick periods of time, so within a day they might have times they feel really happy and really sad. And they can be quite impulsive, hence the impulsive type.

In the borderline type there again, is that emotional instability where they feel really happy and really sad within a very short space of time, but this is more focused on poor self-image. So, they might feel that other people would never want to be their friend. They might have a poor self-esteem, somewhat unstable relationships and fear of Abandonment. So, they might be reading into what people are doing around them a lot more.

Borderline personality disorder is very similar, but it's from the DSM-5 criteria. Again, we look at impaired self and interpersonal functioning. So, with an impaired self functioning with thinking about identity and self direction. With interpersonal functioning, we're looking more at empathy and intimacy. There are different traits that are associated with borderline personality disorder. Again, emotional lability. So, the criteria really overlap a lot. They might feel anxious, low, might have poor self-esteem, again, fear of abandonment comes in as fear of rejection. There could be impulsivity and risk-taking behaviours are kind of linked it with that as well. There are quite often self-harm and suicidal thoughts. So, both disorders are very similar, but slight differences in their criteria.

So now you might ask. Well, what's the difference then between dissocial personality disorder and antisocial personality disorder? And that is really similar again. One is ICD-10 one is DSM-5. So, in the ICD-10 we think about dissocial personality disorder being a lack of empathy, a lack of regard for social norms, social laws. They quite often find themselves having periods in prison for example. There might be difficulty maintaining relationships and a lack of guilt when they do something that we usually would feel guilty about.

In antisocial personality disorder, in the DSM-5 they again have that impaired identity and direction. Lack of empathy. Lack of intimacy and other traits such as being manipulative, deceitful. They could be callous or hostile and impulsive, and those all really link back to those criteria in the dissocial personality section. So, you can see that they're really very similar clinically. Overall personality disorders to be diagnosed must be stable across time, and across situations. So, they can't be very different in their kind of way of managing stressful situations. They're not in keeping with the developmental stage. So sometimes when we are children, we don't share so well, but we grow out of that, usually, and it can't be to do with normal cultural behaviours. Not to do with substance misuse or other causes like a traumatic brain injury that might change personality. So subtle differences in the criteria, but essentially clinically the same kind of picture.

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