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mickey

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I recently discovered that, between the ages of 4 and 48, I met eight of the nine diagnostic criteria for borderline personality disorder. I still meet three or four, as evident from my history on ALL. There is a chance that I was diagnosed with it in 1977, at age 12. That diagnosis was almost never applied to children because it was considered a death sentence. BPD was long considered untreatable, and patients with BPD were considered a danger to the mental health of health care providers themselves. Diagnoses of BPD were almost never disclosed to the patient, the patient's parents and loved ones, or really anyone else except the few health care providers directly involved with the patient. Among them the diagnosis was never written down but whispered fearfully by unverifiable word-of-mouth with a focus on helping the health care provider protect herself from the patient. In the last seven years or so, however, an increasing amount of published research has shown that there are indeed effective treatments for BPD, and increasingly the focus is on diagnosing it as early as possible in a child's life so that treatment can be most effective and problems can be nipped in the bud before too much reinforcement occurs.

I finally understand many things--why I have for so long been so hard to get along with, have repeatedly alienated the very people whom I wanted to accept me, had stormy pesonal relationships, experienced dread of abandonment within minutes of having the security of my relationships confirmed, made snap decisions, abused cigarettes and the casino tables, alternatived between idealizing and demonizing the very same people within very short spans of time, experienced fits of rage and dissociation, sometimes felt numb and empty, etc etc etc. I also now understand why I always had this vague feeling that something very important was being hidden from me. It likely was. But now I have hope for the first time in many years. There is some chance I can self-administer the apropriate therapeutic techniques and make enough of a recovery to retrain and find a job again before reaching retirement age. Even though I know my possibilities are extremely limited, it _feels_ like they are limitless. And that's probably just the illness speaking. There's still a long way to go.
 
My step sister has borderline personality disorder. Your description helps me understand it a little more. She used to idealizing my father, almost to the point where it made me uncomfortable, then she HATED him within a month. This would happen over and over again.

I'm glad you found this out, I hope your self therapy works!
 
Nicolelt said:
My step sister has borderline personality disorder. Your description helps me understand it a little more. She used to idealizing my father, almost to the point where it made me uncomfortable, then she HATED him within a month. This would happen over and over again.

I'm glad you found this out, I hope your self therapy works!

If she has full-blown BPD then her self-experience is hell. People with that condition are almost always miserable and many of the things they do are just maladaptive attempts to cope with the misery. This was not appreciated until recently, as the entire focus used to be on how their behavior affected other people. Ironically, the thing that someone with BPD needs most is for other people to acknowledge that they have a right to feel the way they really do feel even if others disagree with them and feel differently (called "validation"). That was what was most missing from the lives of people with BPD when I was probably first diagnosed and for many decades later.
 
That's so great that a piece of your puzzle has slotted into place. I would be interested in knowing what you try, and what you find that helps you.
 
Sometimes said:
That's so great that a piece of your puzzle has slotted into place. I would be interested in knowing what you try, and what you find that helps you.

The first thing I'm tackling is impulsiveness. That actually has several aspects. One is that absolutely all of my good-seeming decisions and most powerful desires are snap decisions and desires that arise suddenly from nowhere. In the past I've instantly acted on them, but I'm now making a point of putting all action off for at least 48 hours no matter how good an idea it seems to be or how much I want to act on it right away. It's tough to break an entrenched decades-long habit but I'm doing my best. I'm trying to rely on nearly constant introspection and self-talk to delay action while I'm having silent dialogue with myself about the decision or desire.

Impulsiveness is also, in many people, associated with substance abuse and addictive behaviors. I'm not an illegal substance abuser and never was, but I do have a heavy dependency on tobacco cigarettes and have been a problem gambler. The cigarette dependency is proving intractable because I enjoy smoking cigarettes and my real motivation for giving them up is excessive expense, as they are very expensive here. The desire to save money is not enough to help me succeed in quitting smoking. As for the gambling, it's dependent on how much liquid funds I have access to. The absolute threshold is $400 or more because at that point I go through hell from the casino jones. Down to $300 and more I have mild casino urges popping up out of nowhere. I have made confidential arrangements to have all of my funds in excess of $299 be inaccessible for a period of time so that I have a chance to cool off and lose the urge to go gambling. It's working a lot better than my past solution of simply using willpower and going through the torments of the damned and sometimes losing the battle.

Beyond that I'm still reading a recent book on BPD and plan to read two others. All were written by clinicians who have successfully treated people with BPD and published within the last five years. It appears that no literature on BPD older than about 2002 is the least bit reliable. But the minds of many health care professionals are still stuck in that oudated space and doctors themselves are still being surprised to learn that BPD is no longer considered untreatable.
 

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