Psychosis and Borderline Personality Disorder - Part 1
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- Опубліковано 22 тра 2024
- Order The Borderline Personality Disorder Workbook by Dr. Fox: goo.gl/LQEgy1
The term “borderline” was actually originally created as those with the condition appeared to be on the border of psychosis. Research has not supported this over the years but psychotic symptoms can and do occur in those with BPD and this causes the disorder to be even more complex than it already is. This is going to be a two-part video. In this video I’m going to discuss the types of psychotic disorders and the signs and symptoms and relate them to BPD, and in the second video we’ll talk in greater detail about BPD and psychosis and I’ll give you some management tips. Let’s get into it.
In the general public, psychotic experiences are reported by approximately 8-17% of children and adolescents and 5% of adults. One study found that 24% of those with BPD reported severe psychotic symptoms and approximately 75% had dissociative and paranoid ideation. Notice I am saying psychotic symptoms, not disorder or schizophrenia and that’s import to note here. Let’s break the psychotic disorders down:
Psychosis on a spectrum, like all disorders from absent to extreme (show severity scale).
Key symptoms of the various psychotic disorders are delusions, hallucinations, disorganized thinking or speech, grossly disorganized behavior, and negative symptoms.
Types of psychotic disorders include:
Schizotypal PD, Brief psychotic disorder, delusional disorder, schizophreniform, schizoaffective disorder, and schizophrenia.
Schizotypal personality disorder is a persistent pattern of social and interpersonal deficits, including reduced capacity for close relationships; cognitive or perceptual distortions; and eccentricities of behavior that usually begins in early adulthood but in some cases first becoming apparent in childhood and adolescence.
Time is critical here. Brief psychotic disorder lasts more than 1 day and remits by 1 month. Schizophreniform disorder looks just like schizophrenia except that it lasts for less than 6 months.
Schizophrenia lasts for at least 6 months and includes at least 1 month of active-phase symptoms. In schizoaffective disorder, a mood episode and the active-phase symptoms of schizophrenia occur together and were preceded or are followed by at least 2 weeks of delusions or hallucinations without prominent mood symptoms.
In the next video we will dive deeper into psychosis and BPD, check it out!
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.
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
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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
Whoever is suffering from this, I just want you to know that you are not alone. Many people are going through your experience. Praying for each and everyone of you. May god bless you all, and may you manage to live with this problem in peace. Much love, Goro.
God is a great physician
May God touch every one
❤️
I'm so frightened
Thanks ♥️ 😊
💗💗💗
I have BPD and had an extremely frightening psychotic break in my twenties with delusions, hallucinations, and disorganized thinking for several weeks. Now, when very stressed I can get brief psychosis for a day or so. The psychotic episodes are mostly persecutory in nature. These videos help me feel better as they show me that psychosis with BPD is a recognised occurence, I'm not imagining it, I'm not evil or mad, and it's common. However, the bouts of psychotic thinking and my BPD have thoroughly ruined my life.
Bro help me in telling
My brother also has bpd , is it hallucinations is for lifetime in bpd ?
I got in bad trouble twice within a few days from an psychotic break episode.
Do you mind telling me about the persecutors psychosis? I feel like I’ve been getting so many persecutory racing thoughts but it’s hard to tell theyre dilusions
Same. Ruined my life too. I’m sorry
I have both persecutory delusions and referential delusions …. And they only come once in a while because of my stuff being taken in my childhood , invasion of privacy, people borrowing my stuff without asking, parents crossing my boundaries and maybe sexual abuse and my parents blurting out my business to other family members which really was top notch that set me off as emotional dysfunctional person and it’s taking me time to heal this.
Wow. You just described my life.
I'd like to see a video about the interaction between BPD, ASD, & ADHD - I'm beginning to notice a lot of crossover between them, particularly in women & girls.
I have a diagnosis of BPD but I have started to notice I have some ASD like tendencies. But the healthcare system is very poor around here, and everyone has very traditional view of ASD and because I have lived to 24 y/o with a somewhat normal social life, no doctor would explore the idea that I might have ASD.
So yeah, a video on this would be amazing 👍
I'm diagnosed with both BPD and autism and know several other women who have both as well
I have BPD and my middle child has severe autism so im interested to see the coorelations as well
Definitely!
Yep...I have all 3
I’ve never been diagnosed with bpd but it’s so painfully clear I have it. I’ve never brought it up to my therapists because I didn’t want them to dismiss it and say I don’t
Breaking down the dilusions is incredible because i can say i experience at least 3 of them regularly. The apocolypse one and the one where i think everyone has sexual or romantic feelings toward me, man sometimes its HARD to be me. Ive learned so much more from youtube psychologist than my own therapist EVER taught me.
Nicole Courtney Me as well. It’s very challenging
yessss, me too. We can only save ourselves, don`t trust therapists.
Omg same for myself ... both of them. Huh isn’t that funny 🤔
That feeling is so u understandable ughh
Struggled since childhood with similar delusions like believing my family could read my thoughts and secretly conspired against me..I would interpret glances or passing comments as “hints”/“proof” that they ‘knew’...
@@heatherr9640 ç
As someone who suffers from BPD, I feel so blessed to have never experienced psychosis. I spent all day yesterday with a friend who is in a full-on paranoid delusional state and I have never in my life experienced something so otherworldly and terrifying.
