Tag Archives: Child Abuse

Mental Health Araweness Week; Day 7: Borderline Personality Disorder (BPD) & Recovery

Posted on by Gertie

It’s Day 7 of Mental Health Awareness Week. That means it is the last day and I struggled with what I wanted to discuss today. I really wanted to discuss another diagnosis as well as recovery. With much discussion and consideration with different people in my life, I have chosen to not only talk about Recovery but Borderline Personality Disorder (BPD) as well. I chose these two topics because I at one time was diagnosed with Borderline Personality Disorder (BPD) and because I have worked so hard in recovery I no longer meet the criteria for Borderline Personality Disorder (BPD). So you can see the topics of Recovery and Borderline Personality Disorder (BPD) can go hand and hand for me.

I will discuss Borderline Personality Disorder (BPD) first. From here on out for the remainder of this blog, Borderline Personality Disorder will be written as BPD. The following information on BPD I got from National Alliance on Mental Illness (NAMI) website at nami.org.

Borderline Personality Disorder

Borderline Personality Disorder (BPD) is a serious mental illness that can be challenging for everyone involved, including the individuals with the illness, as well their friends and family members. BPD is characterized by impulsivity and instability in mood, self-image, and personal relationships. The treatments and longer-term studies of BPD offer hope for good outcomes for most individuals who live with BPD. Ideas to name the condition in a manner that better describes the patter of concerns (e.g., Emotion Dysregulation Disorder) have been advanced but no name change to the condition is planned for the release of DSM-5.

What is Borderline Personality Disorder (BPD) and how is it diagnosed?

Borderline Personality Disorder is diagnosed by mental health professionals following a comprehensive psychiatric interview that may include talking with a person’s previous clinicians, review of prior records, a medical evaluation, and when appropriate, interviews with friends and family. There is no specific single medical test (e.g., blood test) to diagnose BPD and a diagnosis is not based on  a single sign or symptom. Rather, BPD is diagnosed by a mental health professional based on patterns of thinking and behavior in an individual. Some people may have “borderline personality traits” which means that they do not meet the criteria for diagnosis with BPD but have some of the symptoms associated with this illness.

Individuals with BPD usually have several of the following symptoms, many which are detailed in the DSM-IV-TR:

  • Marked mood swings with periods of intense depressed mood, irritability and/or anxiety last a few hours to a few days (but not in the context of full-blown episode of major depressive disorder or bipolar disorder).
  • Inappropriate, intense or uncontrollable anger.
  • Impulsive behaviors that result in adverse outcomes and psychological distress, such as excessive spending, sexual encounters, substance use, shoplifting, reckless driving or binge eating.
  • Recurring suicidal threats or non-suicidal self-injurious behavior such as cutting on one’s self.
  • Unstable, intense personal relationships, sometimes alternating between “all good,” idealization, and “all bad,” devaluation.
  • Persistent uncertainty about self-image, long-term goals, friendships and values.
  • Chronic boredom or feelings of emptiness.
  • Frantic efforts to avoid abandonment.

Borderline Personality Disorder is relatively common – about 1 in 20 or 25 individuals will live with this condition. Historically, BPD has been thought to be significantly more common in females, however recent research suggest that males may almost as frequently affect by BPD. Borderline Personality Disorder is diagnosed in people from each race, ethnicity and economic status.

What is the cause of Borderline Personality Disorder?

The exact causes of BPD remain unknown, although the roles of both environmental and biological factors are though to play a role in people who develop this illness. While no specific gene has been shown to directly cause BPD, a number of different genes have been identified as playing a role in its development. The brain’s functioning, as seen in MRI testing, is often different in people with BPD, suggesting that there is a neurological basis for some of the symptoms associated with BPD.

Neuroimaging studies are not clinically helpful at this time to make the diagnosis and are research tools. A number of hormones (including oxytocin) and signaling molecules within the brain (e.g., neurotransmitters including serotonin) have been shown to potentially play a role in BPD. People who experience traumatic life events (e.g., physical or sexual abuse during childhood) are at increased risk of developing BPD, as are people with certain chronic medical illnesses in childhood.

The connection between BPD and other mental illnesses is well established. People with BPD are at increased risk for anxiety disorders, depressive disorders, eating disorders, and substance abuse. BPD is often misdiagnosed and many people find they wait years to get a proper diagnosis, which leads to a better care plan.

Many people with Borderline Personality Disorder have a first-degree relative with a serious mental illness (e.g., bipolar or schizophrenia). This is likely due to both genetic and environmental factors.

