Borderline Personality Disorder with Psychosis | Comorbidity or Part of Borderline?
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- Опубліковано 20 січ 2019
- This video answers the question: Can borderline personality disorder be present with psychosis even if there's not a comorbid disorder to explain the psychosis? What this question is really getting at is: Can borderline personality disorder have a psychotic component to it that doesn't have another explanation? First, I will briefly review borderline personality disorder and psychosis. Borderline personality disorder is a Cluster B personality disorder in the Diagnostic and Statistical Manual (DSM), so it's in the same cluster as antisocial, narcissistic, and histrionic personality disorders. This is called the dramatic, erratic, and emotional cluster. There are nine symptom criteria associated with borderline personality disorder: frantic efforts to avoid abandonment, an unstable relationship pattern, identity disturbance, impulsivity at least two areas that could be self-damaging, suicidal behavior, affective instability, inappropriate intense anger, a chronic feeling of emptiness, and the last one is paranoid ideation and severe dissociation.
Psychosis is a construct that we see in a number of disorders and what it essentially means is a break from reality. The way we know psychosis is occurring is usually through hallucinations, delusions, or both. Hallucinations would be seeing or hearing something that other people can't see or hear or otherwise perceiving something they can't perceive. Delusions would be a fixed, false belief that doesn't change even when there's evidence that shows that that belief is not correct.
The first symptoms that ever popped up for me were hallucinations and delusions. It took a really long time (like 7 years) for any mental health professional to believe me, because they all said that people with hallucinations are not aware that they are hallucinating (and I was almost always aware that it wasn't real) therefor I am lying about it. Finally, a psychiatrist told me that it WAS pretty normal to have that awareness for psychotic depression or BPD psychosis, but not for schizophrenia psychosis. It's interesting to me that there is a difference. He also told me that with BPD or psychotic depression, once you treated the other symptoms, the psychosis tends to go away on it's own so antipsychotics aren't needed long term vs schizophrenia where they are usually needed for life. I'm too afraid of stopping my anti psychotic med to test that though lol.
Bless you. I honestly believe bpd psychosis is never a permanent feature for us, it will only flare up in periods of intense stress. Just gotta try and stay as peaceful as possible
Those were my first symptoms also besides the rage. I was in my teens at the time.
Updates?? Did anything help?
My brother is facing hallucinations and delutions that are not so confirm or a time being ,,
And he's aware of his functional work and not fully gone to reality change'
, He is mumbling and laughing alot ,
What ur thought it's an bdp disorder or schizophronia ,. Plz tell anything u can 🙏🙏
I can identify with this. I had 2 major episodes within 7 months of each other, and my psychiatrist said the same thing. Despite being aware, the paranoia was crippling. having a professional believe you is so difficult, and when they don’t, it feels like drowning
I want to cry. I suddenly feel significantly less alone.
Fantastic video. Very eye-opening that 20%-50% of people with BPD have hallucinations, and this converges with my experience with a partner with BPD. I think one of the challenges with diagnosing someone with BPD is that there are so many co-morbidities. And as a result, people with BPD who receive therapy are often *only* diagnosed with the co-morbidities, e.g, depression, CPTSD, ADD, etc. And as a result they don't see the big picture, i.e, that it's BPD that ties all of these other co-morbities or components together. And not getting the BPD diagnosis causes problems for the person with BPD, e.g., ignorance/denial about their condition, which prevents them from genuine recovery/treatment; and results in the perpetuation of damaging/harmful interpersonal relationships, etc.
Are there reasons a therapist would intentionally withhold a BPD diagnosis?
I have BPD and ADHD. Diagnosed years ago. Had 3 different psychiatrists diagnose me the same. Always had ADHD all my life. BPD started developing as a teenager cos of issues in my life which was triggered by how my ADHD made me act. I'd act out of turn with ADHD as a child and this resulted in me being treat differently and neglected in a way compared to others. I also got myself in situations where I ended up getting attacked multiple times due to impulsivity. Therefore bpd developed I have every single symptom and I hate it. I'm 26 now and am finally hoping ican settle down with my current partner who happens to be my first crush. I have a habit of pushing people away but reading your comment gives me hope seeing you mention a BPD partner
@@belladramatic961 Hi there, I have the ADHD diagnosis and also almost definitely have BPD, as have every symptom. I also have moderate levels of ASPD manifested as secondary psychopathy traits, and without question I have a substance use disorder too! I notice the paranoia tends to occur alongside a sense of physically evaporating when either a romantic or intense friendship seems to be threatened. I don’t hallucinate exactly, but feel that everybody is talking about me or condescending me and/or think I’m hated and become convinced that if I died people would cheer and not even bother to attend my funeral. It’s always short-lived and occurs from long periods of isolation. The hallucinations are where objects appear to glow, tilt or melt and are occasionally accompanied by muttering voices. What variety of hallucinations do you experience and are your symptoms similar in general?
@@lauriebettshughes6789 hiya! I'm reading a book atm about bpd written by specialists and there was a part about how psychiatrists would withhold the diagnosis from there patients as they thought bpd was untreatable, so they feared the patient would be burdened with the diagnosis and it would affect them further knowing they couldn't recover. We know now that obviously it is totally treatable, but when I got diagnosed a few months ago, the actual psychiatrist who diagnosed me didn't tell me! A psychologist later down the line did, so it made me wonder if he had this old school mind set 🤔❤ the book is called the Borderline survival guide, by Alexander Chapman & Kim gratz ❤
@@lauriebettshughes6789 My understanding is that its a very difficult diagnosis to make. ADD for example presents in very similar ways but is treated differently. mis-diagnosis can be very damaging.
