00:00Mga ka-RSP, madalas bang magka mood swings ang inyong partner at kung minsan nagiging dahilan pa ito ng problema sa inyong relasyon?
00:15Well, normal lang naman yan. Pero kapag sobrang dalas na at hindi na nakokontrol ang emosyon, naku, baka hindi na ordinary yung mood swing yan.
00:23Maring ito natin natawag na Borderline Personality Disorder o BPD. Ngayong umaga, alamin natin kung paano naka-apekto ang Borderline Personality Disorder sa emosyon at relasyon.
00:36At paano natin mas maintindihan ang mga taong dumaraan sa ganitong kondisyon.
00:41Makasama po natin live or ngayong umaga via Zoom, Dr. Maria Noreen Molina, isang psychiatrist.
00:48Dr. Maria Noreen Molina, magandang umaga pang waga po dito sa Rise and Shine Pilipinas. This is Prof. Feet Together with Eyes.
00:54Good morning, Dr. Rise and Shine.
00:57Good morning.
00:59Doc, ano po ba itong Borderline Personality Disorder or BPD? At paano ito naiiba sa mood swing?
01:07Paano naman po ito naiiba dun sa iba pang mga mental health conditions? Tell us more, Doc. Go ahead.
01:12Okay. Yung Borderline Personality Disorder or BPD, ito ay isang kondisyon kung saan sobrang intense or mabilis mag-shift yung emosyon ng isang tao.
01:25Madalas itong may kasamang takot na iwan or parang may abandonment issue parate.
01:31So, madalas din itong may impulsive actions at unstable relationships.
01:40Different ito sa bipolar disorder dahil hindi araw or linggo ang episode.
01:47Minsan, minutes lang, 2 hours. And most of the time, it is triggered by interpersonal stress.
01:53Ano po yung karaniwang sintomas nito at paano naapektuhan ang pakikisama nga sa ibang tao?
02:02So, just like what I said, matinding takot maiwan or fear of abandonment.
02:08So, mabilis na mood swings, impulsive behaviors, chronic emptiness or feeling na parang laging may kulang.
02:17At minsan or most of the time also, they do self-arm.
02:21So, naapektuhan ang isang relasyon dahil madali sila matrigger.
02:27Minsan, super clingy or on the other side naman, super distant.
02:33At nahihirapan sa emotional regulation.
02:37Pero hindi ito dahil masama sila.
02:40It is because nahihirapan silang i-handle yung emotions nila.
02:46Dok, gaano po ka namin yung may ganitong kondisyon at karino po itong madalas na makita?
02:51Um, usually around 1 to 2% ng population ang may bipolar personality disorder.
03:00Mas napapansin nito sa clinic kasi usually mga babae ang nagpapakonsult.
03:07Pero in the community, almost equal naman men and women.
03:13Dok, ano po ba yung cost ng BPD?
03:16So, mga sanji ito, paano ito ng trigger?
03:21Yes, it is nature and nurture.
03:25So, biology or genetic and environment.
03:29So, it may be because we are born with it.
03:32Or it can be because of trauma or chronic stress that a person experience.
03:39Alright, Dok. Kailan po dapat mag-seek ng professional health?
03:42Kasi minsan, syempre, pwedeng not only on the relationship but with other people, pwedeng maapektuhan.
03:47I think there could be available treatments or therapy for that, Dok.
03:50Yung sa BPD, tell us more.
03:52Um, kailangan ng mag-seek ng consultation if it affects the functioning of the individual.
04:00Pag hindi, isa yun, pag hindi na laging nagkakaroon ng problema sa mga relasyon or naapektuhan ng work, naapektuhan na yung daily living, hindi niya na kayang mag-function.
04:11Yung mga available naman na treatment, professionally, there is psychotherapy.
04:19Minsan, pinibigyan sila ng gamot, not because of the bipolar disorder or borderline rather, but because of the mood symptoms that comes with it.
04:32Kasi minsan, since emotional dysregulation yung problema nila, very prone sila sa mga mood problems like depression or bipolar.
04:43Ayun nga, Dok. Kasi parang people would sometimes self-diagnose na you'll have this, you'll have that, really have to seek professional help.
04:52Pero Dok, um, you've mentioned some of the mental health, uh, stresses, disorders, um, like, or issues, um, what really makes it different?
05:03Paano natin masasabi na, ah, okay, when you're talking to that person, um, nagkwento siya about his relationship, madalas ba nadadiagnose siya for BPD or what could be the other kinds of, um, let's say disorder or illness ang pwedeng maranasan ng isang individual?
05:22Um, pwede rin kasi yung mga symptoms ng borderline personality disorder. Minsan, overlaps with other disorder. That's why it's very, uh, important that they seek professional help.
05:36Kasi magkakaiba pa rin naman ang treatment if it is borderline, if it is bipolar, if it is mainly mood disorder.
05:45Ang different, actually, ng borderline personality disorder, it is very persistent. It is usually, kumbaga, parang as the word implies, it is already the personality of the person.
05:58Hmm. It becomes a disorder when it has already, parang nagkakaroon na ng difficulty in functioning.
06:05Na-apektohan everything from interpersonal relationship to work to family and in all aspects of the life of the person.
06:15Doon na nagkakaroon ng problema.
06:18And, Doc, paano naman po yung mga tao nakasama nitong, ah, patient?
06:22Paano nila pakikitunguhan yung ganitong klaseng, ah, kunwari, na-trigger siya?
06:27Ah, so, how are we gonna handle it?
06:31Yeah, it's very difficult. Actually, ang pinakamahirap i-deal with, I am borderline personality disorder.
06:38Kasi sila yung, is either all good or all bad. Parang black and white parate. Walang in-between.
06:44So, pag okay ka sa kanila, ah, good ka. Pag hindi ka okay sa kanila, bad ka.
06:50Hindi nila maintindihan na in a person, there will always be two sides, no?
06:55Ah, wala silang ganon. So, parang yung bagay yung chef nila.
07:00Minsan, ngayon, love na love ka nila. Bukas, pag may nagkawahang mali, galit na sila sa'yo.
07:05Tatakwil ka na nila or hihiwalayan ka na nila.
07:08Very intense. Wala silang in-between.
07:11So, it's very difficult for the people around them, especially if hindi sila maintindihan or hindi sila makita saan nang gagaling.
07:22They are often also parang namimisinterpret as manipulative kasi nga sa mga ginagawa nilang mga actions, no?
07:32So, kailangan talaga yung people around them are able to understand na ito, hindi ito dahil gusto nung tao na i-manipulate ka,
07:42but because she has difficulty sa interpersonal regulation ng kanyang moods, no?
07:49So, yun yung kailangan maintindihan.
07:51Very difficult to deal with, but understanding why she or he is acting like that could be a start.
08:00Alright. Doc, also we have the fear on abandonment, paranoia, nabanggitin natin ito sa mga symptoms.
08:07How is this, or how are these being handled?
08:14Kasi ang borderline pag magkakaroon ng abandonment issue,
08:18let's example, yung mag-asawa, nafeel nung wife na may borderline na parang despant na sa kanya.
08:25There will always be this extreme fear, kaya kung ano-ano yung ginagawa nila.
08:31Minsan, ginagawa nila is, they will hurt themselves just for the partner not to leave them.
08:36They will do some actions, extreme actions at that, na parang wag lang silang iwan.
08:43So, yun yung mga ginagawa nila.
08:46How to deal with it is really to understand the cause, why he or she is acting like that.
08:51Alright, marami pong salamat. That was Doc Maria Noreen Molina. Thank you so much, Doc.
08:59Thank you, Doc.
