The best thing you can do for yourself is to try things (DBT or otherwise) that you think may work for you. It took multiple suicide attempts for me to ever get diagnosed BPD even though I knew the DSM description fit me better than anything else (I was always diagnosed Bipolar, which is in vogue don't get me started- it's just a trend). I have not done DBT, I am due to start in a month, so I am not going to sing its praises as a formalized treatment but it has at least been suggested to me. But again, as I said it took a serious suicide attempt before it was even mentioned. About a year before that incident I was in treatment for depression and substance abuse and I had mentioned BPD and my therapist's knee jerk reaction was to deny it without even asking why I might think I had it. I dared mention BPD because I thought it fit my psychiatric problems and his response was that "if you were BPD you would not think you were". That was one of the most ignorant things I have ever heard. Frankly BPD has a stigma most psychiatrists are unwilling to acknowledge. A lot of patients who are otherwise difficult to manage are diagnosed with BPD, as well as those who do not respond to medication. It is both a blessing and a curse that this disorder (if we have to call it that, I'm off topic once again but I think what we deal with is a natural product of our environment) is not responsive to medication. Oftentimes we are diagnosed as Bipolar II as insurance will accept the need for treatment for bipolar but not BPD. Not to mention those with BPD are stereotypically considered the most difficult to treat for clinical psychologists. BPD has a bad rap. I know psychiatrists and psychologists who patently refuse to treat those with BPD because it is such a difficult disorder. There really is no set treatment, it's not like depression or even PTSD, these unhealthy habits we have are so ingrained that they subsume us and until DBT, EMDR, and other mindfulness based therapies those who would help us just plain didn't know how. And so their shortcomings rest on our shoulders. Naturally they do not want to admit it so we are usually diagnosed with Bipolar II, given mood stablizers and sent on our way.
So... I apologize, I could get into the politics more if I wanted to but I feel I am rambling. More importantly, I was finally diagnosed with BPD instead of Bipolar II this year after learning not to mention it. Analyze yourself as much as possible. That only breeds self awareness which is the solution... but due to the politics understand they may not agree with you. Trust yourself above all. Those who would help you are only human. I will also tell you that the biggest two things that have helped me were a book on DBT that I read before I was ever diagnosed (I am sorry but I can't remember the title, I found it in the psych library at UGA a long time ago) and at least an hour of yoga every day. Mindfulness is a large component of DBT and yoga is the best way to teach that. I cannot emphasize that enough. Yoga primarily, along with that DBT book, effectively cured me. DBT has taught me how to manage myself and my emotions, while yoga has taught me mindfulness and stoicism. I have had a very big problem with dissociation and paranoia and yoga and mediation have been able to fix that for. DBT simply combines cognitive behavioral therapy (CBT) and yogic philosophy. It can do nothing but good for you. I don't even know you but I am proud of you for taking the first steps and taking responsibility for yourself and your own wellbeing. DBT can be nothing but good for you and if they don't agree well... you show them where to shove it... and I highly recommend yoga. Forgive my rambling response. I hope it helps. Namaste. lol.
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