Discover the Shocking Impact of Depression on BPD
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- Опубликовано: 21 июл 2024
- Borderline Personality Disorder (BPD) and depression often coexist, presenting unique challenges. BPD is characterized by intense emotional responses, unstable relationships, and a distorted self-image. The paradox of mental health in BPD lies in the intense emotions that drive maladaptive behaviors, making engagement in depression-lessening activities difficult. Despite feelings of emptiness, which are common in BPD, this does not always equate to depression. To manage these conditions, it's essential to push back against negative self-statements and engage in behaviors that reduce depressive symptoms. It is also important to note that individuals with BPD often have comorbidities, requiring comprehensive treatment approaches. For further information, consider resources such as the book on comorbid BPD and the video on overcoming BPD.
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 20 years in the state and federal prison system, universities, and in private practice. His specialty areas include personality disorders, ethics, burnout prevention, and emotional intelligence.
He has published several articles and books in these areas and is the author of:
The BPD Card Deck: 50 Ways to Balance Emotions and Live Well with Borderline Personality Disorder. Available at: www.shorturl.at/jBHJV
Complex Borderline Personality Disorder: How Coexisting Conditions Affect Your BPD and How You Can Gain Emotional Balance. Available at:
rb.gy/hdyqyy
Antisocial, Narcissistic, and Borderline Personality Disorders: A New Conceptualization of Development, Reinforcement, Expression, and Treatment. Available at: tinyurl.com/2anv8dww
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
Dr. Fox has given numerous workshops and seminars on ethics and personality disorders, personality disorders and crime, treatment solutions for treating clients along the antisocial, borderline, narcissistic, and histrionic personality spectrum, emotional intelligence, managing mental health within the prison system, and others. Dr. Fox maintains a website of various treatment interventions focused on working with and attenuating the symptomatology related to individuals along the antisocial, borderline, narcissistic, and histrionic personality spectrum (www.drdfox.com).
RUclips: / @drdanielfox
Dr. Fox’s website: www.drdfox.com/
Dr. Fox’s Blog: www.psychologytoday.com/us/bl...
Facebook: / appliedpsychservices
Twitter: / drdanieljfox1
LinkedIn: / drdfox
Instagram: / drdfox
Amazon Author’s Page: amazon.com/author/drfox
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00:00 Introduction
01:07 Some Underlying Issues with BPD
01:58 The Paradox of Mental Health
02:34 How to Engage in Depression-lessening Behaviors
04:05 The Paradox of BPD
05:48 Emptiness does not equate depression
08:26 Remember to Push Back on Negative Self Statements
Dr. Fox, I really appreciate your efforts educating us about this condition. Not everyone who works in psychology can do that because it requires a good understanding of BPD and your approach to patients is so compassionate 🥰
Dr fox your videos have been so helpful for navigating my bpd ive learned so many things that didnt make sense beforehand as a person without any access to mental health help this is so valuable
"The borderline patient is depressed for a good reason. They don’t have a good life." - John Gunderson 😃😍
We want to be sure we understand the context meant this in. It was in reference to having compassion and recognizing the strength to overcome it.
@@DrDanielFox Yes! OK. It was in this video on youtube by BorderlinerNotes: Why BPD is Often Misdiagnosed as Depression and Bipolar | JOHN GUNDERSON. "They don't have a good life. They don't have good relationships. They have every reason to be depressed."
So, if you were misdiagnosed as depression and treated only as depression, and not given proper treatment for BPD, the (major) depression will persist. Also, if you don't address all of the issues of BPD, the depression will persist.
Finally, a comment I cam get behind. Let's give the homeless antidepressants so they don't feel so homeless.
I was diagnosed about 7 years ago with BPD and I feel like I’ve done so much work to get better. I have gotten better but I still live with BPD. It’s exhausting. I’m tired of feeling the shame and emptiness.
I was Dx'd BPD 3 yrs ago. I'm still learning. Thank you for this series, cuz idk arse from elbow but i doubt more drugs are the answer
I can’t thank you enough for your example of emptiness & how it’s not = depression. I have a massive black hole inside that keeps expanding & yes I have MDD & more with BPD. I’ve been saying for a long time that I just feel hollow. I am so tired of others assuming what I need but don’t ask me which makes everything worse & once again being ignored cos no one is interested in what I have to say. The test is also spot on, I’m too afraid of people leaving cos it’s happened for decades so absolutely I’ll take control of it myself & stop any chance of the rejection & abandonment so I can stop it from happening . Thanks Dr Fox. Very much appreciated. I only wish I had someone to share this with, literally.
