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PERSONALITY DISORDERS

PERSONALITY DISORDERS

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Personality disorders are a class of mental disorders characterized by long-term, severe, and persistent patterns of thought and behavior. Defining and categorizing personality disorders is difficult. Their origin may be genetic or environmental, or both.


The cultural and social context in which a person lives is very important in the definition of personality disorders. For a condition to be diagnosed as a personality disorder, there must be a pattern of behavior that causes significant distress and impairment in personal and/or social life.


Personality disorders are very diverse. However, they all share a common characteristic: a lack of ability to accept the demands and limitations of the outside world. These disorders affect a person's behavior, daily life, and relationships with people they know at home, work, and in their social life.

 

Before a person is diagnosed with a personality disorder, doctors need to investigate and rule out personality disorder changes. Often, those with personality disorders have experienced emotional problems in childhood.


Only one-fifth of those with personality disorders seek psychiatric support and treatment. Many experience difficulties in marriage, maintaining a stable career, and sustaining long-term friendships.


People with personality disorders are often unaware of the cause of their problems. They blame others for their own behavior and thoughts. Treatment is usually through psychotherapy, but medication is sometimes used. The key to therapy is establishing a trusting relationship. Treatment can be long-term and challenging.

Selection of Diagnosis and Treatment Protocol:
By recording the person's brain waves with the objective digital EEG (QEEG) method and comparing them with their age group in the Data Bank system, we can see the effects of alcohol and drugs on the brain waves and the status of the person's brain waves according to their age group. After our evaluation of the data obtained, Neurofeedback treatment protocols are prepared.

 

Approved by the American Food and Drug Administration (FDA) and developed by New York University, this Data Bank and diagnostic support methods have been used in the USA for approximately 40 years.

 

In neurometric QEEG analysis, all QEEG variables are calculated with z scores; A z score of up to +/- 2 standard deviations is considered normal for that age group. If the standard deviation is greater than normal, this determines the severity of neuropathology and abnormality. Among the patients, those who can normalize their z scores are the ones who benefit most from Neurofeedback treatment.

Neurofeedback Therapy Offers Hope

Our study, "QEEG-Guided Neurofeedback Therapy in Personality Disorders: 13 Case Studies," was published in the peer-reviewed scientific journal Clinical EEG and Neuroscience. [1]


We applied drug-free neurofeedback therapy to 13 patients (9 men, 4 women) with antisocial personality disorder, aged between 19 and 48, none of whom were using drugs or narcotics. Neurofeedback sessions, each lasting 30 minutes, were administered in 80-120 sessions depending on the case. Twelve of the 13 patients showed significant improvement, as determined by SA-45 questionnaires, MMPI, T.O.V.A., qEEG/NxLink database (neurometric analysis) results, and conversations with patients/family members.

Neurofeedback may change the views of psychiatrists and psychologists regarding the treatment of personality disorders in the future.

This study provides the first evidence for the positive effects of neurofeedback therapy in antisocial personality disorders. Further controlled studies are needed.

Surmeli T, Ertem A. QEEG guided neurofeedback therapy in personality disorders: 13 case studies. Clin EEG Neurosci. 2009 Jan;40(1):5-10.

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