Thank you for this. I was watching a video of a woman dissecting a few different schizophrenia simulation videos today, and I noticed that I experience a lot of the same symptoms - paranoid delusions and auditory hallucinations, mainly. However, what I experience seems more mild than what she explained in the video. I don’t believe anything is poisoned, but I do believe people are constantly judging me, even when I’m just driving down the road. I am hyper-self-aware....irritatingly so. I often hear sounds like a group of people talking in another room, and I just know they’re talking about me. Or, if I’m at home, I think the tv was left on, even though the house is silent once I’m able to really focus on it. The biggest difference I noticed is that I don’t hear a different voice in my head when I’m hearing those self-deprecating thoughts. It’s me, but mingled with a constant drone of background noise. Very, very loud background noise. I’m easily overwhelmed and overstimulated. I can definitely see how the lines between diagnoses can be blurred and hard to distinguish. Anyway, psychology fascinates me and I’m so glad I found your channel. You’ve definitely gained a new subscriber! Thanks again for the insight.
Well I've got a little firsthand information to add here. I'll try and keep this short.
Around the turn of the millennium, I had some repressed memories of childhood trauma bubble up from the nether regions of my brain. I always had feelings of intense anxiety in certain situations that didn't make any sense to me, but at the time (I was 20 years old) I was going to school, working a full time job and had more friends than I could keep up with. Soon after, that all changed.
Nearly overnight I became extremely paranoid. I honestly thought that I had died and ended up in hell. I thought that everything existed to harm me. I thought there were messages embedded into song lyrics, the television and in every single word that anybody said within earshot of me. I would spend hours every night writing out these elaborate "maps" to how everything connected together and would present them as evidence to others as to why all reality existed to harm me. I did hear actual voices on more than one occasion coming from outside of my own head. The voice would just call me by the various names and nicknames that various friends and family would call me by. The auditory hallucinations weren't really common and didn't last very long, thankfully.
I began, out of nowhere really since I never did anything like this before, to take knives and scissors and carve words into my left arm. I made two honest attempts at suicide, one was getting my hands on a bottle of barbiturates and taking ten times what I was told was a leathal dose and driving my car (with no airbag and with the seatbelt off) into a tree at 90mph. After a few years of this I wound up before a psychiatrist who handed me a diagnosis of BPD. Of course they tried various meds and none of it worked.
Eventually I just got sick of living like that so I decided to just try and make the delusions go away (the auditory hallucinations had already stopped years prior) as they never did let up at all. So when my brain would start to tell me that the two people standing in line behind me weren't having a conversation about the dinner they were going to cook, they were really talking about me and how terrible of a person I was, I would just inform my brain it was wrong. It took around a year and a half of this before any real affect was seen, but eventually songs on the radio, movies, television and most importantly the speech of others returned to being just what the were, no hidden messages anymore. I was able to rekindle most of the relationships that were destroyed by whatever it was going on in my head.
So yes, I do think BPD can present with psychotic symptoms, but unlike schizophrenia I don't think there's any physical brain abnormalities that make it nearly impossible for the schizophrenic to live "normally". I think BPD, like the DSM seems to suggest, can be "overcome" through cognitive restructuring by the individual, albeit with years of Herculean effort. I never did go to therapy for much longer after the initial 6 months of visiting the psychiatrist, I just educated myself on the disorder and how our brains tick. It's always up to the person with the disorder anyways, the counselor is just a guide. I live what is a mostly normal life now with healthy relationships, so if anyone reads this and is struggling with any personality disorder themselves or knows someone who is, it's possible to move past it if the desire is there.
james staggs hey! This sounds almost exactly like me!! My delusions are always around a war of good vs evil, and I am a warrior fighting. It’s scary as hell (literally) it’s good to know it’s not just me! Thanks so much for sharing
Perhaps you have a rational soul struggling with rationalizing an irrational world.
Who sets the bar for what is normal.
@@seabass8313 chill out
Everything your saying about the way you were perceiving things is exactly how I saw things. I got help, but I still (and this has been something all my life) struggle with moving on from the fact people aren't qoute end qoute "judging" me. I do think it's odd when girls are close to me and they start laughing this weird "hahaha" laugh and I do think it's odd when boys around me start eyeing each other and talking about other things people are doing and how their involved. I see it as if I'm some type of outcast. But the adults who deal with people day to day are the only types of people that at least tell me I'm a good person, and tell me I'm they're friend, and if I need to talk to them they'll settle things real quick for me; You know it confuses me a lot, because how do the people my age say "oh yea he's a good person" and then ignore me, act like they don't see me passing by and treat me as a handshake dummy, but the older folks in late 20's, and older, the military ladies and gentlemen personnel see me as a good, humble person. I don't know why I've got to go through this mental pain every week.🙁 But I'm still here✊️
Drawing maps to illustrate how the universe is rigged against you specifically sounds exactly like something I would do, during a flair up especially.
Dr. Grande, I just want to say that I have been watching your videos for almost 2 years now and I deeply appreciate the information you share with us. I have BPD and it’s very hard some days. Watching your videos remind me of the facts and that I am not a monster. Thank you so much Dr. Grande, I wish for the best for you.
Dr Grande, thank you for this information. My ex was diagnosed with borderline schizophrenia and I never truly understood it till now. My ex would see bats in the house and thought they lived in the walls. He would sit outside for hours looking to see where they would leave to try and stop them from coming back. It was a very difficult situation that eventually led to our divorce.
Thank you for the clear explanation.
That thing you mentioned about a depressed person thinking its raining because they are depressed shocked me. I think that way all the time
Very informative. My (now adult) daughter has had so many and varied diagnoses. For certain she is borderline. She suffered from paranoia, delusions and psychosis. Clinicians were reluctant to say she was experiencing true psychosis, however. I’m still at a loss because raising her, loving her, was extremely heart rending. Long story. 😣
BPD is caused by abuse and neglect from caregivers
i apparently have BPD and i do have psychosis. i may or may not also have Bipolar type 2 as well. What has always confused people working with me in the past is that while experiencing the visual and auditory hallucinations I am both terrified of what i can see and hear and aware they arent real at the same time.
