Archive for the ‘Mental Health and Disorders’ Category

I always knew I was different. Something was ‘wrong’ with me;  although I could never quite put my finger on precisely what it was. I certainly didn’t know that I was living with Borderline Personality Disorder, also known as BPD.  As a child, I had been taught to value my differences and I was told that my strong headed personality would get me far in life. The adults around me chalked up my differences from other kids to ‘early maturity’ and being ‘very smart for my age’. I was a born leader with a dynamic personality.

I even had my ‘normal’ teenage struggles. In reality, nothing was normal about my teenage life because I was living with Borderline Personality Disorder.  Throughout my adolescence years, I had tons of difficulty making and keeping friends. Over many years I went through friends like they were going out of style.  A new best friend every year, sometimes even less. I was very devoted to my best friends and wanted to spend all of my time with them. Then, as usual, they would do some awful, completely unforgivable thing and I would need to set them straight.

Everyone told me that high school was filled with immature kids and that University would be different. The kids there would be better and more mature.  Yeah, no such luck. By the end of my first year, I’d managed to get on the bad side of every person in the entire building; some teachers included. The University kids were still very immature and I just didn’t want any part in their behavior.

Finally, into my second year, I met a new friend named Megan. We hit it off right from the start. I wanted to spend all my time with her.  She was perfect. I idolized Megan.  The best thing about her was that she was new to the school that year and she could get to know me for me and not by all the other awful things I’m certain the other kids say about me behind my back.

Things were going great with Megan.   There wasn’t a thing about Megan that I didn’t like. Well, I suppose she had her flaws but what person doesn’t. I looked past them and didn’t dare mention the things she did that bothered me. I wouldn’t want to insult her or make her feel hurt or rejected so I just pushed them aside and ignored them.

Things were going great until one day when she really did it!  I took her over to my family’s friend’s house where she actually had the nerve to say they were mean because they were rich and didn’t sponsor a child.  Well, that was it! I couldn’t figure out what in the world was wrong with her. Yeah, they were rich and no they didn’t sponsor a child, but maybe she should watch her mouth. I’d already done her a huge favor by pushing aside every other seriously annoying thing that she did and now she’s gone and said this!! How dare she even consider saying that to me?! I’ve done so much for her. It’s obvious that she is completely oblivious to how much I sacrifice for her every day.  Rage filled throughout me as my thoughts raced about all the sacrifices I had made for her and how much of an ungrateful bitch she was being; and with that I vowed that I could not have such an awful, useless, ungrateful person in my life. The rage continued and I vowed to myself that I would make her life miserable at school for as long as I possibly could. I hated her; end of story.

Does the story above sound all too easy to relate too?  Living with Borderline Personality Disorder is NOT a joke. It causes mounds of stress and distress for the sufferer and the sufferer’s loved ones; its effects on someone who has never seen it, are sometimes unfathomable.

Some people may be looking into this article from the perspective of an outsider, thinking they want to understand what this disorder really feels like. Let me inform you, no you don’t.

Living with Borderline Personality Disorder is like living in hell.

Here are some typical feelings for anyone living with Borderline Personality Disorder:

  • Sadness
  • Desperation
  • Fear
  • Anger
  • Helplessness
  • Hopelessness
  • Pain
  • Emptiness
  • Loneliness

Not only is it common for a person living with Borderline Personality Disorder to feel these emotions,  it is also common for them to be plagued with multiple ones at any given time.  It is quite common for the emotions to change in the blink of an eye.  There is a huge sense of loss of control, as though they are being sucked into a black hole of nothingness within themselves.

There is a mnemonic for BPD: Praise

P-Paranoid ideas

R-Relationship Instability

A-Anger outbursts, affective instability, abandonment fears

I-Impulsive behavior, Identity Disturbance

S-Suicidal Behavior

E-Emptiness

These symptoms may seem common to many disorders, however people with BPD experience all of them – a lot.

You may ask someone living with Borderline Personality Disorder why they are sad?  Chances are they will not have an answer. They will make one up to satisfy your question, but truthfully, deep down all they know is they are depressed, lonely, empty, in pain and hurting all at the same time with no idea why.  Life becomes about wearing a mask and faking an identity to get through the day. People living with Borderline Personality Disorder have difficulty maintaining a sense of identity and purpose in life and it’s hard for them to maintain and reach goals because they truly do not know who they are or what they want.  If you could feel their feelings, you would be burdened with a petrifying sense of rejection. It’s as though every one around you will up and leave on cue. Sometimes, people living with Borderline Personality Disorder feel as though it is easier to leave the ones they love; as opposed to being left.

