Deprecated: Creation of dynamic property wpdb::$categories is deprecated in /home/1/s/speilvendt/www/wp-includes/wp-db.php on line 668

Deprecated: Creation of dynamic property wpdb::$post2cat is deprecated in /home/1/s/speilvendt/www/wp-includes/wp-db.php on line 668

Deprecated: Creation of dynamic property wpdb::$link2cat is deprecated in /home/1/s/speilvendt/www/wp-includes/wp-db.php on line 668

Deprecated: Return type of WP_Theme::offsetExists($offset) should either be compatible with ArrayAccess::offsetExists(mixed $offset): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/class-wp-theme.php on line 554

Deprecated: Return type of WP_Theme::offsetGet($offset) should either be compatible with ArrayAccess::offsetGet(mixed $offset): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/class-wp-theme.php on line 595

Deprecated: Return type of WP_Theme::offsetSet($offset, $value) should either be compatible with ArrayAccess::offsetSet(mixed $offset, mixed $value): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/class-wp-theme.php on line 535

Deprecated: Return type of WP_Theme::offsetUnset($offset) should either be compatible with ArrayAccess::offsetUnset(mixed $offset): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/class-wp-theme.php on line 544

Deprecated: Return type of WP_REST_Request::offsetExists($offset) should either be compatible with ArrayAccess::offsetExists(mixed $offset): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/rest-api/class-wp-rest-request.php on line 952

Deprecated: Return type of WP_REST_Request::offsetGet($offset) should either be compatible with ArrayAccess::offsetGet(mixed $offset): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/rest-api/class-wp-rest-request.php on line 972

Deprecated: Return type of WP_REST_Request::offsetSet($offset, $value) should either be compatible with ArrayAccess::offsetSet(mixed $offset, mixed $value): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/rest-api/class-wp-rest-request.php on line 984

Deprecated: Return type of WP_REST_Request::offsetUnset($offset) should either be compatible with ArrayAccess::offsetUnset(mixed $offset): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/rest-api/class-wp-rest-request.php on line 995

Deprecated: Return type of WP_Block_List::current() should either be compatible with Iterator::current(): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/class-wp-block-list.php on line 151

Deprecated: Return type of WP_Block_List::next() should either be compatible with Iterator::next(): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/class-wp-block-list.php on line 175

Deprecated: Return type of WP_Block_List::key() should either be compatible with Iterator::key(): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/class-wp-block-list.php on line 164

Deprecated: Return type of WP_Block_List::valid() should either be compatible with Iterator::valid(): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/class-wp-block-list.php on line 186

Deprecated: Return type of WP_Block_List::rewind() should either be compatible with Iterator::rewind(): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/class-wp-block-list.php on line 138

Deprecated: Return type of WP_Block_List::offsetExists($index) should either be compatible with ArrayAccess::offsetExists(mixed $offset): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/class-wp-block-list.php on line 75

Deprecated: Return type of WP_Block_List::offsetGet($index) should either be compatible with ArrayAccess::offsetGet(mixed $offset): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/class-wp-block-list.php on line 89

Deprecated: Return type of WP_Block_List::offsetSet($index, $value) should either be compatible with ArrayAccess::offsetSet(mixed $offset, mixed $value): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/class-wp-block-list.php on line 110

Deprecated: Return type of WP_Block_List::offsetUnset($index) should either be compatible with ArrayAccess::offsetUnset(mixed $offset): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/class-wp-block-list.php on line 127

Deprecated: Return type of WP_Block_List::count() should either be compatible with Countable::count(): int, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-includes/class-wp-block-list.php on line 199

Deprecated: Creation of dynamic property ACF::$fields is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/advanced-custom-fields/includes/fields.php on line 138

Deprecated: Creation of dynamic property acf_loop::$loops is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/advanced-custom-fields/includes/loop.php on line 28

Deprecated: Creation of dynamic property ACF::$loop is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/advanced-custom-fields/includes/loop.php on line 269

Deprecated: Creation of dynamic property ACF::$revisions is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/advanced-custom-fields/includes/revisions.php on line 387

Deprecated: Creation of dynamic property acf_validation::$errors is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/advanced-custom-fields/includes/validation.php on line 28

Deprecated: Creation of dynamic property ACF::$validation is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/advanced-custom-fields/includes/validation.php on line 215

