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Originally Posted by finding_my_way
from about 16 on, i had been labeled as borderline. for years, i knew that never really fit me because from all the research i have done (and it has been a lot) about my symptoms, i never felt it was a fit for me but that nothing really has been diagnosis wise as there are so many overlapping symptoms, but nothing 100%.
i was scared to ask my psychiatrist until today if she thought i had borderline personality disorder (BPD). she said that she thought i had BPD, also with anxiety/OCD, but that i am on the dissociative spectrum (of BPD, i think she meant) but also that i have variations (which i took as i am not borderline technically because of the variations that don't fit into the DSM criteria). i have always had parts and always a lot of varying symptoms, so nothing really was all that consistent with me even years ago if someone was trying to actually diagnose me.
my question is for anyone with dissociative disorders (DDNOS or whichever it is now in Canada/the US), do you also carry the label of borderline personality disorder?
I am wondering how common it is to have both because i also read somewhere that dissociation in borderline personality disorder isn't really the same as one where you have parts....do those who have BPD experience parts, hear voices, etc.?
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here is what america goes by for borderline personality disorder. as you can see criterion 9 is severe dissociative symptoms.
http://www.treatingbpd.ca/BPD-Diagno...esentation.php
in the dissociative category each of the dissociative disorders carries the criterion that the symptoms can not be better explained by another disorder. which basically means a person with any of the other disorders (for example borderline personality disorder) can carry the same symptoms as those in the dissociative disorders categories. the difference is their dissociative symptoms are because of /related to their having the other disorder that is sharing the same symptoms.
what does all this mean...yes borderline personality disorder can now also have the symptom of having the severe dissociative symptoms (ie feeling of numbness, spaciness, disconnection, parts\alters\ dissociative amnesia/depersonalization,derealization....)
the key here is how it presents itself and whether its better explained by a dissociative disorder diagnostics or whether its better explained with in another mental disorders diagnostics.
note the bottom half of this link is not the present diagnostic criteria. it is added information of what is being considered\thought about\discussed among the American Psychiatric Association panels for when its time to do the next revision, in other words a proposal not set in stone.
to read more about this you can go to your library and read your libraries copy of the DSM 5 (for the american standards) some parts of canada are using the DSM 5 and other parts are using other standards. your treatment provider can show you which standard they are going by and how and why your symptoms fall into the borderline personality disorder standards.