I just figured out that I have BPD at age 72 after almost a lifetime of major depression. My therapist disagrees. She will speak to my psychiatrist. I listened to your video from 5 years ago about this same subject. I liked it a lot. I think I was never diagnosed because I did not self-harm.
I don't self harm anymore and still have bpd .... it's not a have to symptom in my opinion.... but for bpd to be present there dose have to be extrem reactions weather internally but most the time externally...... inalso have major depressive disorder and that's really me losing energy to keep going to give up and not try ... at the depth of my major depression I woukd lock myself in my room and not shower for days not clean my home or do laundry or go on Walks I'd cry often even right as I wake up I do feel the two are eazy for the most part to desifer..... my bpd almost is allways revolving around social interaction and if I hit a bpd spiral it would only last till the next day where major depression is long standing... like months .... bpd has rapid changing emotions high and low sometimes within minutes of the day ... major depressive episodes are long standing but do have a end .... emptiness with bpd is all the time but you can also have long standing emptiness with cptsd and that's very eazy to miss interpret as bpd ..... but I can't deny that at my worst wotj bpd cutting happened like 3 times a day
@@danielhernandez-fo3mj complex PTSD is something I probably have. I don't really understand the difference between it and personality disorders. But BPD makes sense of my messy life. Have a complete recovery!
I wish you were my therapist
Me too
Finding your channel has helped me in so many ways. I’ll never be able to thank you enough. I still struggle but this channel has really helped me power through the tough times
I feel exactly the same
Thank you so much for this channel, you save lives ❤
Can't fear abandonment after everyone has abandoned you. What a time to live!
if you have chronic depression there’s almost nothing you can do, i think it’s so important to never forget the times you’ve been chronically depressed
to combat depression i’ve had to take a very extreme mindset, similar to how a soldier has to prepare themselves to die before war, i have to be prepared die just to get out of bed, or out of the chair that i’ve somehow ended up in, you have to make a sacrifice…
but with bpd… you can be making progress with the depression and your routine and habits and then get completely distracted by a lover and then pulled into all the associated anxieties which makes managing the depression impossible until you are abandoned and then you become suicidal because your entire identity was wrapped in that relationship
Comorbid major depression is the most difficult part of having BPD for me and what makes it so treatment resistant. I was in CBT and on medication for years and was still depressed. It got me out of perpetual crisis, but I needed to learn more than distress tolerance to do more than survive. Knowing how my thoughts are connected to my feelings made me frustrated with myself, because I didn't feel like I was capable of the uncomfortable change. I simply didn't have the necessary skills. After graduating from a comprehensive DBT program, I would say my BPD is in remission, but I still struggle with adulting and occasionally the emptiness takes me to a dark place in my head. Those negative thoughts are still there and I challenge them every day. It's exhausting. When I feel myself start to have an intense emotional reaction, I stop and check the facts and I try to hear wise mind. For a long time I couldn't find wise mind and got by with a really good soundtrack. You need to find something to give the void its color.
"Something to give the void its color". Poetic! I love that. I often categorize my moods by color. I just didn't realize I was doing that!
@@Tawroset it's an allusion to Camu, so I can't take all the credit. ;)
I have been diagnosed with BPD in 2010 I can really relate to this and I understand it. This is really informative and interesting. This is really good and helpful. Xxxx
Video on self-harm please 🥺
THX Dr. Fox
You’re welcome.
Great video.
Dr Fox, can you do a video about building self worth for people who have had a life filled with bullying (child -even adult years) , and abuse/ emotional neglect as a child. I feel as though these as experiences on top of my “inner critic” make it feel absolutely impossible to ever feel “ok”. These experiences often lead to a lot of isolation or abusive situations which lead to having further underdeveloped social skills being unable to connect with people then compounds with the feelings of worthlessness and it’s just a viscous cycle. Especially for those of us that might be neurodivergent and becomes a prime target all through out life for people to mock, or alienate. Didn’t explain this welll but I’m sure you could explain it better ❤
I’ll add it to the list. I’m glad you found the video helpful. Be well.
And the thing that's difficult about this video, is that many might not be to this point yet. I can point to many times in my life where I would've just watched this video in complete apathy. But As I stand against my self-destructive programming... And try new things, and find remote success... I've been seeming to pick up momentum. I'm glad I have the Fox card equipped in my deck. 🎉
It's inspiring to hear about your journey and how you've been picking up momentum! I'm glad my material is helpful! Be well
I purchased your course today and I am not certain if the lessons are only provided weekly. I have struggled with this disorder for a long time and it has affected every aspect of my life. I will be 50 in a few years and I am not sure if I can withstand the next ten years of symptoms. I can't work because of it and struggle to maintain relationships and have reached a point where I feel absolutely hopeless no matter how much medication and therapy I simply don't want it anymore. I'm working through with my mental health team however I am starting to feel that I have nothing to look forward to in the future because it takes so much to manage it. I'm ready to go because I'm tired of trying to hold onto happiness. I'm going to give these lessons a try but I am definitely over the whole mental illness battle.