Cannot imagine x so sorry hugs
As someone with similar experiences, I find it frustrating that these symptoms aren't talked about more. Finding out up to 20 to 50% of people with bpd have psychotic like/psychotic symptoms is surprising but comforting.
I was tested for bipolar but diagnosed with BPD I also have ADHD and no therapist will see me cos of how complex it is and having another disorder adds to it. Getting tested for OCD too as I've started inhabiting false memories from intrusive thoughts. Mental instability sucks
Also im on some anti psychotics called Quetiapine. They've helped with my psychotic behaviour but not so much with some other parts of bpd. I also have to be careful cos being on meds for ADHD the meds can react with them and I'm finally getting on track with my ADHD after 26 years of struggling but the BPD is a nightmare. I've managed to push all my family away now every single one. It's empty and lonely. Also watch Crazy Ex Girlfriend. Ignore the name but the main character gets diagnosed with BPD and it really opened me up to accepting it as before I used to avoid at all costs accepting that I had it because I didn't know what it was I couldn't understand it I'd just been diagnosed and no one explained I asked for help and all psychiatrists just confirmed I had it without advice. But watching CEG really helped me accept being Borderline. The character is so creative and hard working it really makes you realise the best in the disorder (obviously though it's hard to sometimes)
Sorry for the essays but honestly not sure where you're based but here in the UK I've been trying for months for therapy and i just get told that due to the complexity of it they won't offer it cos of our fear of abandonments.
I'm diagnosed with borderline personality disorder with psychotic features and PTSD I have all 9 of the criteria of the borderline personality disorder extreme highs and extreme lows, as well as voices telling me those around me are judging me....I do get lost In reality and able to remove myself from my physical body and go to the world i have created inside my mind....this I had created when I was very young..I was locked in a dark closet for hours and relied on pictures I've seen in national geographic and life magazines....So I was able to transform these one dimensional images into a three-dimensional world...It felt real to me and time flew by....Times were very different in the early 1970s....I'm in my 55 and I still abandonment issues, I still have highs and lows...I still put myself in extremely dangerous situations. Unstable relationships ...trusting others is one thing I don't do well with....my voices tell me to kill them all or they are judging me...I would become aggressive if I was on public transportation... I'm on meds and do therapy......I struggle Alot and panic attacks are still present...I'm glad that psychiatry is seeing the different clusters...and maybe find the right medication combo that will manage these feelings and actions....Thank you Dr.G for your hard work and detication..
When the doctor mentioned "ideas of reference " and explained it i start to cry cause it's exactly what im experiencing and I thought there is some super power trying to communicate with me , so disappointing and scary when I found out it only psychosis as a part of personality disorder
I suffer from BPD and just very recent, I started showing other symptoms such as hearing voices in my head. I spoke to my gp about it and my condition are very extraordinary/intense. Thank you so much for uploading this video.
Inpatient 3 times over 3 years … seeking answers ,, all my life.
discovered borderline on my own a few months ago , every box checked , every ism , every wtf are you running from now answered.. these videos help , the tips the tricks the understanding I am not alone … and can be accountable for the crap in my head white knuckling it . I wish I could find a therapist because I am not a specialist but I do try my best for the people around me 🎉 my life the leftovers of the mess I made not understanding me .
I completely understand and have read Otto Kernberg's psychoanalytic conceptualization of BPD. The differentiation between BPD and psychosis is interesting...as is the predominant use of anti-psychotics with those who suffer and do not display psychosis but extreme aggression/anger. This situation is most difficult within the inpatient context repeated aggression leads to a perpetual anti-psychotic cocktail, memory loss, and prolonged hospitalizations...I like your differentiation. Yet, there are many times I want to throw the DSM away and just learn about the person ( who they are...what helps...what doesn't, etc...)
Wendy Mcreynollds I hear what you are saying, but in an inpatient setting clinicians are also responsible for the safety of those around aggressive/angry people, particularly when the unit is locked and potential victims can’t immediately escape a potential assault. The unfortunate byproduct is people sometimes require cocktails as chemical restraints, it’s an ugly truth but sometimes necessary.
83RBurke I completely get it... it just seems unfortunate
I have a diagnosis of both borderline and intermittent explosive disorder. Seroquel gets me to sleep and has kept me out of trouble even though I'm pretty sure its slowly giving me diabetes although that might just be a somatic delusion from watching too many videos on the contraindications.
@@83RBurke Pretty much. The mainstay of rapid tranquilization is the antipsychotic, for a myriad of reasons. It's generally safer than alternatives, whereas Benadryl alone can actually stimulate at higher doses and Ativan alone is fueling their med-seeking behavior. Ativan, like other benzodiazepines could result in disinhibition as well. When mixing these three agents at lower doses, you will be have better outcome with less side effects. Although, there are times when only a Geodon IM or Thorazine 50-100 IM is a better alternative simply d/t their tolerance to the "B52". This practice is the same in an ER, not just a psychiatric facility. Most facilities are not allowing for seclusion and restraint, only crisis and court-ordered treatment centers use it now, so the staff is left with medication as the only way to lower aggressive bx. It's typically an impulsive behavior and irrational need to be sedated for something ridiculous, but having other patients who are passive with PTSD or a general fear in the acute setting shouldn't be exposed to a person throwing chairs or damaging property. A while back, one of the patients entered the nurses station and destroyed everything in it. Computers, copier, a staff members phone, chairs, and even broke the window to the med room. He was covered in blood and the police had to come arrest him. The reason? He wanted a benzodiazepine and the provider wasn't giving it. That has become commonplace in acute care settings.
