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-   -   do you prefer to call it EUPD or BPD? (https://www.recoveryourlife.com/forum/showthread.php?t=210792)

frenchhorn 12-07-2013 10:38 PM

do you prefer to call it EUPD or BPD?
 
As the title says do you prefer to refer to it as Emotionally Unstable Personality Disorder (EUPD) or Borderline personality Disorder (BPD)?

I am diagnosed with it and on my records it says EUPD and during this current hospital stay all the doctors and nurses have referred to it as EUPD, which I much prefer.
I prefer it because I feel it describes it better, borderline is too vague and random for me, but emotionally unstable sums it up better I find and people who don't know anything about mental health tend to understand better if you say EUPD. Plus there is a lot of stigma attached to saying you have BPD.
However, a lot more people have heard of BPD so when I say I have EUPD they look at me blankly, but when I say it is the same as BPD they tend to have heard of it, but judge me quite quickly.

so yes which term do you prefer to use, whether you are diagnosed with it or not.

random.swirls 12-07-2013 10:46 PM

I think I prefer EUPD but BPD is more easily understood.

I don't have a diagnosis of it,

whirlpools 12-07-2013 11:04 PM

I think the whole name needs an overhaul. I think complex ptsd, attachment disorder or emotional dysregulation disorder would fit better for some, maybe not for all though. Or maybe a different name, or no name at all.

Epicene 12-07-2013 11:14 PM

Similar to Whirlpools, I feel the entire concept needs addressing.

That said, I prefer BPD precisely because it is more vague. I am diagnosed with BPD but don't feel my symptoms are predominantly related to emotional instability, so EUPD feels inaccurate for me.

Cacoethes 12-07-2013 11:33 PM

My official diagnosis is emotionally unstable personality disorder: borderline type.

Or bpd with psychosis.

I don't know which one they use now.

But I just use bpd. Its easier!

Pomegranate 13-07-2013 12:15 AM

I'm not sure what they are using for me now. I think EUPD: borderline type or BPD:borderline (rather than impulsive type) alongside a couple of other diagnoses. I think I prefer BPD because it's more vague. EUPD seems to overly simplify the symptoms. For me, I
Do have mood issues but my main symptoms are not related to 'emotional instability' so for me, I'd rather the BPD label, despite it's stereotypes. I think Joe Bloggs doesn't have BPD prejudices and professionals are becoming increasingly aware that EUPD is almost the same condition. I think I'd prefer it was referred to as Complex PTSD.

Indigo. 13-07-2013 12:25 AM

I do prefer EUPD just as Oliver, for me it sums it up better. However, most people know it as BPD, so it can be easier for them to understand. BPD doesn't bother me either, but I'm not sure the name fits.
My main symptoms are affective instability(hence emptionally unstable), feelings of emptiness, anger, impulsivity and SH. Though I tend to have others as well.

Albus Dumbledore 13-07-2013 09:35 AM

I prefer to use BPD, as EUPD sounds worrying, and BPD is more vague. I, like Whirlpools think that the whole name needs an overhaul. I really don't like the sound of a "personality disorder" - it sounds like my entire personality is wrong, but BPD is only a part of it.

offlineforever 13-07-2013 09:36 AM

I haven't really thought about it but I always refer to it as BPD as it is in my records as that.

Eccentrics 13-07-2013 12:35 PM

I don't have EUPD/BPD but I'm going to throw in my two cents anyway as to what I prefer hearing!

I prefer EUPD because it doesn't have the stigma attached to it,
but I also prefer BPD because as others said is more vague.

Like whirlpools and shed though, I think it would be better if the whole name was changed as I don't think either of them completely fit.

I mean, what does borderline even mean? When I first heard about it I thought "is it on the borderline of a personality disorder?, or does it mean that the personality disorder is that the personality is borderline of other peoples?" I just don't know!

earthbound_misfit 13-07-2013 02:22 PM

It was originally called 'borderline' because it was believed to be on the border of psychosis and neurosis (depression, being emotional etc). The patients they identified as having this disorder had some psychotic symptoms and some 'neurotic' ones.

Given the historical state of psychiatric care (asylums) and the harsher living conditions of many in the past, it seems pretty obvious that those with psychotic symptoms would be pretty likely to develop depression and other 'unstable' trauma-related symptoms too! Not to mention those in asylums for 'moral insanity' like being pregnant outside marriage, or simply a family that wanted you put away.

