I was diagnosed as borderline at 25. However the dbt and treatment I received for years never helped. At 32 I decided to get an autism assessment because my parents said a psychologist in kindergarten diagnosed me but they laughed and said that's not possible. So I did a two month assessment and the doctor said I have autism not borderline. It was a huge relief. I was able to get the proper therapy and get approved for the autism services I needed.
BPD folks are way too interested in the reactions of others, very attuned to social communication. TOO reactive. Don't know how they called you BPD. Sorry.
same story here. I was diagnosed ASD early on but they said it wasn't possible bc I am female. Then I had a period of treatment for all kinds of things that never worked. The one clinician who tried out the borderline diagnosis was the most damaging in terms of how I was treated and also overall relevancy. Later I was formally diagnosed autistic and things have really been moving forward since then... also has helped many women in my family like my Mom bc she is also on the spectrum and had even fewer resources available to her in her generation. Congrats on getting the assessment that you needed !
Rejection sensitivity dysphoria in ASD/ADHD can look very similar to abandonment fear. Maybe the problem is we don't understand any of them, or "comorbidity is the norm".
Yeah I have adhd and my sibling probably does too. But after a particularly abusive relationship it expanded from managed anxiety with a small history of self harm to what feels like Borderline to me. Including the tendency to idolize one person and alternately explode at them. My sibling did this to me and it creeped me out and made me feel like I was justin Bieber (it was around the time of beliber fever) So, I think BPD might (in some cases) be more likely among people with adhd and trauma, like a super c-ptsd formed from comorbidities.
ASD/ADHD don’t have the strong links to early neglect and abuse that BPD does. and the personality disorder is linked to much more severe statistical outcomes
I was diagnosed with BPD during one of the lowest points in my life. Last year I was seen by someone who specializes in ADHD in women and was diagnosed with ADHD. It makes so much more sense than anything else ever did.
I was too, despite spending 2 days with a neuropsychologist who said I had severe ADHD because they don’t take ADHD seriously and have to diagnose you with a mental illness for insurance to get paid for 😡
BPD is horribly over diagnosed at the moment and I'm quite sure a lot of the psychiatrists diagnosing it are doing so in bad faith. It's a stigmatising diagnosis of exclusion, a very easy way to get a patient off your books and wash your hands of them. I received this misdiagnosis after being diagnosed with bipolar type 1 for over a decade, a new psychiatrist in my mental health team who did not assess me, but met me when I was going through a very traumatic time, decided it was BPD and took me off my bipolar meds. I spent two and a half years in and out of hospital and then prison, where I was told by the psychiatric team there that they had no reason to believe whatsoever that I had BPD and every reason to suspect schizoaffective disorder.
They go off the DSM-5 which every person who works in the mental health field uses. You would think with so much research and knowledge. Getting a proper diagnosis I would use a neurologist. Proper brain imaging and brain wave test would be done even An EEG sleep study, or electroencephalogram sleep study, is a non-invasive test that measures brain wave activity during sleep to help identify sleep disorders and other issues. Looking into hands on therapy. Many illnesses/ symptoms triggers comes from the gut that the activates the brain 🧠. Sugar , alcohol, street drugs chemical foods, and lack of sleep cause inflammation in the brain which causes mental disorders. Environment people live in. If you surround yourself with people who are toxic that can cause triggers.
I was diagnosed with impulsive personality disorder (I live in Europe and I think it’s not a diagnosis in America) and ADHD. Then randomly, without discussing with me I was also diagnosed with borderline personality disorder. When I asked why don’t they consider PTSD, I was told I can’t have it because I’m too old for having PTSD from my childhood, and childhood traumas turn into personality disorders later in life. Well, as I have no identity issues I doubted I have two personality disorders. I have a consistent personality, I live calm and quite boring lifestyle, I’m not dramatic, have no turbulent relationships, I know what my values and political views are etc. I also had severe insomnia (which was the main reason for seeing a doctor) and I was so exhausted, I was barely functioning. I was just sitting and staring into emptiness all day long. They told me my exhaustion is also a sign of personality disorder. When I asked how did this personality disorder suddenly appeared at 38 years old, they could not really give a meaningful answer. So, when I was diagnosed with BPD, I asked for a second opinion, and it turned out I do have c-PTSD and it’s even an official diagnosis now. At the first place they didn’t know anything about it. And when I got my c-PTSD diagnosis, I also got treatment for it and my insomnia has improved so much! When I slept 6 hours in one strech I was so delighted I wanted to cry.
In Europe you finally got C-PTSD diagnosis officially in the ICD11. In the US, where we use the DSM, C-PTSD is still not an option! Insane. It’s been talked about for 30 years. And they still don’t have sensory processing differences as part of the autism and ADHD diagnoses. They are SO slow and behind.
@@zz-ic6vy I was prescribed a low dosage (25 mg) of pregabalin. I also tried 75 mg, but it was too much for me. It helps with anxiety, hyperarousal and racing thoughts. Which in turn helps me sleep better.
