Counting Down

I’ll assume the questions are about BPD. I’ll be happy to answer when you’ve got them.

I’ll just say I’ve worked with a number of BPD patients in the past. The main issue I had the most difficulty overcoming was the intuition. How do you tell somebody that their feelings of suspicion are totally unwarranted or that the intense love they feel for the guy they just hung out with is true love? Sometimes their intuition was dead on, other times completely off, but the one thing they all had in common was they were absolutely sure about what they were feeling.

Of course there were also secondary issues to deal with, previous betrails, long histories of abuse, a lot of time I suspected much of this was… over emphasized, or that they had in some ways re-written their experiences to be better or worse than they actually were, and of course they were absolutely sure of what they were expressing and to suggest they weren’t was tantamount to calling them a liar (and super pissing them off), this happened so often I was fairly sure whatever the truth was originally they had completely convinced themselves of what they were saying regardless of the actual events.

another thing about BPD… understand that the DSMV has always been off when it comes specifically to personality disorders especially those where the diagnosis could be many things. oh so you have rapid cycling mood swings? clearly Bi-polar. Oh you have a side order of “deep sense of emptiness” with your mood swings and you tend to be highly dramatic? clearly BPD. I honestly think therapists put too much… faith (?) into those diagnoses. you have emotional problems, linked to some organic issues dealing with your sense of well being (serotonin) along with traumatic events in your past. pretty damn hard to nail that down to one specific thing and not any one of 100 other possibles.

Man says to doctor “whenever I poke myself in the leg like this it really hurts!”
Doctor says “then quit poking yourself in the leg!”

Try and avoid the conditions that lead to the trigger. Night lite? Im not a big believer in therapy for organic disorders but for phobias it could really help. There are antipsychotic meds you can take but there are huge side effects and the long term effects create a shaking condition similar to Parkinson’s disease so I woulden’t suggest those unless the benifits really outweighed the problems.