Wendy Mcreynollds in my experience, nothing helps. I have an adult child with bpd. Over many years I've tried to help. Provided a good home. Spent countless hours on the phone comforting and counseling when relationships inevitably fail. You name it, I've done it. Nothing I've done has had the slightest influence (that I can see.) And it just goes on and on and I've decided to shut it down for all practical purposes. I'm still willing to listen up to a point. But when it's clear that absolutely nothing I say or do will affect the problem, and when it's creating problems with my health and outlook on life, I think the wisest course of action is to disassociate myself from him except to maybe just listen. And when the communication begins to fail and his hysteria reaches a certain peak, then hang up and maintain a healthy distance, perhaps for a long, long time. Because: I'm not helping him and his strident outbursts are just destroying my peace of mind. Yep, he's my child, but I've already disassociated myself from him. And I'm writing this in the interest of people who are close to a person with bpd. When you get to a certain point I think you should step back and let go. You've done all you can do. Yeah, yeah, you love that person and feel sorry for him. But you must step back and save yourself. It's called damage control. Because, you know that it's a pattern that has played and will always continue to play over and over and over until either he's dead - or you are...
My prior diagnosis of borderline personality disorder by a JUNIOR psychiatrist in a 15 minute diagnosis, kept pushing the same question on me as though it was rhetorical- you have abandonment issues yes, you fear abandonment? You fear abandonment? So you try and avoid abandonment? He kept pushing the question like a statement on me. In my opinion, I don't have abandonment issues. I don't dispute I have bpd, but I defo think I have bipolar too. Once it twice a year I experience psychosis for weeks to months. I haven't recovered from the latest episode. I've gone from someone who wouldn't step out the front door without my false eyelashes fake tan and hair done, to barely washing once a fortnight, not eating, sleeping etc, the voices being worse feeling bugs on me bring scarred.... it's not ad bad as a couple of months ago, but I'm still really unwell. But I know I'm unwell now where as I didn't before. I shut myself off from everyone. Services have stigmatized borderline personality disorder so much they they stopped seeing me as an individual and just someone who wants attention. Not someone scared terrified, and trying to tell services that I've never been this bad in my whole life but these episodes keep repeating themselves, its like a psychotic depression or something, I don't know, I'm not a doctor but I do know I'm very unwell and there is something g other than borderline personality disorder and ptsd. I wish they would help me. Thank you for this video.
So informative and informed as well, There is a lot of BPD videos on YT, but I believe you are the only one I can listen to, it's so well structured
Hi I found this video of yours extremely helpful I was diagnosed with bipolar disorder and borderline personality disorder couldn’t believe it I am still a little bit in denial about Bpd maybe because of the stigma with this disorder but I certainly do not have all nine I had a really good childhood with both parents my sister all in all a good childhood I don’t self harm I don’t taken drugs no alcohol no gambling and no risky business with guys🍷 🍷 I have no fear of being abandon just makes me wonder that’s all .thank you very much for this video it has helped
DR. Grande, so glad you've addressed this issue, for I've seen and experienced this in my BPD friend and the question hasn't been answered until now. Thank you greatly.
You are quite welcome!
I have a friend with BPD... And I was always suspicious some of her persecutorial delusions were related to her borderline diagnosis - this video explain quite a lot from me as well.
Can I ask you for some personal advice? How did you provide constructive friendship for your BPD loved one without opening yourself up to scapegoating and abuse? I want so badly to be there for her, but it's so often feels like she's frankly just unreachable.
I place a lot of value in logic... But the presentation of logic just doesn't work in the context of this relationship. If you have any tips on how to be there for a loved one fighting these kinds of issues I'd really appreciate it. I have a hard time finding a way to do so without sustaining treatment that I find extremely easy to be resentful of.
I have bpd and a psychotic like trait in the terms of auditory hallucinations, they come about under stress. Shame is though, when you yell the nhs your suicidal they think your exaggerating, they dont realise it's a psychotic like trait where the brain says suicidal things. I hope this comment is read and understood by nhs professionals in the uk, I nearly died being told to 'maybe get a shower' for my psychotic like trait. This is what suicidal ideation in bps is. It is a psychotic like trait.
Thank you for helping me understand
I don't know if this has anything to do with anything but it's really amazing that you speak so slow like im sure it helps people like myself with personality disorders able to process things since we are so impulsive and reactive so thank you for that !
I have bpd. I had a full psychotic episode while hooking up with a guy last night. That was fun. I put every position or angle into a box in my mind and I thought I wasn’t on earth. It was like I am dreaming while awake and I was so frustrated and overwhelmed and confused.
I had symptoms for over 20 years, not knowing what it was. I found bpd when doing my own research and it was like reading a biography of my life. Went to the doctors and said I think this is what I think I have, and they were reluctant to put me through the tests and send me to a psychiatrist because 'it's too expensive'. Nowt like compassion. Eventually saw the psychiatrist and lo and behold, I'm told it's a text book case.
Thanks Dr. G. Hope you have a great day!
You're welcome - you too!
Thank you for explaining this. Even though the voices of people I hear don't have a body & I don't see them I still feel that they are real & not what they call voices. I haven't heard them all day today untill about a hour a go & I wasn't stress or anything they just started taking & it really upset & frustated me. I think & feel they must be able to see me because there talking about me. I have bpd with phycotic features
You're welcome!
Dr. Todd Grande could you give me some help on this please?
Great info ❤ thank you doc
I have BPD with no comorbidities, sometimes when i have extreme depressive episodes(it may be psychosis i don't really know) i feel like my head is growing bigger, to the point that i can see the sky is getting close and i can feel that my head is very, very heavy .. and i have this feeling that people on earth are so small and they all are laughing at how my head looks, then they suddenly have this pissed off/angry look on their faces, so my head gets bigger and bigger and i start to run from the people laughing at me.. i try to escape earth but they don't let me and i feel trapped, i feel like I'm choking because when i experience all of this all i want to do is to hide somewhere but that huge head/body of mine won't help, i feel so exposed and i started panicking immediately..
