The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (1994) identifies those with BPD as having:
A pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:
- Frantic efforts to avoid real or imagined abandonment Yup I feel this a lot.. I often feel abandoned when ppl dont speak to me for a while, or even worse. I try and rescue broken friend ships and they dont want to know. When I am on a really bad day I feel very alone and friendless
- A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation. This is called "splitting." This is a hard one to deal with, I often feel a lot of admiration for certain people, and I almost Idealise them and want them as a massive part of my life. I open up so far and then I panic and wonder why the hell they like someone like me.. so I push them away.. the main one here is family and Partners. The biggest ones to note here where the relationshps with Ex-hubby and A. Both of these I broke down, I wasnt the only one to blame but I was deffo the main cause and catalyst.
- Identity disturbance: markedly and persistently unstable self-image or sense of self Dont really know about this one, I have massive hang ups about myself, I look in the mirror and feel like poo but am reluctant to do anything about it, actually thats a lie, I cant be bothered to do anything about it.. whats the point.. It wont make me feel any better and well half the time I dont think I need to bother!
- Impulsivity in at least two areas that are potentially self-damaging (e.g., spending, sex, substance abuse, reckless driving, binge eating). Yip I do this big time.. I get very impulsive and HAVE to shop, I cant afford it but at the time thats the last think on my mind. Its almost as if Im on auto pilot or Im being controlled, I try n control this but its really hard. Sex.. yeah I can do this, and have done.. sex is sex, if Im in a relationship and getting some Im ok, its when Im in a realtionship and Im not that I wander.. I dont cheat to fall in love I do it coz I can, if it is offered to me it isn't always easy for me to say no, special if I am in a 'have no feelings' mode. My eating habits are really poor too, I either hardly eat or eat everything.. and I mean everything... If im eating a meal its a large meal, if Im hardly eating I will pick and play with my food.
- Recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior.Anyone who knows me know that I SH... I do it coz its a release, so much emotion builds up and I have to do it to let it all out. In the past I have tried suicide and failed on 3 occasions, the last time I tried I was 19.. Im too much of a wimp to kill myself. One good thing about my SH is that Im in zombie mode when I do it and the pain snaps me out of it and this means I have a little control and can stop myself before I do any real damage. I also try to hide my SH, I dont tell anyone that Ive done it and if I've cut my arms I will keep them covered.
- 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).Oh yes I suffer panic attacks, these are normally inter-twined with Dissasoccation as I suffer flash backs and a lot of nightmares too. I have medication to help control my anxiety levels and for the most part they do their job. I can do things that 18 months ago I couldnt do.. I mean I am living alone for a start, this was hard at first and yes it is still hard but I am surviving... just!
- Chronic feelings of emptiness. I dont really get the empty feeling, I get very lonely even surronded by friends I can feel lonely.. is this the same thing?? I dont really know.
- Inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights). I've never really been an angry person, I get angry same as everyone else but I rarely loose my temper. I dont pick fights as I hate violence, Ive seen enough of this in my life. I tend to finish fights tho and will defend what I think is right.
- Transient, stress-related paranoid ideation or severe dissociative symptoms.Yip I can easily dissacosiate. I have done this for years, I go in on myself and can shut down, this is dangeorus as I have no idea what the hell Im doing... I often shut down when I travel and let my feet guide me. I tend to let out a sigh of relief when I get to my destination! I can get paranoid and if Im at home and Im feeling this way I have to shut my curtains and lock windows and doors. I also keep my social life and family life seperate, I cant seem to marry the two and its as if I am two different people. Taz and Tanya.
I try and implement what I have learned at therapy but its not easy, its bloody hard work, and takes a lot of energy.
Yep, you probably are over-analysing, sweetpea, but who doesn't? I know I do. I shouldn't worry about whether your 'condition' is an illness or mental health issues - is there really a meaningful difference, anyway? It's all just words/labels. What matters is keeping working at trying to implement what you learned at therapy. Yes, it certainly is bloody hard work but definitely worth the effort, if my experience of battling against years of depression and anxiety is anything to go by. I didn't find any quick fix but got there in the end. Now I still work hard at preventing any relapse - I def do not ever want to go back there again.
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