Neuropsychological alterations in borderline personality disorder: purpose of a case

Abstract

[EN] Different investigations reveal the neurological and neuropsychological differences among patients with BPD. The objective of this case study is to describe the neuropsychological (cognitive, executive), symptomatological and personality alterations of a patient with dual pathology and the implications that these alterations have in their daily lives. A battery of neuropsychological evaluation was applied to a patient undergoing treatment at the CEDRO Vigo drug dependence unit. The results reflect a neuropsychological performance indicative of a medium premorbid intelligence, a reduced speed of psychomotor and visuospatial processing, deficits in tasks of verbal memory, an executive functioning determined by alterations in the executive components of actualization, change and inhibition. As well as difficulties in social and work activity and a symptomatological profile characterized by obsessive-compulsive, anxious and psychotic clinical manifestations, an elevated motor and unplanned impulsivity, and a tendency to yield to positive affections and reduced perseverance. Neuropsychological exploration helps us to detect deficits in the cognitive / executive processes, generates awareness of the deficit and allows realizing a neuropsychological profile, which facilitates the design and elaboration of individualized treatment programs.