It is terrifying. Lucky u
The problem is when BPD patients have high intelligence (neglected to mention) and their therapists come off as patronizing and condescending and want to compartmentalize the condition as one for all, when it isn't. How can therapy possibly work?
Trauma therapy
@@ebenham1713 when it's not from trauma?
@@sophietaleb bpd is formed from a disorganised early attachment figure, it is essentially an a condition formed as a developmental delay. It is trauma based as between the ages of 4 and 7 the brain was not able to form secure attachment. Message me if you would like to know more. I can recommend an amazing therapist with first hand experience in condition and the most advanced training to suit boderlines.
@@sophietaleb If Treatment doesn’t work,you can always try Nidotherapy. If you’re suffering, I hope you get better. May god bless you and everyone else suffering from this.
@@poppyflower7873 I can recomend some types of treatments, home reading and such in that case. My therapist is £50 a session which is very reasonable considering what he is trained in.
I wish I could have had a therapist like you. I've never had one lead session like you do. It's just very expensive small talk about my week and when I'm sick of paying & 150/visit to essentially recount my week to someone who took way too much education to have nothing insightful to offer, then I go home and look for a new therapist. I'm not kidding when I say these videos have helped me more than any in person therapy I've had.
Keep trying different therapist. I've had one amazing one out of like 6. I can't work but don't want to get in disability even if I could. The one therapist helped me get a job, apartment, car. I was a functioning member of society for three years. She had to move and it went down hill from there. The next lady told me to just find a husband lol
My husband and I had an excellent couples therapist for 5 years until the therapist retired. But my attempts at individual therapy, even with that person, were never useful. I have plenty of self-awareness plus a master's degree in psychology, so basically the therapists just end up chatting with me, which made me feel worse because I was paying someone to hang out with me because I couldn't keep friendships going. 🙄😣
I remember when my mom kept insisting she was talking to Ellen online and that they were telling her she was going on the show and that they were going to buy her a car and furniture. It was so bizarre and lasted for 3 weeks and I tried to explain that the emails and stuff were sent to everyone. When she figured out it was all wrong she got EXTREMELY depressed. It was awful
I went to the ER during a psychosis episode and was accused on being on meth, they tested me for it and obvious no meth but the mental health professional was SO RUDE. He then talked down to me because I told him I smoked weed a couple days ago and that I don’t smoke weed regularly, but my file from when I was 17 said I did (I stopped smoking at 18 and I was 21 when this happened) he then tried to convince my mum that I’m a liar because I have BPD and that I was attention seeking. It was so scary I thought the hospital was haunted and I was left alone in the interrogation room and luckily I rationalised with myself enough not to smash down the door because I was so scared, I just kept calling my mum and trying to breathe
I was diagnosed with BPD in 2009 and I've been on disability ever since. I'm 42 years old and it's an everyday struggle. Thank you for sharing this.
🤬
I recently found out I am BPD too. I can't function, can't take care of myself, can't work, can't support myself. I don't know what to do :(
I thought I was just different because I don't leave my house anymore, 4 years now. Is this a common presentation?
@@poot-poot positive vibes, honey. But you're here, so you are making use of tools, and you aren't alone. Keep seeking! Hugz!
It's not an easy life. I can't even get disability insurance, therefore I have to get a job that I know I will eventually quit, even though I always hope things will get better.
I had to endure 10 years straight of psychosis everyday, it was hell. I really don't know how I survived it.
I'm proud of you
@@Dstergurl09 thanks very much for your kind words
It's overwhelming so I recognize how hard it is
@@Dstergurl09 that's so true. Just reading that has made well up with tears.
I never managed to get any help from the doctors and consultants I saw. All of my family and close friends I tried to discuss it with would say stuff like "there's nothing wrong with you" or just look at me with a blank expression.
Nobody wanted to help.
I did it on my own
@@secretivescorpio891 I always felt like something was wrong but I didn't know what it was. I wondered how people dealt with their feelings. I did drugs for long time. Got sober, still felt off but people assured me I was fine. Its so frustrating! I'm sorry you went through that. I hope you're in a better space now
Yoga, meditation, diet. Stay busy, laugh, socialize, self care, gratitude even prayer of some type. Think of others. Stay out of yr head. Anything everything to fight for a quality life. Don't self diagnose and be committed to implementing tools. Surely it's better than talking over and over and myelinating those neural pathways. Life's short, simplify and enjoy. Great vid thanks
Yoga and prayer. Gee thanks, I'm cured!
seriously, thank you. this was the most helpful video i've ever watched. making the call today while i'm not in crisis. i didn't believe i was bpd i kept insisting i must be psychotic and they NEVER told me you can have these symptoms with bpd :(
You're very welcome. I'm glad the video was helpful. Be well.
I'd love to see a video on gaslighting when the gaslighter tries to make you believe you're delusional, or tries to make you look dilusional.
I wish more mental health clinicians brought this up. Thank you for speaking on it. I have BPD and suffered from a years-long psychotic episode on top of undiagnosed Schizoaffective Disorder. I had every symptom for BPD and nobody ever bothered to ask if I saw or heard things that weren't there.
That's typical for current Psychiatric practice...they simply diagnose you with your troubling Co-Morbid symptoms...subscribe Antidepressants & Antipsychotics...& Benzodiazepines.
