{"id":1671,"date":"2019-01-17T10:11:38","date_gmt":"2019-01-17T08:11:38","guid":{"rendered":"https:\/\/neabpd-org.niziilan.co.il\/?page_id=1671"},"modified":"2021-11-07T18:03:23","modified_gmt":"2021-11-07T16:03:23","slug":"more-on-prevalence","status":"publish","type":"page","link":"https:\/\/neabpd-org.niziilan.co.il\/en\/more-on-prevalence\/","title":{"rendered":"Prevalence and Onset"},"content":{"rendered":"<p><strong>How do we know how prevalent BPD is?<\/strong><\/p>\n<p>First, we should note that in the early 1990s BPD was not recognized as a common disorder. Now it is.<\/p>\n<p>A number of studies have been performed in the USA to determine prevalence. Some found that 1.8% of Americans meet the criteria, while others suggested a range of 2-4% or even almost 6%. Even the lowest estimate finds that BPD is about as common as Bi-Polar I and more common than Schizophrenia, both of which are far better known.<\/p>\n<p><strong>Up-to-Date Research:<\/strong><\/p>\n<p>Summing up the conservative end, Zanarini stated in 2016: 1.8% of Americans meet criteria. (Zanarini McLean Webinar\u2013BPD Patient and Family Education Initiative, \u201cThe Long-Term Course of Borderline Personality Disorder,\u201d Originally aired Wednesday, February 3, 2016, accessed at\u00a0<a href=\"https:\/\/www.mcleanhospital.org\/borderline-personality-disorder-patient-and-family-education-initiative\">https:\/\/www.mcleanhospital.org\/borderline-personality-disorder-patient-and-family-education-initiative<\/a>)<\/p>\n<p>In an earlier 2003 study Zanarini had stated that<u>\u00a0clinical experience suggests that BPD is often underdiagnosed in many treatment settings, so 1.8% may be low.<\/u>\u00a0(Zanarini et al. \u201cA SCREENING MEASURE FOR BPD: THE MCLEAN SCREENING INSTRUMENT FOR BORDERLINE PERSONALITY DISORDER (MSI-BPD)\u201d Journal of Personality Disorders, 17[6], 568-573, 2003.)<\/p>\n<p>Gunderson, championing the middle road, states that BPD is the most common of the personality disorders, with a prevalence rate of approximately 2\u20134% in the general population, accounting for 20% of people receiving inpatient mental health care and 15% of those receiving outpatient care. (Gunderson, J. [2011]. A BPD brief: An introduction to borderline personality disorder: Diagnosis, origins, course, and treatment. Retrieved from\u00a0\u00a0<a href=\"http:\/\/www.borderlinepersonalitydisorder.com\/professionals\/a-bpd-brief\/\">www.borderlinepersonalitydisorder.com\/professionals\/a-bpd-brief\/<\/a>).<\/p>\n<p>Grant et al provide the highest figures:<\/p>\n<p>\u201cThe results of a large, well-conducted study funded by the\u00a0National Institute of Mental Health\u00a0suggests that the lifetime prevalence rate of borderline disorder\u00a0is\u00a05.9%\u00a0of the general population and appears to occur equally in men and women.\u201d (Grant et al. \u201cPrevalence, Correlates, Disability, and Comorbidity of DSM-IV Borderline Personality Disorder: Results from the Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions\u201d J Clin Psychiatry. 2008 Apr; 69[4]: 533\u2013545. Summarized in Robert O. Friedel M.D., accessed at\u00a0<a href=\"http:\/\/www.bpddemystified.com\/overview\/\">http:\/\/www.bpddemystified.com\/overview\/<\/a>\u00a0, January 17, 2019.)<\/p>\n<p><strong>Onset:<\/strong><\/p>\n<p>BPD can be diagnosed as early as at 12 years old if symptoms persist for at least one year, according to the DSM-5. Most diagnoses, however, are made during late adolescence or early adulthood. &#8220;As Mayo Clinic psychiatrist Christopher Palmer notes, the condition may not manifest until adolescence\u2014often with self-cutting, burning, or frank\u00a0suicidal behavior\u2014but it begins long before. &#8216;As children, they are hard to parent,&#8217; he says. In the absence of exceptional parenting, they never achieve self-regulation or a stable sense of self and never learn to tolerate any distress.&#8221;(Elizabeth Svoboda, \u201c<a href=\"https:\/\/www.psychologytoday.com\/us\/articles\/201309\/the-chaos-borderline-personality-disorder-can-cause\">The Chaos That Borderline Personality Can Generate,<\/a>\u201d\u00a0<em>Psychology Today<\/em>, September 2, 2013)<\/p>\n","protected":false},"excerpt":{"rendered":"<p>How do we know how prevalent BPD is? First, we should note that in the early 1990s BPD was not recognized as a common disorder. Now it is. A number of studies have been performed in the USA to determine prevalence. Some found that 1.8% of Americans meet the criteria, while others suggested a range of 2-4% or even almost<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Prevalence and Onset - NEABPD ISRAEL<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/neabpd-org.niziilan.co.il\/en\/more-on-prevalence\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Prevalence and Onset - NEABPD ISRAEL\" \/>\n<meta property=\"og:description\" content=\"How do we know how prevalent BPD is? 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