Posted by gardenergirl on March 8, 2004, at 10:18:52
In reply to It does help, but brings up another ?? » gardenergirl, posted by Racer on March 7, 2004, at 14:03:00
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> I guess I wonder what you believe about the validity of the diagnosis? If you think it's over or under reported? If it really is being used inappropriately by doctors as a way of avoiding difficult patients?I think there are some who use the term as a derogative name for people, like your pdoc threatened. I do think it's a valid diagnosis, although like Dinah, I think it seems to fit better under mood disorders than personality or characterological disorders. I'm not really sure if it is under or over reported. No data to go on in my head.
And can you tell me more about it in general? (I guess I'm looking for reassurance here, like "that doctor was not right, because a) you don't fit the dx, and/or b) BPD means [x], it does not mean that there's no hope for patients who fit the diagnostic criteria."
Here is a site that gives info about BPD. http://www.bpd.net.nz/dsm.html
It lists the DSM-IV criteria among other things. I would not presume to try to affirm or deny such a difficult to make dx for someone here, but you might be able to do that for yourself when you read the criteria.The reassuring thing is that even if you do fit the criteria, that does not mean there is no hope for you. Haven't you made progress already in therapy? Besides DBT and psychodynamic therapies have shown to be effective with people with BPD.
Someone earlier posted about feeling like DBT only went so far, and that psychodynamic is better now. I wonder if the program she was in takes DBT through all four stages? The first stage is very crisis and problem solving oriented. This is usually when skills training happens. Once the person is stronger and is utilizing skills effectively to prevent the more troubling symptoms, stage two then focuses on trauma and emotional processing. I'm guessing a lot of programs just provide stage one stuff. Three and four move towards actual happiness and self-esteem. A lot of therapies do not go that far.
> Thanks GG! Them's part of my initials, did you know that? My husband's initials, too! Must be why we 'click', huh? Just the initials, nothing else needed...Cool!
gg
poster:gardenergirl
thread:321635
URL: http://www.dr-bob.org/babble/psycho/20040308/msgs/322026.html