If you could see inside a person living with Borderline Personality Disorder, you would know they feel like they are dying but they keep it all inside and let it fall apart only when they are alone. Only a handful of people in their life know because they keep their breakdowns a secret so they aren’t labeled as being crazy.  Emotional pain can become so intense, that someone living with Borderline Personality Disorder has to fight with their self to stop from hurting their self.  So really, anyone who does not understand this disorder should consider their genuine ignorance a blessing.

For those of you who are living with Borderline Personality Disorder; be proud and hold your head high. Take a step back and realize that you have already endured more than a normal person ever will in their entire lifetime. Be proud of your strong ability to cope with emotional pain; most people could not handle what you already have.

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A note from HealthTopics.ca about this author: 

Adara is not the author’s real name.  Think of it as a mask worn by this person who lives with Borderline Personality Disorder.  Although you do not know her real name, her story is real.  Her short life has been filled with unimaginable pain.  Now that she knows she is living with Borderline Personality Disorder she is committed to getting the help she needs so that she can live a full and satisfying life WITHOUT this disorder.  I asked her to share her story so that others may benefit.   Too often families don’t know their loved one is suffering with this disorder so it gets left untreated and becomes worse, sometimes resulting in suicide.  In many cases, as is the case for Adara, they have sought therapy and still remain undiagnosed.  In Adara’s case it took a major meltdown with extremely destructive behavior for her to land in the hospital emergency ward where she ended up with a diagnosis of BPD.  This has put her on the road to recovery.  Please, if you see extreme relationship troubles, continuous instant rage and overwhelming, often unwarranted, feelings of rejection coming from your loved one; learn more about Borderline Personality Disorder Symptoms and treatments.

For people struggling with Borderline Personality Disorder (BPD), treatment may seem like a far off concept. There is help for BPD and armed with more knowledge you will know where to look. With a combination of the right medication and something called Dialectical Behavior Therapy, most borderline personality disorder treatment is actually quite successful.

Firstly though, in consideration of taking medications, it’s important to remember that taking medication is not for everybody. There are many special considerations to be made and you should always discuss your situation with your doctor. In terms of medications available there are a few different options.  Things that have proven to be the most effective are anti-depressants, anti-psychotic drugs, mood stabilizers/anti-convulsants and anxiolytics (anti-anxiety medications).

It is also important to remember that there is no medication that is approved by the FDA for Borderline Personality Disorder treatment. Medication is most effective when used in combination with psychotherapy.

Dialectical Behavior Therapy is the psychotherapy used for Borderline Personality Disorder Treatment.  It was developed by Dr. Marsha Linehan, and it is extremely effective at helping people cope with overwhelming emotions. For a person who suffers from BPD, it typically feels like their emotion ‘knob’ is turned to the maximum. This causes their emotions to be wildly out of control and usually is even accompanied by physical pain. Through studies, it has been identified that people with BPD actually feel eighty times the emotion than a regular person. As you can probably imagine, feeling that way can be extremely overwhelming and difficult to control. That is where Dialectical Behavior Therapy comes in.

The Borderline Personality Disorder treatment known as Dialectical Behavior Therapy dialect therapy is broken up into four main sections. All four sections overlap one another and are very effective in teaching a Borderline Personality Disorder sufferer how to live a healthy and happy life.

  1. Distress Tolerance helps the sufferer cope with sudden distress or emotional pain. Typically, a Borderline sufferer’s emotions do not come all within one second. They progress over a span of time, be it one minute or one hour, until their knob is at the maximum. They progress because the sufferer sits and ‘stews’ over whatever happened to cause their onset. Distress Tolerance teaches the sufferer to break the ‘sitting and stewing’ cycle. It helps by teaching the sufferer distraction and self-soothing techniques.
  2. Mindfulness is another word for meditation. The reason this is called ‘mindfulness’ as opposed to ‘meditation’ is because the word meditation carries a certain religious stigma alongside it. Mindfulness is a type of meditation that is completely devoted to self awareness as opposed to religious beliefs. It is mainly used to stop major depressive episodes, reduce physical pain, decrease binge eating, increase tolerance of distressing situations, increase relaxation and increase skills to cope with difficult situations by becoming aware of surroundings and by teaching to ‘live in the moment’. As a result of all of its benefits, it is considered one of the core skills for Borderline Personality Disorder treatment.
  3. Emotion Regulation is how the sufferer is taught to react to their emotions. It is true that they can not always help how they feel about something, but it is also true that they can help how they react to their feelings. Emotional Regulation has nine different emotional regulation skills that will help gain control of emotions and the behaviors associated with them. 
  4. Interpersonal Effectiveness is teaching how to keep relationships alive and healthy while still setting appropriate boundaries and learning to say no.

