I agree that BPD is not a helpful diagnosis for everyone, "it's labelling" and has a lot of negative connotations.There are prejudices and assumptions around the label which I am well aware of, living with somebody with it. I think no one should diagnose any condition without a full psychiatric evaluation. People often present with developmental disorders too and mental health issues and it's easy to misdiagnose. . BPD develops most often after a traumatic or abusive childhood, abandonment at a young age, loss of a parent,lack of love from a parent or guardian. . It's most common in people who were brought up in care
I'm going to share my own experiences as the site is anonymous and not judgemental. I worked primarily with adults brought up in a particular childrens home, which was closed down because it had been an abusive environment. Many clients had severe and enduring mental health issues, and BPD was very common. Marie hints at a difficult childhood with an alcoholic father and she seems reluctant to go home to her family? As I said I wasn't a psychiatrist, I was a behavioural therapist working on strategies for clients to help them cope with their many social difficulties eg explosive anger, relationships. I had mental health training in my degree, but to decide what someone has
without an assessment was not part of my training .
The lines blur between people on the spectrum and with a personality disorder.
My husband has BPD due to an abusive background, is aware of his diagnosis. He was previously misdiagnosed with bipolar disorder and the medication did nothing. He was then diagnosed as having Aspergers which we challenged as I felt it was wrong.. He got another opinion a few years ago, and got the proper treatment pathway. His life has turned around. He is off medication that made him ill and feels he is in charge of his life again and able to work at his career. He sees a psychotherapist and manages it extremely well with Dialetic Behavioural Therapy (DBT).
Without the help he got he wouldnt be able to manage it.
Here are the traits of someone with BPD. Not everybody with BPD has all of them. Not everybody with BPD is difficult socially, or any of the other negative connotations people infer.
The behaviour Marie displays reminds me so much of my clients and my husband so I expressed my own opinion. I'm not qualified to diagnose. It's just my gut feeling.
Thank you very much for that background and info.
So well done for getting your husband on the best track. It's difficult to counter the assumptions of any doctor.
You actually explained very very well why I consider 'BPD' to be one of the worst and cruellest psychiatric labels ever.
I studied psychology at uni for 7yrs+. I became truly sickened at the way patients are treated - or, rather, mistreated. 99.9% of everyone labelled 'BPD' have a very sad childhood history of chronic abuse, unstable primary carers who ensure a chaotic lifestyle. These poor children reach adulthood entirely traumatised.
In short, 'BPD' should be scrapped for the slapdash convenience it really is for doctors. They don't understand, can't be bothered or don't want to risk straying outside their billing codes. Pejorative labels and useless meds are easier.
Having read and studied widely, thought long and written much about it and allied conditions, my suggestion is not to label emotional and developmental difficulties by behaviour but to recognise the victimhood, the profound trauma, and support victim-led and orientated healing from that, with lots of compassion and practical help (which is rather as you and your husband have found best).
And call it Childhood Trauma Injuries or something very similar. Anything that doesn't convey that the victim is at fault and which roots the issues firmly in the cause: abuse injuries.
Who says psychs are right? They do. Nothing in the DSM5 is cast in stone.
It's promising that the new crop of psychs coming along now are far more interested in getting to the truth of this so called BPD and also PTSD, anxiety and depression. The new wave are beginning to construct a more accurate perspective of victimisation and societal dysfunction resulting in injuries which then give rise to behaviours that most others don't understand and find challenging.
Forgive me, I could (and have!!) write thousands of words about all this!
Who knows what Miss Wilt's issues really are.? Though we can recognise that some of her behaviour and attitudes are noticeably unhelpful to herself and annoying or troubling to others.