Also I have those delusions of believing that my antidepressants are poisoned so i do everything to get rid of them without my dad knowing but i can't because he keeps an eye on me, and i also believe that my bestfriend is always trying to stick a knife in my eyes whenever we go out so i ended up hallucinating her every day in my room at night watching me silently with an angry face expression.. when i told my therapist she thought that this was OCD, but i don't think that i have any OCD symptoms except for the intrusive thoughts maybe?
I'm kinda confused and there's no actual serious diagnosis in my country. all they care about is money that's it..
Thank you dr.Grande for these amazing informations, I hope we all can get through this someday💗
Thanks you very much
I feel like I’m going to tell my therapist to consider bpd. The paranoia I feel gets me angry when strangers laugh around me. I always feel they’re laughing at me (in public). I push my bf away but cry just from thinking he’s cheating on me. I “joke” that he’s cheating and he gets upset he’s even asked me to stop but I do it just in case he lets me down...My heart would hurt less since I’ve trained it. I also laugh during very personal serious moments. When we’re both crying or I make him cry I can’t help but crack a smile. I still remember a girl from elementary and her cousin by name since they used to buly
*bully me. I still hate them. But I forget my keys, glasses,phone,shoes,etc everyday. I give people 3 strikes (in my mind) and the 3rd time either gets you cursed out or punched. I smoke weed but like 5 blunts a week.
They decrease? I’m so happy to hear that. Seriously.
Hey Dr. Grande, I would love to see an episode on drug induced psychosis :) keep up the great and regular content man.
Good news. I'm borderline and become psychotic when I do way too much lithium-heavy methamphetamine and although I haven't taken any in close to a year I'm planning on doing some for my channel just so everyone (and myself) can see how psychotic/psychopathic/violent/fearless/insane I become, and so I can use it for research on personality as it almost completely changes mine. I'm planning sometime in Feb.
me too
@@thenarcissistsscapegoat5091 how did it go?
This was extremely helpful to me, Dr. Grande, and just in case I won't have the time to comment the next days, I wish you a wonderful 🎃 halloween. 🌹
I was diagnosed with BPD at 17 but I Had my first episode of psychosis at 16 I was then later diagnosed with another disorder before I turned 20, which was bipolar type 1. That is when I realised I had an explanation for my psychotic episodes
Very helpful....
Very interesting different spin on how psychosis can look different in someone with bpd compared to someone with schizophrenia. Paranoia is a big one I suffer with. I was convinced these people walking behind me spiked my drink which was in the outside pouch of my backpack whilst walking to work.
Wow. I think when I got diagnosed a few years ago they missed BPD. I was diagnosed with major depression with psychotic tendencies because I had hallucinations that would tell me negative things. But your summary of BPD is spot on for me. Maybe I should get re assessment.
I wish one day i feel like what normal healthy people feel without having to deal with BPD and it's sh**
U feel normal now or not friend tell ?
Personally i think there is an issue with the criteria for BPD , straight off the bat. There seems to be a clear difference in people who have bpd in that they can be seperated into two or more categories. Those who make suicidal threats, frantic effirts of abandonement ( the first 4 criteria really)
And then those who have more of transient related paranoia and impulsivity ( the last 4-5 criteria)
The last group seem to have more issues with psychosis and hallucinations.
Then there is the seperate argument as to whether or not BPD should actually be part of the bipolar spectrum. As you state the first conceptualisation of bpd was so named because of the border between neurosis and psychosis. The entire criteria / illness itself really needs an overall so that people can get clearer diagnoses and therefore better treatment plans. Lately it seems to be a catch all diagnoses in alot of environments , only for patients to later go on to be re-diagnosed with a diagnoses which is actually correct ( bipolar tye 2 / schizoaffective ) and therefore gaining better treatment plans .
I believe my girlfriend is like this. I've tried everything I can learn and some thing. I'm unable to master. She just refuses meds. I've tried to get her to go to her drs. But she won't do anything on her own or anything medically that counts. I've been trying lately to get her to move out slowly little bit of time gently. Evidently there is no gently. Dear Abby, I don't think there's anything I can do.
I'm going through this now
how is "magical thinking" and psychosis differend ?
Magical beliefs is associated with schizotypal personality disorder. With magical thinking conviction isn’t as strong as delusions. It’s possible to talk someone out of what’s called an Idea of reference.
Magical thinking is usually seen in a lack of object constancy and poor reality testing. For example take the statement "he's dead ... No he's alive. They are opposite extremes where they are spoken in the next sentence so in a small period of time. It relates to childlike thinking. It involves a denial of what was first said.
@@jamesosborne2305 is magical thinking only for schyzotypal? And shyzotypals know that it is wrong?
Thank goodness.
Over the past 2 years I have had a growing feeling that my coworkers hate me and try to sabotage my job so that I get fired. My boss say no and that these people are the best. This just strengthens my belief that my coworkers have fooled my boss and caused me to be held back from promotion. In my own possible delusion, I believe I am doing more work than anyone (I work through my breaks and lunches), I am more qualified to do the work than anyone (supported by the fact I'm the only one with a degree), and that they plot to ruin my image in the eyes of my supervisor (supported by the fact that they often talk down to me in front of my supervisor and suddenly I'm the brunt of everyone's joke). So is this a psychotic delusion? my supervisor thinks so. But what do i even do about this? What's the solution?
It’s paranoia in times of stress and criticism, try to be objective not emotional in all situations, it’s hard
I feel this way about my job too. I constantly think that I need to stay away from people. I think that people will make me lose control. My BPD episodes are terrifying. For myself and for other people around me. I work really hard to stay in control that when I do lose control people are shocked. I had one manager who tried to fire me before I knew that I had BPD. 6 months in disciplinary for just raising my voice to her. My current senior boss is trying to make me do work that will trigger me and now I'm in sickness procedure to be let go due to sickness. I'm just tired and fed up with it all. I've been stuck in survival mode for the last 7 years and I don't know how to get out of it.