Now that I have bored you about BPD, I want to thank you for reading to this point. Again, I got the following information from NAMI’s website at nami.org.  I will now continue on with the next part of my blog.

The next part of the discussion is Recovery. According to the Webster’s dictionary Recovery is defined as following: noun: The process of combating a disorder (such as alcoholism) or a real or perceived problem. Now that you know the definition of Recovery, I can tell you how recovery looks to me especially when it comes to BPD.

Recovery has been a long and difficult process for me. In fact recovery is a lifelong process for people with any mental health diagnosis. For me, my recovery process in regards to my mental illness (not the eating disorders I struggled with) started 11 years ago this month (October or 2003) when I went into a two year intensive outpatient Dialectical Behavior Therapy (DBT) program. When I was in DBT I learned on ways to learn how to deal with my intense emotions. Most of the emotions I was dealing with and still deal with on occasion, I learn as a child to hold them in. So, holding in my emotions I ended up self-harming by cutting myself. I’m getting a little off topic, when I was in the DBT program I learned the proper skills or tools I needed to express my emotions appropriately. Because I learned how to express my emotions in an appropriate manner I was able to hold down a job at the same employer for 9 1/2 year as well take the training and examination to become a Certified Peer Support Specialist (aka Peer Counselor). Not only was I employed at the same employer for 9 1/2 years I was able to quit that job and become  Consumer Aide with Peer Counselor responsibilities at a mental health agency.

Yes, after I graduated the DBT program I continued with my previous job as well as sought out a new therapist. I have had my current therapist for 6 years this December. My current therapist Diana (pseudonym) and have worked endlessly with the pain of my past. She is the one that encouraged me to get my peer certification as well getting my new job as a Consumer Aide. Diana and the DBT program I graduated from in November of 2005 have played a key role in my recovery. In fact I have come to rely on myself as well as my friends and a select family members as well as people I consider family more than I do my own treatment team. Diana, my current therapist, is the one who declared me a recovered Borderline. As of the summer of last year (2013) I know longer meet the criteria of Borderline. My natural support system will see to that I will never get the diagnosis of BPD back. In fact my natural supports are a key to my recovery.

The reason why they are key to my recover is because like I said earlier recovery is a life long process. See I deal with other mental health diagnoses like the ones I have shared with you this past week. In fact I struggle with a few other diagnoses and will continue to educate you on those tomorrow. Going back to the topic, most mental illness’s are life long. Most of the personality disorders are the only mental health diagnoses you can eventually no longer meet the criteria for and Borderline is one of them. Yes, I will most likely struggle from time to time with my other mental health diagnosis however I have great friends and family as well as a therapist that are all invested in my recovery. They wont give up on me nor will they allow me to give up on myself.

Now that I have practically written a chapter or two of a book I better let you all go. I will continue to keep educating you on different diagnosis’s. I will continue with the ones that deal with. Have a great rest of your weekend I hope that I have educated you all on mental illness during Mental Health Awareness Week. I hope you all will continue to read and/or follow my blog. I hope I was able to convey to you this week that I was hoping to and hope to be able to convey more to you all in other blogs. Thanks for reading. Please do not hesitate to share my blog on social media site just as long as it is done in a respectful manner. Again thank you for reading. It means a great deal to me that you read my blog.

I should really let you go. I will blog again tomorrow and yes I will be blogging about another mental health diagnosis. It will be one that I have been diagnosed with. Again, thank you for reading. Peace out and enjoy your weekend.

Mental Health Awareness Week; Day 6: Posttraumatic Stress Disorder (PTSD)

Posted on by Gertie

It is Day 6 of Mental Health Awareness Week. Today’s topic of discussion is Posttraumatic Stress Disorder (PTSD). Todays discussion is quite difficult for me because I am struggle with PTSD and I am sure that this topic will bring up some painful memories from my past. I am aware that this particular post might take me all day to post because if I need to stop for a while I will. I need to do what is best for me but I also realize that I still need to educate you all on PTSD. Again the information I will give to you on PTSD, I got from the National Alliance on Mental Illness (NAMI) website at nami.org.

The symptoms of PTSD:

The DSM-IV criteria for identifying PTSD require that symptoms must me active for more than one month after the trauma and associated with the decline in social, occupational or other important areas of functioning. The three broad symptom clusters can be summarized as follow:

1. Persistent Re-experiencing

A person experiences one or more of the following:

  • recurrent nightmares or flashbacks;
  • recurrent images or memories of the event – these images or memories often occur without actively thinking about the event;
  • intense distress of reminders of the trauma; and/or
  • physical reactions to triggers that symbolize or resemble the event.