I appreciate your honesty and courage in sharing your struggles. Remember that you are not alone in this journey.
I struggle with balancing bpd and pmdd😐
Thank you so much
You're most welcome 🤗
I hit rock bottom at 2021 and it took me 3 years to recover from depression. I have bpd too and I take my meds religiously, that's what keeps me alive and sane. But therapy is as important for a good mental health.
I'm glad to hear you're on the path to recovery. It's important to take care of your mental health.
Wow thank you!
You’re welcome ☺️
I don't understand where the emptiness is really coming from? Or originated from? Or being fueled now- is it a shame place ? Do you have a video about the emptiness?
My usual companion to BPD is dysthymia/persistent depression/whatever you wanna call it. But I recently had a rare encounter with the beast that is Major Depression...or if it wasn't "major", it'll certainly do til the real thing comes along. So I beat the beast back with 40 mg/day of Fluoxetine. But yeah, still going rounds with the BPD stuff. *sigh* Thank you, Dr. Fox. You are a light in the darkness. Hell, you're even better than Prozac lol.
Thank you! :) I hope you are well. Sorry.
Thank you too!
The spoiler warning for The Shawshank Redemption (1994) had me laughing!!
🦊👍 Glad you found the video helpful.
I moved to a safer neighborhood, I was great for the first few days, now I feel horrible. I am realizing it is a pattern with me. Today I feel horrible. Yesterday I cried. I want to go back to my creator, my real "family' as I call it. Never felt this bad. People don't seem to understand, people are so cruel. Had 2 jerks tailgate me this week and bully me. At least I show up for life, make an effort, but it still seems never good enough. I didn't sleep well yesterday and today I feel HORRIBLE. I am thinking that everyone is thinking I am weird. I am trying to brush it off. I am trying mindfulness and buddhist bells to calm me down. I don't know if it will help. I just want to know how to deal with these feelings that I don't belong in this world, I don't fit in anywhere, I should hide and I am trash. I hope tomorrow I will feel better. I haven't been taking care of myself. I am feeling like I need it but less and less am I taking care of my needs, so my feelings are getting worse. I don't want to be miserable like this forever.
Glad you found the video helpful.
Hi Daniel 👋 I've been following you and kato Morton since i was 19 and was then diagnosed with bpd and with that came many questions and I meant some ppl who share is this illness and I thought it important to bring up your timing on this video as we were kind of going through the all good all bad scale and I am now medicated she is still unmedicated both formally diagnosed however the timing as stated above is really quite coincidental so we ended on a poor note as I was trying to get her to see her exes side since I had went through similar and we got to this point eventually but she has a trouble understanding what I'm pointing out and I guess in a way you were manifested because I was really feeling bad about it all and was becoming flustered trying to explain it so when your video came up it instantly resonated. Do you have a video on bpd loving bpd and both forming fp one unmedicated one medicated and kind of go through with us why we keep asking can a bpd love a bpd with and fp attachment medicated or unmedicated and I said I belive only bpd and bpd can with medication because she's even saying how now that I'm medicated im really quick to like shut down her toxic traits and she needs that now so were kind of just curious what you have to say please join in on our discussion we look forward to hearing from you
Is there a chance that complex bpd book will be translated to polish like bpd workbook? This workbook extreamly helpfull for me right now, even though I can speak in english and watch videos, reading a book in not my native language is still a challenge, espaciely more specialized psychological books
How do you know if you actually have BPD if you keep getting different diagnosis from different practitioners
would body image issues (like bolemia) be the "inner core" or would that be something comorbid? Thank you for doing these videos!
Eating disorder are often surface content issues. What's driving it? What emotions and beliefs underlie it? Be well
@@DrDanielFox Thank you Dr. Fox.
@@DrDanielFox When I left for a couple month trip, her body image issues flared up. This happened two times. I didn't suspect BPD then, but now the traits explain a lot of her behavior. Wish I would have known because I would have acted differently... not trying to repair things or defend when she'd split.
Does BPD get the same sense of idk, boredom for lack of a better word that ASPD gets? You mentioned feelings of emptiness and I guess I get that but more when things for me are still and "normal" I always feel like something is missing idk how to describe this. I guess I can't "feel" unless it's "intense." That is what makes adding ADHD to this mix a total nightmare.