I recently came across information about frontal lobe degenerative dementia, and was shocked at how well it matched what I've experienced as a person with BPD. In 14 years of treatment I've made little progress in getting symptom remission--in fact, things are definitely getting worse. Obviously you can't diagnose me, but what do you think about the notion of FTD being misdiagnosed as BPD/MDD? I do have psychotic symptoms, and have struggled intensely with increasing anger and trying to control those behaviors. Thanks, Doc.
Thanks, my guy!
Negative hallucinations. Accurate.
My Ex has a lot of things going on with him. I know he had psychosis with hearing, seeing, feeling things that were not there. I was wondering if it is also psychosis when he would want certain movies to be real. He liked zombie movies and wanted the walking dead stuff to be real. He told me I would be safe with him if the zombie world would just start. There is a main character in one of the zombie TV series and he would call himself that name sometimes. And when he would draw his beautiful elite level art he would often sign his work with the name of that character. He would become that character. He would even bite me. One time we were kissing and he suddenly bit my face and I went into self-defense mode so fast that I used my martial arts and put him on his back in a second. He got upset and slept in the car. I wish he were just the good guy he was sometimes. He has some sort of mental illness, drugs (both legal and illegal), and PD. I thought he might be BPD but he is definitely a narc in his behavior. Who knows? He's complicated and a long story like everyone else's.
Updates?
@@Milkandsaltanas He sent maybe 10 messages from Dec. 2018 when he left to Feb. 2020. I never answered any of them. I know someone else who told me he was arrested in Dec. 2019 in Florida for something like burglary. It was something like $100-$300 range. I looked it up and saw his mugshot. It was the first picture I had seen of his since he left just over a year before. He was arrested in a coastal town just where I thought he was. It was on Christmas day, too. I could tell tha he had been eating (face full instead of sunken in) he didn't look happy in the mugshot (LOL). He had lost a little more hair and there was more white in it. Then my friend who knows me asked me if I wanted to see some pics and video from FB that he was in on June 11 at his mother's on the gulf side of FL. He was wearing jeans (unusual). He looked a little "out of it". In the video he seemed to be moving slow but aware (probably drugs). If that was the first time he had seen his Mom since she kicked him out of her house then it was exactly 1 year and 9 months. Oh, and he had a little belly showing, so he's eating. I don't want someone like him. His Mom is too Narcissistic, too. He acts like her a lot. I just keep busy doing what I want/need. I'm OK, but I do have a friend who went through this kind of thing recently, too, and I'm worried about him in some ways. Thanks.
I have bpd and voices I have experience and other hallucinations but mostly voices have always been mood related
They come when I'm under extreme stress or if I spend too much time alone.
I don't know about psychosis. But, I often have the dillusion that my partner is going to harm me. This is persistent, I am completely convinced it is going to happen.. And thus I must be prepared for this upcoming harm and the abandonment that will follow.
Leave sis
Thank you so much for posting. I could relate to pretty much everything you said! You explained it better then most as sometime I think when people learn u have bpd they think yr the Sharon stone in fatal attraction or more recently amber heard case does not mean if you have bpd you will take a shit in the bed. I’m not playing a victim hear I believe I have a lot of what this guy is talking about. I’m a very kind and good person but unfortunately I survive a very hard childhood. When my step dad wasn’t raping me is was running away and surviving. Learn all my bad habits! Which I totally own!
If you were neglected and abused my brother and sister were raped by him too. On a regular basics. You end up learning things the wrong way to just try to cope with the pain, just to excape my real life. I now accept I have incorrect opinions as I can see things so different to the most. Anyway I’m sorry for going off into a tangent! Back to the the guy in the video. Thank you for know yr shit!
Thank you for seeing, and telling it as the facts are and no one sided!
I have Schizoaffective Disorder and have pretty powerful delusions. It doesn’t necessarily have to happen because of a stressful event. It can just be random. My last psychotic episode was the middle of last year. I was convinced that my delusions were real, but everyone kept trying to get through to me and it was hard to trust them. I mainly have somatic delusions and paranoid delusions. I think someone might poison me, so I’ll throw away what I’m eating or drinking. Even on medication, I still have some delusional thoughts, but I’m able to put them aside so that I can hold down a full time job with accommodations.
It’s also connected to d.I.d. Sometimes the disassociation is so hard that it looks like psychosis to everyone, the voices too, often misdiagnosed in a breakdown
It’s always about trauma
And d.I.d presents as a lack of insight but it’s a whole new alter/ person
I am curious, how personality disorder hypochondria, the strong urge to find self identification and a purpose in life, via "adopting" symptoms of a personality disorder, is viewed by psychotherapists, and how this phenomena is treated. Is it in itself a symptome?
I have an autonomous voice that stays with me. Along with many other background noises, and only my right ear can hear thing ringing sometimes. As destructive as the directives are, I usually must comply or I feel like im going to have a heart attack. I resist acting on the violent thoughts unless it is self harm because I deserve it. Plagued by paranoia that everyone is watching and tracking me. I dont know how they can get so many people in on it.
I am aware because I have no choice, i cannot deny it anymore.
I also suffer from anosognosia. I have been hospitalized for being so lost in psychosis, I blended whats real and what might not be. The might not be is because i still believe these people are after me.
We were in the car together, i took them home and we were all talking abd hanging out in my living room. Then they disappeared, but I can still hear them. Then they were playing hide and go seek. When i couldnt find them I ran.
Got out of the hospital and never let it go. 5 years later, i still run and hide. Living in fear.
I got assessed for psychosis but it turns out I haven't got it, even though I have hallucinations. It makes more sense now it's associated with my borderline personality disorder, which I understand is paranoid ideation.
