Good Psychiatric Management of Borderline Personality Disorder and Co-Occurring Autism Spectrum Disorder

American Journal of Psychotherapy, Год журнала: 2025, Номер unknown

Опубликована: Янв. 29, 2025

Borderline personality disorder has been estimated to occur among about 4% of those with autism spectrum disorder. This co-occurrence can escalate the challenges treating either condition separately, and patients often face severe in psychosocial occupational functioning. Clinicians need guidance manage a high degree complexity, using standards care synthesis what is known so far, navigate currently limited armamentarium clinical tools. article reviews available scientific research experience respect diagnosis, psychoeducation, treatment framework, safety management, other co-occurring disorders, multimodal treatments. It also discusses future directions for generating new knowledge improve this important co-occurrence. Although discussion explores unique complexity relative lack guidelines at present, good psychiatric management serves as framework that anchors approaches evidence base develops.

Язык: Английский

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Is PTSD symptomatology a mechanism of emotional regulation? Insights from an interdisciplinary point of view

Frontiers in Psychology, Год журнала: 2025, Номер 15

Опубликована: Янв. 17, 2025

Post-traumatic stress disorder (PTSD) symptomatology has historically been considered a psychic ailment that is part of mental disorder. However, it often proposed could play an adaptive role, in would prevent individuals from being exposed to content or situations they not be prepared process. Within the literature on emotional regulation (ER), PTSD commonly linked concept dysregulation (ED). some definitions open possibility traumatic ER, which delicate conclusions follow. To resolve this dilemma, we turn interdisciplinary dialogue, specifically with aid Thomistic anthropology, whose concepts allow us understand precisely relationship between voluntary and involuntary processes close reason regulation. Even though involves mechanisms aimed at modifying states, concluded necessary continue conceptualizing as ED. The theoretical practical implications discussion are reviewed.

Язык: Английский

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Dialectical Behavior Therapy in Autism

Current Psychiatry Reports, Год журнала: 2025, Номер unknown

Опубликована: Март 6, 2025

Язык: Английский

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Self-reported symptoms of attention deficit hyperactivity disorder (ADHD), autism spectrum disorder (ASD), and affective lability in discriminating adult ADHD, ASD and their co-occurrence

BMC Psychiatry, Год журнала: 2025, Номер 25(1)

Опубликована: Апрель 17, 2025

To diagnose and manage adults with Attention Deficit Hyperactivity Disorder (ADHD), Autism Spectrum (ASD), or their co-occurrence (ADHD + ASD), clinicians must identify specific features that differentiate these diagnostic categories. Self-report questionnaires targeting are widely used and, together clinical assessments, provide reliable diagnoses. Although affective lability is present in various psychiatric disorders, it lacks specificity when screening for ADHD the general population, its discriminant value ADHD, ASD, ASD has not been studied. This study involved 300 without intellectual developmental disorder (188 male) who received an (n = 174), 68), 58) diagnosis after a multidisciplinary consensus decision according to DSM-5 criteria. Before assessment, all patients requesting evaluation one of diagnoses completed on online platform. The assessment instruments included modified version Barkley Adult Rating Scale (BAARS IV) Quotient (AQ) Empathy (EQ) features, Affective Lability (ALS) lability. Total scores sub-scores were compared among three groups. Additionally, stepwise logistic regression analyses conducted measures contribute group discrimination. Results revealed distinct patterns symptomatology as expected. groups presented significantly higher ALS total score ASD. Stepwise identified contributing differentiation. vs. discrimination BAARS IV current EQ score. subscale anger from addition past AQ factors discriminated Finally, score, inattention, found highlights significance incorporating emotional dimensions frameworks may valuable insights differentiating neurodevelopmental conditions.

Язык: Английский

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Dialectical behavior therapy in autistic adults: effects on ecological subjective and physiological measures of emotion dysregulation

Borderline Personality Disorder and Emotion Dysregulation, Год журнала: 2025, Номер 12(1)

Опубликована: Апрель 23, 2025

Although Ecological Momentary Assessment (EMA) and physiological measurements provide a valuable opportunity to evaluate therapeutic interventions in real time, no study has used this approach assess Dialectical Behavior Therapy (DBT) autistic adults with high levels of emotion dysregulation (ED). In study, 26 were evaluated before after participating standard 5-month DBT program, using (EMA). The EMA included: (1) twelve evaluations per day over 7-day period, measuring alexithymia, emotional states, subjective arousal control; (2) continuous monitoring wristband record heart-rate (HR), variability (HRV) skin conductance (SCL). Following DBT, significant differences found respect negative emotions higher conflicting emotions, but increased rates identified positive control found. Baseline autonomic responses remained unchanged, whereas was correlate positively HRV. Overall, these results suggest that participants showed enhanced awareness regulation capabilities following DBT. Our adds previous research showing is efficient treating ED adults, real-time markers collected through EMA. Specifically, alexithymia measures decreased post-DBT while increased. Randomized controlled trials should consider methods improve the assessment impact daily life individuals and/or suicidal behavior.

