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	<title>Rich's Blog &#187; borderline personality disorder</title>
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		<title>BPD and Martial Art Therapy</title>
		<link>http://richardhorwood.com/96/borderline-personality-disorder-treatment/</link>
		<comments>http://richardhorwood.com/96/borderline-personality-disorder-treatment/#comments</comments>
		<pubDate>Sun, 16 Aug 2009 12:55:54 +0000</pubDate>
		<dc:creator>rich</dc:creator>
				<category><![CDATA[borderline personality disorder]]></category>
		<category><![CDATA[mental health]]></category>

		<guid isPermaLink="false">http://richardhorwood.com/?p=96</guid>
		<description><![CDATA[If there&#8217;s not a word for this in English, there should be. It&#8217;s definition would read: &#8220;n: A short period of time during which a number of small, unusual, random events occur; all inexplicably linked together by a common theme.&#8220; When this happens, the only conclusion you can usually draw is that someone, somewhere REALLY [...]]]></description>
			<content:encoded><![CDATA[<div style="text-align: justify">If there&#8217;s not a word for this in English, there should be.  It&#8217;s definition would read:</div>
<div style="text-align: justify"></div>
<div style="text-align: justify">&#8220;n: <em>A short period of time during which a  number of small, unusual, random events occur; all inexplicably linked together by a common theme.</em>&#8220;</div>
<div style="text-align: justify">
<p>When this happens, the only conclusion you can usually draw is that someone, somewhere REALLY wants you to pay attention to this thing, whatever it is, right now.</p>
<p>This week the common theme was Borderline Personality Disorder.</p>
<p>I&#8217;ve blogged about it <a href="/7/borderline-personality-disorder/" rel="nofollow" >before</a>.  There was a long piece about it in the local newspaper magazine this weekend.  Pretty standard fare about the disorder, some nice personal histories.</p>
<p>The thing that got me, though, was the last few paragraphs:  Treatment.</p>
<p>Apparently the standard fare of medication is, more often than not, ineffectual.  Promising results though, have apparently been found with Dialectic Behavioural Therapy, and to a lesser extend Cognitive Behavioural Therapy.</p>
<p>Short-cutting the discussion linking BPD to trauma and/or some type of hereditary predisposition to &#8220;emotional rawness&#8221; here, I&#8217;ll jump right to the &#8220;well, duh!&#8221; moment.</p>
<p>Medication?  Usually innefective.</p>
<p>Meditation, mindfulness, learning to reframe experiences as positive? Much more effective.</p>
<p>Kind of what we do with our  <a href="http://matprogram.com.au/" rel="nofollow" >Martial Art Therapy</a> program.  And pretty much common sense to me.</p>
<p>But more to the point, why on earth isn&#8217;t this emotional regulation, mindfulness and much, much more &#8220;reslilience&#8221; taught as a core subject in our schools?</p></div>


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		<title>Getting clear on Borderline Personality Disorder</title>
		<link>http://richardhorwood.com/7/borderline-personality-disorder/</link>
		<comments>http://richardhorwood.com/7/borderline-personality-disorder/#comments</comments>
		<pubDate>Wed, 21 Jan 2009 06:22:13 +0000</pubDate>
		<dc:creator>rich</dc:creator>
				<category><![CDATA[borderline personality disorder]]></category>
		<category><![CDATA[mental health]]></category>
		<category><![CDATA[BPD]]></category>