@@sarahlongstaff5101 I researched a bit and it turned out, that where I live c-PTSD is still not an official diagnosis, because ICD11 is still being translated. It has to be translated into the state's official language to be passed, and it takes time. I got confused because in my medical history, I'm diagnosed with PTSD and there's an additional note from the doctor that says I have the c-PTSD variation, and I thought it was official now. However, it looks like some doctors have found a workaround to treat c-PTSD under the PTSD label as ICD11 will be accepted as soon as it's translated and then the patients won't have to wait for it. But in other hand, in the US new medications are popping up like mushrooms after rain. We are waiting for years to get the new medications accepted and into the pharmacies, that are already being used in the US...
Diagnosed with bpd at 19. Felt like the therapist didn’t take time to understand my background or my whys. I have adhd, ocd, depression, and cptsd. I’m 31 now and on medication and have gone through therapy and am doing much better these days.
same with me, but still waiting on a bpd diagnoses. I'm glad to hear medication and therapy helped I'm currently on meds for everything else but I feel like I should be doing more.
I have dealt with ptsd and ocd for years on meds still things were so hard.... recently though I got a PMDD diagnosis and medicine that really turned my brain around .. keep advocating for yourself when things dont feel right
@cenusasmr9541 Hi there, could you share what med was life changing for you please? I know were all different but it still helps asking when navigating mental health.
@jackiemcdonell1737 I was put on Lamotrigine which is a mood stabilizer it's really has calmed my racing negative thoughts, bad self esteem, and paranoia.
@Tinyteacher1111 it's is called Pre menstrual dysphoric disorder it's an extreme sensitivity to the hormone change it is different than pms in a few ways but each month it was putting me into terrible spirals every month and I felt hopeless until I was given a mood stabilizer lamotrigine and it has done wonders for my mindset and recovery
Thank you for addressing this issue. There are so many psychiatrists who don’t know the difference between BPD and autism. 😢 I was labeled with BPD at 18 after a traumatic incident caused by my mother that led me to attempt to take my own life. Now, at 48, I discovered two years ago that my mother was a malignant narcissist with some antisocial traits. Because of this, I was labeled as a liar when I wasn’t. This misdiagnosis has caused me a lot of pain, especially since I have difficulty understanding lies and manipulation due to being autistic, but being accused of lying. I have Asperger's with no comorbidities. My life has been severely affected by this false diagnosis, and it’s been hard to be believed by psychologists who thought I was lying or exaggerating when I was speaking the truth. I understand that autism wasn’t well-known in the 90s, but I’m relieved to finally understand my true identity.
My mom lying when I was a teen led to medical notes that follow me to this day. Does she have notes that say “force kids into surgery to steal their pills”? No… she was thought of as a good parent. Life is a bummer for many children.
@@KayStevensScholerNPC4444 If you believe them now, trust me-it’s the best gift you can give them. I found an excellent therapist, and I've made incredible progress in my healing. I’m very grateful to have found her. She helped me assign the blame correctly and forgive myself for staying in that relationship with my mom. I don’t speak to my mom anymore, and that, too, has been the best gift I could give myself.
I really appreciate your explanations here. I'm AuDHD. Instead of that, I was labeled BPD. I was put on horrible meds that ruined my health, well-being, and body. Found out the truth at 51.
@@Catlily5 I have PTSD, too. Also C-PTSD from long term trauma. One of my cousins (who's gone now) had bipolar, so I know that's hard. I hope you're getting the support you need. It's sad that so many of are traumatized.
@@Catlily5 There are online tests you can take that will show if you have it or not. You could find out if you have it that way. That's how I first found out that I have it. My counselor confirmed it later.
I'm bipolar (type 2) and got misdiagnosed once and tested three different times for Borderline (by different doctors). Took me more than a decade till I finally got properly diagnosed. I figured out my actual disorder through intense research and lots of self reflection, my therapists and doctors were either no help at all or giving me wrong or related diagnoses (depression, anxiety, panic disorder, OCD, complex personality disorder) and the wrong medications. 😠 Your videos helped me figure it out, so thank you.
I’ve been diagnosed with BPD, within five minutes of talking to me. Okay, maybe ten minutes. I looked up my symptoms, and CPTSD checked every box, and was consistent with the fact that I grew up in hell. My father was the obvious monster, but my mother, because of her eugenicism, never really believed I wasn’t a changeling. I wasn’t white enough to be hers. I was the scapegoat, and was ridiculed and rejected by the rest of the family. One thing that checked a box I didn’t expect was globalized hyper-vigilance. I’ve become an activist for human rights, and my solidarity with my black sisters and brothers caused her and my stepfather to forbid my children & me to visit them. To say this hurt my feelings was a vast understatement. Once again, my mother had broken my heart. Cognitive Behavioral Therapy was the thing that saved my life. I worked hard, and it was painful af, but now I have a whole new life. I wish my siblings would do the same. I’ve encountered many hasty diagnoses, and I believe gender bias caused therapists to diagnose me with BPD. You cannot diagnose that condition in a ten-minute conversation. It did not really address the level of life-threatening violence that had characterized my life for 18 years. This has made me stand up for others in pain. I know I have to be careful not to let my trauma be my guide, and it’s better I should work in groups, because my sense of self-preservation is still a bit wobbly. However, when I’m fighting injustice, I feel bullet-proof. No one would dream that a man in my life could reduce me to fear and desperation, because that’s the primary problem I have in relationships. Thank you so much for this video. BPD has become the pop-psych insult du jour, now. It used to be OCD, and people would call each other, especially women, “neurotic” in the 50s & 60s. Freudian psychology was big back then. Hitchcock’s scariest villains were often Machiavellian women, & always blondes. That was gender bias writ large, across a movie screen. This has been very helpful, and makes me feel better about the various hasty diagnoses I’ve been handed. I wonder if therapists are more apt to diagnose men with NPD, again due to gender bias. Something I think many people miss is the way a culture can give rise to male narcissism, even in men not inclined toward it. I’ve seen that those guys are much easier and more teachable than men I’ve known with obvious NPD. It’s actually rare to get that diagnosis, but I’ll bet it’s mainly given to men. I’ve known only one who really checked all the boxes, and of course, I was married to him. I practically had to gnaw off my arm, to get out of that marriage, and then had to deal with his and his new wife’s smear campaign. I practically became agoraphobic over that. My brother has done the same. He behaves like and reminds me of a Benny Hill joke. “I have two sisters, and one is so jealous that she resents the fact that I have two sisters, whereas she only had the one.” That’s my bro. Now I’m rambling. When I do this, I just hope a bit of it might be amusing enough to make up fir the excess verbiage. Again, thank you so much for this clarification.
