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.