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Jun 29, 2013, 07:06 PM
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Member Since: Mar 2013
Location: USA
Posts: 1,486
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Quote:
Originally Posted by Trippin2.0
I don't need a study, as expressed in a previous thread by multiple members its really awfully simple. But like most mental issues drs dont know shyt so they perform longwinded studies trying to convince us they understand.... yeah, no, I'm not in your study am I?
Basics they have in common?
Erratic (extreme) mood shifts and impulse control problems.
Basic differences;
BP ~ episodic mood shifts may or may not have triggers. Independent of environmental factors. i.e. I will be depressed whether or not my bf shows up, I will be manic whether or not my boss approves.
~ Meds, lifestyle changes and therapy are generally helpful
BPD ~ reactionary mood shifts. Always a reaction to someone else, the closer the relationship, the bigger and badder the reaction.
i.e. I hate my bf right now becoz he's busy and I'm slicing my arm becoz I'm obviously unimportant, then bf drops in for a suprize visit and I'm over the moon and more inlove than ever.
~ Unless meds cause flat effect to help you through a rough time, they're generally useless longterm because its your thought patterns and perceptions that need rectifying.
So my 2c? Drs misdx because they're either lazy, cop-out due to insurance issues or they just suck at listening. Because it REALLY isn't that complicated to understand if the right people are asking the right questions... Or maybe they're just bored and are looking to pass the time with studies.
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I agree with you that the distinctions are pretty clear and that psychiatrists often just do not take the time to get to know someone enough to make these (and other) diagnoses accurately. Given that most people see their pdocs every couple or few months and for 15-30 mins, I think it's pretty arrogant (or maybe some just don't care) of them to think that they can really make complicated diagnoses with such a schedule. They would have to abstain from dx for a long time and/or confer a lot with a therapist who knows the pt long-term. Or, the most responsible thing, during the time of deciding on dx see the pt on a regular basis and for far longer.
How is it that teens and others are able to get their hands on ADHD drugs when they do not have the disorder? I've read articles on this where teens know the sxs from the internet, spout them, ipso facto dx in one session, meds, etc. It's utterly irresponsible on the part of psychiatrists. Because people get addicted and sometimes sell the meds to others, etc.
But for this to change, the whole system would have to change whereby insurance companies would reimburse pdocs for more frequent and longer appointments, in addition to widespread acknowledgement that this is necessary. Meanwhile, I don't know, I think we, pts, to a certain extent, are on our own.
I know you know very well the differences, but one of the reasons why I posted this is because I've read on other threads recently people stating that these illnesses are very difficult to distinguish. Wanted to post research that makes the distinction. I understand that any one research study is not going to reflect the experience of everyone, it's one set of data and points of view amongst many. Thanks for your reply.
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