It sounds like you've had such a difficult past, I'm sincerely sorry to hear of all this. It sounds like your journey was a profoundly painful one. I've experienced a lot of pain and rejection for my own family but it sounds like I didn't have it as difficult as you have. I'm just sorry that you had to go through all that. We all wish we had emotionally healthy, stable family who can just love us in a healthy way and maybe manage a little respect on the side. Unfortunately it's not always in the cards for all of us. I do try to end with optimism and say it's never too late. Sometimes it's hard to believe that are genuinely ethical, respectful, upright and decent people out there, but there are. Sometimes they just seem hard to find. If you don't already I hope you can find more positive and worthwhile relationships in your life going forward; for me as well. Not everyone in life is a psycho scumbag, there are actually many who aren't. It's important we seek out and find some of these to share ourselves with. We can do it, we just have to remember it's never, ever too late! Best to you!
@@YourCapyFrenBigly_3DPipes1999 Thank you for your kindness and compassion. You are the very kind of person I do seek out, although few ever know about my background. CPTSD can cause globalized hyper-vigilance, a hyper-awareness of any injustice & cruelty anywhere. I became an activist for human rights, whether in this country, or on the other side of the world. For 20+ years now, I’ve had allies and friends from all over the world. Once I was grown, I began to meet people who were nothing like my family members. Good will was their default, and it was a revelation to me. You are spot-on in everything you say here. We can choose our friends, even if we can’t choose our family. We can be around people who build others up, instead of tearing them down. My youngest brother and I are very fortunate, in that we both like people. Do not go to the store with us, though. We’ll be visiting with our new best friend at the cash register, until she has another customer.
I just wish people diagnosed with BPD (whether they have BPD or were misdiagnosed, as I was) were treated with a modicum of decency. Especially by mental health professionals, who are supposed to be here to help. I'm confident that in a few decades the treatment of people with this diagnosis will be regarded with horror and incredulity, just as we look at the treatments for "hysteria" or at lobotomy nowadays.
Just browsing any comment section will show how much people with bpd are vilified. People are so relieved to not have actually have it like they thought, or were once diagnosed. It somehow makes them better people even though they still have the same symptoms.
OMG yes! I tried to help my friend get treatment and the things professionals say... omg horrible... You would just give up on life if you hear the crap they say, and the prognosis of 'things will probably not improve, just accept the shittyness of your life' There is so much stigma there, even more from professionals than from the general public. which is very worrying.
I’ve been caring for a family member with bpd amongst other diagnosis. It sickens me how others, even people in our own family, vilify and denigrate those with bpd. My family member is actually a kind and loving person, and the struggle of emotional deregulation has been worsened by therapists treating them as if they’re evil. It’s abhorrent.
I've literally lost a sexual assault case against a former roommate because I was misdiagnosed BPD and his lawyer got a hold of it and basically said people with the diagnosis can't be trusted because they're delusional and manipulative. I still fume about it. He fucking put his hands on me while I was sleeping
I've only ever had one professional be an issue, and it was sorta minor. "Oh, I specialized in BPD, trust me, I know how you work." Naw, the kid really didn't. In general,though, my presentation generally gets "You have BPD? You seem really calm!" Well, yeah, dissociation is a thing, and sometimes is handy. Biggest issue was I was diagnosed in 98, and it took nearly 20 years before I even had an idea what that meant. Nobody explained it, and I got fooled by "Borderline" thinking it was being used as "right on the edge of being an issue". Read an article around 2016 or so, and said "Why the fuck didn't they tell me this was serious!?!?!?"
Hi, I'm autistic and was bullied my entire life. Can never get into a worthwhile or lasting relationship and I was diagnosed at 27 years of age. Not just women get diagnosed in adulthood!!!!!! Edit: I realize she didn't specifically say only women get diagnosed in adulthood but it still felt valid to leave my comment sharing my life experience as I'm a rare case of a man who got diagnosed later in life.
