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[quote="cathylynn"]wish you the best of luck with DBT.[/quote]
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Wuftytufty
Posted: Wed Aug 15, 2012 11:50 am
Post subject: NT/Bipolar woman married to home diagnosed mild AS man.
Hiya,
I guess I am here to learn, and explore. I am Bipolar, but well treated with a combo of meds and self care, so I am stable and have been for about 8-10 months now.
I am in a LTR with my husband who identifies with AS, we think it's mild, but our relationship is yet again on its knees, as he seems to float away and live in a fantasy world of what he thinks is happening -eg a perfect relationship, all going well, but in reality he's actually ignoring me most of the time, intellectually and physically. I starts to feel abusive, as I try in the most level way I can muster that I am unhappy, and he just doesn't seem to hear me, and ignores it.
We've been together for 10 years, and now it's just getting to the point that I don't feel he really loves me, he doesn't want to connect with me in any way that I find meaningful, and I have tried so hard to adjust to him in the terms of AS, but I can't turn off my emotional needs and needs for connection with my husband.
He says he loves me so much, but gets lost in an 'AS' fog and doesn't know how to get back to me. He still has sexual feelings but won't approach me so that we can share.
I have tried to back off as much as I can to give him space, to adjust, but then he just shuts out. I become profoundly unhappy, low self esteem, feeling utterly pointless and useless, and I am now so ambivalent to being in this relationship with him.
We are Christian, and whilst I am no bible basher, I do want to try to live within this, and work at the marriage, but there's no point when he shuts down on me for months, leaving me totally alone.
We had couples counselling last year, which seemed to help whilst we had it, but after he just kept forgetting and slowly just went back to how he was. Then I get upset. The only way to get through to him is to scream and tell him I want to split up, but I hate doing this, as it's traumatic for both of us, and I am naturally quite a calm and metered person. But he just won't here if I sit down and tell him I am very unhappy with the relationship, or that I feel he has shut me out again. He only takes notice when I scream and I hate it so much.
I have agreed to try again, although I wonder if it's best just to call it quits, but then he begs me to stay, and tries to pay me way too much attention, which after nothing is really overwhelming.
Just wondering if anyone has any tips, AS insights, or anything at all that I can learn to try to sort things out?
Thanks,
And by the way, I am not against AS, my hubby has so many lovely and amazing traits, and is a good person, but for some reason saves all his worst behaviour just for me. So I really am here just to learn.
Thanks again!
YellowBanana
Posted: Sat Aug 11, 2012 4:48 pm
Post subject:
I have a diagnosis of Emotional Dysregulation Disorder either due directly to my ASD itself or due to Borderline Personality Disorder. I believe it to the be the first (or at lease I want to believe that!). The austism specialist I saw also agrees that all of my behaviours which could give me a diagnosis of BPD could be also accounted for by ASD behaviours. (I received my ASD diagnosis before my EDD diagnosis so there is no question over the ASD diagnosis).
I don't like having a possible BPD label, but it did get me a referral for psychotherapy (which I am on the waiting list for but shouldn't be too much longer), so it's not all bad.
nick007
Posted: Sat Aug 11, 2012 2:45 pm
Post subject:
Quote:
1.
Abandonment fears
refers to an intense fear of. A person will do anything not to be abandoned. They may use suicide threats.
My 1st relationship ended because I got very controlling & demanding with her because I was scared of being without her because she was the 1st person I had ever connected with.
Quote:
2.
Emptiness
refers to a visceral feeling, that is felt in the abdomen and/or chest. This is not a fear of "not existing" and existential anguish.
I had that some before the relationship & after it ended because of my depression.
Quote:
3.
Interpersonal problems
refers to splitting or dichotomous thinking. This is not disagreeing with your parents, partners and friends over things like money or clothing. People are seen in "all or nothing" terms. This is motivated by abandonment issues.
I had some when i got upset; I would see everything that was related to something I had a problem with as bad but I think that can be an Aspie thing.
Quote:
4.
Affective instability
refers to the intensity, volatility and the range of moods experienced in a short period of time. Eg. Minutes to a few days. A person with real BPD will fluctuate between emotions. The change is abrupt and each emotion felt is very intense. Eg. Sad, to happy, to angry.
