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Borderline Personality Disorder and Substance Use Disorders

What Is Borderline Personality Disorder?

1. Each of the following is an accurate statement about borderline personality disorder (BPD) EXCEPT:

A. Some of the symptoms of BPD overlap with those of several other DSM-5 diagnoses, such as bipolar disorder and posttraumatic stress disorder

B. Individuals with BPD often require considerable attention from their therapists and are generally considered challenging to treat

C. Many individuals with BPD may have developed BPD symptoms as a way to cope with childhood trauma

D. BPD is a chronic disorder, and its long-term prognosis is generally very poor


What are the Symptoms of BPD?

2. According to the DSM-5, the symptoms of BPD include intense fear of abandonment, turbulent, erratic, and intense relationships, lack of a sense of self or an unstable sense of self, and impulsive acts that can be harmful to oneself.

A. True

B. False


Suicide and Nonsuicidal Self-Injury

3. The risk of suicide is high among individuals with BPD, with as many as 59 percent reporting a history of suicide attempts and 3 percent to 5 percent dying by suicide.

A. True

B. False


What is the Relationship Between BPD and Substance Use Disorders (SUDs)?

4. The impulsivity, suicidality, and self-harm risks associated with BPD may all be exacerbated by the use of alcohol or drugs, and the presence of BPD may contribute to the severity of SUD symptoms.

A. True

B. False


What Treatments Are Available for Individuals With BPD and SUDs?

5. Although very few studies have been conducted on individuals with co-occurring BPD and SUD, the most researched approach that shows promise in helping such individuals is:

A. Motivational Enhancement Therapy

B. Contingency Management Therapy

C. Dialectical Behavior Therapy-S (DBT-S)

D. Multisystemic Behavioral Therapy


Working With Someone Who Has Co-Occurring BPD and SUD

6. According to the authors, which of the following is NOT one of the skills required when working with individuals with BPD and SUDs?

A. Having a working relationship with a care provider who can prescribe FDA approved medications for the BPD client when necessary

B. Maintaining strong professional boundaries that provide clarity about the expectations in the working relationship

C. Establishing a commitment to self-care, which includes taking breaks between seeing individuals with BPD

D. Being aware of how BPD may affect work with the individual and knowing how to help the client apply any skills learned to life situations


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