I can’t even get an official diagnosis of anything besides my epilepsy because I had a massive seizure in front of my parents in their living room. My therapist, neurologist, my sister (who has autistic children) and my mother in law (who is a counselor for autistic patients) have all said that I should be tested but I’m unable to because of my lack of health insurance. I can’t form or even understand what a relationship is but I know that I want one in my life that is good, but I can’t understand people properly at all. It’s just baffling to me. I’m also almost double your age as well, so age may be a factor too. I have had numerous head injuries over the years too as well as many car accidents. I don’t know.. I just want to be happy again.
@@user-hq5ps7dx7d mate I’m sorry to hear this, my life is upside down but trust me you have to keep trying not that it will cure you but we have to live to the fullest
Dr. Marks, I am in my last year of grad school to be a counselor and just wanted to say that I appreciate your channel so much. You explain so many concepts that our curriculum leaves out that are key to helping clients. Thank you for the good work you do
I was diagnosed with ADHD and autism before they diagnosed BPD. Later a psychologist did a full assessment and diagnosed autism (again?) with STPD features and said it couldn't be BPD, but then the next doctors I saw ignored that, and ignored the ADHD too and refused to medicate it, and kept operating on the assumption of borderline. Eventually I was diagnosed with schizoaffective disorder (not been told what type) by a new doctor, who finally put aside the BPD diagnosis. I don't like to seem like I'm finding more and more new labels, especially as it's a very inexact and flawed process, but since finding out about C-PTSD I think that was a better fit than borderline to begin with, especially on top of ADHD and autism. They rushed into a BPD diagnosis when I was 19 and in a very unsettled and unstable transitional period (I was about to leave for university). Having that diagnosis meant that for over a decade other things were missed or outright dismissed in part bc of the stigma around BPD in mental health services, and I was either offered treatment that did not fit my needs or at other times offered nothing at all. My university years were a mess and in the years after I felt really lost, and then paranoid, and I just completely retreated from the world. I didn't trust mental health services at all and things had to get really bad before I turned to them again and eventually lucked out with a doctor who paid a bit more attention. I can't help but wonder how different life might have gone if that first doctor had taken more than one thirty minute appointment to make that decision.
As a mental health professional in Ohio I follow your channel and utilize your expertise as continuing education. The topic of BPD is personal as I believe I’m married to someone who exhibits diagnostic criteria of BPD. However, my wife appears to fit the criteria outlined in “Stopping Walking on Eggshells” 3rd edition. Mason and Kreger introduced an unconventional BPD who exhibits characteristics of BPD and NPD. These are discussed on page 45,chapter 2, under the heading “Real World Types of BPD” any feedback on this area would be greatly appreciated.
Given that some people diagnose within ten seconds, followed by encouraging one to self gaslight and insisting informing the client they do not know themselves and that they do not like what they like. Without asking the client. I often wonder why so many therapist absolutely suck at their jobs, I am pretty tired of explaining personality disorders. I have also been told that no one can have cptsd because it’s not in the DSM, so one must have BPD. (‘the assholes that refuse to put c-ptsd in the DSM are forcing people to be misdiagnosed).
I think the "new thetapists" coming out of school (Or wherver they got their degree and did their internships/residency, or whatver it is) are definitely in this group. I am very fortunately to see a therapist with a great head on their shouilders.
personality disorders/cluster B disorders are so highly stigmatized and misunderstood. lots of providers aren't up to date on new research developments or even modern standard of practice. i know of many mental health professionals who still use outdated terms that aren't even recognized in the DSM-V, "aspergers" and "ADD" for example. not to mention a vast majority of research has been conducted on a very narrow demographic and some providers struggle to apply diagnostic criteria to anybody who doesn't fit the stereotypes of the diagnosis. this is a very real issue in healthcare and undoubtedly lives have been lost and many more have been suffering because of medical malpractice in general, not just in regards to mental healthcare. i try to remain optimistic and do what i can through advocacy and education but sometimes it feels really bleak
That's awful I have cptsd symptoms from having a neglectful alcoholic home environment. I don't like therapists either because they just tell me my adhd gives me anxiety and depression nothing else. It's so frustrating.
I think it takes a lot longer to be a good therapist than just a degree and a few years of experience. How much can a person in their 30's know? Or even 40's? Wisdom takes a long time to develop. That's why I say while science is great and shit, sometimes you need a shaman. Seriously. When I got my bachelor's degree, the dean said to us, "Congratulations, now you are educated." Puh-leeze. How much can any 21 year old know? Add another 3 years of education on top of that and bingo, you're a therapist? Really?
@@shankiepup I thought the DSM was never meant to be used as a diagnostic tool? Why do we make a Bible out of it? People are surely more complicated than any heading or chapter in a book.
They thought I had Bipolar II but turns out it's CPTSD and possibly ADHD. When you combine the two it can look like Bipolar II and for that reason I don't think Bipolar II even exists.
@engleharddinglefester4285 I assure you, Bipolar2 does indeed exist. I've gone through extensive testing over 7 years and have lived with this since I was 14 or so. I am 35 this year. Bipolar2 is a mood disorder, whereas ADHD is a neurodevelopmental disorder. Cptsd can exacerbate both. But each are stand alone disorders. I have very notable swinging, cyclitic behavior that improves with mood stabilizers. Stimulants trigger hypomanic episodes and have caused psychosis depending on the dosage. I am more happy and stable now than I have ever been, and I graduate with my Bachelor's of Social Work next summer. I wouldn't have gotten this far without the treatments and therapies I have. We don't go around saying heart attacks don't exist because we experienced a panic attack, just like we do not go around saying schizophrenia isn't real because we experienced hallucinations one time after taking drugs. That kind of talk can be very harmful to people. I'm glad you know you do not have Bipolar2, it is not a fun disorder to have. Especially when i never could see it before. I had to spend 2 years recording my everyday life to see the cycles myself. but please don't discount my lived experience.
