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Old 26-11-2007, 12:01 PM   #1
pixie*lyssie
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I think she thinks I have BPD!

Last time I saw my SW she couldn't say anything obv coz she's not allowed to diagnose but I was telling her about that I think I have borderline personality disorder and the look on her face and she was like 'I'm not gonna say anything... I'm not qualified' I could tell... the look on her face.
I told her that I was diagnosed with paranoid schizophrenia also. But the symptoms just match a borderline personality.:

Self harm/Binge eating/ED
No goals/Unsure about life and what I want to do
Paranoia
Unable to keep relationships/scaring people off
Extreme anger and it's hard to controll my emotions
Bad selfesteem

the damn list goes on.

does anyone have any advice? I have done research on BPD and have seen Girl, Interrupted. This isn't just another person saying 'I think I have this' the symptoms all match up and my SW thinks I have it, well as good as said.

She said that when she refers me to my new servises, that she's gonna ask for a psychiatric assessment. Can anyone tell me about that. What is it as I've never had one with my old psych (shitty camhs, lol) and what is assesses???

Sorry yes I know I'm a post whore!!!!!



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Where troubles melt like lemon drops
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Old 26-11-2007, 02:42 PM   #2
craola
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A psych assessment is basically where you get asked lots of lovely questions about all different sorts of things to work out how you are and what effects you, what you struggle with the most etc.
I have BPD, but nothing ever came from any of my psych assessments as they've always said it takes longer than half an hour to decide what diagnosis you fit so dont be disappointed if they dont decide anything then and there, it does not mean its not going to come to anything. I hope it turns out well for you, good luck!

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Old 26-11-2007, 03:13 PM   #3
louiseunscripted
 
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BPD is a complex doiagnoses, i was diagnosed last christmas, but only after several psychologist assessments and a long time in the services, it still isn't my official diagnoses because of my age (i am nearly 20) and it is a controvesial diagnoses when it comes to age, my old shrink doesn't believe that you can have it until your personality is properly formed (mid twenties-mid thirties). So even if you present the symptoms it may be left as BPD? which is what i have. A Psych assessment can have varied effects, they will basically ask a lot of questions and look through your notes... it very much depends on the shrink as to whether anything will come out of it.

Hope i have been some help.

xxx

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Old 26-11-2007, 11:45 PM   #4
~invisible~girl~
 
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The characteristic features of borderline personality disorder are emotional dysregulation (basically extreme mood swings) and intense fear of abandonment. You didn't say much about either of those, so I'm not sure how well that describes you, but it's important to remember that personality disorders are extremes of normal personality features: most people have a little bit of those characteristics, and it's only considered pathological at the very extreme end of things. Also, a diagnosis of any personality disorder in adolescents is problematic because they just aren't old enough yet to be sure it's going to be a stable pattern over time. The general 'rule' is to not diagnose personality disorders in people under 18 (although with the exception of antisocial personality disorder, there's no official age requirement, and plenty of teens do get labeled with a PD diagnosis), and I'd be cautious about any PD diagnosis made before probably mid to late 20s. Borderline personality disorder is a particularly problematic diagnosis for adolescents and young adults since a lot of the symptoms are developmentally normal in adolescence, and so it's really hard to be sure that the 'symptoms' are really enough to be considered pathological and that the person isn't going to "grow out of it."

I believe you 100% that the symptoms you're experiencing are real, and significant, and that you absolutely do deserve treatment for them. I'd be reluctant to say you have BPD, but that doesn't make your symptoms any less valid, or have any implications whatsoever for anything about how I'd conceptualize what's going on for you or anything like that - it's just a label, and I think it's unfortunate that medical professionals put as much weight in psychiatric diagnoses as they do.

I also think that your social worker is right that she's not qualified to diagnose BPD. I think it very possible that she really just wasn't sure either way, but even if she does think you have it, that doesn't mean she's right. A lot of mental health professionals have a somewhat distorted understanding of BPD, and they especially tend to jump to that diagnosis with people who self harm even when it's really not an appropriate diagnosis. There have been various studies on how accurately mental health professionals diagnose various things, and they're not always right even when they are qualified to make the diagnosis, let alone when they're not. So just because your social worker wasn't willing to say that you don't have BPD doesn't mean that it would be an appropriate diagnosis.

Also, I wouldn't recommend trying to get a diagnosis of BPD. My suggestion would be to try to find someone who can treat the symptoms you listed without labeling you as borderline. BPD tends to carry some negative connotations in the medical/mental health community, and you'll probably have an easier time getting appropriate treatment without that label. So definitely tell your new psych the truth about your symptoms and everything, but I wouldn't recommend telling him you think you have BPD or trying to get him to diagnose you with it.



Emily



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Old 27-11-2007, 01:01 PM   #5
pixie*lyssie
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Wow, you lot are clued up, thanks. And Emily, yeah I get major and I mean BIG TIME mood swings.

I guess I shouldn't jump to conclusions. I will wait and settle in with my new psych!



Someday I'll wish upon a star
and wake up
where the clouds are far behind me
Where troubles melt like lemon drops
away above the chimney tops
that's where you'll find me
http://www.recoveryourlife.com/forum/image.php?type=sigpic&userid=1002&dateline=1227381  259


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