Inestabilidad emocional: a un paso del trastorno límite de la personalidad y del trastorno bipolar.
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2020-06-10
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Jaén: Universidad de Jaén
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El trastorno de inestabilidad emocional es una subcategoría de diagnóstico de la CIE-10, dentro de trastornos de personalidad. Se define como trastorno de personalidad con predisposición a actuar de forma impulsiva sin preocupación por las consecuencias, acompañado de ánimo inestable. Se presenta el caso clínico de un hombre de 24 años, con constantes cambios de estado emocional y sensación de vacío. Esta sensación le impulsa a jugar sin control a videojuegos, consumir cafeína o nicotina, consumir chocolate en forma de atracón, seguidos de sentimiento de culpa. Relaciones interpersonales fallidas y un estilo de afrontamiento emocional y evitativo agravan el trastorno, provocando malestar significativo en el paciente. Para decidir el tratamiento adecuado, se realizaron tres entrevistas semiestructuradas, pruebas estandarizadas y un autorregistro. Las técnicas elegidas para una intervención son: educación y regulación emocional, programas de mejora de asertividad, psicoterapia para afrontar la culpa, técnicas de resolución de conflictos y mindfulness.
Emotional instability disorder is a diagnostic subcategory of ICD-10, within personality disorders. It is defined as a personality disorder characterized by a willingness to act in an impulsive manner without concern for the consequences, accompanied by an unstable mood. The clinical case of a 24-year-old man is present who shows constant changes in emotional state and a constant feeling of emptiness. This feeling of emptiness leads him to perform behaviors such as playing video games uncontrolled, consuming caffeine or nicotine, consuming chocolate and binge-shaped baubles, followed by guilt. Failed interpersonal relationships and a style of emotional and avoidive coping, aggravate the disorder, causing significant discomfort in the patient. To decide the right treatment, three semi-structured interviews, standardized tests and one self-registration were conducted. The techniques chosen for an intervention are: education and emotional regulation, programs to improve assertiveness, psychotherapy to face guilt, conflict resolution techniques and mindfulness.
Emotional instability disorder is a diagnostic subcategory of ICD-10, within personality disorders. It is defined as a personality disorder characterized by a willingness to act in an impulsive manner without concern for the consequences, accompanied by an unstable mood. The clinical case of a 24-year-old man is present who shows constant changes in emotional state and a constant feeling of emptiness. This feeling of emptiness leads him to perform behaviors such as playing video games uncontrolled, consuming caffeine or nicotine, consuming chocolate and binge-shaped baubles, followed by guilt. Failed interpersonal relationships and a style of emotional and avoidive coping, aggravate the disorder, causing significant discomfort in the patient. To decide the right treatment, three semi-structured interviews, standardized tests and one self-registration were conducted. The techniques chosen for an intervention are: education and emotional regulation, programs to improve assertiveness, psychotherapy to face guilt, conflict resolution techniques and mindfulness.