While struggling, either with Borderline Personality Disorder treatment or helping someone through Borderline Personality Disorder treatment, it is important to remember that there is a light at the end of the tunnel and that there is a higher than 90% success rate in FULL patient recover. This means that by the end of treatment people who undergo Borderline Personality Disorder treatment can remiss having none of their initial symptoms and most never see symptoms come again.

If you or someone you know is suffering from BPD go to your local mental health professionals and find out about BPD treatment.  If you are unsure if you or someone you love is suffering from BPD visit bpdfamily.com where you will find very helpful information, chat forums and guidelines on BPD.  Read my article Borderline Personality Disorder Symptoms for more information on BPD.   Follow BorderlineInfo on Twitter for treatment information.

Pick up these books:

  • Stop Walking On Eggshells written by Paul T. Mason, M.S. and Randi Kreger for helpful information on understanding BPD, setting boundaries and more information on Dialectical Behavior Therapy.
  • The Borderline Personality Disorder Survival Guide written by Alexander L. Chapman, PH.D. and Kim L. Gratz, PH.D. for everything you need to know about living with Borderline Personality Disorder.

Borderline Personality Disorder (BPD) is the most common Personality Disorder and it is extremely painful to live with; for the sufferer and the sufferer’s loved ones. This is because Borderline Personality Disorder symptoms not only affect the sufferer, but they also end up affecting their loved ones.  People suffering from BPD experience intense emotional pain.  There is unrelenting chaos in relationships with other people; they feel empty, alone and desperate. 

BPD is not widely recognized.  There are several possibilities as to why.  Among the possibilities it has been said that rightly or wrongly, issues such as eating disorders, domestic violence, AIDS,and breast cancer don’t end up on the media forefront until they affect someone famous.  While many celebrities show the traits, none have come forward and admitted to having this disorder.

There are nine Borderline Personality Disorder symptoms. To be diagnosed with BPD, you must exhibit five out of the nine symptoms:

  1. Desperate attempts to avoid real or imagined abandonment.
  2. Unstable interpersonal relationships characterised by alternating between extreme idolization and extreme hatred.
  3. Identity Disturbance:  the constant feeling of  ‘faking it’. It is typical of a Borderline sufferer to have a different personality around all of their acquaintances.
  4. Destructive Impulsivity: destructive impulsive behaviors that are done in large quantities. Impulsive shopping, binge eating, binge drinking etc.
  5. Suicidal behaviours and Self Mutilation Characterised by harm towards ones self such as cutting, burning, binge eating and/or purging, anorexia, suicidal threats etc.
  6. Mood Instability: radical, extremely difficult to control mood swings.
  7. Emptiness: a deep emotional void that evokes a strong sense of meaninglessness and can cause behaviours such as self harm, suicide, identity crisis and severe mood swings.
  8. Anger:  unlike other emotions that happen, anger is categorized all on its own because it tends to be spontaneous and uncontrollable. People with BPD tend to be described by loved ones as a ticking time bomb.
  9. Reality Distortions:  These can include anything from auditory to visual hallucinations, skewed perceptions of reality etc. Unlike reality distortions with other mental illnesses such as Schizophrenia etc, reality distortions with Borderline Personality Disorder tend to be sudden but quick lived and accompanied by rage.

Today, there is quite a stigma that goes hand in hand with a mental illness diagnosis.  Some important things to remember about Borderline Personality Disorder are:

  • Typically, people who exhibit Borderline Personality Disorder symptoms are not psychotic. Their behaviour may seem slightly ‘crazy’ to the people around them while they have quite rapid and extreme mood swings, but they are not psychotic. 
  • Typically, women are more common to have Borderline Personality Disorder symptoms, but men can still exhibit them as well. It is a myth that woman are the only ones who struggle with this mental illness.
  • People who exhibit Borderline Personality Disorder symptoms usually come across as completely normal to people who don’t know them well. Usually their symptoms only come out around those who know them the best. 
  • People with BPD tend to be highly intelligent. This can make it difficult to get the proper treatment as they often see themselves as too high functioning to have a problem. 
  • It is a myth that Borderline Personality Disorder symptoms are untreatable.  Many people fully recover from this mental illness.

If you are wondering about a loved one or a friend and you need more information pick up the book called Stop Walking On Eggshells written by Paul T. Mason, M.S. and Randi Kreger.  This book is helpful for a non BPD Sufferer to define this challenging mental disease and also to learn about methods and treatments for help.  Also visit bpdfamily.com for very helpful chat forums and guidance for both the BPD sufferer and their loved ones.  You can also follow BorderlineInfo on Twitter for treatment and other information.