Deprecated: Creation of dynamic property acf_form_customizer::$preview_values is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/advanced-custom-fields/includes/forms/form-customizer.php on line 28

Deprecated: Creation of dynamic property acf_form_customizer::$preview_fields is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/advanced-custom-fields/includes/forms/form-customizer.php on line 29

Deprecated: Creation of dynamic property acf_form_customizer::$preview_errors is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/advanced-custom-fields/includes/forms/form-customizer.php on line 30

Deprecated: Creation of dynamic property ACF::$form_front is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/advanced-custom-fields/includes/forms/form-front.php on line 600

Deprecated: Creation of dynamic property acf_form_widget::$preview_values is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/advanced-custom-fields/includes/forms/form-widget.php on line 34

Deprecated: Creation of dynamic property acf_form_widget::$preview_reference is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/advanced-custom-fields/includes/forms/form-widget.php on line 35

Deprecated: Creation of dynamic property acf_form_widget::$preview_errors is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/advanced-custom-fields/includes/forms/form-widget.php on line 36

Deprecated: Return type of WPCF7_FormTag::offsetExists($offset) should either be compatible with ArrayAccess::offsetExists(mixed $offset): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-content/plugins/contact-form-7/includes/form-tag.php on line 395

Deprecated: Return type of WPCF7_FormTag::offsetGet($offset) should either be compatible with ArrayAccess::offsetGet(mixed $offset): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-content/plugins/contact-form-7/includes/form-tag.php on line 387

Deprecated: Return type of WPCF7_FormTag::offsetSet($offset, $value) should either be compatible with ArrayAccess::offsetSet(mixed $offset, mixed $value): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-content/plugins/contact-form-7/includes/form-tag.php on line 381

Deprecated: Return type of WPCF7_FormTag::offsetUnset($offset) should either be compatible with ArrayAccess::offsetUnset(mixed $offset): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-content/plugins/contact-form-7/includes/form-tag.php on line 399

Deprecated: Return type of WPCF7_Validation::offsetExists($offset) should either be compatible with ArrayAccess::offsetExists(mixed $offset): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-content/plugins/contact-form-7/includes/validation.php on line 78

Deprecated: Return type of WPCF7_Validation::offsetGet($offset) should either be compatible with ArrayAccess::offsetGet(mixed $offset): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-content/plugins/contact-form-7/includes/validation.php on line 72

Deprecated: Return type of WPCF7_Validation::offsetSet($offset, $value) should either be compatible with ArrayAccess::offsetSet(mixed $offset, mixed $value): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-content/plugins/contact-form-7/includes/validation.php on line 59

Deprecated: Return type of WPCF7_Validation::offsetUnset($offset) should either be compatible with ArrayAccess::offsetUnset(mixed $offset): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/1/s/speilvendt/www/wp-content/plugins/contact-form-7/includes/validation.php on line 82

Deprecated: Creation of dynamic property Shortcodes_Ultimate::$about_menu is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/shortcodes-ultimate/includes/class-shortcodes-ultimate.php on line 207

Deprecated: Creation of dynamic property Shortcodes_Ultimate::$unsafe_features_notice is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/shortcodes-ultimate/includes/class-shortcodes-ultimate.php on line 229

Deprecated: Creation of dynamic property Shortcodes_Ultimate::$widget is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/shortcodes-ultimate/includes/class-shortcodes-ultimate.php on line 256

Deprecated: Creation of dynamic property Automattic\Jetpack\Connection\Manager::$error_handler is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/jetpack/vendor/automattic/jetpack-connection/src/class-manager.php on line 91

Deprecated: Creation of dynamic property WPCOM_REST_API_V2_Endpoint_Instagram_Gallery::$is_wpcom is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/jetpack/_inc/lib/core-api/wpcom-endpoints/class-wpcom-rest-api-v2-endpoint-instagram-gallery.php on line 23

Deprecated: Creation of dynamic property WPCOM_REST_API_V2_Endpoint_Mailchimp::$wpcom_is_wpcom_only_endpoint is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/jetpack/_inc/lib/core-api/wpcom-endpoints/class-wpcom-rest-api-v2-endpoint-mailchimp.php on line 17

