Non-hostile borderline

HAs anyone else been called this????? Since I was a kid, T's said I was PTSD. Then, my latest (and greatest) T said I had borderline features but I wasn't bordeline. Now he says non- hostlile borderline. Did he make up this Dx juts or me?? I do all the BPD stuff but Idont get mad at other people whenthey disappoint me I just get mad at myself...can anyone relate?
Talk about identity problms. I cant even be BPD right....

No, there are lists of symptoms for all diagnoses and a person doesn't have to have them all.

Label doesn't matter. What matters is working on feeling better.

Sometimes diagnoses are for insurance purposes and the diagnosis may determine the number of visits or frequency of visits that insurers will cover.

You can always ask your T what features he is basing his diagnosis on to help clarify it for you. It might be an interesting and insightful discussion

actually i thought i was one of those non-hostie borderlines, my T said no.. she said that I have symptoms similar to border line because of trauma issues. but that im not borderline because i dont have outward displays of my anxiety (ie. Anger), but just internal anxiety.. thats just me though. you may be different.

((( justsignmeupalready )))

It is not a made up DX. I'm not sure there is an official diagnotic code for it, but it's real.

Here is an article that might help you understand a little better.

The Quiet Borderline

There is also a book about it. Not that you'd buy it, but you could have a peek at it in your local bookstore.

Psychotherapy

(((Petunia)))

Thanks for the link. I may buy the book. I want to read up on this. My T says I have thoroughly tested his ability to diagnose. lol. WOuld youhappen to know what else to search under besides "quiet borderline". I have access to a bunch of databases, if you ever need articles or anything...

"she said that I have symptoms similar to border line because of trauma issues. but that im not borderline because i dont have outward displays of my anxiety (ie. Anger), but just internal anxiety.."

ummm... i don't really get what the diiference is...could you explain some more I need all the help I can get. lol.

dsm criteria for bpd:

1. frantic efforts to avoid real or imagined abandonment DEFINATELY

(2) a pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation -SPLITTING>YEAH EXCEPT I DONT GET MAD AT ANYONE ELSE BUT MEE.

(3) identity disturbance: markedly and persistently unstable self-image or sense of self . DEFINATELY.

(4) impulsivity in at least two areas that are potentially self-damaging (e.g., spending, sex, Substance Abuse, reckless driving, binge eating). ALL OF THE ABOVE LOL.

(5) recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior . NOT REALLY. OK WELL NOT ANYMORE> LOL.

(6) affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days) EMOTIONAL DYSREGULATION. BIG TIME.

(7) chronic feelings of emptiness YES.

(8) inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights) NO NO NO.

(9) transient, stress-related paranoid ideation or severe dissociative symptoms. NOT SO MUCH.

Maybe the # 8 is the difference? Yeah youre right. just feeling better is the thing....*sigh*

"I DONT GET MAD AT ANYONE ELSE BUT ME."

Bingo.

Maybe this will help a little more. The "quiet borderline" acts inward---as opposed to acting out.

Acting In, Acting Out

Most borderline behavior is about one thing: trying to cope with internal anguish. However, people with BPD may do this in different ways. In our experience, the behavior of people with BPD tends to fall into two general categories: "acting out" and "acting in." These are not official, empirically researched categories. Rather, they are a convenient, real-world way of looking at differences.

Acting-out behaviors are attempts to alleviate pain by dumping it onto someone else-for example, by raging, blaming, criticizing, making accusations, becoming physically violent, and engaging in verbal abuse. Acting-out behaviors cause direct anguish for friends, family members, and partners. For example, one borderline woman, Kiesha, became very angry when she felt that her husband was ignoring her at an office Christmas party. So she went up to him, threw her drink in his face, and stalked out.

Acting-in behaviors mostly hurt the person with BPD, although non-BPs are also affected. Someone with BPD who mostly acts in may feel extremely guilty over imagined transgressions. They may mutilate themselves, try to hold in their anger, and blame themselves for problems that are not their fault. Suicide is also a possibility.

You can read more here...

http://www.bpdcentral.com/resources/basics/types.shtml

interesting.. maybe my T was wrong.

Whats the different than quiet BPD and Avoidant personality disorder?

I was diagnosed borderline back in the early 1970s when it meant something slightly different, more a literal borderline between neurosis and psychosis because I had a very "active" fantasy life I was living in :-) But anyway, I wasn't hostile either particularly, a tad too sarcastic thanks to my stepmother and a brother who "taught" me that "skill" but somewhat PTSD too from my mother's death when I was a toddler and my stepmother's abuse growing up. But much later (1990s) my T said she was working on the GAD, General Anxiety Disorder, theory of me :-) You might see if you "like" that diagnosis better.

http://www.nimh.nih.gov/publicat/anxiety.cfm#anx7

Thank you Perna, for that link!

esthersvirtue asked: </font><blockquote><div id="quote"><font class="small">Quote:</font>
Whats the different than quiet BPD and Avoidant personality disorder?