I wonder if I am the same because i think i may be schizoaffective as well because ive had psychosis for a long long time now
Ive felt similarly. I’m bipolar 2 and realized many of the things I’ve experienced are considered mild psychotic symptoms. I’ve been seeing psychs for almost 13 years, and not a single one has ever asked me about anything like this. Mine are more transient and vary in intensity, but I usually have some sort of underlying delusion that can be pretty easily triggered but varies in intensity. When I was initially diagnosed with bipolar, I was told I have bpd traits, but essentially I wasn’t crazy enough for a full diagnosis and it didn’t matter ultimately. I think that is debatable. Lmao. A lot of what I deal with I turn inwardly, and I have pretty bad trust issues and paranoia. I’m just not the more combative, impulsive type. However, I’ve noticed the paranoia has gotten worse over the years. It’s honestly embarrassing to bring up some of the things I’ve thought and believed. I’ve only told one person the full extent, yet I’ve never really had any psych professional ask me more or really dig into anything. I guess they assume it’ll be brought up by us, but a lot of these things can make you feel pretty ashamed.
I.ve been telling the Medics including psychiatrists and dbt practitioners that I get psychosis along with my bpd.. yet they just refuse to acknowledge it..
It absolutely infuriates me ..because the psychosis was the main thing I just could not get my head around.. what caused it..why it happened..
Thank God there are drs online who believe people like me .. ..
The research supports it too.
@@DrDanielFox I.m in the UK.. and even worse.. Northern Ireland.. its like living in the dark ages compared to what I find online..
@@DrDanielFox i have been an atheist all my life apart from when I a 3 mth long religious delusion/hallucination... then 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..
I.ve also hears my car talk to me and smell things regularly that are definqtely not there.. .
7:40 dude my heart just dropped when you said this, I hear music playing in my head all the time but it isn't hallucination, the only time I hear an actual hallucination is when i'm falling asleep like hearing my Dad yell my name or a car screeching. QUIT READING MY MIND MAN!
Thank you for finally touching on this... I been fighting for it to be spoken about more.
Dr. Fox and Dr. Grande are the most informed and professional psychologists on UA-cam
One time I was hospitalized for having a full on psychotic episode. Audio, visuals, paranoia, delusions with complete memories of things that never actually happened (maybe they did). I couldnt even speak during the initial interview with the doctors failing to answer the most basic questions like date, who is the current president. I was in there for over a month and now I know why thanks to this video. I truly acted like a good boy admitted to everything they said and complied to go home. The day I went home I dug into all of my devices to prove my delusions are correct, and that I'm not crazy. I could never prove any of it, but the belief is so strong at times. It's been 5 years, I only 60% know those things never happened. Constantly paranoid. Though I have not had such a severe psychosis since, it has never truly left me. Constantly haunted by what happened, these false memories and extreme paranoia. Coupled by the sensation of loss of identity. I do not engage in anything I once enjoyed. Incapable of being around others. Not taking care of myself, my health, home, job. None of it is an excuse, I am accountable for all that happens to me. Sometimes these things completely take over every facet of your life. Sometimes I get these seemingly manic spurks where im trying to hard to get it together. Lately I try to throttle any time that I feel that spark or urge to do anything. Not sure if what I'm wanting to do is a symptom or not. I feel like I'm forcing myself into a perpetually depressive state while still being highly volatile. Im disheveled, slovenly, and not even a shadow of myself.
Yess!!! I need this so bad!!!! It’s been a problem since I was a kid and I have been gaslit that i was doing it for attention. Whatever you present will at the very least validate and make me not feel like i’m losing my mind.
Hey Devin! I have bpd and i also find solace in these break down videos, at least i know why i feel a certain way and have the tools to break it down to the other person if that applies. Im not saying i always catch my manipulative behaivior beforehand but i do a lot better with these tools than i ever have. I already know I'm crazy...but the WHY is more important to nip it in the bud 🤙🤘👆👍💞
Can you do a schizotypal PD video.. compared with Autism?
@@catherinepattinson4756 he only seems to focus on BPD...maybe he'd do a comparison between the 2 video tho.
I hope you talk about hallucinations
I don’t know if it’s BPD related, and most general health doctors don’t seem to know either.
Well from personal experience and from what I gather from his videos it seems as if psychotic hallucinations can in fact be an aspect of severe depression which can indeed be a part of BPD.
Itsá Asdzání it’s either that or my bipolar
I was diagnosed with BPD, and I’m always so confused about my symptoms.. i have almost all the symptoms of bpd and i also so confused if i hear voices. I dissociate all the time and i have disorganized speech and thinking.. im confused if i have other disorder that i dont know about
with bpd it is possible for it to co occur with another disorder. i was diagnosed with bpd too and a few others... i now can recognize when my symptoms arise and i constantly say to myself "its okay, its not you its bpd dont give in, stay strong"
Once your able to label what you have you gain so much power over it. Stay strong its a disorder made in hell. i fkn hate it. and dont wish it on my worst enemy
You may have BPD with schizotypal traits, my sister does, and I'm pretty sure I have BPD comorbid with bipolar traits and narcissistic tendencies.. if its symptoms and traits, that you're okay coping with, then find ways to cope.. when the coping gets tough though, see a therapist lol (:
This video couldn't have better timing. This lockdown has helped me calm down and has eased my bpd symptoms (less people on the streets, less FOMO, my narcissistic parents out of reach.) We've re-opened the society in Denmark and I have had horrible anxiety and psychotic symptoms ever since. Would love more videos on this topic. Take care
It's 2023 and I still feel anxiety going outside. I am 19 days sober from weed and I believe a month sober from alcohol and have such an intense range, don't like people standing close to me when I'm outside. I cut my mom and dad out of my life to and believe that one is narcissistic the other is codependent. Even my ex is very narcissistic but I think he had Autism. It's so frusterating I'm tired of it but yes going out sucks I just feel dissociated. I went to a mall for an interview and just felt like everyone was fake as if I'm walking around in a dream it's so weird.