Deprecated: Creation of dynamic property WPCOM_REST_API_V2_Endpoint_Tweetstorm_Gather::$wpcom_is_wpcom_only_endpoint is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/jetpack/_inc/lib/core-api/wpcom-endpoints/class-wpcom-rest-api-v2-endpoint-tweetstorm-gather.php on line 21

Deprecated: Creation of dynamic property WPCOM_REST_API_V2_Endpoint_Tweetstorm_Gather::$is_wpcom is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/jetpack/_inc/lib/core-api/wpcom-endpoints/class-wpcom-rest-api-v2-endpoint-tweetstorm-gather.php on line 22

Deprecated: Creation of dynamic property WPCOM_REST_API_V2_Endpoint_Gutenberg_Available_Extensions::$wpcom_is_site_specific_endpoint is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/jetpack/_inc/lib/core-api/wpcom-endpoints/gutenberg-available-extensions.php on line 20

Deprecated: Creation of dynamic property WPCOM_REST_API_V2_Endpoint_Memberships::$wpcom_is_wpcom_only_endpoint is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/jetpack/_inc/lib/core-api/wpcom-endpoints/memberships.php on line 23

Deprecated: Creation of dynamic property WPCOM_REST_API_V2_Endpoint_Memberships::$wpcom_is_site_specific_endpoint is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/jetpack/_inc/lib/core-api/wpcom-endpoints/memberships.php on line 24

Deprecated: Creation of dynamic property WPCOM_REST_API_V2_Endpoint_Subscribers::$wpcom_is_wpcom_only_endpoint is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/jetpack/_inc/lib/core-api/wpcom-endpoints/subscribers.php on line 15

Deprecated: Creation of dynamic property POMO_FileReader::$is_overloaded is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 21

Deprecated: Creation of dynamic property POMO_FileReader::$_pos is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 22

Deprecated: Creation of dynamic property POMO_FileReader::$_f is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 153

Deprecated: Creation of dynamic property MO::$_gettext_select_plural_form is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/translations.php on line 293

Deprecated: Creation of dynamic property Automattic\Jetpack\Sync\Queue::$random_int is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/jetpack/vendor/automattic/jetpack-sync/src/class-queue.php on line 38

Deprecated: Creation of dynamic property Publicize_UI::$in_jetpack is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/jetpack/modules/publicize.php on line 53

Deprecated: Creation of dynamic property POMO_FileReader::$is_overloaded is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 21

Deprecated: Creation of dynamic property POMO_FileReader::$_pos is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 22

Deprecated: Creation of dynamic property POMO_FileReader::$_f is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 153

Deprecated: Creation of dynamic property MO::$_gettext_select_plural_form is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/translations.php on line 293

Deprecated: Creation of dynamic property POMO_FileReader::$is_overloaded is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 21

Deprecated: Creation of dynamic property POMO_FileReader::$_pos is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 22

Deprecated: Creation of dynamic property POMO_FileReader::$_f is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 153

Deprecated: Creation of dynamic property MO::$_gettext_select_plural_form is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/translations.php on line 293

Deprecated: Creation of dynamic property CZR_resources_scripts::$_resouces_version is deprecated in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/class-fire-resources_scripts.php on line 20

Deprecated: Creation of dynamic property POMO_FileReader::$is_overloaded is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 21

Deprecated: Creation of dynamic property POMO_FileReader::$_pos is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 22

Deprecated: Creation of dynamic property POMO_FileReader::$_f is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 153

Deprecated: Creation of dynamic property MO::$_gettext_select_plural_form is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/translations.php on line 293

Deprecated: Creation of dynamic property CZR_resources_styles::$_resouces_version is deprecated in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/class-fire-resources_styles.php on line 35

Deprecated: Creation of dynamic property WPCOM_Widget_Goodreads::$shelves is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/jetpack/modules/widgets/goodreads.php on line 33

Deprecated: DateTime::__construct(): Passing null to parameter #1 ($datetime) of type string is deprecated in /home/1/s/speilvendt/www/wp-includes/script-loader.php on line 331

Deprecated: Creation of dynamic property POMO_FileReader::$is_overloaded is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 21

Deprecated: Creation of dynamic property POMO_FileReader::$_pos is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 22

Deprecated: Creation of dynamic property POMO_FileReader::$_f is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 153

