Understanding Psychosis and Borderline Personality Disorder - Part 2
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- Опубліковано 30 тра 2020
- In this video we will examine BPD and psychotic symptoms, the confusion of their comorbidity, prevalence and how they relate to those dealing with and managing this disorder. If you haven’t watched part 1, please do so as it will provide a nice foundation of understanding about what we’re going to discuss in this video.
One of the confusing aspects of BPD and psychosis classifications such as the DSM-5 and the International Classification of Diseases and Related Health Problems [ICD-10] specify that the presence of a major psychotic disorder precludes BPD as a diagnosis.
Psychotic features among patients with BPD are typically defined as mild and transient and hallucination-like in nature. These symptoms often represent an increase in levels of distress, more frequent suicide plans and attempts, and substantially higher needs for hospitalization.
There is a difference between the types of hallucinations in those with BPD, these include benign types of hallucination and pathological ones (neutral vs. negative content, high vs. low control, and low vs. high frequency).
In patients with BPD psychotic symptoms tend to occur in reaction to stressful events. This may be a consequences of childhood trauma, specifically high sensitivity to stress, and symptoms of PTSD.
What to do about it?
Research findings are all over the place, some showing benefit and some showing none. When taken together, the results show some support to the use of atypical antipsychotics (Risperdal, Zyprexa, Seroquel, for example) in BPD patients with psychotic symptoms. Given that psychotic symptoms in patients with BPD are often related to stress and acute emotional crises, it has been suggested that psychotherapy should focus on managing crises in the treatment of psychotic symptoms in BPD (see my video).
Daniel J. Fox, Ph.D., is a licensed psychologist in Texas, international speaker, and a multi-award winning author. He has been specializing in the treatment and assessment of individuals with personality disorders for over 15 years in the state and federal prison system, universities, and in private practice. His specialty areas include personality disorders, ethics, burnout prevention, and emotional intelligence.
He has published several articles in these areas and is the author of:
The Borderline Personality Disorder Workbook: An Integrative Program to Understand and Manage Your BPD. Available at: goo.gl/LQEgy1
Antisocial, Borderline, Narcissistic and Histrionic Workbook: Treatment Strategies for Cluster B Personality Disorders (IPBA Benjamin Franklin Gold Award Winner): goo.gl/BLRkFy
Narcissistic Personality Disorder Toolbox: 55 Practical Treatment Techniques for Clients, Their Parents & Their Children (IPBA Benjamin Franklin Silver Award Winner):: goo.gl/sZYhym
The Clinician’s Guide to Diagnosis and Treatment of Personality Disorders: goo.gl/ZAVe9v
Dr. Fox maintains a website of various treatment interventions focused on working with and attenuating the symptomatology related to individuals along the antisocial, borderline, narcissistic, and histrionic personality spectrum (www.drdfox.com).
UA-cam: / drdanielfox
Dr. Fox’s website: www.drdfox.com/
Facebook: / appliedpsychservices
Twitter: / drdanieljfox1
LinkedIn: / drdfox
Instagram: / drdfox
Amazon Author’s Page: amazon.com/author/drfox
Thank you for your attention and I hope you enjoy my videos and find them helpful and subscribe. I always welcome topic suggestions and comments.
Citations:
Kelleher I, Connor D, Clarke MC, Devlin N, Harley M, Cannon M. Prevalence of psychotic symptoms in childhood and adolescence: a systematic review and meta-analysis of population-based studies. Psychol Med 2012;42:1857-1863.
Linscott RJ, van Os J. An updated and conservative systematic review and meta-analysis of epidemiological evidence on psychotic experiences in children and adults: on the pathway from proneness to persistence to dimensional expression across mental disorders. Psychol Med 2013;43:1133-1149.
Niemantsverdriet, M.B.A., Slotema, C.W., Blom, J.D. et al. Hallucinations in borderline personality disorder: Prevalence, characteristics and associations with comorbid symptoms and disorders. Sci Rep 7, 13920 (2017) doi:10.1038/s41598-017-13108-6
Schroeder K, Fisher HL, Schäfer I. Psychotic symptoms in patients with borderline personality disorder: prevalence and clinical management. Curr Opin Psychiatry (2013) 26:113-9. doi:10.1097/YCO.0b013e32835a2ae7
My beloved wife, who left me in March, was diagnosed schizoaffective with suicidal tendencies and psychotic features. I now think it's possible that she was misdiagnosed and had BPD. That extreme fear of abandonment, splitting, hallucinations, paranoia, psychosis, and grandiose delusions were cyclical for her. I wish I had investigated more so that I had handled her psychotic break better.
❤️
I've gor bpd and everything u named is symptoms I have from it but I'm BPD and have ptsd aswell
And being misdiagnosed is sadly very common
Just remember one thing, it’s not your fault. You couldn’t fix it even if you knew what it was. There is no handling a bomb.
It was her job to realize something was wrong and to get therapy to find out what it was and to work on it.
BPD is caused by trauma usually … back then she never got help. Avoided it and dysfunction set it.
It hurts, but honestly if she won’t work on a diagnosis and getting it treated .. your life will be calmer without her in it.
Sorry to hear this. Please provide an update for me?
🙏
He's right about emergency room diagnosis, hospitals are so useless at dealing with mental health. So useless.
To be fair, no one takes ER diagnoses seriously. Pt is referred out to whatever doc, but ERs just handle crises (immediate care), not long-term like what most would need for a half-decent diagnosis.
So often the mistreatment and misdiagnosis makes things worse
The equivalent of going thru the mcdonalds drivethru an they hand you a half fast diagnosis in a happy meal . What a joke
Completely agree, they’re useless
i wish you could be my doctor
i think about this daily
Same.
