BPD Complex ptsd vs. bpd

[anthony]

Unfortunately I don't have another appointment with her for a month.

I'm patient, and much appreciate you asking her when you see her.

 

[shimmerz]

@Butterflywings that doctor himself could use a good therapist. That is a horrible thing to say and I am so sorry that so many 'therapists' have this higher than mighty stance.

@madmax yes there is such a thing as chronic ptsd. Did someone state otherwise? I must have missed it.

 

[digger]

There is chronic PTSD.

'chronic' in medical terms usually refers to the length of time you are affected by a condition/illness ie. it is long term, persistent (it doesn't mean chronic in the sense of 'severe', or more severe), as opposed to an acute illness which is short term. So surely PTSD is a chronic condition for everyone?

 

[anthony]

They actually got rid of the words acute and chronic for PTSD in the DSM V, which now only uses: With delayed expression: If the full diagnostic criteria are not met until at least 6 months after the event (although the onset and expression of some symptoms may be immediate).

The DSM IV used to use delayed onset, now they call it delayed expression... though they removed the acute and chronic sub-types, pretty much what @digger1 said... everyone with PTSD is pretty much chronic, because the symptoms last longer than a month or two.

 

[shimmerz]

Oh......if only I had had the opportunity to have acute PTSD. But yes, you are right that is an oxymoron.

 

[Anna]

I think that @Butterflywings got it right. If we could put more focus into destigmatizing BPD, we would eliminate much of this debate.

I agree with this. I have lived a lot of my young adult life in shame. I still have hide the real me because I know most people cannot cope with the way I am. I am empty most of the time, I do not know who I am, sometimes I even start taking or copying the personalities of people I hang around with. I do find most people are hostile towards BPD. I have not ever disclosed my illness to anyone except a few close friends and family. It causes huge problems in my relationships, as I am so sensitive and paranoid. :(

I also heard they want to possibly rename BPD, emotional sensitivity disorder? or it is called something similar in ICD?

 

[Butterflywings]

I also heard they want to possibly rename BPD, emotional sensitivity disorder? or it is called something similar in ICD?

It's Emotionally unstable personality disorder in the ICD. It's more than just emotional sensitivity as it usually involves sudden mood swings. A person can be highly sensitive and not have sudden mood swings.

It's a shame though it has such a stigma. Those who have sudden mood swings are just as unwell as those who get stuck in moods for excessively long times (e.g. major depressive disorder and bipolar). BPD is a real illness and shouldn't have the stigma it does.

I have had two people in my life long term with BPD - my exhusband and my best friend of 25 years. My exhusband is not a nice person but it has nothing to do with his BPD. But my best friend who has BPD, is one of the absolute nicest people I know. She is the most generous and kind person I have met in my life. Her sudden mood swings, impulsive behaviours, unstable sense of self etc, don't make her a bad person and she is still good person even with those. It is very hard for her and very hard for her husband and close family and friends, but her loving nature makes it worth it.

I think it's important to recognise that BPD (whatever it ends up being called) is very real, but the stigma needs to be dealt with and all the misinformation about sufferers need to be fixed. And professionals need better education as to what is and what isn't BPD. All the people who don't have BPD who get diagnosed with BPD by mistake doesn't help genuine BPD sufferers as it confuses professionals as to how best to treat genuine BPD sufferers.

 

[Anna]

It's Emotionally unstable personality disorder in the ICD. It's more than just emotional sensitivity as it usually involves sudden mood swings. A person can be highly sensitive and not have sudden mood swings.
.

Aye, and the mood swings can happen several times a day. It is like your heart is on your sleeve, everything is personal, and being told to get over it, toughen up... just makes it so much worse.

@ Butterflywings. It is so nice to see someone who does not criticise or be mean about this illness. My whole life has been stigma, guilt and confrontation dealing with this illness. Maybe someday it will be better understood. I know the research has show brain differences in people suffering from BPD.

 

[anthony]

I think its just another one of those theoretical things they try... the problem though is that diagnostic manuals tend to run a decade without update due to there vast complexity and time needed to establish changes. A lot can be damaged or fixed in a decade, is the problem.

The ICD was going to update in 2015, now its 2017. The DSM V was expected in 2012, landed 2013.