I might have borderline personality disorder

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SanityTheorist
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07 Dec 2012, 9:10 am

In my therapy it was brought up my issues are symptomatic of Borderline personality disorder. I asked my mentor (third party and 2nd opinion) and he said he's seen these symptoms in me for the 4 years I've known him.

As for the causes...I had a really sh***y childhood involving abuse, lack of psychosocial development and my mother has it.

I am half hopeful and half worried. I now have a name for my feeling; however, it is a sign I may need to be medicated for the rest of my life to function well. It would be nice to end the dysfunction though.


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07 Dec 2012, 12:19 pm

If you need medication to function well....at least you get to function well!

The most effective known treatment for BPD, though, is Dialectical Behavior Therapy. It is a form of cognitive behavioral therapy, so it is practical and gives you real skills to change. And don't ever believe anyone that you cannot change! This is not a life sentence. For a long time, I fit all the diagnostic criteria for BPD, but now I don't. I did not do Dialectical Behavior Therapy itself, but over the years I've had lots of therapy and it has all added up to the same ideas taught in DBT.

You're already headed in the right direction- you are letting other people help you and be there for you (like your therapist and your mentor). Keep reaching out for help and keep trying to change. BPD is no joke, it is a miserable state of being, or at least it was for me. I was always angry and depressed, prone to fits of rage and I realize now that I pushed everyone away from me (thereby fulfilling my fears of being abandoned). So I was extremely lonely, too. It doesn't have to be that way.



SanityTheorist
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07 Dec 2012, 3:44 pm

Thank you, I am luckily having visits from a behaviorist. She would be able to do that.

How does dialectical behavior therapy work though? Cognitive dissonance being resolved would help greatly.

My mentor was there to help me figure out the issues. Now it just has a term that i can use to encompass it all. I just hope treatment is still a possibility, it is truly debilitating. When alongside poor development every issues becomes three times worse.

My mother never sought treatment for her borderline personality....probably why we have such a sh***y relationships in retrospect.


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SanityTheorist
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10 Dec 2012, 9:18 am

I feel like I'm going crazy now. It's almost like my fear of thig is making everything worse...downright dysfunctional right now.

Also, it seems the cause was my parents fighting through me after a divorce around age 5. I have certainly been met with nearly no sympathy as well...

What I hate is the black and white perspective is shifting to here. I can bond through interests here, but all my The Haven posts get mostly ignored.


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SanityTheorist
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10 Dec 2012, 9:57 am

Quote:
The Four Modules of Dialectical Behavior Therapy
1. Mindfulness

The essential part of all skills taught in skills group are the core mindfulness skills.

Observe, Describe, and Participate are the core mindfulness “what” skills. They answer the question, “What do I do to practice core mindfulness skills?”

Non-judgmentally, One-mindfully, and Effectively are the “how” skills and answer the question, “How do I practice core mindfulness skills?”

2. Interpersonal Effectiveness

Interpersonal response patterns taught in DBT skills training are very similar to those taught in many assertiveness and interpersonal problem-solving classes. They include effective strategies for asking for what one needs, saying no, and coping with interpersonal conflict.

Borderline individuals frequently possess good interpersonal skills in a general sense. The problems arise in the application of these skills to specific situations. An individual may be able to describe effective behavioral sequences when discussing another person encountering a problematic situation, but may be completely incapable of generating or carrying out a similar behavioral sequence when analyzing her own situation.

This module focuses on situations where the objective is to change something (e.g., requesting someone to do something) or to resist changes someone else is trying to make (e.g., saying no). The skills taught are intended to maximize the chances that a person’s goals in a specific situation will be met, while at the same time not damaging either the relationship or the person’s self-respect.

3. Distress Tolerance

Most approaches to mental health treatment focus on changing distressing events and circumstances. They have paid little attention to accepting, finding meaning for, and tolerating distress. This task has generally been tackled by religious and spiritual communities and leaders. Dialectical behavior therapy emphasizes learning to bear pain skillfully.

Distress tolerance skills constitute a natural development from mindfulness skills. They have to do with the ability to accept, in a non-evaluative and nonjudgmental fashion, both oneself and the current situation. Although the stance advocated here is a nonjudgmental one, this does not mean that it is one of approval: acceptance of reality is not approval of reality.

Distress tolerance behaviors are concerned with tolerating and surviving crises and with accepting life as it is in the moment. Four sets of crisis survival strategies are taught: distracting, self-soothing, improving the moment, and thinking of pros and cons. Acceptance skills include radical acceptance, turning the mind toward acceptance, and willingness versus willfulness.

4. Emotion Regulation

Borderline and suicidal individuals are emotionally intense and labile – frequently angry, intensely frustrated, depressed, and anxious. This suggests that borderline clients might benefit from help in learning to regulate their emotions. Dialectical behavior therapy skills for emotion regulation include:

Identifying and labeling emotions
Identifying obstacles to changing emotions
Reducing vulnerability to “emotion mind”
Increasing positive emotional events
Increasing mindfulness to current emotions
Taking opposite action
Applying distress tolerance techniques


Dialectical Behavior Therapy may be perfect for me.


