Twenty years ago, George Vaillant, in a paper entitled ‘The Beginning of Wisdom is Never Calling a Patient a Borderline’1 noted that the diagnosis of borderline often reflects the clinician’s affective state rather than careful assessment. This was not an isolated opinion, but we argue that little has changed and that borderline in the context of personality has now become a toxic term that is hindering progress in research and treatment.
The only accurate aspect of borderline is its title, a word that correctly signifies its complete lack of specificity. It emerged over 60 years ago to describe patients on the border between neurosis and psychosis who might be amenable to treatment with psychoanalysis. Not surprisingly, its diagnostic criteria are not longstanding personality dispositions, but oscillating symptoms and behaviour.2 The triad of unstable mood, erratic relationships and disturbed behaviour may be readily identifiable but that does not make it a personality disorder; chronic sleep disturbance creates the same symptoms. A constant and undisputed diagnostic aspect of true personality disturbance is the presence of traits, characteristics reflecting individual function, which are generally stable over time and, when disturbance becomes disorder, are maladaptive. The widely gyrating features of emotional instability do not belong in this paradigm.
Interesting and receiving a bpd diagnosis is like a psychiatrist saying this person has a lot of issues eg trauma and difficulty regulating their emotions, like ? Its a big pot of problems this person has got and only right they are given equal care and treatment and a lot with bpd also have other diagnosis as well.
They changed the name to Eupd for emotionally unstable a while back but the mh dept prob still look down there noses at it
Really sad
My therapist told me at our last session the only people she doesn’t like working with are people with borderline personality disorder. I let her know my best friend has that. I was surprised she was willing to say that to a client. But she backpedaled and said it was because she’s not fully trained in that area and doesn’t feel she can be enough help. Maybe that’s true. But I doubt it
No one can agree what it is anymore. And what it is not. Some drs I’ve seen briefly diagnose me with it, but all my long term professionals say no to it.
I have a diagnosis of BPD, based ONLY on the fact that I self-harm. It’s the worst diagnosis to have because mental health professionals have an overwhelmingly bias against both the diagnosis and the treatment. They never take your other symptoms seriously and always blow off your complaints. I hate having that diagnosis…
I dated someone with untreated classic BPD symptoms, whatever you wanna label it, I could never date someone with untreated mental illness again in general. That was some of the worst years of my life, and I think it was the untreated symptoms that made it bad not the fact that it was BPD itself
BPD is definitely a very stigmatizing label, when I was developing sza it was my label (I saw the drs like twice) and they refused to give me meds and said I’ll get better in my 40s. He also said my trans identity was from having it. And even last year the hospital I went to has that on my chart still and they denied me inpatient, just gave me a big packet of coping skills, I even hesitated and said are you sure because I have a plan and intent, and they said yes, it ended up being a terrible night as you can imagine.
They have me as a previous personality disorder so its not current but yes i understand
My treatment is same as everyone elses. Im lucky in that respect as far as i think it has been and still is but ive never seen in depth clinical notes i refrained from getting those
I still struggle with things though
@Moon the pdoc should never have said that to you about your sexuality it just shows you how stuck in the dark ages society is still with things like that
And one last thing
It takes guts to admit all these personal things so fair play to @Moon and i was going to just ignore this topic but to heck with it ive got nothing to be ashamed about!!
im a good person but yea i have issues, hell yea!
i think things have to improve they really do