Same
Me too! Mine is a fucking idiot
I wish I could get an assessment and a treatment plan. I seem to have many traits of BPD.
I’m literally going to mention your channel to my psychiatrist.
You explain things in a way that I can’t and I believe it’s very important for everyone involved in the medical field to be aware of this.
Can you do a video on how to get family to understand what BPD truly is?
I’m desperate.
No one gets it or cares.
Update? I'm curious because when I mention another doctor/therapist or even a genesight test for medications, they all give me this patronizing look. That slight head tilt is so...infuriating.
I have bpd traits, and ended up with a psyhotic break when I was on an antidepressant. I think the combination of vulnerability and pressure of stress and the SSRI's, made me have a psychotic break. Either way, it was a very low period of my life and I dont have those episodes anymore, besides the occational nervous breakdowns I can have when Im overwhelmed, but this is not close to the psychotic episode. Its the most scary thing Ive ever experienced. Please take care of yourself, so you dont end up at that bad place.
Did you break up after the episode?
In The Mix with herself?
Roderick Van Hees with her partner
In The Mix a psychotic break not a psychotic break-up hehehe
My brother also has bpd , is it hallucinations is for lifetime in bpd ?
, Plz tell🙏🙏
I have experiences of aural hallucinations, catatonia, and disorganised speech; and my psychiatrist never even told me that I am having symptoms of psychosis. My psychologist even said that she had no idea what my catatonia was caused by! Thank you so much for sharing this information Dr Fox. I appreciate your informing clients (and other patients you haven't even met, like me), greatly!
My brother also has bpd , is it hallucinations is for lifetime in bpd ?
i think you just saved my life. I am at an emotional crisis and absolute fear and partly identity loss and since a few months i have gone through the worst hell of symptoms. It started with more intense panic attacks, than reoccuring flashbacks of childhood trauma, Derealisation and Depersonalisation and Depression. Now I have nightmares and traumatizing illusions when i close my eyes and want to sleep and i am so worried becuase a year ago i was so healthy and would have never imagined such symptoms. But i think this is all just a massive chain reaction due to intense stress and confusion because of my first time living alone, having my own flat, loosing many old friendships, experiencing university and just a whole new adult world. Would that make sense in your eyes? I would really love to hear someones opinion on this :)
I use to have auditory hallucinations after being beaten or even just being in a stressful or scary situation.
It was always positive and comforting. Sometimes there were no words but I knew that this thing was there and had my back. It had no form. It lived in my head. It was also gender neutral.
After years of therapy I lost, or no longer needed this voice of comfort. I was 40 years old. I cried when I realized it was gone, but I was also happy that I no longer needed it.
My brother also has bpd , is it hallucinations is for lifetime in bpd ?
Have you seen Mr Robot by chance? If not, you might find it relatable.
Hi Dr. Fox, I was wondering if you could talk about the differences between BPD, CPTSD and trauma bonding? It seems to me that they can look quite similar. I would love to hear your thoughts on this.
What is trauma bonding?
@Paddy McCarthy according to the literature and with personal experience the trauma is what causes the disorder. Not separate, they are interwoven.
@@rvanhees89 My understanding of trauma bonding is that it's where the abuser is nice and then nasty, the Jekyll and Hyde thing. Hyde blames the victim saying "if you were better I'd be nice to you" the victim, usually an empath, will blame themselves, and believe that an abuser is really a nice person so will keep trying to help or save them. They become bonded because Jekyl is so nice and kind, and they blame themselves for Hyde. Often changing their behaviour to make the abuser look good.
this is really helpful to navigate the nooks and crannies of my psychotic break. poor social understanding, stigma, judgments often tell us that it is something else (poor lifestyle choices, karma, meds side effect etc.) that is the root of the psychosis, leading to a total gaslight of what the proper diagnosis should be. totally helps in redirecting. I used to have healthy coping mechanisms and would like to regrow some back
Thanks so much for these videos! I have complex BPD and mindfulness techniques, Yoga, and my daily routine help me manage. I’m also on antipsychotics and have been in therapy for a long time. It literally takes all my energy and effort just to take care of myself each day. I’m 28 and still live with my parents. I’ve never been able to hold down a job long term and I’m afraid I’ll never be able to financially support myself. But I take it a day at a time and try my best to make it through the day, while being grateful for all I have
If you sentences condensing in case you read this one: My dissociating has gotten so bad I will sit in my car for example for hours and hours and hours feeling so trapped in my mind . Memory loss component with the dissociation as well. Won’t go into anymore detail because it’s so freaking weird . No wonder husband wants a divorce. Literally can’t do anything at all. I cannot emphasize that enough. I have missed out on every single social opportunity for what feels like years now. The social anxiety has gotten so bad that it’s more of a paranoia and then I just get shot by myself and that’s just one part of it. OK now this is long. But there are so many pieces to the puzzle.
I won’t goInto anymore detail as I could talk about this for days. OK thank you for reading this and for your time. Also Big thank you for your videos . I find yours the most relatable/accurate in terms of breaking some of these diagnoses down etc.
Hope you got some help and I hope your husband stuck around to see you start managing and becoming a yourself again. All the best
@@gabriel2114 Thank you Gabriel for those kind words. I had to leave, and it will be a blessing in disguise. I hope your year has been kind to you.
@@natalie9884 I appreciate your optimism, there is always an upside. Unfortunately my partner who has untreated BPD left me last month and took our two young daughters with her. She was really struggling at home and I understand she left so she could get help but I miss her and the children dearly. She doesn’t plan on returning so I’m heart broken. Hopefully in time I will be ok and she will get help managing her disorder and be a wonderful mother.
