I have a lot of comorbid symptom trees, I guess. Several BPD traits, PTSD symptoms, OCD symptoms (and not even the cleaning kind), anxiety problems and then also psychosis episodes. It could be that I have combinations of 2+ issues that together present like BP. Sometimes I think schizoaffective is more fitting.
Best I can really do is armchair-psych for myself with the DSM and articles online, as well as analyze how I respond to treatments. This atypical I am on clears up a lot of certain stuff for me that makes me conclude there is a psychosis problem. When I tried EMDR, I had an extremely severe aggressive panic attack and almost assaulted the therapist, makes me believe there is indeed some touchy trauma stuff in my head.
In the end though I just try to be goal-oriented. I want to be functional and at peace. I'm always looking for / trying methods to achieve that goal.
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