I have BPD and bipolar 2. A few years ago I had a manic episode that had me dead convinced I was a faerie. The mood fed into the delusion, and the delusion perpetuated the mood. It was weird but I'm glad to know there are other people who struggle with the same things.
Also, what would you call delusions that manifest as "someone is watching me and judging me?" I have a lot of delusions involving security cameras as well as a very persistent one where someone I care about is watching me go about my life, judging me, and I spend all day trying to impress this imaginary person. It's weird and I don't know if BPD is to blame or if it's something else.
I know a person with cptsd and bpd traits who has these symptoms, among others. Otherwise is pleasent and successful. All very close relationships are strained.
I’ve had that too, the “someone is watching me” thing because in my childhood my uncle always had cameras outside his house as well as he would come over to talk with my grandma , I always was paranoid he was watching me… so now I think of the possibility that anywhere I move people are watching me
Ever since my childhood I would think someone I know is watching me! It felt like I wanted to prove to them who I truly am or something.
They are called archons aka parasites
I hope you read this. But I suffer from both as well, plus a learning disorder. I’m currently going through some break downs for the past 2 years and people think I’m making this up. Like I wake up everyday wanting to purposely make my life hard. It feels good to see people who understand me.
I believe I have psychosis or BPD. I have nihilistic delusions CONSTANTLY and I also have delusions of being a certain character from certain television shows. Whenever I try to research it, I start to get panic-y and give up. But now, I’m not going to do that. I’m going to learn what is going on with me and I’m going to make sure I’m okay.
I’m on the same boat but when I notice going into the rabbit hole I turn my phone off and stop
@@jamielee1354 i’m sorry :( i hope everything gets better for you!
Thanks DR. Fox. Much appreciation for your time with these videos.
Dr. Fox is that homie. THANK YOU 🙏🏻
Thankyou Dr Fox for your uploads.
Hey Dr. Fox! Thanks so much for covering brief psychotic disorder in BPD because there isn’t a lot of information out there for families and loved ones, especially when it seems the person is not yet diagnosed or in denial but you witness behavior responding to auditory hallucinations. This really helped give some idea of what to look out for.
Dr Fox, You are unbelievable, you are definitely the very best out there
Thank you.
Wow. Thank you for this video. I’ve watched many bpd videos and this is the only one that I’ve found that goes into detail of the connection of psychosis and bpd. You really break it down and explain. It really helps me to understand better. Thank you!
Thank you , ever so much, for your in-depth understanding and support. It’s pure hell to live with. You give us hope.
Thank you very much for the time and effort you put into your videos. They are incredibly useful and validating.
I'm truly appreciative of the videos you make on all of the aspects of bpd. Most of my life I struggled not knowing exactly what was wrong. The more I learn, the more I feel like I can start trying to heal myself over time. I also hope to get your workbook soon. Thanks so much for all you do! ❤
Whew! That was packed but very well covered. I saved to replay. However Doctor, you explained details that are helpful to define symptoms, so as not to be confused. And good to know there must be a combination of criteria before defining, diagnosing (or feeling condemned by) these symptoms.
This was happening to me for a long time and it was misdiagnosed as anxiety attacks. But, it didn't represent any of the usual signs and would last for days and have absolutely no catalyst at all. Paranoid ideation was always at an all time high during these episodes. I voluntarily admitted myself into a facility during one of these episodes 12 years ago and that's when I fly received the diagnosis I had been suspecting for years. I really enjoy your channel and I'm glad I found it!
This guy has really helped me to understand my illness
THANK YOU for your work. I have BPD but being a mature woman I have noticed symptoms have got better.
Thanks doc - I've really been struggling with psychosis recently
This was awesome! I would love if you did a comparison of BPD and Autism Spectrum Disorders, especially Autism in women compared to BPD because they get misdiagnosed as each other but can also be comorbid, so I would LOVE more info on that please! I love your videos, they are so helpful.
your work and videos have helped me greatly understand a person in my life who is struggling with so many of these symptoms...not trying to diagnose them, but to hear you describe these things brings an understanding to me, having experienced a tremendous loss...one thing...I had this person go to counseling and they began undergoing EMDR treatment. To me they seemed to get much worse in a hurry and our relationship quickly ended. I am at a loss to understand any of it, but in moving on with my life I feel comforted by your insights - that this is not something I was prepared to deal with or help with... very sad
You do a great job. I feel like you Genuinely care and want to share your findings to make a change. Thank you.
You can't even imagine how are you helping me ❤❤ thanks alot. Love from Egypt
Thank you so much Dr fox .im currently reading your book.. and it's very helpful 👍❤
I didn't know what was wrong with me for so long you have opened my eyes to BDP. Thank you so much
Hah interestingly enough for me, when I explained my consistent dissociative symptoms a doctor literally said, those are symptoms of borderline, nothing helps, just take Seroquel, see you later. And four years later I'm like oookayyy...thanks for the assistance doc..