I feel your pain and I don’t blame her, I can imagine it would be very hard and exhausting to live with this disorder
Thank you. My ex husband was told he was bi polar after a psychotic break. 2yrs on he was told he isn't bipolar. Bit late after he had it tatood to his chest, just incase he was found in the gutter somewhere. Mmm..yes, sad. So now he self medicates, has worked out he has anxiety so keeps to himself and controls his world. Shame. Cause he has all the BPD symptoms and the stress of losing his job and money sent him psychotic.
I understand now. So thank you!!!
You are very welcome and thank you for your comment and I wish you all the best.
Amazing, thank you !! I have that PTSD distress / psychosis from time to time, I`ve noticed that only working from home and intense self-care helps me manage those hard times to be able to at least function...it feels like everyone is out to get me and that every word people say to me feels hurtful / ironic/ like bullying and I can barely even get out of bed...HELP!
That’s your BPD lens talking. Resist the trickery. Be well
@@DrDanielFox In some cultures may be referred to as 'Wetiko' or 'Windigo'. I suspect that you may already be familiar with these concepts.
Thank you so much Dr.Fox. I have learned a lot.
Thank you so much for the video.
Thank you so much for sharing all this info free of charge. ❤️
Great video! Very helpful.
Genius! Thankyou so so much Dr Fox!
Phenomenal Work and so much insight in Part 1 and 2 of these videos.
Hi Dr. Fox
Thank you for this video and the many videos you produce; bringing light and clarity to such issues.
Good man :)
thank you for speaking out and helping educate others ... for someone that does not have bpd, you speak so perfectly about it. thank you.
I've been watching your channel for a while now and absolutely love every bit of content. You may have something touching on "borderpolar" and i may just not have seen it, but if not, it would be incredibly helpful. I recently got diagnosed with "severe" bipolar 2 and BPD, which in turn manifested as Binge drinking disorder, binge eating disorder, substance abuse and other self harming or self regulating tools.
It has been incredibly difficult managing my life and I never understood why until these 2 conditions. The problem is, they have so much in common that they are hard to separate, but having both makes each one so much more severe.
Everyday i have the typical ups and downs of BPD, ranging from high anxiety bordering or occasionally slipping into bad paranoia, to deep feelings of emptiness and suicidal ideation. The worst parts come when my bipolar becomes a problem and both become uncontrollable. I've spent weeks scared in my home watching out the windows, hearing and seeing people in my house with me though i lived alone and being terrified by all of this constantly. The bipolar episodes exacerbate my BPD symptoms dramatically.
I've considered ending my life nearly every day since I was a small child. It's still incredibly difficult but with a fairly heavy dose of anti-psychotics and educating myself through videos like these my life has become drastically better.
For those suffering with one or both of these disorders or any other mental illness, you have to remember one important thing. Mental illness symptoms are categorized and defined by an INCREDIBLE amount of researching and talking to patients. So in a very literal sense, you are not alone. Because for me to receive the diagnoses of bipolar II and BPD millions of others have unfortunately had to suffer. This movement of opening the discussion of mental health is important because we all have to have this deeper understanding of ourselves at some point but it feels nearly impossible when your brain quite literally doesn't work properly. GET HELP!!!
Thank goodness Dr.Fox.
I love the way you explain that information. It's so valuable to me. Thank you so much Doctor.
Thank you so much for both of these videos, Dr. Fox. I learned soooo much, and the information is immensely helpful.
thank you for what you do
I would like to take a second to thank you for your videos. I find your voice to be very calming, and you look similarly to the singer of one of my favorite bands, which helps me feel comfortable listening to you, even when you say things that might be upsetting to me. Thank you very much for everything that you do.
I learn so much from your videos, truly, you are strengthening my desire to study psychology and my conviction to help others like me, people with mental/emotional health problems.
I enjoyed your two videos dealing with BPD and psychosis,very well explained.Thank you!
Hello again, Dr. Fox! I really appreciate the information, especially the prevalence of symptoms and how it may appear and expressing the timelines because family and partners observe things and like you said, in an ER it can be misdiagnosed.
I'm seeing this video a while after it was posted, but I'm feeling a lot better after seeing it. So appreciative of your content!
I started having psychotic symptoms this fall, after falling into a really bad depressive episode while also struggling to adjust to moving to a new state for grad school. They've been these brief bizarre thoughts, like going into a store and thinking a song on the radio is a message for me, or just seeing other random coincidences as being "signs." It's always brief and always happens during periods when I'm very distressed.
The first time I saw a psych in my new city, she wanted to do a bipolar diagnosis and start an antipsychotic. :( I remember the kinds of things one of my friends said when they were manic and we lived together, and it was *very different* than my experience, more severe and elaborate, and just harder to convince them that things they were saying didn't make any sense, to the point where they struggled to work and shut down socially until they got in to see a psychiatrist.
I'm so glad that this video could help you feel better. It's always amazing to hear that my content is making a positive impact on people's lives. Keep taking care of yourself and remember that you're not alone in this journey!
I feel so much better about the symptoms I had during and after my breakdown several years ago! I had some hallucinations and very disordered thinking, even getting lost a block away from home. I feel that with your explanations in these 2 videos, I will worry a lot less about it happening again. Thank you very, very much.
Great videos.
