Posted by Elle2021 on March 8, 2004, at 2:30:20
In reply to Question about diagnosing BPD, posted by tinydancer on March 8, 2004, at 1:44:43
> What surprises me is this: she does and has never self injured,
There are a lot of ways to self-injure. Cutting, purposely taking too many pills, or the wrong pills, etc. I have a friend, when she gets upset she quits taking her medication. Her therapist decided that this was a form of self-injurious behavior because she was doing it to harm herself. Could it be that your friend's SI behavior is more of the obscure type?
>no financial irresponsibility, nor excesses in drugs, alcohol
So she isn't impulsive at all? What about driving? I have read that it is pretty classic for Borderlines to drive recklessly on purpose when they have a rage.
>She has never been a drug or alcohol addict.
Not all Borderlines are, I'm not.
>I wonder how the BPD diagnosis could be made? Is it more important to go to the core of the BP disorder which is the emotional problems and distorted thinking? Can a diagnosis be made on that alone?
I know that the DSM requires that a person meet several requirements before being give the dx of BPD. The common traits of Borderlines are mood instability, emotional instability, relationship problems, black and white thinking, impulsiveness.
I think that she could possibly meet the dx without being a self-injurer or addicted to drugs. But, you know her better than I do!
Elle
poster:Elle2021
thread:321831
URL: http://www.dr-bob.org/babble/psycho/20040303/msgs/321918.html