Deprecated: Creation of dynamic property acf_field_oembed::$width is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/advanced-custom-fields/includes/fields/class-acf-field-oembed.php on line 31

Deprecated: Creation of dynamic property acf_field_oembed::$height is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/advanced-custom-fields/includes/fields/class-acf-field-oembed.php on line 32

Deprecated: Creation of dynamic property acf_field_google_map::$default_values is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/advanced-custom-fields/includes/fields/class-acf-field-google-map.php on line 33

Deprecated: Creation of dynamic property acf_field__group::$have_rows is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/advanced-custom-fields/includes/fields/class-acf-field-group.php on line 31

Deprecated: Creation of dynamic property POMO_FileReader::$is_overloaded is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 21

Deprecated: Creation of dynamic property POMO_FileReader::$_pos is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 22

Deprecated: Creation of dynamic property POMO_FileReader::$_f is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/streams.php on line 153

Deprecated: Creation of dynamic property MO::$_gettext_select_plural_form is deprecated in /home/1/s/speilvendt/www/wp-includes/pomo/translations.php on line 293

Deprecated: Creation of dynamic property WP_Block_Type::$plan_check is deprecated in /home/1/s/speilvendt/www/wp-includes/class-wp-block-type.php on line 284

Deprecated: Creation of dynamic property Jetpack_Shortcode_Unavailable::$shortcodes is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/jetpack/modules/shortcodes/unavailable.php on line 19

Deprecated: trim(): Passing null to parameter #1 ($string) of type string is deprecated in /home/1/s/speilvendt/www/wp-includes/class-wp.php on line 173

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home/1/s/speilvendt/www/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property CZR_header_model_class::$mobile_nbwrapper_class is deprecated in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/fmk-ccat.php on line 283

Deprecated: Creation of dynamic property CZR_header_model_class::$primary_nbwrapper_container_class is deprecated in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/fmk-ccat.php on line 283

Deprecated: Creation of dynamic property CZR_header_model_class::$topbar_nbwrapper_container_class is deprecated in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/fmk-ccat.php on line 283

Deprecated: Creation of dynamic property CZR_logo_model_class::$src is deprecated in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/fmk-ccat.php on line 283

Deprecated: Creation of dynamic property CZR_related_posts_model_class::$excerpt_length is deprecated in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/fmk-ccat.php on line 283

Deprecated: Creation of dynamic property CZR_related_posts_model_class::$media_cols is deprecated in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/fmk-ccat.php on line 283

Deprecated: Creation of dynamic property CZR_related_posts_model_class::$content_cols is deprecated in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/fmk-ccat.php on line 283

Deprecated: Creation of dynamic property CZR_related_posts_model_class::$element_width is deprecated in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/fmk-ccat.php on line 283

Deprecated: Creation of dynamic property CZR_Model::$inner_container_class is deprecated in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/fmk-ccat.php on line 283
Diagnosespalten (Nostalgi): Emosjonelt ustabil personlighetsforstyrrelse – Speilvendt
Deprecated: Implicit conversion from float 35.400000000000006 to int loses precision in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/functions-ccat.php on line 1638

Deprecated: Implicit conversion from float 35.400000000000006 to int loses precision in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/functions-ccat.php on line 1639

Deprecated: Implicit conversion from float 35.400000000000006 to int loses precision in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/functions-ccat.php on line 1640

Deprecated: Implicit conversion from float 104.25000000000003 to int loses precision in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/functions-ccat.php on line 1638

Deprecated: Implicit conversion from float 104.25000000000003 to int loses precision in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/functions-ccat.php on line 1639

Deprecated: Implicit conversion from float 104.25000000000003 to int loses precision in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/functions-ccat.php on line 1640

Deprecated: Implicit conversion from float 117.00000000000003 to int loses precision in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/functions-ccat.php on line 1638

Deprecated: Implicit conversion from float 117.00000000000003 to int loses precision in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/functions-ccat.php on line 1639

Deprecated: Implicit conversion from float 117.00000000000003 to int loses precision in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/functions-ccat.php on line 1640

Deprecated: ltrim(): Passing null to parameter #1 ($string) of type string is deprecated in /home/1/s/speilvendt/www/wp-includes/wp-db.php on line 3031