I like how you separate the depression, from emptiness, they are different. Another thing people confuse are "thoughts of grandeur/fantasies of power" vs. "disassociation." A video on that would be cool.
Ultimately, people just don't understand the immense boredom with ASPD and thoughts of grandeur present if you've got some NPD tendencies there that can happen. I need a thrill honestly being factor 2, but I'm not sure how that relates to factor 1. I associate factor 1 as being quite "dark" if that makes sense. And factor 2 ASPD is in my mind quite similar to if ADHD, NPD, and IED had a baby it'd be factor 2 ASPD lol. Is it common for people to have IED with BPD or another Cluster B? ASPD, NPD, and IED are never discussed on YT for sufferers. I never see it honestly. It's just all geared to slamming us with cluster b's as if we're out to get the world and abuse women. Which isn't true.
Yeah, to me "emptiness" conjures up a kind of terminal boredom, you feel like you're dying of inertia. It isn't fun but it definitely isn't depression.
"Dying of inertia" is a fantastic description
I just have question about thérapie of universite Megill To bpd. I just whant know if you one about and What you think about
I want to ask after iam finish my adiction my wife she have are trigger când i furyy whau cant escape this way
I wonder if you know about PMDD.. do bpd suffer with this more ??
I'd be interested in this also. I haven't been diagnosed with PMDD but I seem to have a lot of symptoms and things get especially bad for me during that time
Hello Dr. Fox. I am in need of urgent help with my son who has recently had a breakdown in his reality. I know he’s suffered from depression for over 15 years but was never clinically diagnosed. Now he’s living ing in an alternative reality where he’s afraid and we’re out to get him, etc. I just don’t know what to do. Believe me, there’s more to this situation than what I am sharing now.
Maybe leave your son alone. If they are an adult, their mental health is their business, not yours. If they have gone "no contact", respect their wishes.
I’m sorry to hear that your son and your family are going through that. Idk is there mental health services where you are? Maybe talk to a doctor. Idk how old he is, maybe try approaching him calmly and see if you can have some sort of understanding and connection with him, he might open up. I hope you are able to guide him to get the help he needs and also you and your family. 🫂🙂
Its not a lot of information, but I think that you can do is to be gentle with him, he might need understanding, when I had psychotic episode with paranoia, what helped me the most was people who didnt judge me, kept healthy distance, they didnt tell me that what I belive is not true, they told me something like "I can see its hard, that you suffer, its valid and I think you need help, you can live happily, even if you cant see it now" of course this might not work right away, but can help a little
@@Amy22227 thank you
Someone is diagnosed with schizoid affective disorder and bipolar and are given two types of antipsychotics but they have unrecognised bpd . Aspergers and cptsd . She is suicidal . What to do ?
Get Second opinion?
I fear for my daughter, shes been through too much trauma and torture.
Her father abandoned her when she was a child. She was put in foster care temporarily at 4. She was basically held against her will at 15 held like prisoner for a year and a half. Tortured , you name it.
It sounds like your daughter has been through a lot. Seeking a second opinion from a different mental health professional might provide a fresh perspective on her condition and treatment options.
Thank you Dr Daniel 🩷
We will do that.
Its all bcs of CEN..
Stop pissing around and give them mushrooms that increase neuroscience has accepted pathways in the brain even trauma injuries,micro dose works massively and it's as game changer period and stargazing does wonders at obviously the right time of the day 🙏👉🌞♥️
When these critics in our heads begin to overwhelm us we must go back to the basics of our mindful breathing. Focusing on our breathing to quiet down our inner voices, thoughts, and that feeling to impulsively react will bring us back. As Jon Kabat-Zinn says in his book 'Wherever You Go There You Are' when speaking on the subject of mindful breathing. Kabat-Zinn states,"To use your breathing to nurture mindfulness, just tune in to the feeling of it...the feeling of the breath coming into your body the the feeling of the breath leaving your body, that's all." This may not work every time for me but I have used it and was able to counter the inner voices. I also have learned to check the facts of things, assume positive intent when I see people looking at me and begin to experience automatic negative thoughts. I see a therapist on a weekly basis, through my county, and refer back to Dr. Fox's book and my old DBT book. I am on three medications and believe me they can help but it takes us to put in the work. My meds are to treat the symptoms of some of my comorbid issues.
It's great that you've found techniques that work for you in managing those overwhelming thoughts.
@@DrDanielFox It is also very helpful to narrow down the techniques and knowledge that you, my therapist and DBT has provided. I was having trouble recalling everything I've learned. So both my psychiatrist and therapist helped me identify a half dozen areas to work on and use these skills.