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Didgeeeee
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07 Oct 2012, 11:53 am

Raziel wrote:
But research has shown that a lot of people dx with it, just have it a fiew months or years and just in few cases it lasts a lifetime.
So the good news is, that with good therapy and the right treatment, there are good changes of improvement.

But some psychiatrists think very clichee: Oh you have a PD, so you have to act this and this way and you will have it a lifetime, but it's not so easy at all. It's more the other way around, PDs are just traditional categories, the psychiatry used to explain certain behaviour. It also just means that you met the diagnostic criteria at that time out of various reasons, nothing more.

So, of course autistic people can have severe problems regulating their emotions, but they don't have to. They also deal with it different than NTs would do, so that the concept of BPD how it exists today don't really fit in most cases with ASD.


So many psychiatrists diagnose a PD before considering other conditions. PDs are not meant to be a first consideration. Other conditions such as epilepsy, ASDs, traumatic brain injures, substance abuse, ADD/ADHD, metabolic conditions and so on must be ruled out first. A good clinician uses this approach, rather than diagnosing PD in a first meeting with a patient.

BPD for some may just be a set of coping mechanisms for a limited period of time. Anyway, some people can acquire maladaptive behaviours in institutions like hospitals and group homes. Even medications can cause these behaviours.

PDs in my opinion are a way of coping, rather than a permanent flaw in one's personality. The behaviour works so the disorder persists, appearing as if the person is rigid and unchanging. I refuse to believe people are static beings.

I don't think I ever had BPD. No one believed I had the condition, except for a few inpatient psychiatrists. I am certain, I got this Dx due to medication, my anger from bullying, the sporadic cutting I did (learned while in hospital) and my inability to articulate my emotions. The behaviours started and ended abruptly, and were never long standing. This Dx actually traumatized and alienated me.

I got better on my own.

There is so much to learn. BPD is the unknown.

Sensory issues, and a sensitive disposition can explain some of the emotion dys-regulation seen in autistic people.


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Raziel
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07 Oct 2012, 2:10 pm

Didgeeeee wrote:
So many psychiatrists diagnose a PD before considering other conditions. PDs are not meant to be a first consideration. Other conditions such as epilepsy, ASDs, traumatic brain injures, substance abuse, ADD/ADHD, metabolic conditions and so on must be ruled out first. A good clinician uses this approach, rather than diagnosing PD in a first meeting with a patient.


I so much don't care about PDs.
In the new DSM-V other PDs are even getting removed and they will all have something else in the future...!
This is just a traditional way of categorizing people who show a certain behaviour over a certain period of time and of course some will even show it for years and decates, it's like depression. Some have it shorter and some longer. Nothing more. And a lot of people dx with BPD will stop showing this behaviour being out of the abusive environment. And of course you could say they were all missdx in the end and how we understand this diagnosis today, they were, maybe even most were. But maybe professionels were wrong with those catheogries and they just have a clichee thinking about it most of the time. Just repeading what they have learned without reading the newest research.

From wikipedia:
Around a third (depending on criteria used) of people diagnosed with BPD achieve remission within a year or two. A longitudinal study found that, six years after being diagnosed with BPD, 56% had good psychosocial functioning compared to 26% at baseline.

But officially you can't even get dx accourding to the ICD-10 (I'm not sure about the DSM-V) showing those symptoms less than 2 years.

Didgeeeee wrote:
BPD for some may just be a set of coping mechanisms for a limited period of time. Anyway, some people can acquire maladaptive behaviours in institutions like hospitals and group homes. Even medications can cause these behaviours.


Of course, those are all just coping mechanisms nothing more and resent research shows that. That's why all the PDs are getting highly criticised. And of course in some cases those mechanisms are extreme, since very early on and liflong with extreme behaviour but those are the minority.
I don't believe in the concept of PDs, how they are descriped at all and see it more as Emotion Dysregulation problems, who can be caused through medication, trauma, neclegt or something else and they can last from a short period of time, upto years beginning like being part of the personality and developing certain coping mechanisms because of that when they last over a long period of time.

Didgeeeee wrote:
PDs in my opinion are a way of coping, rather than a permanent flaw in one's personality. The behaviour works so the disorder persists, appearing as if the person is rigid and unchanging. I refuse to believe people are static beings.


Certain research suggests that in a lot of cases this behaviour just lasts a certain period of time and not forever. Those cases exist and it's not even that rare. PDs are just made up categories, nothing more. And nearly half - 40% - of the PDs will even get removed in the new DSM-V, because there is no need to keep them.


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Last edited by Raziel on 08 Oct 2012, 6:41 am, edited 2 times in total.

Raziel
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07 Oct 2012, 5:48 pm

This is a very interessting, about Borderline:

[youtube]http://www.youtube.com/watch?v=967Ckat7f98[/youtube]


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LadybugS
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08 Oct 2012, 11:22 pm

I was diagnosed with it this year and feel free to PM me if you wish. I will share any experience and info I might have, in order to help you.


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