Deprecated: preg_split(): Passing null to parameter #3 ($limit) of type int is deprecated in /home/1/s/speilvendt/www/wp-content/plugins/jetpack/_inc/lib/class.media-summary.php on line 420

Deprecated: ltrim(): Passing null to parameter #1 ($string) of type string is deprecated in /home/1/s/speilvendt/www/wp-includes/wp-db.php on line 3031

Deprecated: Creation of dynamic property CZR_Model::$element_inner_class is deprecated in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/fmk-ccat.php on line 283

Deprecated: Creation of dynamic property CZR_Model::$args is deprecated in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/fmk-ccat.php on line 283

Deprecated: Creation of dynamic property CZR_Model::$args is deprecated in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/fmk-ccat.php on line 283

Deprecated: Creation of dynamic property CZR_Model::$inner_elements_class is deprecated in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/fmk-ccat.php on line 283

Deprecated: Creation of dynamic property CZR_Model::$search_form_container_class is deprecated in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/fmk-ccat.php on line 283

Deprecated: Creation of dynamic property CZR_Model::$inner_elements_class is deprecated in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/fmk-ccat.php on line 283

Deprecated: Creation of dynamic property CZR_Model::$args is deprecated in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/fmk-ccat.php on line 283

Diagnosespalten (Nostalgi): Emosjonelt ustabil personlighetsforstyrrelse


Deprecated: Creation of dynamic property CZR_thumbnail_model_class::$lighbox_url is deprecated in /home/1/s/speilvendt/www/wp-content/themes/customizr/core/fmk-ccat.php on line 283

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ILLUSTRASJON: EMMA THORSTENSEN

Personlighet er et sett unike karakteristikker som påvirker vår atferd, emosjoner, tanker og interaksjoner med miljøet rundt oss. Personlighetstrekkene våre får oss til å reagere på relativt forutsigbare måter gjennom livet, men personligheten er også fleksibel i form av at vi kan prøve ut flere responser for å se hva som føles best og er mest effektivt. Denne fleksibiliteten har vanligvis ikke mennesker med personlighetsforstyrrelser. Personlighetsforstyrrelse defineres ofte ved at «personligheten avviker betydelig fra hva man forventer i en gitt kultur over tid og i tillegg medfører at man fungerer dårligere mellommenneskelig og psykososialt» (Gullestad, 2021). Med andre ord har individer med personlighetsforstyrrelser atferdsmønstre som er mer ekstreme og dysfunksjonelle enn de fleste andre mennesker i deres kultur.

Emosjonelt ustabil personlighetsforstyrrelse (EUPF) (borderline i DSM) kjennetegnes av vedvarende mønster av høy ustabilitet i følelseslivet, vanskeligheter med relasjoner til andre, vanskeligheter med å regulere egne følelser og eget selvbilde, samt impulsiv atferd. EUPF forekommer hos ca 1,2 % i befolkningen. Personer med EUPF opplever store svingninger i humør og følelser som ikke står i stil med hendelsen som utløste følelsene. Eksempelvis fra stor glede til dyp tristhet, irritabilitet, depressive tilstander og engstelse. Dette fører til at mange med EUPF opplever relasjoner til andre og verden som intense og konfliktfylte. Oppfatning av andre kan hyppig svinge fra idealisering til sinne, og tankegangen rundt personer og hendelser er ofte preget av sort-hvit tenkning (splitting).

EUPF preges ofte av sterk frykt og overfølsomhet for avvisning, noe som kan føre til desperate forsøk på å unngå å bli forlatt. Dette kan uttrykkes gjennom selvdestruktive handlinger som selvskading og selvmordsforsøk. Selvskading kan også være et resultat av innoverrettet sinne og impulsivitet. Mange forklarer selvskading som en lettelse fra emosjonell smerte, og at det kan fungere som distraksjon fra de emosjonelle eller interpersonlige problemene og raskt «få dem ut av» emosjonell overveldelse. Mange med EUPF føler på en kronisk tomhetsfølelse, og selvskading kan også være en måte å håndtere disse følelsene på. Suicidale trusler og handlinger er også vanlig. Studier tyder på at omtrent 75 % av mennesker med EUPF forsøker å ta livet sitt minst én gang i løpet av livet. Impulsive handlinger kan i tillegg til å involvere selvskading og selvmordsforsøk bl.a. innebære alkohol- og narkotikamisbruk, utrygg sex og uforsvarlig kjøring.

