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Old 20-08-2015, 02:04 AM   #1
ParanormalChickenGeek
 
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Join Date: Feb 2010
Location: London, UK
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Psychiatrists and judgements on self-harm/personality disorders

I saw my psychiatrist for a review last week, I've only met him three times now and the first time we met he fully assessed me and diagnosed me with 'body dysmorphic disorder' and 'mixed anxiety and depression', with a 'mild eating disorder' (related to BDD). He now just sees me every six weeks for a review on my new medication whilst I await therapy on a year long waiting list...

Anyway, in the review last week I explained how anxiety had decreased but I still felt low. He then asked if I 'had any self-harm with this condition', to which I told him I self-harmed last two days ago. He immediately said 'self-harm isn't in keeping with BDD, it's more in keeping with personality disorders... You know that don't you?'. I was quite shocked so I just said 'yes' and he moved on to speak about something else. I wish I had argued my case!

Is he thinking I have a personality disorder!? I'm adamant I don't- I'm not emotionally unstable, I don't have dysfunctional relationships, I'm not impulsive... Basically self-harm is the only thing I have that would be a symptom of a personality disorder, and maybe a small bit of childhood trauma.
And WHY can't self-harm be a part of BDD!? I hate my body so of course I would harm it!

Anyway. My concern is that the psychiatrist believes I have a personality disorder and may diagnose me with this! It won't stop playing on my mind and I'm becoming quite anxious about it!

So many healthcare professionals jump to the conclusion that someone has a PD just because they have self harmed, I just get frustrated that it's so misunderstood and stigmatised.

Has anyone else had this kind of experience or have any wise words for me? Do you think from what he said he thinks I do have a PD?



We're all architects of our own private hell
No-one can hurt us like we hurt ourselves...


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