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well, I'm no where near to being an expert but I'd think one difference might be that borderlines are proned to self-harm, which I don't believe is a trait for people with Avoidant Personality Disorder..... however-- I've read that-- one could share traits from both disorders and even more confusing..... some people have so many various traits that they must be diagnosed Personality Disorder NOS(not otherwise specified)

It can be quite confusing.......

mandy

I have an exam on personality disorders on Monday & Im spending the whole weekend reading about them so I hopefully will know EXACTLY the diff between avoidant and BPD but yeah if they dx you with one you could still have features of another personality disorder. being dx'd borderline kind of sucks though. its makes T's in general not want to deal with you. and it gives them an excuse to say your being difficult when youre not. i dont know how you feel about "avoidant" but you may want to stick with that!!! hugs. MY T wouldnt ever do ever do that. Hes the best. (I think he comes on here, lol). Hugs.

thanks for the link, P. I think I have that too...

Personality disorders and anxiety disorders are on different "pages" from one another and PTSD is an anxiety disorder is another reason why I thought you might have gone from PTSD to GAD versus over into Borderline?

Yup.

i think that the majority of people who meet criteria for BPD meet criteria for one or even two other personality disorders as well. typically avoidant or narcissistic. sometimes anti-social. some people have tried to explain that the reason more women are diagnosed with BPD is because guys tend to act out, go to jail, and end up with a dx of anti-social instead.

i think the main difference between borderline and avoidant is that most people with BPD are more on the dramatic side. actively seeking proximity with people. but then you get the inhibited emotional expression variety and i guess that tends to be correlated with avoidant. avoiding proximity with people.

not sure that there is a hard and fast line

officially (apologies in advance for the judgemental crap)

Other Personality Disorders may be confused with Borderline Personality Disorder because they have certain features in common. It is, therefore, important to distinguish among these disorders based on differences in their characteristic features. However, if an individual has personality features that meet criteria for one or more Personality Disorders in addition to Borderline Personality Disorder, all can be diagnosed. Although Histrionic Personality Disorder can also be characterized by attention seeking, manipulative behavior, and rapidly shifting emotions, Borderline Personality Disorder is distinguished by self-destructiveness, angry disruptions in close relationships, and chronic feelings of deep emptiness and loneliness. Paranoid ideas or illusions may be present in both Borderline Personality Disorder and Schizotypal Personality Disorder, but these symptoms are more transient, interpersonally reactive, and responsive to external structuring in Borderline Personality Disorder. Although Paranoid Personality Disorder and Narcissistic Personality Disorder may also be characterized by an angry reaction to minor stimuli, the relative stability of self-image as well as the relative lack of self-destructiveness, impulsivity, and abandonment concerns distinguish these disorders from Borderline Personality Disorder. Although Antisocial Personality Disorder and Borderline Personality Disorder are both characterized by manipulative behavior, individuals with Antisocial Personality Disorder are manipulative to gain profit, power, or some other material gratification, whereas the goal in Borderline Personality Disorder is directed more toward gaining the concern of caretakers. Both Dependent Personality Disorder and Borderline Personality Disorder are characterized by fear of abandonment, however, the individual with Borderline Personality Disorder reacts to abandonment with feelings of emotional emptiness, rage, and demands, whereas the individual with Dependent Personality Disorder reacts with increasing appeasement and submissiveness and urgently seeks a replacement relationship to provide caregiving and support. Borderline Personality Disorder can further be distinguished from Dependent Personality Disorder by the typical pattern of unstable and intense relationships.

Borderline Personality Disorder must be distinguished from Personality Change Due to a General Medical Condition, in which the traits emerge due to the direct effects of a general medical condition on the central nervous system. It must also be distinguished from symptoms that may develop in association with chronic substance use (e.g., Cocaine-Related Disorder Not Otherwise Specified).

Borderline Personality Disorder should be distinguished from Identity Problem...which is reserved for identity concerns related to a developmental phase (e.g., adolescence) and does not qualify as a mental disorder."

thank you for that; i found it very interesing. where did this come from? is this differential diagnosis in the dsm?

yep DSM differential (scroll down to the bottom)

http://www.fortunecity.com/campus/ps...81/bpd-dsm.htm