Exactly the same thing happened to me and to be honest it's still the answer I get. Seroquel / Quetiapine kicked my ass too, felt horrible on it.
@@mikeyp4690 Yeah they originally prescribed me 25 mg and I'm like 5"6, 110 lbs, I couldn't function AT ALL. I literally take, 1/4 of a pill now just to aid with sleep because generally lack of sleep in the past lead to a mental breakdown and seeking help at an emergency room. But yeah, there's sooo many more things that I find help, DBT being the biggest one, comorbid disorders are always fun. Bleh. Ah humans, we are complex lil entities.
@@catanne4700 I ended up on 150 mg some how. I honestly salute anyone who's able to function while on it.
It's a shame that DBT isn't readily available in my area. I can self learn but I'm honestly quite poor at that, unless it's something I'm heavily interested in.
"Complex lil entities". I like it 😅
@@mikeyp4690 oh dang, yeah I've heard about a lot of people being on suuuuuuper high doses, even people who just didn't sleep well we're prescribed it and it messed em right up. Yeah mental health still needs a ton of work, I live in Canada so we have free health care but it's like every three weeks for 50 mins and the first 30 minutes you spend just discussing what happened in the weeks prior. Over time I've collected a lot of paperwork on DBT and have to just do it alone. Not easy tho, not easy at all, you always need some sort of neutral third party support I think when processing anything intense.
@@catanne4700 Sounds very similar to here in the UK. Glad it's free, sure.. but I can't say I get a particularly great experience. A phone call maybe once a month where I let everything out and they just confirm I've got numbers incase I end up in a crisis. They're under strain, I get it. But it's a shame they're alot more reactive to mental health, rather than proactive.
Problem I find with doing it on your own... There's never really anyone to tell you if you're doing it wrong as such.
It's all fun! I swear!
i can't afford therapy and so i can't even tell you how grateful i am to you, Doctor, for making these videos. i only hallucinated thrice in my lifetime (due to sudden increase in medicine dose) and it scared me to hell. i do have delusions and thoughts that even i think are silly and mental, but i can't really shake them off either. But my mood is the one that troubles me the most. Anger from some form of delusion, once it starts, the anger remains for weeks! even the little things make me angry. i am a critical and logical person and so i doubt everything, even my core beliefs and that angers me more, at times.
I'd really appreciate you doing a video on Schizotypal Personality Disorder in the future. Thank you for speaking to these conditions with such clarity.
Dr Fox, I'm so grateful that I found your channel. This content is priceless and helped me tremendously. I've been to 6 therapists in my life but no one made me realize my behaviors and learn how to deal with them like your videos. Thanks a million to you. Love and support all the way from Egypt.
💕 it’s such a good channel isn’t it, same here every doctor I’ve ever been to has no clue about BPD. This channel was a godsend
watching this you perfectly described all the symptons of a client. thank you.
I’m actually extremely grateful and I have a lot of respect for the fact that you showed that there’s more symptoms of psychosis than just delusions and hallucinations. THANK YOU!!!
I'm so glad you talked about these symptoms in such a clear intellectual/scientific way! My son has some of the delusions despite of his high intelligence so that made us really worry. Even to have a term for them, seeing categories (text on the screen is very helpful!) and being able to say, oh, he doesn't have those but he has those, makes me see more clearly. That's invaluable. I am going to take notes and keep them on my desk. Of course I will look to see in which videos you give advice on how to deal with loved ones and their delusions. If they aren't there pls make one :-)
I watched both parts and I'm feeling a lot better because I got another handle on things. My son is 28, a very kind person. He had good jobs but was getting worse and worse. He is more stable now but needs help and money and food and he dreams of being able to work again.
I also found one or two core content issues.. of course it would be best for him to see a therapist but he is still reluctant.
He also has this issue with anger and saying very insulting things that are really not who he is. Because it's repetitive, I am not so affected any more but it tells me he is suffering from this anguish and anger. I have a workbook, Stop walking on eggshells. Will try to purchase your workbook too. Eggshells book is an extremely good source.Btw, there is a free pdf download by Martha Linehan's DBT Workbook or Manual with handouts. That should help folks who don't have money to buy books :-)
Your videos and explanations are so helpful, that's awesome! Thank you very much for doing that! They are very good.
❤️ you are such a good person. Your son is lucky to have you
Dr. Fox your videos are brilliant. You are a God send in a world of confusion. You give PRACTICAL help and for the first time I can understand what my daughter is going through. Thank you so much from South Africa.
You’re very welcome and I’m so glad to hear that you find them helpful. I wish you all the best.
This is a bit heartbreaking. I've suffered from psychosis for years. It got so bad last year. But I was never diagnosed I was just medicated for depression. It's totally turned my life upside down but this is the first time I'm really hearing about this
Dear Dr. Fox, I think you are very gifted in explaining BPD. Great! Aside this, one topic concerning BPD to me seems very strange. The more cases of BPD I discover in personal relationships or among friends and their relatives the more cases of extremely serious "collateral damages" I discover. People who were "destroyed" by (BPD) lovers, victims of manipulative mobbing-scenarios established by BPD's, people who turned suicidal, children that had serious accidents because BPD'S were so self-driven by finding their "inner balance" or emotional stabilisation that they did not look after children who were entrusted to them etc. etc. I'm not sure about the USA, but in germany among many! psychologists and psychiatrists these victims of BPD are massively overlooked. 99% of the attention is focused on the BPD itself. Sadly too many BDP's do not look for an adaquate therapy. Of course I also feel sad for many BDP's and I wish their childhood traumata would have been prevented. But I wonder, has there ever been a survey or statistic of the death-rate among BPD-partners, and suicidal tendencies of social contacts of BPD's? To me it seems that the massive destruction concerning their social world is not recognized. Surely not typical for all BPD's, but among many BPD`s by checking their bio in detail! their "bloodtrail" is somehow frightening ...
