Co-Occurring Disorders: BPD and OUD

Presenter Information

Sidney StoverFollow

Document Type

Poster Presentation

Keywords

Borderline Personality Disorder, Opioid Use Disorder, Comorbidity

Biography

My name is Sidney Stover. I am currently a senior, with a double major in Statistics and Psychology. I plan to graduate in the spring with a bachelor's degree and continue my education in the field of Clinical Psychology at Marshall University. I hope to become a practicing psychologist in rural Appalachia in the near future.

Major

Statistics and Psychology

Advisor for this project

Dr. Penny Koontz

Abstract

Abstract

This literature review aims to evaluate the comorbidity of borderline personality disorder (BPD) and opioid use disorder (OUD). The author expects to reveal effective cognitive behavior therapy (CBT) approaches, such as dialectical behavior therapy (DBT), given evidence supporting high rates of co-occurrence between BPD and OUD. BPD is a diagnosis characterized by emotional dysregulation and impulsivity that greatly impacts interpersonal relationships and self-image; self-harm and suicide are common issues encountered by this clinical population. OUD is a specific substance use disorder that is described as a dependence on opioid substances, legal or illegal, that impact normal functioning. Research indicated that college students presenting with BPD features and individuals with a BPD diagnosis were significantly susceptible to opioid use disorder, in comparison with other substance use disorders. Treatment approaches that have shown improvement in affected populations include DBT, dual-focus schema therapy, and dynamic deconstructive psychotherapy. The given findings support the hypothesized predictions for comorbidity between BPD and OUD. The difficult nature of BPD, such as instability of interpersonal relationships, and the ongoing struggles associated with opioid dependence, are further complicated through co-occurrence. More extensive research is needed to discover the most successful psychotherapeutic treatments specific to BPD and OUD.

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Co-Occurring Disorders: BPD and OUD

Abstract

This literature review aims to evaluate the comorbidity of borderline personality disorder (BPD) and opioid use disorder (OUD). The author expects to reveal effective cognitive behavior therapy (CBT) approaches, such as dialectical behavior therapy (DBT), given evidence supporting high rates of co-occurrence between BPD and OUD. BPD is a diagnosis characterized by emotional dysregulation and impulsivity that greatly impacts interpersonal relationships and self-image; self-harm and suicide are common issues encountered by this clinical population. OUD is a specific substance use disorder that is described as a dependence on opioid substances, legal or illegal, that impact normal functioning. Research indicated that college students presenting with BPD features and individuals with a BPD diagnosis were significantly susceptible to opioid use disorder, in comparison with other substance use disorders. Treatment approaches that have shown improvement in affected populations include DBT, dual-focus schema therapy, and dynamic deconstructive psychotherapy. The given findings support the hypothesized predictions for comorbidity between BPD and OUD. The difficult nature of BPD, such as instability of interpersonal relationships, and the ongoing struggles associated with opioid dependence, are further complicated through co-occurrence. More extensive research is needed to discover the most successful psychotherapeutic treatments specific to BPD and OUD.