Yes because of the psychotic depression. My GP thought I was bipolar at 1st.
Quote:
5.
Impulsivity
refers to the self damaging variety. This is different from impulsivity seen in other conditions, such as bipolar. This is reactive and self destructive. Eg. A man in AA with 6 months sobriety suddenly gets drunk, because he had a fight with his sponsor. While, someone with bipolar may walk on a roof because he thinks he is a bird and wants to fly. It is very common for people with BPD to cycle through different impulsive behaviours, such as food bingeing, and spending sprees.
I suddenly quite a job because I got mad at management & I bought things online for a bit because I thought they were kewl that I couldn't afford but I had to have it & as soon as I got it I was wishing I didn't buy it because I knew it was crap but I'd do that again as soon as I saw something else. I think My OCD was part of the problem because since I had one thing I needed to have something else that was related to it like collecting a set or something. Oddly enough I had developed that online buying problem after I had been diagnosed with BPD & seeing psychs & taking meds for a couple years & it quit when I weaned myself off the meds.
Quote:
6.
Identity disturbance
refers to body image distortions commonly seen in people with anorexia and body dysmorphic disorder (think cosmetic surgery junkies). It also refers to adults (not teens) who take on the identity of the other person they are with. The lack of identity they feel is profound.
My personality changed when I was in that relationship & I took on her interests but that was it.
Quote:
7.
Suicidal ideation/self injury
refers to threats, gestures and attempts that are different from a well thought out suicide. They are impulsive. (There is a huge difference, I have seen it.) The hospital can reinforce this behaviour, since it feel safe and caring.
I did after the breakup due to the depression.
Quote:
8.
Anger
is anger. What makes BPD anger different is its intensity and inappropriateness relevant to the situation. Eg. The person goes on a rage when their partner is late.
I've had lots of Aspie meltdowns in my life & my mom says I get mad & fly off the handle. I blew up at my partner when she wasn't online when she said she'd be because I was having lots of panic attacks worrying about her when I had no reason to.
Quote:
9.
Reality testing
refers to apparent psychotic symptoms. Eg. Depersonalization, derealization, auditory hallucinations, etc... This is different from true psychosis.
I had a psychotic depression or depression with psychic features.
kirayng
Posted: Sat Aug 11, 2012 11:26 am
Post subject:
FireBird wrote:
Only 2-3 people (doctors) have seen it in me. My current psychologist says I don't have it that its part of the other things I have. Please don't shoot me down. My anxiety and schizoaffective disorder can cause the mood swings, depersonalization (and other dissociative symptoms), the anger problems, the out of control feelings for my family (but never friends) and I believe that can be normal in a family to have love hate relationships, the psychosis is part of the schizoaffective disorder, the black and white thinking can be autism related. It doesn't automatically mean borderline personality disorder. They are dramatic people. I don't know if true but I believe they lie a lot. I don't have the impulsive behavior such as overspending (maybe just a little but not enough for mania or borderline where I spend all the money I have), reckless driving (I don't drive at all), and sex with random people I don't have that either. The only behavior that screams borderline to the exact point is the self harm. That is a big red flag for this disorder. In fact that is why some people see it in me in the first place.
Self-harm is also a symptom of autism spectrum disorders.
PennyDreadful
Posted: Sat Aug 11, 2012 4:47 am
Post subject:
Hi
I was diagnosed with BPD a year ago, but it was incorrect. They've told me I have OCD, major depression, bipolar disorder, general anxiety disorder, social anxiety disorder, borderline personality, and Aspergers [I find it odd that the text-edit does not recognize that word. Dictionary needs to get its s*** together]. As of now, it is most accurate to say that I have OCD, depression, and Aspergers.