My son has been diagnosed with both schizoaffective disorder and bipolar disorder. He truly has has paranoia and delusions and dreams of persecution. He has alcohol dependence disorder. When he’s in his illness, he has no desire to drink. When he becomes stable he drinks again. Very confusing to us ( his family) . He also, has demanded to be the center of attention his whole life.He creates drama to manipulate. He is now in a motel with my 92 yr. Old mom. I do believe that he is faking whatever he is experiencing. He is having conversations with people who aren’t there but when it’s anything about him, he remembers what was said. He quickly becomes aware and lowers his conversations so that he can hear what we are saying. He does this because he wants to know what plans are ahead , fearing hospitalization . He’s trying to control the situation to get attention.
So I guess if you hear voices and they say positive things to you then its ok :)
Its a ruse, don't trust them!
Can neural random ones be bpd?
At night time when Ian alone and my s/o is at work my anxiety. Kicks I. The most I have really good hearing sometimes I hear thungs outside and my brain interprits it as something ccompletely different for example I have an irrational fear of being eaten or attacked by a wild animal and I will think I hear a raccoon or constantly feel as though im being watched which i realise that most of my fear stems from being raised up in the moutains montana 20 miles out of town no electricy or running water we where the definetion of hillbilly. I hated having to run tward the outhouse hearing animals but not being able to see them knowing I could be picked off or eaten and iam 30 now yet the fear still sticks with me I dont like the dark and I dont like being alone.
I was diagnosed with Psychosis and BPD
Wow when a borderline is under lots of stress instead of waiting for the relationship to enter the devalue stage they hallucinate an issue in their head to worry about
.
Can BPD be comorbid with schizophrenia?
And can schizophrenia slowly develop from BPD?
I am diagnosed with BPD, Bipolar type 2, major psychotic depression and anxiety.
Because BPD is often comorbid, I can't seem to pinpoint what needs to be treated and what the root is.
I get really bad hallucinations under stress or when I am triggered or if there is a traumatic anniversary coming up.
But I also have really bad delusions as well. So that part confuses me.
We often dont recognize it ourself. It is a state of Daydreaming, But with earlier flashbacks that come and go.
Thanks for putting up this video! I’m a psych nurse in a crisis/short term unit and I’m sad to say that I as well as my colleagues often refer to individuals as ‘borderlines’ when they appear as attention seeking and also manipulative. This is often without a personality disorder diagnosis - though in our defense pts are seldom if ever diagnosed as such in a short term setting. Do you find that the armchair diagnosis of borderline to be as pervasive in other settings as it appears to be? I also worked in a state ltc hospital and the general feeling was the same.
Yes, unfortunately a hasty BPD diagnosis is common in a variety of settings, including community mental health agencies.
This is unfortunate as it does a disservice to the disorder. It has strong stigma and a propensity to trigger others disgust.
Owen Thomas yes it does have a strong stigma attached to it, as far as triggering others I’m not sure what you mean.
i don't see manipulation in myself or any diagnosed borderline I know (3) beyond pleading, screaming, yelling, threatening, jumping up and down or throwing things to get what we want. We're impulsively violent and direct, not patiently manipulative. You should diagnose us on the basis of who is making the most disruptive noise and appears one teeny-weeny trigger away from homicide at worst... putting our fists through the machine that sells potato chips at best. OR the person who's trying to pick up the patient of the opposite sex who looks the sweetest and most vulnerable, and therefore worst possible match for us - from their perspective.
It's a pejorative, as you said, for patients who med-seek and act out. In all honesty, the majority of patients in voluntary acute-care settings are cluster B or substance abusers. Once the pattern of addiction sets in, substance abusers tend to look like cluster B's. Then it becomes the chicken or egg, were they cluster B and chose to use drugs as part of their novelty-seeking temperaments? Or did addiction come from some other underlying disorder, such as depression and anxiety? In some cases, obviously, addiction occurs without a remarkable history of dysfunction, rather an exposure to a drug that activates the reward system. A good example would be exposure to opioids for pain, leading to addictive behaviors born out of fear of withdrawal and genetic influences. Crisis patients tend to be mostly meth-related in this area. I would say 80% of them are petitioned d/t meth-induced psychosis.
Why is there no help with psychosis in DBT .. its the main problem I have difficulty understanding .. yet its ignored.
Anytime I bring it up to my psychiatry consultant they say .. no one knows what it is or why it happens..
I had audio hallucinations ... also smelling lemons or burning ... and a 3 mth religious epiphany that after it ended as soon as it had begun .freaked me out .. as I knew it wasn't my rational thought at all..
How does BPD psychosis differentiate from Bipolar mania? I’ve definitely had very long / akin episodes /:
Could you speak on differentiation of auditory hallucinations and objective sounds, and ways one can self manage or reality check this individually?
i wonder if the hallucinations not connected to bordeline can be anything, content-wise, almost arbitrary and the ones related to borderline be thematically consistent with the fear of abandonment, its also a tricky line to conceptualise the shifting perception of reality involved in emotional splitting as moments of delusion
I'm that 1% that they can't figure out. I just wish they could figure it out. Cause 40 years of this insane behavior is exhausting. And I'm just 47. And in and out of hospitals since I was 14. And depressed for 45 years.
I have psychosis but I don’t have borderline, narcissistic personality disorder or neurosis. Psychosis is a mood disorder not a personality disorder it’s also treatable. Dr Grande ought know this. I got it from amphetamines use which I don’t use anymore bringing the disorder under control.
I Studied a girl with BPD, she was neurotic, she would exaggerate things think that BPD appears more related to that individual being neurotic; I did not see Psychosis, she was also an alcoholic, I tried to get her help but she would not listen and continues to drink to this day, the doctor told her her liver was bad and she could die, she doesnt seem to care, she also seemed very self involved, and had several other disturbances. She was frightening to be around. I did see delusional traits. Main feature to look for is extreme exaggeration, everything is heightened to her. She also told me her mother was a horrible person, again exaggerating, I believe there were genetic components to her mental health disorders.