Язык: Английский

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The biosocial correlates and predictors of emotion dysregulation in autistic adults compared to borderline personality disorder and nonclinical controls

Molecular Autism, Год журнала: 2023, Номер 14(1)

Опубликована: Дек. 18, 2023

Abstract Background Emotion dysregulation (ED) is a core symptom of borderline personality disorder (BPD), whose aetiology has been attributed to biosocial factors. In autism spectrum condition (ASC), although ED prevalent and associated with decreased well-being (e.g. self-harm, suicidality), it understudied, especially in adults. It therefore crucial further understand autistic adults improve its treatment. Our study investigates ED, behavioural correlates suicidality) predictors relative BPD nonclinical controls (NC). Methods A total 724 participants (ASC = 154; 111; NC 459) completed 11 self-reported questionnaires assessing ASC traits, co-occurring disorders, alexithymia, emotional vulnerability invalidating experiences bullying, camouflaging). The occurrence (i.e. history suicide attempts, psychiatric hospitalizations) was collected. addition, between-groups analyses, linear regressions machine learning (ML) models were used identify each group. Results higher compared NC, but milder than BPD. While gender did not predict scores, women had increased risk factors including sexual abuse camouflaging. Interestingly, alexithymia strongly predicted scores across the groups. Using ML models, sensory sensitivity camouflaging ASC, ADHD symptoms Limitations diagnoses self-reported, which allow us check their accuracy. Additionally, we explore transactional moderating/mediating relationships between different variables. Moreover, our research cross-sectional cannot draw conclusions regarding direction causality other clinical dimensions. Conclusions are heightened controls. group, there no differences despite exposure vulnerability, regardless diagnosis. Although less central, seem be specific

Язык: Английский

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Transdiagnostic skills training group of dialectical behavior therapy: a long-term naturalistic study

Borderline Personality Disorder and Emotion Dysregulation, Год журнала: 2023, Номер 10(1)

Опубликована: Дек. 21, 2023

Abstract Introduction Dialectical Behavior Therapy (DBT) has assembled a large body of evidence for the treatment emotional dysregulation in borderline personality disorder (BPD), but also other disorders characterized by (e.g., bipolar (BD) and ADHD). Standalone skills learning groups address problem limited resources several clinical settings. Furthermore, transdiagnostic facilitate recruitment decrease scattering psychiatric However, few studies have focused on pertinence standalone naturalistic settings as well their long-term outcomes. The goal this study is to assess impact participation DBT group one year after its completion. Method Transdiagnostic training were provided BPD, BD ADHD patients University Psychiatric Department (Strasbourg, France), between 2019 2020. They consisted 16 sessions 2.5 h 3 individual sessions. At 1-year follow-up, ad-hoc questionnaires proposed all participants perceived impacts, changes symptomatology, maintenance learned. Result 22 31 interviewed at one-year post-group session (64% 41% 27% BD). 73% estimated that was important or very important, 64% stated using learned often often, mainly emotion regulation skills. An improvement instability, substance use, impulsivity suicidal thoughts reported respectively 100%, 91%, 86% 85% participants. Quality life improved according 90% All an suicidality during year, especially suicide attempts. Psychotropic medication decreased 59% Discussion Our suggests are promising people with and/or ADHD. observational design lack control main limitations. Randomized controlled required confirm efficacy

Язык: Английский

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Exploring Emotion Control and Alexithymia in Autistic Adults: An Ecological Momentary Assessment Study

Journal of Autism and Developmental Disorders, Год журнала: 2024, Номер unknown

Опубликована: Сен. 27, 2024

Язык: Английский

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From personification abuse to normal expression: emotional treatment for language disorders in schools

Frontiers in Psychiatry, Год журнала: 2024, Номер 15

Опубликована: Май 31, 2024

Introduction The escalating prevalence of personification abuse in language disorders among students poses a substantial challenge for autistic the domain disorders. While prior research has mainly focused on cognitive hurdles faced by students, ongoing debates persist about onset, severity, and roots these challenges their classroom behavior, with limited exploration how preconceived notions impact abuse. This study aims to delve into emotional treatments disorders, specifically targeting abuse, facilitate shift from distorted perceptions normative expression. It seeks pinpoint primary interventions linked instances scrutinize factors influencing therapeutic approaches Methods encompassed cohort 110 aged 2 5 years, diagnosed all clinically determined have autism developmental pediatricians at prestigious medical facility. Among children, 95 were attending specialized schools, while 15 situated community settings. Results outcomes disclosed that children across phases displayed showcasing noteworthy enhancements following treatment. Significantly, discernible disparity performance treatment can be simultaneous advancement four grade levels, variations noted based expressions. Discussion These findings underscore insufficiency solely relying intrinsic trends comprehend within an context. accentuates potential pitfalls associated stresses imperative need additional psychiatric intervention strategies.

Язык: Английский

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The Daydream Spectrum: The Role of Emotional Dysregulation, Internalized Stigma and Self-Esteem in Maladaptive Daydreaming Among Adults With ADHD, ASD, and Double Diagnosis

Journal of Attention Disorders, Год журнала: 2024, Номер 29(1), С. 53 - 69

Опубликована: Окт. 21, 2024

Maladaptive daydreaming (MD) is characterized by vivid, excessive fantasy activity that becomes prioritized over other activities and may result in avoidant coping strategies. Little known about the relationship between MD internalized stigma neurodivergent sample. The current study aimed to examine emotional dysregulation, escapism self-perception (self-esteem stigma) as potential determinants of three groups: adults on autism spectrum, with ADHD, both diagnoses ("AuDHD"), including their symptoms (autistic traits, empathizing, ADHD symptoms).

Язык: Английский

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