@@engleharddinglefester4285 I know that you got misdiagnosed, but claiming that a disorder doesn't exist because of a mistaken diagnosis leads to spreading more stigma and invalidating others. Figuring out the right diagnosis can take time and multiple tries. Just because that diagnosis wasn't right for you doesn't mean that there isn't a body of evidence that Bipolar II exists.
I was diagnosed with BPD when in a toxic relationship (with someone who went on to destroy the mental health of our son too) in my twenties. I spent so much time trying to get them to rethink it as nobody else could see how it described me and I had different struggles it didn't explain. Long story short my ASD assessment has finally come to the top of the list and is next week, I have my fingers crossed because it explains so much more about my lived experience than BPD ever did.
The DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, 5th Edition) doesn't have a specific diagnosis solely titled "fear of abandonment." However, several diagnoses involve abandonment fears or issues: 1. Borderline Personality Disorder (301.83) Fear of abandonment is a core criterion. 2. Post-Traumatic Stress Disorder (309.81) Trauma-related fears, including abandonment, may be present. 3. Separation Anxiety Disorder (309.21) Fear of separation from major attachment figures. 4. Reactive Attachment Disorder (313.89) Difficulty forming attachments due to neglect or abuse. 5. Disinhibited Social Engagement Disorder (313.89) Difficulty forming attachments due to neglect or abuse. 6. Anxiety Disorders (e.g., Generalized Anxiety Disorder, 300.02) Excessive worry about abandonment may be a symptom. 7. Dependent Personality Disorder (301.6) Fear of abandonment and need for reassurance. 8. Attachment Issues (V61.9) Includes difficulties with attachment related to abandonment. 9. Adjustment Disorders (e.g., 309.0) Abandonment fears may contribute to adjustment difficulties. 10. Other Specified Trauma- and Stressor-Related Disorders (309.89) Includes "abandonment fears" as a symptom. Keep in mind: Only qualified professionals can diagnose mental health conditions. A comprehensive evaluation is necessary for accurate diagnosis. Would you like more information on any of these diagnoses or related topics?
CPTSD and late diagnosed autistic woman here. I was misdiagnosed with BPD for over 15 years. And when I told them about my suspicion about being autistic I got labeled paranoid. A year later I was diagnosed autistic. Duh. I had so many wrong and harmful therapies when I was misdiagnosed back then.
I was misdiagnosed with BPD and it turned out I had ASD combined with perimenopause and PTSD. In the autism groups online I found it quite common for women to only find out they have ASD during perimenopause as they can no longer mask anymore.
I have adhd and perimenopause symptoms (nobody has believed me for 4 years cuz I started having hot flashes and insomnia for the first time when I was 34 and I'm 38 now) That transition made everyhing I've ever struggled with WORSE and no doctor will believe I'm dealing with peri because I'm "too young" A lot of women have told me they knew women who started perimenopause in their 30s but for some reason doctors think it's not true 🙄
@@BipolarCourage I didn't mask as a young child but I was born in the early 1980's and autism wasn't known much back when I was little. I was the child that never played with my peers and hated noise and was fussy with food, I would have uncontrollable tantrums if my routine was changed , I got overwhelmed by noise, social advents, having my special interest interrupted and felt an alien all my life. The only thing that would calm me down was my dad holding me down. When I was 4 at school I would disappear to the library during my free time, breaks and lunch. At age 4 I refused to learn the ABC song as I knew my letters and didn't know why they had to be in an order. I was obsessed with collecting things and hated fiction stories as they did not make sense to me. I loved puzzles, facts and numbers and yes as I got older I learnt to mask to try to fit in. P.S I am not self diagnosed.
@@DRAGONFLYS06 I didn't mask as a young child either & assessed as fitting PDD-NOS (autism spectrum features) subclinical to ASD. Seen plenty of social media influencers quietly admit at times that either never been assessed, deliberately put on a performance during assessment after being coached by others, or would never have been diagnosed in childhood, as nothing to notice. I had mutism, didn't go out to play with other children, would sit in one spot & not interact when dropped off for babysitting. Not move for 2 hours.
I have c-ptsd, I was formerly “diagnosed” as someone with bpd after one session by saying one thing: “my moods can shift fast throughout the day”. Allow me to explain: I grew up with a BPD mother, I was never safe at home including no safety with my own feelings, I wasn’t allowed to be my own person, I had no right to life, privacy, locked doors or simply my own emotions. When my mom was sad I was not allowed to have a normal mood, when my mom was happy I was not allowed to have a sad or neutral mood, I had to mimic her otherwise it would be followed by threats, beatings, horrible words, assumptions that I don’t love her, suicide threats etc. so that followed me growing up, my emotions were not my own. Once I moved out I went to a psychologist straight away and I didn’t talk about my mother, I actually didn’t know she did “anything wrong” so I told him only what I felt which was a remnant of her. I did my research on bpd and it didn’t sound like me but it sounded an awful lot like my mother so I went to someone else and finally saw things more clearly.
