I’ve heard the term before, referencing hallucinations that are internal (as opposed to ones heard with your ears) and that the patient is aware are not real.
So like, a true hallucination in dx terms, would involve physically hearing it and/or thinking the hallucination was coming from an outside source (thoughts being implanted in your head, etc). A pseudo-hallucination is supposedly not as difficult to treat, because the person understands and aknowledges that the hallucination is simply their brain misfiring.
But I am not a doctor so I might be understanding it wrong.
I have BPD on my hospital record because I had a doctor say my iq is too high for schizophrenia. Shocking no one, he was a terrible doctor. But it’s been on my record for fifteen years now and there’s not much I can do about it. I thought I had finally gotten away from it when I moved to Oregon, but now I’m back and was reminded it’s there again.
BPD is such an overused and outdated diagnosis anyways. I mean, one of the diagnostic criteria is a “fluid expression of identity” which basically means every single trans person ever has BPD because we have to change our gender expression based on who we are out to and how safe we feel being our authentic selves.
I had one psychiatrist tell me my fluidity in gender expression is from bpd. Even tho i dont have bpd and he saw me for two sessions and conlcuded i had bpd. My last hospital stay they diagnosed me w bpd too but my therapist and psychiatrist disagree.
Had a therapist try DBT on me but I don’t think I got diagnosed with BPD. My psychiatrist or therapist/not sure which one said that BPD is over-used and often prejudiced towards women. My mom was diagnosed with BPD and depression before they found out she had schizophrenia. If they had gotten the diagnosis right and put her on the right medications it would’ve probably made a complete difference in our lives. But you can’t re-write the past. I’m just happy I still have my mom and that she’s well and happy again.
As I’ve understood it, the fluid expression of identity refers to having problems figuring out how one wants to present, and often changing looks and styles to try and find an identity.
One could argue that’s what most trans folks end up doing, but it seems to me like trans folks are kinda just trying out looks until they find one they like, while some bpd folks desperately keep changing to find some sort of identity.
My psych thinks I have bpd, and after doing extensive reading about it, I can’t say I disagree.
And btw some of you mentioned trauma, it is entirely possible to have bpd without having had severe trauma.
I get that. I was misdiagnosed with adhd for several years.
It was what every norwegian kid got in the 00’s if they were easily distracted or didn’t quite fit in.
I’ve alwats felt like they just rushed to slap the first diagnosis they could think of on me, instead of bothering to find out what was really going on.
That certainly sounds like my case. Not sure if it is useful to the discussion. Still I figured I would share my experiences that are similar. There is no formal evaluation involved in my case however.
I was “caught” explaining my hallucinations in such a manner that betrayed that I understand that they are not real. I always realised this myself however, without any experiments in the first place. I even stated so plainly before. Details: Amateur therapy proved surprisingly efficient