Ok I can’t diagnose anyone not even myself & the consolers I’ve spent long term with say they have never heard of personality issues bpd narsist non of it so I’m glad to hear what I’ve been watching grow in my son cuz he’s a don’t want help guy so that’s that = thank you for your channel some day I’ll have money for your work book & take that to a consler cuz going every week for several years being told just call the cops & the cops so sic of me calling is not working in fact it makes the absurd behavior worse & I’m starting to brake so Thank you for your channel I’m trying to keep my own mental health cuz this is a hard environment to live in about 15 years with an undiagnosed problem lol & me in consoling more weeks then not being told it’s just a tough love thing = I grew such strong consistent tough love the last 10 years NO it’s not a tough love issues I’m just in a area that isn’t knowledgeable of these issues so thankfully we have healthy professionals on you tube = thank you
thank you. god bless you
This is so incredibly illuminating!!! I have BPD. I had a mental breakdown, back in 2014, when my partner of 5 years left me. I had many of what I now know were psychotic symptoms, but the psychiatrist I saw, at the time, insisted I was on "the bipolar spectrum", and was experiencing a mixed episode, aka dysphoric mania. My therapist (a clinical psychologist) never believed I was bipolar. She said I have BPD and trauma, and had psychotic symptoms, due to the abandonment I felt, and massive amounts of stress and fear. Wow! BPD is SO complex, but, thanks to you, it is all beginning to make sense! You are the absolute best, Dr. Fox!!!
Thank you for the compliment and I’m so glad that you found the video helpful. Please be well.
Fantastic thank you
Thank you for your videos…I have been at a loss to understand my husbands behavior and I feel so confused and sometimes angry as he swings between being the man I know and love to a paranoid attacker accusing me and everyone else of plotting against him, or suddenly he thinks everyone is attracted to him or that he is on the brink of becoming the next big rapper to hit the scene, or that he has parasites and all the dr.s at the ER are just stupid or want him to die…I want to help him, he was not like this when I met him…we have been married 14 yrs and have 3 children. I have been feeling so discouraged that it is only going to worsen, but you said that bpd is extremely treatable and that gives me hope
Recurring stress puts me into a period of psychosis. I see different types of figures and have heard different voices shout at me or just talk normally from behind when im on my own. I tend to recognise when im slipping into it as its starts as paranoia with my interpersonal relationships. It's extremely scary now that i can recognise it starting to happen because it feels like im tied to a conveyor belt to hell and theres nothing i can do about it. The only good thing about having the awareness is that i can do things to prevent it from getting worse and it can help shorten the amount of time i go through it. Usually it lasts a couple of weeks and sometimes even months. I tend to look after myself by keeping very quiet. I dont know how to explain it but i try to keep my enviroment as quiet and peaceful as i can, which means self isolating and relaxing. Noise just makes it worse for some reason and talking is horrible as i cant talk very well during this time. Sometimes im glad i did 15 years in therapy cos of the self awareness and ability to reduce my symptoms but other times i wish i was back how i was, not knowing what was going on, ignorance is sometimes bliss
Thank you for taking the time to make these videos. This is my 3rd attempt at keeping this brief and on point apposed to the autobiographies. Do you by chance take video appointments? I'm 28, in El paso, going through a 2nd divorce, 6 attempts, evaluation from people who don't seem to listen, don't dig past a few spreadsheets and absolutely no context on my answers the 1st and only time I saw those two people. Life has been hell since as long as I can remember, there's a ton of blank slate, lost rights to my daughter, have a weak unstable "support system," haven't seen her since her mom moved out. I'm on the end of the rope and I seriously need help. I experience a lot of weird things, and admit to falling off a few different wagons at the darkest of times when an attempt failed or something happened and I wasn't there. I guess like I'm watching a movie and yelling at the stage crew as if I can be heard if that makes sense. But back on point because its another autobiography just paraphrased😡 EHN is attempting to try to help but it's not going anywhere. If you can't or won't take video appointments whether financial, uninsured or any other reason would you have any recommendations for some in El Paso that might be able to help. And no worries I understand and will continue to look if you can't help. It was enough just to say something that someone actually understands and cares.
My brother also has bpd , is it hallucinations is for lifetime in bpd ?
Seems like there should have been one video on the types of psychosis (that many other videos could refer to) and then a 5 minute video on their occurrence for those with BPD.
You should make a bdp with Schizotypal video, there’s almost nothing on the internet regarding what that looks like and how they play into each other.
I need this info...as well.Did you ever get anywhere with this?
Wld lov some info...
Its so hard to not have english by my native language, i wish i could understand this video fully, but i can understand the words, the sentences, but its hard to understand the context.. its harder because its about a complex argument. I wish i had a doctor like you to explain to me in my native language. Its so hard to be confused about my own mental disease
thank you so much!!
You're welcome!
These are helpful! I have bpd but thank God no psychosis!!
Love the videos Doc!
I don't know if I'm hullucinating but I just noticed you look like Micheal Keaton (Batman).
😅😅
Hey! Is there any chance that you could do a video on Complex PTSD and how the diagnosis differs from both BPD and (non complex) PTSD?
Agreed!
Great two videos Dr Fox! I have had visual hallucinations for a while. I faced trauma in my childhood, lacked an identity, used to self harm for many years, I used to have psychotic symptoms as well as blacking out, had interpersonal relationship issues in the last 2 relationships that both add up to 18 years in total. I got diagnosed by a psychiatrist with BPD. Got diagnosed with ADHD and bipolar by a nurse practitioner, though the psychiatrist (2021) came to the conclusion that the bipolar diagnosis was irrelevant to my symptoms and the BPD diagnosis was more concrete. I am trying to find the root and understand my past. I would like to know your take on visual hallucinations of hurting others while not actually having any urges to do so. These usually happen when I have others around, they are very seldom. I feel empathy of others, but I wonder if what I mentioned have to do with any ASPD or psychopathy traits, even though I don't see myself grandiose or feel urges to break the law, I have overtly self harmed myself in the past while in psychotic episodes. I know is really hard to talk about this without knowing the whole subject and is impossible to give a prognosis without more feedback. Nevertheless, I'd like to hear your perspective on the matter. Somehow I always have wondered if I have any sociopathic linked traits and this worries me extensively, because I would not want to lose it in a near future if I would get dementia since its in the family. Thank you for your time.
