Thread: Low self esteem
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Old Mar 27, 2015, 12:19 PM
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pearlys pearlys is offline
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Hi, I have been diagnosed with personality disorder not otherwise specified. Previously also avoidant PD and hypervigilant narcissist traits.

Im trying to figure out the last one. I feel rejected very easily, I always had the feeling my opinion doesnt matter (if I have an opinion at all) and I hardly express my opinion. People hardly ever take me seriously or at least thats my impression. I can hardly convince people, even when I strongly beleive I am right and I dont even try to convince people. I find it very hard to talk in groups. I have no grandiose fantasies and I dont feel entitled. On the contrary, I think I have impostor syndrome. I have 2 bachelor degrees, one of them cum laude (with honors). If i tell people my achievements, I feel embarrassed because I dont want to be a show off. I always had a bit of performance anxiety under certain circumstances and social anxiety too.
Of course I try to cover my low self esteem and try to act normal. I do have a sense of empathy and a large introspective ability (according to my psychologists)
My problems have gotten worse as I grew older to the point that I hardly come out of my house.
When I am with nice people, I feel better. But because of my low self esteem and vulnerability I dont even try to find nice people. That means my self esteem is dependent on others? I dont want to be alone but I dont feel comfortable with others.

I am preoccupied with those hypervigilant narcissistic traits. Does the above fit into that?
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Dx: Mix anhedonia with Bipolar II. Add some insomnia and chronic stress. Season with paroxetine and a pinch of ADD. Stir well to induce a couple of hypo/manic episodes. After the excess of energy is gone, remove the Paroxetine and serve chilled with some C-PTSD and GAD. Ready is your MDD.

Mx: To clean up the mess use lamotrigine, r
isperidon, mirtazapine and sertraline. Let it soak in for a while but keep a close eye on it. Meanwhile enjoy your desert of oxazepam/temazepam prn.

Last edited by pearlys; Mar 27, 2015 at 12:43 PM.