Although I can recall symptoms of these since childhood, they were not diagnosed until my senior year of high school. AS was not even suggested to me by any of my doctors until a few months ago, because I had self-injury problems and severe depression to the point of suicidal behavior, and that was considered more urgent. When I went away to college, everything became much worse, which landed me in the hospital many times and eventually caused me to come home. At the time I was only 17, so the first hospitals I went to were adolescent psych units, and these kinds of problems are de rigeur among the teenage inpatient crowd, so of course, that's what they focused on. One hospital was so convinced I had an eating disorder (I've always been both abnormally skinny and freakishly tall, plus anxiety makes me barf) that they put me in the EDO program against my protests and my pediatrician's testimony and ignored my real problems altogether (to this day the sight of Ensure makes me ill). Another happened a few days before I turned 18, so the whole thing was pretty much trying to decide what to do with me before they had to ship me out or shuffle me off to a new staff in the adult ward. And then of course the adult wards were all, well, adults, and the schizophrenics and the addicts in withdrawals were in a lot more need of attention than the quiet girl who hid under her blanket. I think everyone saw a teenage girl who cuts and gets irrationally upset at things (sensitivity to sounds, mostly) and they assumed BPD. Of course, no one actually told me of this diagnosis until I screamed at my psychiatrist because I felt like there was something he wasn't telling me, which didn't exactly contradict this. After my meds got more stable and I moved back home, the self-injury and suicidal thoughts mostly went away, so the underlying problems could finally be identified. Things aren't better, but at least it's properly categorized.
It probably also doesn't help that in every single hospital, at least one person would tell me "hey, you know who you really look lke? Winona Ryder."
Raziel
Posted: Thu Aug 02, 2012 1:36 am
Post subject:
Dots wrote:
After that, the medical professionals magically stopped treating me like I was a manipulative bastard and started treating me like a patient. My current psychiatrist confirmed the diagnosis of Bipolar and doesn't discount my experiences at all. I wish the medical profession didn't treat Borderline patients like that. I'm glad to no longer have that label, and I feel sad for all the people that probably really need help but no one will help them.
I once made more or less the same experience you made, because it was belived I do have it.
That's why I belive that the label, if you just have tendencies, doesn't help at all. Because of the was psychiatrists start to treat you. That's just terrible.
When this happend to me, I was struggeling with my autistic social difficulties and had a trauma disorder.
They started to talk to me in a double meaning and stuff. I had no change to understand that as an autistic person.
I still have the trauma thing and since it is going better since a view months they tread me more and more like a human being.
I had (and still have) angerproblems and moodswings together with the trauma.
The problem was that I'm also transgender, so it looked like I have a low selfidentity.
And also because my trauma occoured in the hospital, because I was in the closed section and terrible claustrophobic, but they didn't realice it. So I react with anxiety and stuff meeting a psychiatrist.
I toled them that I wouldn't try to suicide me and that I'm not selfharming and stuff, but they didn't belive me.
But in the meantime it is getting better and so they treat me less and less like they did in the beginning and so treated me wrong for a whole bunch of while.
Why can't they just tread borderline people like normal humans?
I have:
Identity disturbance: markedly and persistently unstable self-image or sense of self.
Well, I'm Transgender, but I consider that as something different.
Recurrent suicidal behavior, gestures, threats or self-injuring behavior such as cutting, interfering with the healing of scars or picking at oneself (excoriation) .
I had one suicid attemd nearly two years ago, no more and never self-injuring behavior.
I' diagnosed with photodermatitis. One psychiatrist once thought that's self-injury though.
Affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability or anxiety usually lasting a few hours and only rarely more than a few days).
I have this a lot.
This is the only one I really have (exept for the trauma symptoms who are there since less than 2 years and are getting better).
But I suspect Bipolar II. My mom suspects that I have this diagnoses since I'm a teenager.
And also lithium helps me very well.
Inappropriate anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights).
I just have this in connection with my trauma and hope that it is solved soon, I really hate this part.
Transient, stress-related paranoid ideation, delusions or severe dissociative symptoms
Since the trauma I can get nearly paranoid, but I don't have dissociative symptoms.
WalkingTheDog
Posted: Wed Aug 01, 2012 9:13 pm
Post subject:
I don't have BPD but I know a lot about it and I have a great deal of sympathy for those that have it. I had a friend a while back with undiagnosed BPD so I had a glimpse of how awful it can be. Best of luck to the OP and the others of you seeking treatment!
LadybugS
Posted: Wed Jul 11, 2012 6:08 pm
Post subject:
I was diagnosed with it today.