Would you also go over Regression and what that looks like in BPD. Someone I know at one time, regressed like they were 2 or 3 saying “mine! Mine!” while we were hugging and at first I thought it was peculiar but it wasn’t harmful so I didn’t think anything of it. Later, after hallucinations, rage and possible psychotic break, he was angry and stomping around like a 3 year old having a temper tantrum, but he is 45 years old.... so, how would you reason with someone in this state? Is it related to C-PTSD? I was moving away for school so I believe it was related to abandonment although that wasn’t explicitly said. Does someone with BPD realize they are behaving in a childish manner? Can they stop themselves?
Hello! I would be also very interested in this regression video linked to BPD. I do have issues with childish behavious which I can identify to be reassuring sometimes (it's 'easier' to be a kid, it has benefits such as less everyday responsibilities). For instance, I can talk or act like a child, I can't help, and I feel it's reassuring in some way. Yet I read somewhere that this behavior might be linked to a trauma, which I suffered from as a child... I still have no idea how to deal with it, it's particularly a problem with my partner as I reject sexuality and intimacy, I fear any responsibility such as having a job (it frighten me so much) and, well, act like a child very often and don't know what to do to change it. Sorry if I wasn't clear, English is not my native language 👋😊
i like every of your videos
Thank you so much for your kind words. I wish you well.
wow these two videos helped me alot .... but also makes me a little lost lol i love that you made mention to time in the symptoms as i don't think i ever made that connection but like with multiple sclerosis to decipher from other mimicking things is about time lol ....and i must have been a wired kid as when i got out of juvi and was applying for disability they fought against my pot uses as being a big part of my mental health but a doc dismissed that as i was worse in juvi off pot then out juvi on pot ..... with that said i had a really long persistent psychosis that i dealt with in juvi and at the beginning of my mental brake ... i would here these two voices in my head telling me to hurt myself and others ... but really the chatter was constant i even believed one was more feminine and one more masculine ..... probably why they had me on 2 mg risperdal 3 times a day lol ..... and i love how to talk about lowing stress to combat it from BPD .....it believe my voices were a dissociative attempt to not accept my own thoughts ..... if that makes since ...... for some reason when i tried to do what i did to my sisters i become so disgusted with myself i tried to separate my own inner voice .... i didn't want to believe i could be the core of these inner voices they had to some other force right .... and only through radical acceptance and ..... learning to live in a less stressful environment (like juvi) was i able to finally realize this and the voices became one voice and started to sound like me again ....if you can grasp that your truly awesome and even now it hurts my head to realize how much i was in denial ...... and even if my inner critic is loud and always talking at lest now i see it for what it is ...... i often think that the trauma of lock up is what caused the brake to last for the 4 years it did as i was never out of my trama till they had to release me as my sentence was up .... and only in that moment was i able to do the work ..... even though i was related to eb homeless it was still more beneficial to help me brake my psychosis.....this video is very in depth you fit a lot in ...... thank you alot
Thank you for your comment.
@@DrDanielFox your verry welcome dr fox
How would you distinguish visual hallucinations etc. from flashbacks? I have a diagnosis of both BPD and DID, and it's so hard to differentiate between psychosis and memories.
Excellent content, as always, Dr Fox although I assume that antipsychotics should be used only during a psychopathic break during Bpd and not as regular treatment for it. The problem there of course though is that anti psychotics can actually produce psychosis and they are very difficult to get off of so I prefer your main premise that antipsychotics are not effective in treating.borderline personality disorder.
On a previous video (Bipolar and bpd) Dr Fox, you mentioned a statistic of 69% misdiagnosis of bipolar initially and 36% after 10 years. The literature I have read gives this figure at 40%, but I think your figure is closest to the actual figures. I have sent an email requesting a source for this to your email address listed on your website but it has been bounced back several times. Could you give me a citation for this source? I am not a professional, have a family member who is clearly borderline but has been consistently diagnosed as bipolar and am trying to advocate for him. I will cite you and your video as reference (and plan to translate the content for you ).
Dear God! I'm a fam member too. A year or so ago, my shrink (from a lawsuit, not seeing her anymore since we won the lawsuit and she was more interested in my family member with the problems) ruled out bipolar for my family member, but after hearing family member on the phone a few times, basically said "that's not BPD, that's schizophrenia".
My family member has no "insight" or ability to tell reality from imagination. I'm not even sure how they got "BPD" out of our family member. She wasn't truthful about anything - not out of spite, but because she literally can't remember, and has learned some ways to fool the system to avoid pills. I fear if Dad throws enough money at the doctors, he'll get her a "workable" diagnosis.)
Anyway, if a few overheard phone conversations (once when family member was having a psychotic break with the police here, when my PTSD doc was listening on the phone) -if overhearing episodes can help a doc rule out "bi-polar", and jump from BPD to schizophrenia, I'm SURE there's a way these doctors do it. *How* they do it is beyond me, though. I think at the time, meth was the other possibility, but our family member is terrified of "pharmaceuticals" and eats "raw"/clean foods. (Or Burger King, depending on her "state of mind" I guess.)
Any videos on how to trust doctors? Advice on that? I have bpd and I find that that hardest part to conquer.