Thank you for this very informative video Dr. Fox. Please if you haven't already would be very interested in a Schitzotypal PD vs Autistic Spectrum video. As an undiagnosed adult/ woman, I believe I am on the Autistic spectrum and would be very interested in watching. Thank you again for all your videos. They are very helpful, interesting and enjoyable to watch. 😊
I'm really struggling to focus, struggling badly today. I'll come back to this later, think I need a TO. I've got almost all ur videos on a BPD playlist, I'm using it to learn and also tell my doctors which ones I deeply resonate with which I'm hoping will get them to actually help me. I've suffered with this alone all my life and its really wearing me down.😭
I'm in the same boat
@@secretivescorpio891 sorry to hear that luv. R u in the UK or elsewhere? X
Yeah UK
Depression been on the cards for a while and felt it kick in this week. Think I have mix of borderline and bipolar
Exact same boat. I'm expecting you're in the uk also. I'm also using these to attempt to communicate what I need more to the people who are supposed to be helping me
@@1337murk it's hard to know what to do. I'm sure after doing some more studying that I am borderline but not bipolar. Think I am going to order workbook from Dr Fox. Can't imagine how long it would take to get the help I need on NHS, if it's even possible to find it.
Can you do a video on tangential speech and how we can help that? I am BPD, and never struggled so much with it before, but now have major issues with that after coming out of a coma (10 yrs ago)
Also, thank you so much for all the helpful videos! I was misdiagnosed for 30 yrs and have been in therapy for 40 yrs now. I've learned more from you than all those years of therapy. Its so helpful to be able to identify symptoms and not feel so lost in a fog all the time.
Such a great explanation, very helpful thank-you
You're very welcome!
Thank you so much for your content! They help me a lot!
You’re welcome. I’m glad it was helpful.
Very informative. Thank you.
Thanks Daniel...great video. Yes please do a video about Schizotypal PD versus ASD. I have a patient whose health professionals haven’t been able to work out which of these she has for a long time. I’d love to learn what features differentiate them, thanks
I was diagnosed with BPD and Schizoaffective disorder along with major depression and PTSD 15 yrs ago. I went 2 yrs (2018-20) believing that I would go blind if I ate. I was obsessed with this and lived with so much anxiety and fear. The things that went on in my head almost drove me mad. I was obese and lost 160ish pounds during those 2 years. I always focused on the schizoaffective disorder and really didn't know anything other than people with BPD have a fear of abandonment. Last year, I split and lost a very dear friend (so many more thru the years as well). One thing led to another and I discovered that most of my symptoms are from the BPD. Things are starting to click.
I went to a mental health clinic for depression in 1995 at the age of 25, and was prescribed an anti-psychotic. I did not take it. I later found out after I received my medical records that they had diagnosed me with BPD. I never understood the reason for the prescription, but this video is making me think perhaps that was considered to be a standard treatment at the time. 🤔
Could you do a video talking about how personality disorders manifest in children?
I agree I have my son and step son whom both have every single factor of narcissism and I do not know what to do. They feed off each other, work together and have started so many fights between my husband and I. It’s exhausting and they are literally breaking our family a part with no thought toward us or how we are affected/feel.
in my experience, BPD was developing due to be bounced around homes between the ages of 1 and 4. was up for adoption, went through holding familys, etc. has to do with attachment to parents etc
@@TheFourBrothers18 yes
I love your videos. You are an amazing teacher thankyou
You are welcome!
certain bad substances comedown Anxiety and panic makes the self sabotage more aggrevated.
Excellent, very informative thank you.
Glad it was helpful!
I understand that mental health "professionals" often misdiagnose people... Nevertheless you assert that it's important to see a mental health "professional" so as to not misdiagnose these things. I guess your contributions help to navigate the tricky thing that both these issues exist. So, I think it's not just individuals suffering mental disorders, it seems the body of psychology has its own internal disorders and maladaptive strategies to cope with reality...
When I hit the BPD red zone I flip psychotic. When I come down I literally have a waking up feeling like I just woke up from sleeping. When I flip Im unfortunately very aggressive and physical and can not be stopped. I get an umph of strength. I get scary. When Im normal, Im goofy, nerdy, calm, thinker, try to stay calm and neutral. So I just stay at home and dont invite anyone over. I hate living like this bc I cant talk to anyone without being triggered. 🥺 This is after 20+ years therapy, meds, hospitals, drs.
Dr. Fox, please can you do a video on PD and autism? Why can the adolescents with PD be diagnosed as autistic? I would really like to understand it better. Thanks
Yes PLEASE do a video that reviews ASD and schizotypal PD. :-)
Yes please a video on schizotypal vs autism would be amazing, my last psychiatrist said schizotypal but the therapist I had after gave me the autism quotient & I scored extremely high. 🤷♀️
Keep doing that great enlightenment
would be interested t see a video on schizotypal PD as i like your clear and informative style in your videos and there is minimal information and videos on his disorder
Hi Dr Fox, I just want to firstly say thanku. Ur videos r helping me no end and understanding my BPD is making symptoms easier to manage in a place where help is not forthcoming. Is there a possibility u could do a video on grandiosity in BPD? Idk if there even is such a thing but I'd love to learn. 💖
thankyou so much for these videos
Wow I have catatonia.