		<guid isPermaLink="false">http://richardhorwood.com/?p=7</guid>
		<description><![CDATA[Today we&#8217;re going to look at a statistic.  Yes I know, I know&#8230; When other people talk about statistics it&#8217;s not easy to grasp the relevance straight away. Stick with me. It&#8217;ll be worth it, I promise. Please remember that our focus is here is only a very small subset of the community.  When we [...]]]></description>
			<content:encoded><![CDATA[<p>Today we&#8217;re going to look at a statistic.  Yes I know, I know&#8230;  When other people talk about statistics it&#8217;s not easy to grasp the relevance straight away.  Stick with me.  It&#8217;ll be worth it,  I promise.</p>
<p>Please remember that our focus is here is only a very small subset of the community.   When we get to discussing the numbers,  <em>remember the narrow focus</em>, despite the large volume of people we&#8217;ll end up describing.  More importantly, remember that these are just those who are affected by only <em>one type</em> of psychiatric disturbance.</p>
<p><strong>The prevalence of Borderline Personality Disorder in the general community is estimated to be <em>between 2 and 5 percent</em></strong>.  <sup><a href="#fn1" rel="nofollow" >[1]</a></sup></p>
<div style="text-align: center;margin-left: auto;margin-right: auto;"><strong>Does that sound significant?</strong></div>
<p>How about this:  Its prevalence is highest amongst people in their <strong><em>mid to late teens</em></strong>.<sup><a href="#fn1" rel="nofollow" >[1]</a></sup> In other words, school-aged children.</p>
<div style="text-align: center;margin-left: auto;margin-right: auto;"><strong>Here&#8217;s some more perspective:</strong></div>
<p>In Victoria in 2007 there were a total of 379,187 kids enrolled in secondary school education; 66,710 students enrolled in year 9 alone. <sup><a href="#fn2" rel="nofollow" >[2]</a></sup> (Year 9 is primarily made up of students aged in their &#8220;mid&#8221; teens.)</p>
<p>In the same year there were 565 schools in Victoria offering secondary education <sup><a href="#fn2" rel="nofollow" >[2]</a></sup>, putting the average number of year 9 students per school at a little over 118 kids.   The average number of secondary students per school comes in at 671.</p>
<p>What does that mean?   It means that, statistically:</p>
<ol>
<li><strong>In year 9 alone</strong> there were over <strong>thirteen hundred kids</strong> suffering from Borderline Personality Disorder in Victoria.  That&#8217;s an entire 6-carriage Connex train jam-packed to capacity (not just seated) with schoolkids.Think about that next time you see an overcrowded train pull into the station in the peak hour rush.  (Remember, this number is just kids in one year level, in Victoria.)</li>
<li>Not only that, there are <strong>at least two kids</strong> in <span style="text-decoration: underline;">every</span> year 9 level in <em>every school in the state</em> with the disorder.</li>
<li>Each secondary school in the state of Victoria has 13 kids with the disorder.</li>
<li>There were at least <strong>7,583</strong> kids of secondary school age with the disorder in Victoria alone.</li>
</ol>
<p>Obviously that&#8217;s just a statistical average that bears no concept to reality, so let me give you some reality:</p>
<p>These are your kids.  If they&#8217;re not <em>your</em> kids, they&#8217;re your kids&#8217; friends.  People that spend time in the same educational environment as your children on a daily basis.  And they&#8217;re hurting, mentally and physically.  They may even be suicidal.</p>
<p>My point is, people with this disorder may not be visible to you.  If they&#8217;re self-harming the scars are usually covered with long sleeves or otherwise disguised, but they&#8217;re there.  Over seven and a half <em>thousand</em> kids in Victoria alone in 2007.</p>
<p>If you&#8217;re watching the Australian Open Tennis finals, that&#8217;s more than half a capacity crowd at Rod Laver Arena.</p>
<p>How much time did <em>your</em> school spend educating kids on how to deal with their demons?</p>
<p>How well are <em>your</em> kids equipped to cope with their own mental health challenges?  Did you even know what Borderline Personality Disorder was before you followed the link to the <a href="http://en.wikipedia.org/wiki/Borderline_personality_disorder" rel="nofollow"  target="_blank">Wikipedia article</a>?</p>
<p>Mental health awareness is about more than educating the public on statistics.</p>
<p>I&#8217;ve worked with a number of kids who were diagnosed with this disorder.  I can say with certainty that most kids (hell, most <em>adults</em>) have no concept of how to manage their mental well-being effectively.</p>
<p>There needs to be greater emphasis placed on teaching life skills and coping skills in our education system.  It&#8217;s no exaggeration to say that you kids&#8217; lives may one day depend on it.</p>
<table style="font-size: 0.7em;" border="0">
<tbody>
<tr>
<td><a name="fn1">1.</a></td>
<td><a href="http://www.sane.org/information/factsheets/borderline_personality_disorder.html" rel="nofollow"  target="_blank">&#8220;Borderline Personality Disorder&#8221;</a>.  SANE.org.  Retrieved on 2009-01-21</td>
</tr>
<tr>
<td><a name="fn2">2.</a></td>
<td><a href="http://www.eduweb.vic.gov.au/edulibrary/public/publ/research/publ/Brochure2008March-brc-v1_0-20080331.pdf" rel="nofollow"  target="_blank">&#8220;Statistics for Victorian Schools, March 2008&#8243;</a>(pdf) Victorian Department of Education.  Retrieved 2009-01-21.</td>
</tr>
</tbody>
</table>


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