Posted by tinydancer on March 8, 2004, at 3:19:34
In reply to Re: Question about diagnosing BPD » tinydancer, posted by Elle2021 on March 8, 2004, at 2:30:20
> > What surprises me is this: she does and has never self injured,
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> 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?
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> >no financial irresponsibility, nor excesses in drugs, alcohol
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> 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.
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> >She has never been a drug or alcohol addict.
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> Not all Borderlines are, I'm not.
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> >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?
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> 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.
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> 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!
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> Elle
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>
Thanks for your post, Elle. You brought up some great points and a number of possible explanations for why she got the diagnosis.Before I was diagnosed DID/MPD I had the BPD diagnosis for several years, so I suppose I was comparing her case to my own. The mood instability and other emotional traits fit well but I struggle to find any self injurious behavior. Have to think about that one based on your example.
She is definitley impulsive. In fact, come to think about it, she just told me how she had spent a lot of money last month on things she didn't need, but I think that's my fault because I'm a bad influence.
poster:tinydancer
thread:321831
URL: http://www.dr-bob.org/babble/psycho/20040303/msgs/321927.html