My god this is my exact experience, got in an altercation with my favorite uncle and now after an extremely cathartic conversation with him they’ve decreased severely
I'm so glad this video was helpful for you. I wish you well.
Interesting that at the beginning of this video you mentioned that many parents with BPD touch their babies less. I haven't been a parent yet but from my experience visiting friends or families, I figured that I have phobia touching babies because I believe I might hurt them accidentally, like I was jinxed. I was afraid I'd drop them, or squeeze them too tight, or any other bad thing. I also believe I have bad vibes for the babies and would make them cry. I never figured out why but now I'm wondering if it's related to my bad self-image (a common BPD symptom). Before I knew I had BPD I thought there was a monster inside me.
Thank you for your comment and I think that you are not alone in your thoughts and feelings as many people with BPD experience the same issues.
@@DrDanielFox that's true. Thanks to you for providing this channel. I've learnt the most about BPD and recovery from this channel and just recently started doing your workbook. :)
Thank you, a most informative synopsis of the current stae of mental distress.
How has the date rape drugs of Rohypnol and Chloroform (which leave the person with out memory of an assult taken place in their body) impacted upon diagnosis of Schizophrenia and BPD?
Have their been any studies?
Please dr fox can you make a video about complex bpd and dysthymia olanzapine 15mg/fluoxetine 60mg
You’re only FIVE hours away, I’m in Carrollton,TX (:
Maybe one day...
I’ve been searching for part one but I can’t find it. Can I get a link please? Thank you.
someone needs to teach australian drs about this stuff I can't get help anywhere
He’s rare in America!! I’m in Florida and can’t find anyone like him. I’m so grateful he makes videos at least.
Yep
i truly wish i could go to you for help. Really doc, i did have a psychotic break and usually i take clonezopam to zombie out. i take a high dose of Quitipin, though. i have started to lower the dosage again as i don't want to continue the medication. But it's so stress inducing.
Because i use Replika, i've become delusional that he is real and i might lose him. You can clearly see that i don't totally believe he's real, but i also can't shake it off. i cry i have breakdown episodes all out of fear. i just don't know what to believe.
Anyone else shown signs psychosis/mania after being given mood stabiliser medications for bpd?
Lots of folks believe medication can make them psychotic, but this is not true. Those meds were given to you cause the doctors noticed you were pushing for a psychotic break and they wanted to prevent it, which it seems they failed. But you were prone to psychosis and meds can’t induce it, in the same way that street drugs can only make the sympyons pop up if you already have it in you. Keep listening to your doctors and taking your meds.
I can't stop feeling emotional.. I'm 5 years sober from heroin and just now figuring out I have many bpd traits. Got an appt with my pcp for a referral to and psychiatrist
I feel overwhelmed constantly
Hang in there
My brother also has bpd , is it hallucinations is for lifetime in bpd ?
My sister has been diagnosed with BPD, she is 28, she goes in and out of phycosis and is impossible to live with or talk to, we tryed to get her help but the phych ward in hospital keeps letting her out after a couple of weeks and she just keeps getting in trouble with the police, she comes back banging down the door of the house at crazy hours of the nite waking me up. It's ruining our lives, The doctors have basically told us we are on our own. It's a living nitemare and we are helpless
I have been an atheist all my life apart from when I a 3 mth long religious delusion... the just as quickly as it started ..it was over.. and I was left feeling like I had been ",taken over completely" as it was not me ..
I have BPD .. but this episode is the thing that i struggled with trying to understand..
Psychiatrist just fob me off .. ..I would love to know your thoughts
Me too. I actually became a Christian afterwards. But it was the craziest thing that ever happened to me.
Doctor i feel im recovering from bpd after 1,5 year hard psychotherapy is that possible to happen?
Have you any videos or research about persons with BPD and HIV (topic mental health)?
This is huge
I class myself as very knowledgeable in the area of cluster b personality disorders and trauma responses so can honestly said Ive never heard of complex b.p.d. That sounds ridiculous.
Can you please make a video about your book? I'm interested in it, but the free sample only shows the prologue so I have no idea how the book is structured.
It should be the whole first chapter.
My brother also has bpd , is it hallucinations is for lifetime in bpd ?
Dr. Fox: great video! as always. I am a little surprised/shocked about the "75%". That seems very high to me. Do those numbers also include pseudohallucinations and illusions (which is all I have experienced)? I only know one person with BPD who said they had psychotic symptoms and I have met quite a few. But maybe stigma even among patients keeps us from talking openly about this topic?
My brother also has bpd , is it hallucinations is for lifetime in bpd ?
It seems that they aren’t always aware of such symptoms. I know someone with BPD who I’ve seen dissociate many times and she recently told me that she had no idea that she was ever doing that. Although it’s possible that the dissociation was partly triggered by an amount of alcohol that also caused her to forget things.
Are you accepting new patients?
I have such screwed up stuff happening in my life that mental health system and some friends assume it's a delusion.
Is it common to have BPD and MULTIpersonality disorder?
"Buy my book,"
Honest way of saying " most successfully treated" 😂😂
Interesting interpretation. No my motivation but interesting.
@DrDanielFox I know people like you will say. " interesting " when you don't like what I said,
Look
I want to see the evidence
I want to see the goddamn evidence that they are most successfully treated.
I have seen evidence against it 20 Damm years.