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ianorlin
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10 Dec 2012, 7:03 pm

SanityTheorist wrote:
I feel like I'm going crazy now. It's almost like my fear of thig is making everything worse...downright dysfunctional right now.

Also, it seems the cause was my parents fighting through me after a divorce around age 5. I have certainly been met with nearly no sympathy as well...

What I hate is the black and white perspective is shifting to here. I can bond through interests here, but all my The Haven posts get mostly ignored.
Try doing something else to take your mind off of it is what works for me.



SanityTheorist
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10 Dec 2012, 7:05 pm

ianorlin wrote:
SanityTheorist wrote:
I feel like I'm going crazy now. It's almost like my fear of thig is making everything worse...downright dysfunctional right now.

Also, it seems the cause was my parents fighting through me after a divorce around age 5. I have certainly been met with nearly no sympathy as well...

What I hate is the black and white perspective is shifting to here. I can bond through interests here, but all my The Haven posts get mostly ignored.
Try doing something else to take your mind off of it is what works for me.


Starting binging again until I can talk to the behaviorist; that's helping.


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hmstmil
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10 Dec 2012, 8:45 pm

SanityTheorist wrote:
I feel like I'm going crazy now. It's almost like my fear of thig is making everything worse...downright dysfunctional right now.

Also, it seems the cause was my parents fighting through me after a divorce around age 5. I have certainly been met with nearly no sympathy as well...

What I hate is the black and white perspective is shifting to here. I can bond through interests here, but all my The Haven posts get mostly ignored.


I'm sorry, I certainly wasn't trying to ignore you. I'm new here; still trying to get the hang of how things work. I always check the box that says to notify me when a reply is posted, but I don't see how I'm notified or if the thread has some marker next to it to show me there's a reply posted. So I didn't see you posted a reply :(

Why are you afraid? Are you afraid of BPD? Or of the treatments for BPD?

It is true that people with BPD tend to be like you are saying- extremely neglected or abused. They have been hurt pretty bad, which is the entire reason they've developed BPD characteristics. All of those are defense mechanisms, attempts at protecting yourself.

If you are like me, those attempts at protecting yourself can be violent or raging outbursts- basically, you are now an adult and will not tolerate anyone mistreating you. I know I reacted quickly, and as strongly as possible, to fend off any possible abuse I perceived. I had grown up, and all that crap wasn't going to be happening anymore, because I wasn't going to allow it. It was very much like PTSD (in fact, one could argue that that is exactly what BPD is- PTSD).



SanityTheorist
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10 Dec 2012, 8:49 pm

Yeah, I allow no one to try to gain dominance over me, even if it requires a pre-emptive strike. That has been an issue for me.

I am more afraid of myself right now than anything...the treatments make me optimistic, but will reality seem any kinder? It scares the hell out of me to leave me binging on escapism currently.

As far as coping methods go, they are outdated now and must be rectified. i am ready to get this dysfunction done with.


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11 Dec 2012, 10:28 am

There are several things I can see in your posts that make me think you are going to succeed.

You are willing to admit something needs to change. Most people with BPD are not able to admit that.

You are reaching out to other people for support. That is an incredibly difficult thing to do when your past has shown you how messed up people can be. For me, it was (and still is) the hardest part. I just don't trust people because so many of them have let me down. Now I have some good friends and that makes all the difference. Then at least I have proof not everybody is bad.

You have a good handle on identifying and describing your emotions. When I started out in therapy, that was my biggest obstacle. It's not that I didn't have feelings, it's that I was numb 99% of the time. I also only had a handful of words I could use to describe my feelings at any given time- angry, happy, sad, anxious. If you asked me how I was feeling, most of the time I couldn't give you a real answer. But treatment goes a lot faster the better you get at identifying exactly what you feel and why. Keep developing that ability. Constantly check in with yourself and make yourself label how you are feeling at that exact moment. I did this in treatment for binge eating disorder, and it was very helpful at making me more self-aware.

You have a positive outlook about treatment. You don't talk about it as if it is some sign you are flawed or like it's an obligation you don't want. You're doing it because you want to. That greatly increases your chances of success.

I know what you are talking about with the "pre-emptive strike". That is exactly how I used to see things. I still do that, in a way. Only now, the event that would've triggered a pre-emptive strike just makes me stop and notice first. It'll set off alarm bells, and I'll know I need to watch that situation for certain signs of trouble. Then, if I think I need to set up to defend myself, I'll find a way to do so using stuff I learned from reading about assertiveness. That usually stops the problem without the fallout that would accompany my rage reactions. If necessary, I will get nasty to defend myself, but that has proven to almost never be needed.

Don't be afraid of yourself. You have to remember that all these are coping mechanisms you developed to survive. They worked, but now, like you said, they are outdated and must be rectified. The very fact that you developed these strategies is proof you are strong. As you progress, you are going to find out that you are far stronger than you realize.

Reality does seem kinder. You will find the world feels much different in the years to come.



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11 Dec 2012, 3:25 pm

Thank you, I really needed to have my feeling confirmed that I was strong. Shouldn't need them to be, but I do have rapidly fluctuating self esteem.


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