Mange med EUPF rapporterer en følelse av mangel på en indre kjerne og forståelse av seg selv. Ustabiliteten i selvbildet og selvforståelsen kan komme til uttrykk som dramatiske identitetsskifter, eksempelvis ved å bytte venner og omgangskrets, ambisjoner og mål i livet og gjennom endringer i kjønnsidentitet eller seksuell identitet. Dissosiasjon, eller en psykologisk «frakobling» fra kropp og tanker kan også forekomme.

Sykdomsforløp
Det kan være store individuelle forskjeller blant personer med EUPF. Selv om man oppfyller kravene til diagnosen, er det ikke gitt at man strever innenfor alle områdene. I tillegg har EUPF høy komorbiditet med andre psykiske lidelser – så mange som 85 % har en annen psykisk lidelse i løpet av livet. Vanligst er alvorlig depressiv lidelse, PTSD, spiseforstyrrelser, bipolar lidelse og/eller en annen personlighetsforstyrrelse. Sykdomsforløpet for en EUPF varierer på individnivå, men det vanligste mønsteret er at personens ustabilitet og suicidatferd er størst i tidlig voksen alder. For mange avtar denne ustabiliteten med økende alder.

Behandling og prognose
Prognosene for emosjonelt ustabil personlighetsforstyrrelse har bedret seg de siste årene, og det vil være mulig å leve et meningsfullt og relativt stabilt liv med gode relasjoner ved hjelp av riktig behandling. Forskning indikerer at EUPF er blant de personlighetsforstyrrelsene som viser best effekt av behandling. To behandlingsmetoder som har vist effekt er dialektisk atferdsterapi (DBT) og mentaliseringsbasert terapi (MBT). Både MBT og DBT er relativt langvarige behandlinger, forholdsvis ca 18 mnd og ett år. Et så langt behandlingsforløp vil være frustrerende og utfordrende for mange, særlig for pasienter med EUPF, ettersom lidelsen kjennetegnes av impulsivitet og ustabilitet i emosjoner som kan skape en utålmodighet i behandling. Men for et godt sluttresultat er det viktig å stå gjennom hele behandlingsløpet.

DBT springer ut fra kognitiv atferdsterapi og innebærer en kombinasjon av individuell terapi og gruppeterapi. Den individuelle terapien inkluderer kognitive og atferdsmessige teknikker som hjemmelekser, psykoedukasjon, klar målsetting, forsterking av hensiktsmessig atferd, utforsking av klientens tenkemåter og evnetrening i mindfulness. Individualterapien har også elementer fra humanistiske og moderne psykodynamiske tilnærminger, inkludert fokus på klient-psykolog-relasjon og å skape et miljø for aksept og validering av klienten. Gruppene i DBT gir sosial ferdighetsbygging, samt validering og støtte. Personer som mottar DBT opplever å få bedre sosiale ferdigheter og blir bedre rustet til å håndtere stress. De utvikler en mer stabil identitet og mer effektive responser til livshendelser. Mange rapporterer betydelig mindre selvskading, suicidale handlinger og færre innleggelser, økt sannsynlighet for å gjennomføre behandlingen, mer sosial tilfredsstillelse, forbedret jobbprestasjon og reduksjoner i rusmisbruk.

MBT er en behandlingsmetode som har blitt mer populær de siste årene. Mentalisering kan defineres som menneskers kapasitet til å forstå sine egne og andres mentale tilstander – å gjenkjenne behov, ønsker, følelser, oppfatning og mål. Har man god mentaliseringsevne, er man bedre i stand til å forstå og predikere andres atferd og kan reagere på en passende måte. I likhet med DBT, består MTB også av både individualterapi og gruppeterapi, men behandlingen har noe lengre varighet (ca. 18 mnd). Formålet med MBT er å fremme mentaliseringsevnen og dermed følelsesregulering, identitet og mellommenneskelig fungering

Denne utgavens diagnosespalte er en kollasj av flere eksamensbesvarelser fra psykopatologieksamen våren 2021. Redaksjonen har fått tillatelse av kandidatene til å bruke tekstene. 


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