Hey can you do a video on substance use disorder?
no such thing... substance abuse is a result of some underlying issue
What is the best treatment
My adult daughter is spot on with this diagnosis
Help !!!
How does paranoia tie in with psychosis? Bpd is difficult enough as it is without added dread of the above
What are the hallucinations about?
No they don't have time for frequencies like that and affective through bi-polar traits. Manic is similar without the ultra concern and physiology and focus of psychosis. It'll make sense one day. Having had hallucinogenic experiences, psychosis was its own thing emergence after treatment for schizophrenia.
Correct after a discharge and it was really strong and mixed with delusional processes then mediated through invega now it's not so bad. A see. Its a continuous thing.
Can BPD comorbidity with PPD cause psychosis in the form of delusions? Asking for a friend.... not.
Sounds like underwater to me. Can't wait until It's finished
Can anyone answer this for me? Either the good dr or someone who maybe has the same issue? I don’t have hallucinations but I am very paranoid and I always think people are doing things passive-aggressively to mess with me. I can’t figure out if that’s delusion or projecting. I used to be VERY passive aggressive till I started working on myself and practiced being assertive. So maybe I think others are ALWAYS doing that because that’s how I myself tick. Or maybe it’s a paranoid delusion? 🤔
Can anyone speak to this? It’s like I have really negative and toxic thoughts about EVERYONE, and this is a part of it.
As for being depressed and then thinking that your depression caused rain to start falling, could that be an internalized manga cliche, sort of like sneezing and then thinking that someone was talking about you?
I'm not sure about the rain, but I do know its currently snowing outside in my city because I quit cocaine in 2006 and have been projecting it outwards onto the universe ever since.
WARNING POSSIBLY TRIGGERING:
I had a complete Psychotic Delusional Episode over the weekend. I'm just recovering from it. I was scared about everything. PTSD, severe Anxiety, Severe Paranoia all rolled into one. intense Hallucinations... I Felt endangered and was too scared to call an Ambulance for fear of being locked away. I managed to message a friend who called me to bring me out of it. Exhaustion has followed and today I feel like I'm dissociating. My body went into spasms and other psychical things happened that I noticed during the episode as well. I don't ever wish these on anybody.!!!!! I know what lead up to this but I'm STILL blocking and burying the root causes and cannot speak about it. I really Need Help.
I also notice now that leading up to this Epsiode, My mood changes were very rapid..... More fast changing than usual.... I believe that this could well be a warning sign leading up to a severe Epsiode. I don't take any Drugs like Cannabis or Alcohol. I only take minimal prescribed medication. I no longer take Quetiapine either. I was taking 200mg SR and I weaned myself from it nearly 2 years ago now.
I was triggered by family on my birthday. I was too scared to sit in my shower cos I could feel a burning on my wrist and could see blades in my mind. I was too scared to take half my recommended dose of Alprax cos I could see myself taking 20 of them yet I did not feel suicidal at all.
Could you say that BPD has 'secondary' psychosis; unlike the primary psychosis of the schizophrenic? That's why it's psychotic-like and not true psychosis?
I was diagnosed as a "borderline schizophrenic"whatever that means doctor's words not mine, does anyone here know?
I was diagnosed with bipolar disorder but I’m 90 percent sure I’m actually borderline and they diagnosed me wrong they say u need 5 of the traits I have all 7
I know someone who has BPD who gets extremely confused
I’ve had delusions about being led by the Universe which developed into me believing that everything was a simulation and people weren’t real. I’ve had several weeks of a good mood without major mood swings before that. How do you know that psychosis is from bpd and not a bipolar disorder, as it may be present at the same time? I’m now afraid I have both 😢
psychosis is cluster A right?
kungfujoe psychosis is a descriptor if someone’s altered perception of reality. Cluster A may indeed contain people who are psychotic but it’s not really a diagnosis.
Adhd ,schizotypal, low doppaninne iregularment makes you to regular your impulsivity with a gold trasure called alcohol,, amphetamine in illegal way made things calmer for the adhd because we are wired differently. Older you get more represente when your 12 going down, passing through several episodes i forgot about .. sleep is a factor and borderline in my case cant stand people noise , or crowds more than 4 ,...hard reactions when accused of something nothing to do with us we feel humilidated under value through the eyes of others,, ,
Do bpd always attract sociopaths
It's the charm.
did you know that sociopath was invented to not confuse psychosis and psychopath?
Examples or case studies would help. Otherwise it’s just semantics.
my ex-gf for sure....all of them....plus histrionic/covert narc.
I am losing it because the smear is out of control.
Trauma causes hallucinations somehow?
Trauma can cause a myriad of things but no, it's not like trauma 🔜 hallucinations. The overwhelming majority of people don't hallucinate from trauma.
Any severely intense life experience, positive ones and negative ones like trauma can cause a psychotic break tho.
My son's mother was very mean 😕. Terrible. Does B P D come solely from bad childhood trauma or you are born with it. OR is it NATURE AND NURTURE.
I have it. But I think I have a gift when hearing whispering. They tell me where’s I put my stuff I lost, I can feel them around me, they tell me to calm myself and give me good advice. But I have bad paranoia
Jeez, that's not a gift, it's not supernatural, you need psychiatric and psychological support.
They are not real.
I'm still so confused lol
I’m a diagnosed borderline and I also have ADD. so basically I’m kinda fucked.
I used to have good attention now....my mind is shot. Trying to focus on anything is a nightmare. Like right now I should be focusing on going to sleep but I'm afraid of going to sleep. I have terrible sleep so I dread going to sleep and waking up feeling like I haven't slept. It's a vicious circle.
I bet you are a Virgo lol