I totally get why my new psychiatrist changed my fundamental diagnosises from Bi Polar to Boarder line.
Feels weird somebody explaining it and has nvr had or lived with it very touchy subject
Very beneficial,otto would be proud. Reality testing,judgment sense of reality, idealization devaluation, identity diffusion. And the 3 d's that's how we were taught in the 80s. Thanks for ideas of reference. And the delusions as they relate to bpd npd. The differential for me is bpd has fantasies of loss. Loose or tangential associations
I have no medical and no help and desperately need help. At 18 I was diagnosed depressed, socal anxiety, obsessive compulsive and something else that no one treated expect several depression meds, they don't work. Now I'm in my late 30s and for years am begging for help pleading I'm getting worst and I can't control it. After your and Dr. Ramani on UA-cam I know I'm BPD and all my issues are symptoms not all separate. But I'm now so low so broken, defeated, soulless and lost. No help expect by my own trying and everything says the long term effects of BPD is suicide, I want better for my life. How? My compulsions scare the hell out of me
Please please could you explain how a woman with Asperger's is similar and different to a woman with BPD? People with Asperger's who feel ostracized and alienate contemplate suicide for instance and this is one of the symptoms of BPD. Not to mention black and white thinking. Thank you ❤
This brings up an interesting point. I'm definitely neurodiverse. I have an official diagnosis of adult ADHD but I relate to certain autistic characteristics. But the behaviors that qualify me as BPD seem to stem from an enmeshed relationship with a father with an undiagnosed personality disorder (prob NPD) and then social rejection and bullying that started in fifth grade. So wouldn't it be extremely common that a neurodiverse person who is unsupported by their family and rejected by their peers is going to end up with BPD? 🤔
I have aspd (sociopathy), bpd, adhd, c-ptsd and major depressive disorder. Yes diagnosed. Yes you can have comorbid disorders. Also been with a diagnosed narcissist for almost 10 years. Been through psychosis. It's extremely dangerous.
Good point, sir.
I used to not be able to keep jobs or friends and therapy has helped me soo much I mean obviously to certain degree I still have difficulty with like socializing and stuff but to a lesser degree now
Hi Dr. Fox. Thank you for all the educational work you do. I'm wondering if you could do a video on the overlap of Fetal Alcohol Spectrum Disorder and Borderline Personality Disorder. Ie how many folks who have FASD fall on the BPD spectrum or exhibit BPD symptoms? How does having FASD alter the treatment for BPD symptoms and how can we differentiate? I have both DXs and am interested in getting an educated opinion on this. Thank you for putting out videos that help to clarify and de-stigmatize personality disorders.
wow this is much more complex than I original thought of as BDP. You explained it so well. I understand what you mean.
Thank you so much and I’m glad that you found the video useful.
Can you please do a video on the books that you’d recommend for those with BPD and those who are in relationships with someone suffering from BPD ..
I suffer psychosis from dealing with too many people with borderline personality and a mixture of drug and alcohol misuse it's a mixture of everything and the factual fact of knowing the government is not the peoples friend
Wow you're incredible! When I had my 1st phycosis and got put into a phyc ward, I found myself to be very spiritual! I lost touch with reality for weeks.
I've never actually thought of or heard about the different types of phycosis experiences until now. Thankyou heaps
Dr Fox will you make a video about BPD and obsessively contacting an ex. This is my biggest struggle. I can't stop myself from contacting them. I contact them apologizing. Then I contact them cussing them out. Then apologizing. Then cussing them out. And I cannot stop this behavior. I'm desperate for help and insight.
Are we twins?!
That is also my biggest struggle having B.P.D. It's so frustrating. But my ex is a covert somatic narcissist, and he is a piece of shit who has totally psychologically abused me, gave me STD's, financially manipulated me. I always end up apologizing for cussing him out too, but really he is the one who should be apologizing to me, but narcissists never apologize unless of course they are trying to manipulate you. It sucks. When I apologize I really do mean it. He doesn't deserve to be cussed out, but we should be strong enough to walk away from someone who treats us bad too. It's like a never ending battle in relationships.
Ubasti'sPurr you are not alone my ex boyfriend has been doing this to me for 3 years...i still love him and always will but painfully have had to go no contact with him because he refuses to seek help. My greatest advice to you is to make it your life mission to do whatever it takes to manage your illness...you dont have to suffer, you deserve love and to be loved but it all starts with understanding what happened in your first 6 years of life and knowing you have the power of rewiring the way your brain works. Listen to Dr Joe Dispenza and seek the new types of therapy offered
Find another obsession. Trust me, it works.
@@reneegardner2286 Renee he deserves to be cussed out.
Hey Dr. Fox. Love your videos thank you so much! 24 year old with a BPD diagnosis. Over the last few weeks there have been a few instances where I have had a strong smell of a particular food, e.g the last time was banana. I am only half way through your video so maybe it’ll get answered but I wonder about it as I’ve never had it before except recently! :S
please do a video about BPD and autism. I am diagnosed with both, and there seems to be some overlap and confusion with symptoms (I know many people who also deal with this)
Thank goodness.