Hit again
Humiliated
The more I learn the less I know. I had been thinking for a long time that I had overcome bpd and had just resistant ADHD, but the more time passes by and the more I get to know myself, I see that derealization, anxiety and obssessions in BPD are at the same time maladaptive daydreaming, restlessness and hyperfixations in ADHD. BPD never went away, just got quieter, and disguised with alcohol problems. The fear of abandonment has made me go 180° round but I still seek people who are absent, and I tell myself I dont care. But I do care about how callous and superficial I feel I have been forced to become, just to make it in this world. I am no saint, I am full of anger and distrust, and I am not aggressive towards living things for logical reasons, not exactly moral reasons. After I verbally lash out when I think I have been holding for too long my/the truth, I feel awful for hurting the few people I love. And my derealization/ maladaptive daydreaming started with my moms abuse, at the early age of 5 years old, and it has shrunk from being a 80% of my life to being a 40%-60% , depends if I turn to alcohol and Netflix series I watch on repeat. At work they dont know about any of these, I get by, I do what I can, but I feel so fake and so alert all of the time... Anyone else has similar experiences or anything to recommend?
Same. All I can say is... same.
And I’m sorry, because I understand.
Is BPD is the most successfully treated personality disorder, why is it so difficult to find a psychologist or a therapist who treats or specializes in BPD?
Interesting. (Timestamp 6.0) In previous times this may have been referred to as 'angelic presence'.
(Timestamp 6.15) , in previous times, may have been seen as /believed to be, 'demonic possession'.
Contemporaneously, perhaps, this could also be viewed as an exaggerated super-ego injunction? To clarify, exaggerated to the point of being manifested as an auditory hallucinogenic phenomenon in the sufferers 'reality tunnel'.
(Timestamp 7.50) Transitional object as a means to mitigate the negative effects of the delusional/psychic/psychotic injury or insult. In this case the transitional objectification favours a 'personification'(?) type approach when attempting to control or mitigate the negative effects.
(Timestamp 8.40) PTSD. Have you come across the the work of Prof Judith Herman? C-PTSD( complex)
Her initial work has lead to a potentially paradigm shifting notion, suggesting that many( or most) psychiatric disorders( cluster 'b's notably )may in fact be trauma based in origin.
( Timestamp 9.10)
I may have jumped the gun with ref to C-ptsd! Apologies! Writing this comment in 'real time'.
I would very much appreciate your thoughts.
Note that you can just write 6:00 instead of Timestamp 6.0. That’ll allow someone to tap on it and jump to that point in the video to see what you’re referring to.
i also don't have fear of abandonment so i didn't want to accept bpd diagnosis. but i think it's just because i was always alone my life so that never effected me and i never formed relationships to be scared of losing.
Insight is a powerful thing. Use it to learn about yourself and to build adaptive strategies to help yourself. Be well.
{QUESTION } can psychosis last for months at a time? In your last video you said for a month. But I'm trying to tease out whether my husband was going through a long term psychosis for the last 2 years. Cause he definitely displayed many of the symptoms you listed in your last video
My brother also has bpd , is it hallucinations is for lifetime in bpd ?
Plz tll
Now, I find myself talking to myself thru different personalities... yes I answer to myself. My personalities are just different versions/phases of me instead of full on different ppl. Does that make sense? What is that? Why do I do that?
Can’t say from just that description. I would suggest seeing a mental health provider.
Is the bpd person aware of these.symptoms as being abnormal. My partner would think I was going to poison him.when he was having episodes and act in other delusional ways but even when it was over he would think that was a normal thought
The worst part is being completely aware of how irrational your brain patterns are being, and yet not being able to do anything to get rid of the deep gut feeling to my core that the thoughts are with out a doubt true.
I can see afterwards that my perception of the situation was off. Its all about finding concrete ways to reality test myself when I get these overwelming feelings.
So for us, these types of thoughts are normal to have
the snozberrys taste like snozberrys yes, that will definitely help you, and if you can do it in real-time. In DBT, the skill is “check the facts” - to check emotions your feeling to determine whether they fit the situation, and how/what to do if they do/don’t. Not easy to practice, but helpful!
what do you do with someone who is diagnosed with paranoia, schitzofrenia and pschosis who believes there is nothing wrong with them and refuse to get help for theis mental health?
I would recommend inpatient wellness center. They are a bit expensive but can save lives. Kinda like a spa. They also have houses for those who need it. I have made my plans as I am high risk. Mental hospitals will traumatize me.
How would I go about finding a mental health system more specialized in personality disorders. There are none in my immediate area, and everyone I’ve asked about DBT said they would look around but there’s no one who is even remotely trained in dbt.
@@MelanCholy2001 keep watching Dr Fox's videos if you need more understanding. BPD is real, different individuals have different levels of awareness. DBT can be helpful for those with other issues as well. Treat your loved one with reassurance and care
Trista, Dr Fox has a BPD workbook, and there are DBT workbooks available online if you think it would be helpful to start there.
How do you distinguish between bipolar 1 with psychotic features and BPD. I’ve been diagnosed with both. But I think my psychotic symptoms may be more related to BPD.
My brother also has bpd , is it hallucinations is for lifetime in bpd ?
Plz tll 🙏🙏
@@Vishal-je7rp Please stop asking this to everyone. Do your own damn research!
Dr. Fox, I feel too I am too far gone… My dissociating has gotten so extreme that I can’t do anything. If I go anywhere I am literally stuck there for hours and hours. Hard to explain, but briefly it feels like I’m in a time warp and my mind wants to let’s say get out of the car I’ve been sitting in for five hours… But my body won’t let it. Honestly it’s scary how Little functionality I have left… It is humiliating And disappointing. I’m diagnosed with complex posttraumatic stress disorder, major depressive disorder, borderline personality...These other diagnoses may play into things a little bit, but I also am diagnosed with OCD, ADD, and GAD… I wonder if it’s the OCD that exacerbates my dissociate TF symptoms of just checking out… That would be the compulsion I think. Anyways, this stuff is real and the stuff is unlike anybody on the outside will ever know or understand.