2. Avoidant/Numbness Responses

A person experiences three or more of the following:

  • efforts to avoid feelings or triggers associated with the trauma;
  • avoidance of activities, places or people that remind the person of the trauma;
  • inability to recall an important aspect of the trauma;
  • markedly diminished interest in activities;
  • feelings of detachment or estrangement from others;
  • restricted range of feelings; and/or
  • difficulty thinking abut the long-term future – sometimes this expresses itself by a failure to plan for the future or taking risk because the person does not fully believe or consider the possibility that they will be alive for a normal lifespan.

3. Increased Arousal

A person experiences two or more of the following:

  • difficulty falling asleep or staying asleep;
  • outburst of anger/irritability;
  • difficulty concentrating;
  • increased vigilance that may be maladaptive; and/or
  • exaggerated startle response

Again, I got this information off of the NAMI website at nami.org. The DSM has since got an updated version now DSM-5.The diagnosis of PTSD has been updated in the DSM-5 so for more updated information you might want to check it out.

As I thought I am having some problems writing this particular blog. I have made the decision to make this particular blog shorter than I had hoped. It has been quite triggering for me. I am a survivor of multiple traumas and some of those trauma’s were when I was a child. Writing this blog has brought up some unpleasant memories of some horrific parts of my life. That is why I am needing to end this blog. I am sorry that I was unable to convey everything that I wanted. I hope that someday that I will be able to convey more on Posttraumatic Stress Disorder (PTSD). I need to take care of myself and I know with the years of therapy that I have had and continue to have that if continuing this particular entry will trigger me even more.

On that note, I will blog again tomorrow on another subject. I am not really sure if I am going to write about but I do know that I will write about mental health. I hope that you will continue to follow and/or read my blog when Mental Health Awareness Week ends. Have a great weekend everyone. Enjoy it to the best of your ability. Peace out and enjoy life!!!!

Everything From Hiking to Intimacy to Blogging & Other Such Things

Posted on by Gertie

     It’s still Saturday and it has been an amazing one at that. My boyfriend and I went hiking and had a picnic in the woods. It was romantic having a picnic in the forest. This wasn’t the first time we had a picnic in the woods. Being out in nature with the person you love tends to bring you closer together.

     Being closer to my boyfriend is always a good thing especially when it comes to intimacy (sex). When we got back to his place after hiking we became intimate. It feels so good to be able to trust someone enough be intimate with. See, when you have suffered severe childhood abuse and other traumas you tend to not trust people especially when it comes to intimacy. For me trusting my boyfriend with sex and intimacy is a major deal and he knows that. That is why when we are intimate with each other he is gentle and patient. He is amazing in bed. Yes, I do have his permission blog about intimate moments with you all.

     The reason why he is cool me sharing about the intimate moments is because he likes what I am trying to do with this blog. He likes the fact that I am not only trying to help people who struggle with mental illness and show them that recovery is possible and that hope is out there but to educate “normal” people (like him) about mental illness. In fact my boyfriend is one of the people who encouraged me start this blog. He is what I call a normie. A normie is a normal person.  A normal person is someone who doesn’t struggle with a mental illness or any other disability. My boyfriend really hopes that this blog reaches normies because he wants it to prove to them that people who struggle with a mental illness do live productive lives and are loveable. Yes, he says some moments are more difficult than other moments but he is more than willing to stick it out with me. All I want with this blog is to show people who struggle that there is hope and recovery is possible. I also want to educate those who don’t struggle with mental illness that we are like everyone else and that we live productive lives. Yes, everyone who has a mental illness has a different way to be productive but so does everyone else in this world.

     Speaking about being productive, this next few weeks are going to be quite productive. I go back to work this Monday after being on vacation for a week. This Wednesday (July 30th) I have a job interview. Then this Tuesday (July 29th)  start volunteer training for a peer run Warm Line. The training is twice a week; Tuesdays and Thursdays for five weeks. Each day of training is four hours. So eight hours of training each week for five weeks equals to 40 hours. I am looking forward to this training. For me being productive is going to work, volunteering and going to various training in regards to peer counseling and volunteering. Another way that I am being productive is by voting. I voted in the primary elections. I want to make sure that my voice is heard and one way for it to me heard is to vote.