I think this happens today as well - people are treated badly by services and then the way they react in seen as confirmation of a BPD/EUPD diagnosis. If you stand up for yourself, you're labelled as 'not engaging', 'difficult', 'argumentative', 'aggressive'. Then next time the person reads this in your notes they expect you to be aggressive and interpret everything in that light. They also cancel appointments at short notice, are rude and dismissive in crisis, and then say you have difficulty trusting! The worst one is 'low self-esteem'; how are you going to feel good about yourself if you're treated like that?! Pretty much every BPD/EUPD symptom is created or at least worsened by the mental health team.

Rant over... I think both terms need changing, as mentioned it's the 'personality' bit that's horrible.
Also, I think they stick the diagnosis on an awful lot of people that don't actually fit the symptoms. They see maybe one or two symptoms then expect the rest and it becomes a self-fulfilling prophecy as that person is then excluded from services or treated with contempt, and when they react to this bad treatment it's seen as a 'symptom'.
So reframing the whole concept as "complex PTSD" or similar would mean a focus on the actual cause and individual symptoms. Eg. self-harm under a trauma-type label indicates someone with unbearable memories and feelings, rather than someone who's trying to 'manipulate' the professionals in some way.

I personally find both labels horrific and completely non-valid; basically a psychs way of dismissing people as 'hysterical' like they did in Victorian times, without having to question themselves and their society that has harmed people in this way. I find it particularly disturbing that they talk of 'reducing behavoiurs' (such as self-harm) without any apparent consideration that reducing the person's distress and helping them develop core self-worth will in turn reduce these behaviours. It's particularly twisted that this can be used to justify denial of services.

Stellata 13-07-2013 03:27 PM

For me I would prefer Complex PTSD and attachment disorder [for me it's both].

Though NB I'm not at this point diagnosed with BPD, though it's known I'm on the spectrum.

Though I admit that I'm not too bothered by the term 'Borderline' as I relate to the 'edge' that it experiences on many levels.

Foxtrot Oscar 13-07-2013 05:25 PM

Quote:

Originally Posted by Dash (Post 3614831)
More and more professionals are identifying with this as complex PTSD, which I prefer. There's no stigma attached to that, and more empathy as well. So, I don't like either and, like whirlpools, think the whole name and approach needs an overhaul.

This is exactly what I think.

offlineforever 13-07-2013 05:31 PM

I personally don't think I fit categories for PTSD so I don't think I agree with it being called complex PTSD. Although I do see where people are coming from with it.

pb&banana 13-07-2013 06:19 PM

I don't mind either purely for the reason if someone said to me I have BPD or EUPD I would not fret. However I have not read the current DSM V specifications on this but do agree there is still room for clarity and more work needs to be done. Until then we're put with BPD/EUPD. Hence I chose either. In time to come when this disorder is more specified by professionals and more understanding is brought it would be then I may change my mind on the terminology of the disorder, if that makes sense.

Pappi 13-07-2013 09:46 PM

I'm not really bothered. I don't feel like I relate too much to either (despite diagnosis...I think), and it makes no difference.

As long as I get my treatment, and as long as I start to function better, and maybe get a bit happier then I'm dandy in my eyes. xx

startingagain 14-07-2013 09:06 AM

I had EUPD, but really don't like it as I don't think I'm 'unstable'. I got it changed to 'chronic dysthymia with personality difficulties'. I prefer my clinical psychologist's description of 'trauma related to childhood' as I experienced both emotional and SA.

Like Pappi though I'm just glad that I see such an experienced clinical psychologist and I manage loads better than I did when I was younger. The label didn't change my care at all.

Laura2.0 14-07-2013 01:40 PM

Quote:

Originally Posted by Cacoethes (Post 3614582)
My official diagnosis is emotionally unstable personality disorder: borderline type.

I don't know which one they use now.

But I just use bpd. Its easier!

This. They usually just use the bpd diagnosis. Probably because its Shorter than tue wholw Thing i guess.

BridgesAndBalloons 14-07-2013 01:58 PM

I prefer saying EUPD but I do sometimes say BPD as I've found generally more people know of that term.

offlineforever 14-07-2013 06:45 PM

Quote:

Originally Posted by Dash (Post 3614946)
cPTSD is quite different from PTSD. PTSD is about one or two single actue traumas that happened, whereas cPTSD is about chronic trauma, which may be in the form of repeated invalidation, or neglect, or things like that. So it's things that damage a person, happening repeatedly.

I don't relate to PTSD either, but when the psych explained it to me it made much more sense.

I, however, may not have made much sense.

No that makes more sense. However my viewpoint still stands, I feel BPD suits me better than the other terms. But can understand why these other terms are more used by others.

That made more sense in my head, sorry if the wording seems off!


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