Holy CRAP! Dr. Mark, you described ME! In a mere few sentences! I’m going to share this with my therapist at the end of the month! Wow! What clued me in is my absolute fear of being abandoned by people. I for some reason have developed this fear of abandonment when I was in a very dark place in my life (another commenter mentioned the reason why already - I have no need to mention it here), that as well as my inability to create relationships as well. I’m thinking this may be a good help for me. I hope. I just want to feel what is was to be happy again. I remember that feeling, but I can’t grasp it anymore. This may allow me!
Surprised you didn’t mention other personality disorders. Avoidant and Dependent can often have similar symptoms to BPD like self harm, emotional spirals in response to people, self hate. Also attachment is a huge component to PDs especially disorganized.
I was diagnosed with BPD, PTSD, Bipolar 2, and social anxiety. I completed a DBT program, which helped a lot. After years of trying different Bipolar medications that did nothing, I was diagnosed with ADHD and put on concerta. It completely changed my life. I highly suspect I'm on the spectrum, but I don't see a purpose in spending the money to get a diagnosis. The only downside is I feel like the BPD stamp on my records prevents me from being taken seriously with doctors when I try to get help for chronic pain.
Autism and ADHD run in my family and I was diagnosed with BPD. I tried to explain this with my doctor. He told me ADHD was not medically recognized accused me of drug seeking.
I would elaborate on the pathologizing of common human behaviors and reactions to particularly challenging situations that cause distress in any human being. Unfortunately, overdiagnosis is common nowadays, even among people with mental illness. Situations where someone is diagnosed with 10 conditions with overlapping symptoms do not sound right to me, but clinicians know better.
🙌 Yes keeps everyone a job! Some Drs care, but many mental health professionals spend maybe 10 minutes or even less with their patients every 3-4 months, so yes! Totally tons of overlapse.. Telling kids you are flawed guilty or not enough to even exist wow 😮 it’s things we’ve been through, most of my twenties was from pleasing everyone but me.. and you will forget yourself become normal in misery : Don’t not pass go- Don’t accept that! Dove into why I’m I here what’s the reason ? Around 25-26, now in Oct will be 32 and still healing, I was terrified of my own “Spirit Remembering.” For a long time, We all on our journeys and we gotta make it a priority OURSELVES, for us People pleasers, before I got married at 19 I was not like this, I loved me, and was fine. Don’t let people replay in your head notice it , and laugh 😂 like that’s some bs and Do YOU!
So true and right on! Different times in my life, going through tuff times, I was diagnosed with different things. Now will not allow labels put on me!!
I've been recently diagnosed with ADHD. In the past I took an assessment through a private clinic in my home country and they thought that it might be bpd, but it made no sense to me or my partner. Once I got my ADHD diagnosis through an official process, I felt relief as it made more sense, especially that the meds help.
I was diagnosed with BPD when I was 15. I never felt seen with it, and it was a reason for maltreatment and was not often questioned further on. Some practitioners said that It was not a good match, but in the end, I had to seek further evaluation with lot of hassle when I was 39. (Diagnosed with ADHD then) I'm almost certain that it's also autism. What probably led also to the conclusion of BPD, was my premenstrual disphoric disorder. - in pmdd times, I would say I sometimes act if I had BPD. I can say that dbt therapy group helped me, but I felt so much more "in control" of myself than the other participants.
I noticed that SUD (Substance Use Disorder) can sometimes be mistaken for BPD as well especially when the SUD is concealed. I have a family member that appeared to fit the BPD criteria almost perfectly. When treatment failed and doctors delved more deeply the SUD was disclosed and the treatment was pivoted to address it. They are now 2 years free from the SUD and the behavioral burden has practically resolved completely. From their reported testimony the constant cycles of intoxication/withdrawal triggered fears of being unable to take care of themselves, terror at being left alone or abandoned, volatile mood swings (withdrawal induced), etc. We also found this person had full MTHFR/COMT homozygotic mutation that probably was making the effects of the SUD much worse. They are currently taking the necessary supplements/medication to address that as well and have often stated that their cravings reduced significantly when their genetic issues were addressed.
Yes! Addressing those genetic mutations was key to my recovery! I used to think I could just eat healthy and be fine, but these mutations make it so hard to absorb b vitamins to the point where supplementation is necessary.
@@darkmom8903 Thankfully these DNA testing services have become incredibly affordable. I can't wait for AI systems where I can upload my genomic results and get decent, actionable insights rather than having to read through tons of conflicting and sometimes inscrutable research papers.
@@carrington2949 I'm not sure, I know their team ordered a test called Genesight and the DNA mutation was managed by an endocrinologist (I believe, not 100% sure)
I know someone who has PTSD (from desert storm) & BPD who's self medicated with alcohol & drugs. Keeps relapsing despite wanting to stop. Clean & on meds seems like a good person but toxic verbal/narcissistic abu$e & drama in dark times. I just figured the alcohol cancelled out the effects of his Rxs. Any other ideas? He gets manic/anxiety prior to leaving for treatment (hence the binges) creating a vicious cycle.