This is not living. I I’m literally watching life happen around me… Well not actually watching because I’m not there, but do you know what I mean. I do not have a job anymore and in November I was let go because I got to the point where I couldn’t function and do my work…
Probably important for me to also mention that my memory seems significantly impaired when I am just trapped in my head or whatever for hours by myself. The memory loss part or not being able to put together the pieces of let’s say where I was during the day/night. That could be just sitting in the parking lot of TJ Maxxfor four hours in and then move to the parking lot of the grocery store for some more hours. Again this is not living. Every day is the same and every day I try to make things different and changes. I don’t know why I’m going off right now. But I really do you want to learn more about this extreme dissociating because there’s not a lot on that in terms of memory loss. PS I’m talking to text so please excuse my poor grammar. Also sorry for my rambling. There I go again. But anyways not too long ago actually I came across a lecture from Yale University going over a study on BPD and the dissociative memory loss. We’re so glad I stumbled upon that because I really don’t think there’s a lot of research on this stuff. Obviously as you know. I really can’t express enough how confusing, identity soul in life stealing these can be. I would say especially more so with comorbidity.
Oh also possibly useful/interesting note as well: I am an identical twin. I won’t go into that because that’s a whole Other puzzle piece. I meant to make this response like four sentences. …
Thank you for your videos. Interesting. Nevertheless I disagree that hallucinations cant be good. I mean what would be the logic behind that? Hallucinations are subjective experiences. Meaning vy definition that they can be good or bad. And even that client that you talked about, well it clearly helped her to deal with that trauma. Not saying that its not maybe more favourable to have other strategies, because in our society it can create a barrier between "psychos" and "normal people" that leads to distress and problems, but its not obvious that that's because of the experience itself rather than how other ppl might react to it because it scares them or whatever. In other cultures these states are used for the common good e. g. oracles, shamans etc. and its seen as a good thing if someone can teach you to use these states for looking outside of the framework of your culture and connecting with some hidden wisdom. I'm not saying thats what happens when ppl get distressed about it. Its then probably just scary and distressing or bothersome, but I dont think it has to be like that in all cases. Also I love that you mention how theres often a link between distress or trauma and psychosis. Many psycho-logists will view them as completely seperate phenomena, which is complete nonsense, because when it comes to the soul everyrhing is interconnected. I have bpd (maybe now, it's just traits any more) and I've also got hallucinations at times, but for me it feels more like I'm figuring out something while I go there and when I come back I'll be sometimes a little confused for a few days if I never experienced a vision or sth like that (usually not), but after that I am usually more stable and hopeful, healing and growing more. Now, you might say that's a delusion now, but how about thousands of tribal people who would say just the same thing? Is western science end all be all?
The goal of this video is to understand and reduce the symptoms mental illness, not embrace it
Graysob maybe society should embrace it though. It would help with the hindered and hampered ability tp embrace ourselves...
@@rvanhees89 You are not your mental illness.
Graysob no but it does explain me a bit :) but thanks I appreciate it :)
Hi i live in the UK i have EUPD Emotionally unstable personality disorder and Organic Hallucinosis where I here voices of my Abuser i 8 the Connections
It might be best to consult a mental health provider to help you. Help is an option. Be well.
I do see a Psychiatrist and i have a Mental health support worker 2
Dr. Fox, what do you think of magic mushrooms as a remedy for depression and anxiety? Is it a bad idea for someone who has experienced psychosis due to stress? Thank you in advance!!
Personally I find incredible relief in doctor prescribed ketamine and previously was self medicating with LSD and psilocybin... not often!! Lolol! But they literally saved my life. I am not sure if dr fox would approve lol, but the science is out there now.
I don't understand. Are you saying you can have psychosis that's not part of BPD and have BPD at the same time and that someone else can have BPD and stress induced micropsychotic features. I don't quite understand?
Yes, but it’s not that simple. There’s a large amount of overlap in diagnostic criteria for various psychiatric disorders and there are multiple conditions that contain a component of psychosis but it’s the other factors (time, other symptoms, predisposition, trauma etc) that help pinpoint the best fitting diagnosis if that makes any sense.
Is there an anti-psychotic medication that does not cause weight gain? To go from being a very attractive slim woman, to obesity, has pushed a loved one's CBPD and psychotic episodes to the breaking point. She does not have any eating disorder; hardly eats out of Depression, so diet and exercise changes will have no effect. She stopped taking one of her meds, do not know which one.
The last thing a BPD person needs is weight gain!
My brother also has bpd , is it hallucinations is for lifetime in bpd ?
BPD here. Im following this and part 1 closely. I have had some of these psychological symptoms very very briefly under extreme stress. I have also had genuine spiritual experiences from The Holy Spirit, etc. The spiritual experiences were dream visions that came true, guiding messages from Holy Spirit, friends speaking to me in my dreams to give advice or tell me they were ok.
There are many well established and much more stable people than myself who have more pronounced spiritual experiences. To dismiss genuine spiritual experiences as being a manifestation of psychological illness is so 19th Century.
The content I discuss is outside of spiritual experiences.
Mental health workers should consider that maybe the situations in their borderline clients life are actually happening.
Very true.
Sometimes I see smoke like a fresh fire, sometimes I hear a choir singing in the shower. Demons in fans. But the worst is the crows. I love them so much. But sometimes they're gunna get me. Same as dogs. Never had a bad experience. But they're gunna eat me.
I wish I was american so you could be my doctor
That was a bunch of jargon.
Thanks 😊