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strawberry bitch 04-26-09 03:11 PM

about borderline personality
 
Doctors used to have poetic names for diseases. A physician would speak of consumption because the illness seemed to eat you from within. Now we just use the name of the bacterium that causes the illness: tuberculosis. Psychology, though, remains a profession practiced partly as science and partly as linguistic art.
Because our knowledge of the mind's afflictions remains so limited, psychologists — even when writing in academic publications — still deploy metaphors to understand difficult disorders. And possibly the most difficult of all to fathom — and thus one of the most creatively named — is the mysterious-sounding borderline personality disorder (BPD). University of Washington psychologist Marsha Linehan, one of the world's leading experts on BPD, describes it this way: "Borderline individuals are the psychological equivalent of third-degree-burn patients. They simply have, so to speak, no emotional skin. Even the slightest touch or movement can create immense suffering." (See the Year in Health, from A to Z.)

Borderlines are the patients psychologists fear most. As many as 75% hurt themselves, and approximately 10% commit suicide — an extraordinarily high suicide rate (by comparison, the suicide rate for mood disorders is about 6%). Borderline patients seem to have no internal governor; they are capable of deep love and profound rage almost simultaneously. They are powerfully connected to the people close to them and terrified by the possibility of losing them — yet attack those people so unexpectedly that they often ensure the very abandonment they fear. When they want to hold, they claw instead. Many therapists have no clue how to treat borderlines. And yet diagnosis of the condition appears to be on the rise.
A 2008 study of nearly 35,000 adults in the Journal of Clinical Psychiatry found that 5.9% — which would translate into 18 million Americans — had been given a BPD diagnosis. As recently as 2000, the American Psychiatric Association believed that only 2% had BPD. (In contrast, clinicians diagnose bipolar disorder and schizophrenia in about 1% of the population.) BPD has long been regarded as an illness disproportionately affecting women, but the latest research shows no difference in prevalence rates for men and women. Regardless of gender, people in their 20s are at higher risk for BPD than those older or younger.
What defines borderline personality disorder — and makes it so explosive — is the sufferers' inability to calibrate their feelings and behavior. When faced with an event that makes them depressed or angry, they often become inconsolable or enraged. Such problems may be exacerbated by impulsive behaviors: overeating or substance abuse; suicide attempts; intentional self-injury."

silent cry 04-27-09 01:46 AM

wot shocks me most is that not even psychiatrists know how to treat it- if they cant help it- then who can?




Tears of Stone 04-27-09 06:39 AM

i've been told that this is what i have and they are sending me for a 12week course in CBT. even though i was diagnosed with depression from the age of 11.
they now think that i don't have depression.
but at times i think they diagnose BPD to pigeon hole you to label what they can't understand about a person or is it just a number to them?

rory1989 05-24-09 04:26 AM

I often think I might have BPD, it would explain many of the emotions I experience on a day-to-day basis which the depression diagnosis just doesn't.

The only thing is, in reading about BPD, I discovered that a lot of patients who are diagnosed with BPD have abandonment issues, such as childhood neglect or abuse (be that physical or sexual).

I haven't suffered any sort of abuse in my life, however I have always seemed to be very clingy in my relationships and have a substantial fear of abandonment.

I'm not sure where this fear comes from then if I haven't been through this abuse, I'm not sure I fit the category for this reason, any suggestions?

Sataria 05-25-09 08:13 AM

just because a lot of borderlines have suffered abuse doesn't mean they ALL have. So it is possible. However, I would say that a lot of people are clingy, and i know for one i have abandonment issues. Just because you have a couple of the criteria doesnt mean that you fit the diagnosis.

I always thought borderline personality disorder was normally a "dual diagnosis". In other words, people are rarely diagnosed just with BPD. Normally, it is BPD and depression, or BPD and generalised anxiety disorder.

I also read somewhere that they think the diagnosis of BPD is overused, and that a number of those diagnosed with it could actually be bipolar type II. Hmmm. Did a bit of reading up on the diagnostic criteria for these conditions and it all seems pretty arbitrary to me. Very subjective.

depressed 09-18-09 12:54 AM

Quote:

Originally Posted by rory1989 (Post 279605)
I often think I might have BPD, it would explain many of the emotions I experience on a day-to-day basis which the depression diagnosis just doesn't.

The only thing is, in reading about BPD, I discovered that a lot of patients who are diagnosed with BPD have abandonment issues, such as childhood neglect or abuse (be that physical or sexual).

I haven't suffered any sort of abuse in my life, however I have always seemed to be very clingy in my relationships and have a substantial fear of abandonment.

I'm not sure where this fear comes from then if I haven't been through this abuse, I'm not sure I fit the category for this reason, any suggestions?

I feel the exact same way you do. I too also have abandonment issues and am clingy too. However, I haven't been with any one therapist or psychiatrist long enough for them to really know or diagnose me. Sometimes I also think I fit the description of bipolar II also. I think I have a lot of the symptoms of both BPD and bipolar II and of course, obviously depression.


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