      Being heard is a big thing for those who struggle with a mental illness. I want to be a voice for those who cant speak up for themselves. I hope that I am that voice on this blog. I am hoping that one day I can educate you all on the particular diagnoses that I struggle with or have struggled with. I want to make sure I have the correct information before I share it. For example what the DSM 5 says about the diagnosis as well as the definitions from the dictionary. My desire is to educate those who may not understand what it is like to deal with a mental illness.

     With all of that being said, I should end this blog for now. I kind of want to have more adult fun with my boyfriend. I hope everyone had a good Saturday like I have had. Peace out and enjoy the rest of your Saturday.

It’s Been An Interesting Day

Posted on by Gertie

     Good Monday Evening!!! Today has been an interesting day. On my bus ride to my appointment with my therapist, a fellow passenger passed out because he was so drunk. Of course the bus driver had to stop the bus and check on the dude. The bus driver had to call the police as well as the fire department. The police showed up as well as the fire engine and paramedics. As the firefighters were trying to help the drunk dude came to and hit one of them. The police then tackled the guy and with the help of the paramedics and other firefighters he was handcuffed to the gurney and put in the back of the ambulance. Of course myself and the other passengers had to give witness statements to the police. Finally after everyone gave their statement the bus was on its way again. I got off at my bus stop and walked about a half mile to my appointment. On the walk from the bus stop to my appointment I found $20. Finding money is a rare thing for me.

     I of course made it to my appointment with my therapist on time. In fact I was 45 minutes early. I’m usually an hour early due to OCD tendencies. While waiting for my therapy appointment the admin assistant got me my stuffed Eeyore that I have my therapist hold for me so when I am waiting to see her I can hold on to him. My stuffed Eeyore also sits in on my sessions with me because its easier to talk with a stuffed animal to hold. As I was holding Eeyore, in the waiting room I pulled out a Wonder Woman graphic novel to read. If you are a regular reader or follower of my blog you know I am a huge Wonder Woman fan. About 15 minutes before my session an old high school friend walks into the waiting room of the mental health clinic I see my therapist at. This high school friend was seeking therapy for the first time in her life. She of course was seeing a different clinician. It was nice to “catch up” with an old friend.

    My session with my therapist Diana was quite draining. We discussed what happened on the bus then I pulled out 3 copies of what I wanted to go into my treatment plan. Of course many of things I want to work on can be condensed and we did that. In fact it was getting a bit overwhelming for me. We had to take a break from it and we talked about why it was overwhelming. I had come to the conclusion that I’ve been defined by my mental illness so long that it scares me what it would be like to not be “crazy.” Diana my therapist says that I’ve dealt with my mental illness for so long that now that I am walking in recovery I’m learning what its like to not be “crazy.” She also says that I’m in the process of redefining on who I am. She is absolutely correct. I am redefining who I am. Recovery from a mental illness is difficult work. I still have a great deal to work through so I am no where done with needing treatment but I am an active participant in my treatment planning. I still have to work through all the trauma I’ve been through when I was a child as well as an adult. That’s going to be a long process. So Diana and I still need to finish working my treatment/recovery plan and we both hope that we can continue to work on in in the next session next Monday. I never knew how draining it would be. Working on changing for the better is not only draining and difficult but a good thing. (Side Note: Diana is a pseudonym for my therapist)

   So after my therapy appointment I took the bus home. Thankfully nothing eventful happened on my bus ride home. In fact on my bus ride home, I read A Tale of Two Cities by Charles Dickens. I am really enjoying the book. It’s going to take me awhile to read it due to my dyslexia but that is okay with me. Like I’ve said before, I enjoy reading.

   As I am blogging right now, I am at my boyfriends house. He is fixing me dinner. He is a good cook. Not as good as my grandma but good enough. He cooks better than me and I love to cook. Hell, my boyfriend loves to cook as well. He learned to cook from his mom. I learned to cook from my dad and grandma. My paternal grandpa is not a very good cook. My maternal grandpa was an awesome cook. Anyway, my boyfriend is making me spaghetti. I love spaghetti. I should get going. I want to see if my boyfriend will let me help him finish cooking. After dinner we are going to watch a movie. Not sure what movie but it’s going to be a comedy.

   Well, I best be going. I hope to blog again tomorrow. Have a good rest of the evening. Enjoy the rest of your Monday. Well at least enjoy the 4 hours that’s left of Monday. Peace out and enjoy life.