BPD Complex ptsd vs. bpd

[junglegirl]

I do not believe bpd exists since there is no scientific data to support it. , the axis ll diagnoses are not empirically based they arean invention of sociologists and psychologists who have no empirical data other than discussion amongst themselves to back it up. Bpd is invalid scientifically.

 

[Deleted member 1860]

uhm, @junglegirl, you misunderstand me again. I never said anything about there being no scientific basis for CPTSD, rather I said that the CPTSD label was applied when it didn't necessarily apply. Well, that is my analysis of things as it has been my experience. I made no comment as to the scientific basis of CPTSD or BPD. The problem with the CPTSD label is that since it is unofficial, any practitioner can apply the label as they see fit, but unfortunately not in accordance to a set list of criteria as no such list of criteria officially exists.

 

[junglegirl]

Um @Solara I was replying to anthony-we anthony and I were debating scientific relevance. Hope this helps.

 

[Deleted member 1860]

@Solara I understood perfectly but I disagree with your analysis. It is bpd not cptsd that has no scientific basis.

No, you referenced me. Please "@" the correct person. Thank you.

 

[anthony]

I think the simple solution is as I outlined long ago in regards to this type of discussion... in that people need to stop perpetuating CPTSD as a diagnostic model until such time as one exists, even one that is temporary and approved to be put into clinical practice versus a handful of psychiatrists deciding for themselves, and between themselves, an entire diagnostic model, agreeing on it, then referencing themselves in self-studies as cited evidence for legitimacy.

 

[Butterflywings]

CPTSD = PTSD + Personality Disorder OR PTSD + Dissociative Disorder. This is why there is no need for its own diagnosis according to the APA.

As I tried to explain earlier, that CPTSD doesn't equal PTSD plus anything. I have CPTSD but have nothing other than pre existing bipolar (and perhaps aspergers which I am currently waiting for an official assessment for). I don't have a personality disorder or dissociative disorder. I have no personality symptoms and my dissociations are only purely in the context of PTSD and don't meet the criteria for a separate disorder. The majority of those with CPTSD I have met purely only have PTSD. No personality disorder and little or no dissociative symptoms (none other than those related to their trauma). Their diagnosis stems from the nature of their trauma either being from childhood abuse or from domestic violence or other long term abuse as an adult.

 

[Deleted member 1860]

I don't understand why you're arguing that the unofficial CPTSD "diagnosis" is based on the nature of the trauma. It's not, nor should it be, as if it was, then every type of trauma would need it's own diagnosis. But, this is what you seem to be saying as everyone you know with CPTSD has only purely PTSD. I don't see the need for a differential diagnosis to be honest.

 

[Butterflywings]

@anthony

That may be the case in america, but here in Australia it is the opposite. It is psychologists who are the experts at diagnosing generally. Thankfully I work in a state where most psychiatrists have done extra training and study to be able to diagnose properly. However the state I used to work in, most psychiatrists aren't trained at all in assessment and diagnosis and just throw labels around with little or no examination of clients.

 

[Butterflywings]

@junglegirl

EXACTLY!

 

[Butterflywings]

@Solara

The reason for it is because long term trauma has a different effect on the psyche of the suffering than a single event trauma. Both are technically PTSD but differentiating whether PTSD is caused by a single trauma or repeated trauma over a long period is helpful for sufferers as different treatments have better efficacy depending on whether the trauma is a single event or a long term thing. It's like for sufferers of bipolar that professionals differentiate between whether mania or depression is the sufferer's main problem. For someone like me whose main problem is depression and mania is not often and only mild, needs very different treatment than someone who has few, mild or no depressive episodes but has frequent severe episodes of mania. Both types of people still have bipolar disorder, and even sometimes both have bipolar 1, but treatment is very different, especially the medications preferred.

So it's not a "separate diagnosis" as such. It's a more informative definition used to help sufferers get the best treatment.

 

[Lucycat]

I am just going to add fuel to the fire here!

I am in the UK and have also been diagnosed with Complex Post Traumatic Stress Disorder. It was diagnosed on the basis of my repeated sexual abuse over a number of years by a close family member (Cause) and the resulting symptoms of *PTSD* plus severe dissociation/depersonalisation and identity confusion.(Effect)

I was told that if I lived elsewhere I would be likely to have received a diagnosis of PTSD and a personality disorder

The un-legal diagnosis of CPTSD is about how it manifests and not simply about the cause of the trauma.

Personally I hope that it becomes a legitimate diagnosis - yes because it validates my difficulties. However for now it seems that we are arguing about the basic points of a nonentity!

 

[Lucycat]

The reason for it is because long term trauma has a different effect on the psyche of the suffering than a single event trauma.

But it is not just whether it is long term.It is about the nature of the trauma and whether there was a perception of being unable to escape. It involves the notion of being traumatised by someone who would normally be expected to be a protector. There is so much more than just the time frame.