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Dec 07, 2014, 08:34 PM
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Member Since: Apr 2013
Location: Ontario Land
Posts: 3,592
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Quote:
Originally Posted by Secretum
"Manipulative"
"Lying"
"Self-centered"
"Immature"
"Unable to handle challenges others can (i.e. weak)"
"Poorly behaved"
"Personality disordered"
Okay, so nearly everyone with BPD has terrible self-esteem and hates themselves. To the point where they are suicidal sometimes. And then we stick a label on them that people think means all the above.
Is that going to help them heal, or is that going to make them worse?
Hmmm, let's see. I don't think I know the answer to that one...  |
A clinician making those kinds of assumptions about a client isn't going to form much of an alliance with that person. There is nothing healing about those judgements.
I've have done extensive reading on BPD for healing and understanding. I really wanted to know how autism spectrum disorder in females could easily be mistaken for personality disorder. After all the reading I have concluded if a lady with undiagnosed ASD has a history of self-injury, is angry and complains of interpersonal problems she will most likely get the diagnosis. My psychiatrist agreed with me.
BPD describes a set of behaviors that one uses to cope with adverse conditions. These people have never been taught how because they have been invalidated for years. I don't see how this makes them personality disordered. C-PTSD is definitely a more accurate description for most of these people.
Clinicians are a big problem. They are the ones that have to repair the stigma since they caused it. They are known to misuse the label. E.g., diagnose patients they find too challenging or irritating with it. Often the label is used to prevent access to care. There are psychiatrists in my city who will not deal with people with a BPD diagnosis. I've heard so many stories of people in crisis who cannot get help. When I had the diagnosis (in the 1990s) I couldn't get care. No one wanted to deal with me. If they did they made all kinds of assumptions that fit the BPD presentation. The problem with that is it was wrong and I ended up getting psychologically hurt. Assumptions can really mess one up. Imagine being told you were sexually abused but it never ever happened.
Sometimes the diagnosis is given when clinicians cannot isolate the problem. I'm proof of that. Apparently I was a perplexing patient. They would tell me that a lot. Some asked if I was ever assessed for autism and epilepsy. Since they couldn't determine what was going on I got diagnosed with BPD even though it didn't describe my situation and feelings. My ASD was mistaken for BPD and I paid dearly for that. I'm in therapy for their errors.
When a clinician notices BPD in a consultation or discharge summary it stands out. All the other diagnoses don't matter. A lot of them want to run. If they do agree to see you they ignore you and write you off. I've been told some really nasty things. How is this supposed to help? These bastards should know better.
When I had the diagnosis I felt so ashamed. My problems felt insignificant and I blamed myself for everything that went wrong in my life.
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Dx: Didgee Disorder
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