Personal experience with bpd and agoraphobia is like corona virus lock down on steroids before corona virus was even a thing while never actually wanting to exist in the first place and having a slew of burdening emotional issues that are hard to explain and sometimes voices cause also I have major depressive disorder
I would much appreciate a video on schizotypal PD if and when you get time.
Also, I certainly identify with many if the 9 BPD traits, they definitely affect my socioeconomic capabilities whole sober but have been possibly explained by many other labels combined (depression, anxiety, bpd, c-ptsd, ADD, etc) but the psychotic symptom subcategory of avolition send like it might better explain all of it. I don't think it's just each of the smaller labels combined, because that makes treatment difficult to define and I'm already engaged in and have taken many of the steps that ideally would have resolved a lot of issues. I'm on a balanced, helpful dosage of antidepressants, anxiety, and ADD medication, but there's the underlying problem of me not being able to follow through on just about anything. I have the proper positive motivation and potential reward system in place, but even that doesn't seem to be able to get me to show up to things, to be on time, to plan ahead appropriately... It doesn't seem to help me To take action at all.
I've read a ton of books on how to motivate yourself, how to focus, how to get sh*t done, etc, but i still just don't do things, even though i want be able to do most of them.
Its embarrassing to look like such a failure showing up late to anything and everything, to not be fully prepared, to not be able to 'adult'. So i feel like maybe that's where my social anxiety comes from, and the depression, etc etc. It's my inability to follow through that makes me think it's better if i don't plan any social outings because I'll just disappoint people no matter how hard i try to be on time.
Or is just debilitating parentally anxious attachment induced toxic shame? I've never heard of someone whose so afraid of failing that they literally put life almost in a standstill for 10 years, or that someone can dissociate for 10 years straight. My memory and cognitive processes remind me of dementia. Idk, I'm just trying to solve the puzzle of how to get better. But i suppose it takes the proper diagnosis to know what to treat.
Thought I was alone on this one, just realizing now exact same symptoms. Lost everything I had and stuck in stagnation, everything just doesn't seem to 'work' then get labeled as lazy and all that. Atleast now I can take steps to try reach out for help.
@@JayzeeSouthAfrica i thought i was alone in all that as well. Ive gotten a little further in my understanding, I think, of what's contributing to my symptoms. It all pretty much comes down to early and ongoing childhood trauma in the home i was raised. There are soo many brain processes that can change and get warped with the presence of trauma. There is a positive side to this, which is neuroplasticity where or brains can get rewired differently. Memory, ability to process or prioritize can be affected, sleep patterns can certainly be affected.
Along with trauma usually comes feelings of shame. Shame does not equal guilt though. Guilt is feeling bad about an isolated incident or action taken. Shame is more of a long term always flying before the radar feeling bad about oneself. Like the thoughts: i must be a bad person, or, I'm not worth the time and effort, or, believing I am less than everyone else, or, i don't deserve good things to happen to me- i deserve crap. Like superiorly on his high horse a**hole inner critic=shame.
Im thinking the antidote to all the symptoms i mentioned originally, or at least most of the symptoms is LEARNING how to give ourselves the love we never really got, to show ourselves that we can be trustworthy, that we have our own best interest in mind. All the things that we ideally would have gotten/experienced from caregivers when we're were young. I never really have experienced what i would consider to be a "safe" home environment until now that I'm living by myself. I'm just beginning to place the trust, safety, security, loving blocks that i mostly had denied before. I'm having to adult and be someone that i can depend on, someone who is GENTLE but encouraging when i make mistakes, someone who makes me feel SAFE, and most importantly, I am slowly discovering how much power I do have in my little life... I have Power over decisions that used to be made with conditioning to appease the dictatoress and her rose colored glasses husband in order to get in the least amount of trouble, to not get raged at, etc.
I'm giving myself my power back, and with such I'm finally just beginning my life at 31. Finally, I'm not living in my dictatoress's shadow and no longer am I only a moments notice away if she beckons. I'm still learning what I would do in many situations. All it takes is to realize, you have time to think about things. If someone asks you a question... Actually allow yourself a pause to contemplate it. Don't feel like you need to rush with an answer. Others may try to pressure you, but resist and allow yourself the space to come up with your own thoughts, your own habits, your own genuine self.
It can be quite difficult learning to listen to what the genuine Me is saying. That's because for the most part, I never was allowed the safe opportunity to become accustomed to what my voice actually sounded like. It wasn't safe and so I've been answering questions from a place of fear my whole life. Always behaving as if maybe she was watching, because maybe she was. Now, i purposely notice when i feel like I'm saying or doing something that she would/would not approve of, and I recognize that she does not have that power over me anymore. I choose what happens to me. I'll answer for the mistakes that are my own. I will not see myself through her eyes, i will see myself through a crystal clear mirror.
Self love, gentleness, patience with yourself as if you were your own living parent, holding your own hand when you need to, self gratitude, self high fives, all of it combats shame and the shadow. All of these are the antidote to a childhood of trauma, followed by 10 years of further traumatizing relationships. I am my own hero (heroine?). You are the hero of your own story as well. If you ever wished someone would stand up for your thoughts, feelings, your stance... That person can be you. You can advocate for your health, for your rights, for space to hold your own opinions.
You are the hero of your own tragedy
Can you please explain further past the second video? Go take deep into what the psychosis can look like and how to recognise it in yourself?