People have multiple diagnoses so that psychiatrists can have a wider choice of medications to treat you with. It has more to do with insurance requirements. So they pile on all the diagnoses that fit you. DSM diagnoses are not meant to be your identity though. They are just a means of communicating with health insurance companies.
Thank you, Dr Marks. My mental health has been poor. Under prolonged excessive work pressure I have had angry outbursts at work resulting in disciplinary procedures. I had wondered whether I had BPD. When I asked my therapist she didn’t want to clarify my diagnosis. It’s a relief to hope that this may be just part of my ADHD (I’m diagnosed with mild inattentive type). Of course, I possibly need to seek a clinician who is willing and able to clarify this.
My doctor did that to me by the second time ever meeting me he had diagnosed me with borderline personality disorder. Turns out I have complex PTSD struggled with an eating disorder. I’m autistic and I have ADD along with severe anxiety.
Dr. Marks, you are brilliant and entertaining and such a good teacher. Your logic and reasoning, and therefore your conclusions, are clear and easily comprehended. Love the lists of similarities and differentiations.
As someone who suffers with extreme severe anxiety I can totally relate to her. I would stop eating for days at a time as a punishment. I worry a lot about my life, everyone around me and pleasing everyone. It's absolutely crippling, so glad she got the help she needed, lovely young lady it's so sad that society has 1 in 3 people suffering mental health issues. I hope everyone seeks help
Can you help with the reliable source I would really appreciate it. Many people talk about how mushrooms and psychedelics treats anxiety, but nobody talks about where to get them. Very hard to get a reliable source here in Australia. Really need!
Yes, doctor Greg mushroom I have the same experience with anxiety, depression, PTSD and addiction and Mushrooms definitely made a huge huge difference to why am clean today.
I seriously need to show this video to every psychiatrist I ever see. I have c-ptsd and bipolar and there is ALWAYS someone that’s like YOUNG WOMAN?? Must be BPD!
Can you do a video that specifies the difference between ptsd or CPTSD/ anxiety & panic disorders vs narcissists? I find there are some people who genuinely cannot differentiate between hyper vigilance and paranoia. As well as stuff like the difference between victim mentality and the hyper vigilant reaction to potentially compromised safety. Triggers and trauma responses vs drama manipulative intentions. A narcissistic self preoccupation and diminished capacity for connection with others vs the tendency for hyper-independence and a greater amount of time and energy being required to form trust with others as in trauma survivors. The real and true dilemma of flash backs or extreme/ socially inappropriate reactions to seemingly insignificant events vs center of attention mentality and the behavioral manifestations it brings in narcissistic (cluster B) personalities. I keep trying to explain it all comes back to motive and causation. Which is easy enough to understand when we review the end result and how that effects the individual who’s behavior is in question. Do these behaviors benefit them in some way or is it something they contend with. Is it something happening to them or is it something they impart onto the world around them. Do they gain anything from the departures in social norms they experience or is a something they display some kind of awareness for the improper nature of these reactions. Are they insistent on doing things “their way” from a sense of entitlement or in recognition of the inherent limitations in functional capacity as it pertains to aversive prioritization in task execution in an effort to minimize the potential for ptsd “episodes” if you will. As a person with ptsd, I cannot for the life of me manage to relay these concepts successfully. Help?
I once told a therapist that I thought I might have borderline personality disorder and she made me leave her office and told me she couldn’t treat me. I swear to God that happened. Turns out I don’t have that disorder but learning about it helped me figure out some things about myself that helped me heal. No thanks to that crazy lady. Sadly, a lot of the people who are supposed to treat mental illness are the most mentally ill.
Thank you for helping me diagnose myself because my psychiatrist won’t do his job and evaluate me thoroughly. He said I have bipolar disorder but won’t tell me which type
Thank you so much Dr Tracey. I'm in the process of confirming a narcolepsy diagnosis. I've wondered if I met the criteria before for BPD because I've had periods where I reacted in ways that I normally wouldn't. (Generally when being woken up or while trying to fight off a sleep attack) It's making me realize since the onset of my symptoms and being told that I was just depressed and that's why I couldn't stay awake (not true for the majority of the time I've experienced symptoms) has shaped how I talk to myself. I'm slowly working on changing my negative self talk instead of "you just slept for 12 hours how can you be falling asleep you're so lazy..." I say kind things to myself. I appreciate what you do.
I totally learned 💯 new info on Narcolepsy instead of the stereotypes. Thanks all to the Great Dr. Marks!! US Mental Health needs her on TOP - taking the reins and making serious changes in the system, personnel, and complete overhaul.
Narcissistic abuse survivors can present similarly, too. Our abusers can also speak to doctors and claim we cut them/other abusive people off because we have BPD in order to place the blame of their abuse onto others.
Just a fun fact, I played your Video and you spoke fluent German. I Was amazed❤ Turns out there is a Translation of Audio available. Thought you would find it entertaining to watch yourself in a completely different language😂❤
It wasn't any of these. Overlap of C-PTSD, but I think the flaw is, a lot of psychiatrists do a one and done appointment, don't always look you in the eyes, send you on your way, look at short term solutions like medication and don't necessarily take a longevity, holistic approach. I appreciate how thorough you were on each condition within such a short video.