Didgeeeee
Posted: Sun Jul 08, 2012 3:32 am
Post subject:
nick007 wrote:
Some of us Aspies(defiantly me) tend to be immature for our ages; the standard figure I heard is that our mental ages are a 3rd younger than our physical ages but that's just the average & there's lot of variations & exceptions. I was close to 21 when I started seeing psychs & my mental age was probably on the lelevl of a young teenager & most all the psychs didn't believe I had AS because I communicated too well verbally & my learning profile did not fit the typical AS pattern partly due to me having other learning disabilities so the BPD diagnoses seemed to explain some of my issues.
I am a 34 year old AS woman with the mind of a 25 year old.
Mental age and AS: this makes it much more important for psychiatrists to screen for an ASD, prior to making a BPD diagnosis.
Bun
Posted: Sat Jul 07, 2012 8:24 am
Post subject:
Nurylon wrote:
I never let go of people, but that's a good thing. I'd move them into another category rather than delete them. I don't like to be given up on so I don't give up on others. I know I had a hard time letting go of my ex, but then I was ble to, but that's because I stil talk to him and know that he's okay.
Ta for the advice.
nick007
Posted: Fri Jul 06, 2012 10:42 pm
Post subject:
I'm pretty sure I appeared to fit most of those diagnostic criteria when is tarted seeing psychs Didgeeeee. I think most EMO teenagers who go through their 1st breakup from a very heavy relationship would appear to have most all those issues as well but they would not get the BPD label due to being teenagers. Some of us Aspies(defiantly me) tend to be immature for our ages; the standard figure I heard is that our mental ages are a 3rd younger than our physical ages but that's just the average & there's lot of variations & exceptions. I was close to 21 when I started seeing psychs & my mental age was probably on the lelevl of a young teenager & most all the psychs didn't believe I had AS because I communicated too well verbally & my learning profile did not fit the typical AS pattern partly due to me having other learning disabilities so the BPD diagnoses seemed to explain some of my issues.
Verdandi
Posted: Fri Jul 06, 2012 10:13 pm
Post subject:
I was diagnosed with BPD in October or November of 2010, although I found out in December. Only one person who has met me for a grand total of two hours over the past year and a half believes I have it. I meet criteria 5 and 7 from Didgeeeee's list.
While I do not believe I have it, and this belief is supported by the majority of people who have interacted with me either offline and/or online, the diagnosis prompted me to research it in-depth, and I tend to feel that the way psychiatry fails people diagnosed with BPD is inexcusable.
Also, regarding the so-called manipulative nature of people with BPD:
http://www.psybc.com/pdfs/library/What_is_Manipulative_Behavior_Anyway.pdf
This paper deconstructs the idea that BPD really means manipulative, and puts the responsibility for this perception squarely on professionals' shoulders. Behavior that is acceptable from patients with other diagnoses are misinterpreted as manipulative from someone diagnosed with BPD.
I believe, statistically, approximately 10% of people with BPD successfully commit suicide. To me, this means that someone with BPD presenting as suicidal is in crisis, and not trying to "manipulate people" into being admitted to the hospital. That the suicidal ideation is intense and real.
There's another paper I came across:
http://research.chicagobooth.edu/cdr/docs/SocialDeath-Williams.pdf
This paper shows that when someone is socially excluded, the same part of the brain that activates when one experiences pain also activates when someone experiences social exclusion. This does not mean that exclusion literally causes physical pain, but that social exclusion causes the same psychological and emotional distress that being in pain causes. I felt this was relevant to BPD because of the fear of abandonment, and taking any kind of action to prevent or avoid real or imagined abandonment. It seems relevant. If BPD is actually emotional dysregulation (in the UK it's called Emotion Dysregulation Disorder), then it seems that this is a relevant element. If most people feel emotional distress at the possibility and actuality of being socially excluded, it must be significantly worse with emotional dysregulation, at least for some people.
Nurylon
Posted: Fri Jul 06, 2012 9:34 pm
Post subject:
I never let go of people, but that's a good thing. I'd move them into another category rather than delete them. I don't like to be given up on so I don't give up on others. I know I had a hard time letting go of my ex, but then I was ble to, but that's because I stil talk to him and know that he's okay.
Bun
Posted: Wed Jul 04, 2012 6:43 am
Post subject:
^ I agree with you. And I find it particularly disturbing there's a bias towards females in this category, I don't even identify with many 'feminine' traits, but did someone even bother to ask me about that? No they didn't.
Didgeeeee
Posted: Tue Jul 03, 2012 7:53 pm
Post subject:
Not everyone who self injures has BPD. Medications can cause this behaviour. Anxiety, and anger are a few other causes. Often people learn this coping method while in hospital. It is part of the psychiatric inpatient culture. At one time, self injury existed mainly in institutions or was done in private. Now, it is a social contagion. It is this, that makes me question psychiatrists and psychologists who diagnose people with BPD based on this one behaviour.
A patient may appear to have BPD, but actually don't. It is important that a doctor explore with their patient over a long period of time the origins of their self injury. A person has to meet specific criteria for the disorder. A clinician has to determine if that individual's behaviour is motivated by an intense fear of abandonment and being alone. (This is not separation anxiety.) The problem behaviours have to be present for a long period of time (not weeks or months) and in different contexts, not just the clinical environment.
Don't believe any doctor who gives a BPD diagnosis in one appointment. BPD should not be diagnosed in adolescence, since the personality is still developing.
Here is the BPD diagnostic criteria:
1.
Abandonment fears
refers to an intense fear of. A person will do anything not to be abandoned. They may use suicide threats.
2.
Emptiness
refers to a visceral feeling, that is felt in the abdomen and/or chest. This is not a fear of "not existing" and existential anguish.
3.
Interpersonal problems
refers to splitting or dichotomous thinking. This is not disagreeing with your parents, partners and friends over things like money or clothing. People are seen in "all or nothing" terms. This is motivated by abandonment issues.
4.
Affective instability
refers to the intensity, volatility and the range of moods experienced in a short period of time. Eg. Minutes to a few days. A person with real BPD will fluctuate between emotions. The change is abrupt and each emotion felt is very intense. Eg. Sad, to happy, to angry.
5.
Impulsivity
refers to the self damaging variety. This is different from impulsivity seen in other conditions, such as bipolar. This is reactive and self destructive. Eg. A man in AA with 6 months sobriety suddenly gets drunk, because he had a fight with his sponsor. While, someone with bipolar may walk on a roof because he thinks he is a bird and wants to fly. It is very common for people with BPD to cycle through different impulsive behaviours, such as food bingeing, and spending sprees.
6.
Identity disturbance
refers to body image distortions commonly seen in people with anorexia and body dysmorphic disorder (think cosmetic surgery junkies). It also refers to adults (not teens) who take on the identity of the other person they are with. The lack of identity they feel is profound.
7.
Suicidal ideation/self injury
refers to threats, gestures and attempts that are different from a well thought out suicide. They are impulsive. (There is a huge difference, I have seen it.) The hospital can reinforce this behaviour, since it feel safe and caring.
8.
Anger
is anger. What makes BPD anger different is its intensity and inappropriateness relevant to the situation. Eg. The person goes on a rage when their partner is late.
9.
Reality testing
refers to apparent psychotic symptoms. Eg. Depersonalization, derealization, auditory hallucinations, etc... This is different from true psychosis.
One needs to meet 5 out of the 9 criteria for a BPD diagnosis. Why 5? It is arbitrary. Even the American Psychiatric Association admits that. Those are the people who determine what a psychiatric disorder is. They write and publish the DSM.
Depression, eating disorders and substance abuse are concomitant conditions, that are almost always present.
-----------------------------------------------------------------
If you self injury do you meet this criteria?
Just about every female who presents in emergency with anger, depression, anxiety and suicidal ideation gets diagnosed with BPD. One way to avoid this label is to stay away from hospitals, where it is most commonly diagnosed.
BPD is a legitimate condition, but I don't think it is as common as psychiatrists want the public to believe.
I have decided to post this because of my own traumatic experience with psychiatry. I was misdiagnosed with BPD and know how difficult it is to get fair treatment and be heard.
BPD is a very overused and stigmatized diagnosis that can prevent access to treatment. Educating yourself about BPD can help you determine if you have it or not.
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