I had a half hour evaluation via telehealth during my divorce proceedings. It screwed so much up for me, and i was bullied and abused throughout the court process, so much so that i ended up just completely giving up. Ended up giving up everything i worked for and has left me with nothing.
I'm so so sorry to hear this. Is there any way you could try to go back to court and get your due? What was your lawyer doing during this whole process??? It may not be too late. I hesitate to give up completely. Nobody deserves to take everything from you. I'm not a lawyer but if you'd like to talk about it briefly some more with me please do. I just hate to see this happen to anyone. YOU DESERVE WHAT'S YOURS!!!!! Would you like to talk about it??
I wish I knew what was wrong with my big sister. She's a gaslighter and mostly emotionally abusive but when I got sick and needed her to take me to the ER she physically abused me on the way there. I don't like her. She's been horrible to me my whole life. She's also got false memories. When I was a kid if I ever showed happiness she would do or say something to make me cry so I grew up being miserable all the time because I couldn't handle the constant abrupt endings of my happy feelings. She lies compulsively and cares a lot about appearing like a good big sister.
I was diagnosed with BPD at 61 years old, after a 1 hour session with a psychiatrist, and I suggested BPD to him, to which he agreed. But, in the following years I feel now that I have symptoms of CPTSD and have all the symptoms of having had a mother with malignant narcissism!? I wanted to get some mental health support, but my doctor refused to refer me, saying I was too old and it would be a waste of time. I just wanted to know the correct diagnosis and why my entire life has been constantly undermined by my vulnerabilities.
One of the hall marks of BPD is mood shifts with in minutes because of feelings, thoughts and actions if l am correct. Adding another layer of the issue is aging 65+ what is normal aging or what is a bullet points of BPD or traits.
The unfortunate part about the medical system and whether it’s physical health or mental health is that they’re 20 years behind and they need to step their game up. This is why so many get misdiagnosed and just slapped the label especially knowing that how many girls and women have been missed for ADHD and ASD. Health professionals have no clue what they’ve done to people and the added distress that they’ve added to peoples lives that is unraveled it and not help them get any better. Not always but majority of the time and it’s time that the health world, whether physical or mental, step their game up and get cracking on properly diagnosing and even more so providing the proper treatment that is going to help people.
thank you for this video. There's so much info about being misdiagnosed with something else but actually having bpd, not the other way around. I think about everyday if my bpd diagnosis is incorrect because I don't improve with therapy, including DBT.
I am surprised you did not mention comorbidities, I am 47yo diagnosed with BPD, CPTSD, and scitzoaffective bipolar type. I have had a psychiatrist mention narcolepsy, but I have not done the sleep study yet. It has taken teams to identify what has been going on since I was a kid. I have also had psychiatrists turn me away due to the complexity of my case and case history, particularly the history during adolescence.
Thought i had BPD but no. CPTSD, ASD/ADHD. After living under the impression of people believing i was borderline and how others would interpret that and interact with me.. i cant cry wven by myself without wondering if someone would try to accuse me of using my tears as manipulation. The way it exasperated my imposter syndrome ... I pray we all find the right words for our struggles and that the hefty dose of stigma all mental health disorders receive disappears
My very first diagnosis was Borderline at 18 years old. I was at a psych ward and the doctor that diagnosed me met with me a whole two times. He's now in jail for insurance fraud. But I continued treatment for bpd for years and my symptoms only got worse. The whole "mindfulness" thing was terrible because being in my mind was overwhelming. A few years later, my new therapist told me I likely had c-ptsd. But I still didn't improve. Shock of my lifetime came when I was 31 and my therapist told me she had the final piece of evidence needed and she sat me down to tell me I had a dissociative disorder. I can definitely understand how BPD can look like DID and vice versa. But it took over 13 years to get the correct diagnosis.
I was misdiagnosed with BPD (& bipolar disorder), then correctly diagnosed with ADHD, C-PTSD, & come to find out at almost 30 y/o I’m also autistic 🙃 (was never diagnosed since I learned how to mask to an extent young, & as a woman didn’t show the typical symptoms looked for)
I was diagnosed with BPD a few months ago, despite not having the fear of abandonment. I'm pretty sure I have Autism and C-PTSD, however the psychiatrist won't hear me out or change the diagnosis. He thinks BPD and C-PTSD are the same, but I'm not convinced. He diagnosed me in one sitting, and won't budge on his diagnosis. I'm so discouraged.
ADHD was my first diagnosis, the BP2, then BPD, then CPTSD. I experience all of the adhd symptoms, all of the BPD, and CPTSD, along with night terrors, sleep paralysis, and hallucinations upon awakening at times. I think the United States has seriously tried to seperate things way too much with the DSM. As a child I learned to dissociate go into a freeze response because of the trauma I did not know I was experiencing. I have severe fear of abandonment and I did as a 2 year old because of what I was going through and the emotional abandonment I was experiencing. After repeating the cycle over and over again in adulthood one can only take so much pain. Then life throughs death at my plate 8 times within a 2 year time span and then the SI began at age 31. Call it ADHD (they still do), call it BPD (they still do), call it CPTSD (they still do), call it unidentified dissociative disorder (they still do), call it sensory processing disorder (it makes sense), call it generalized anxiety disorder (still one of my labels), call it major depressive disorder or seasonal depressive disorder after all those were my number 2 and 3 diagnosis, call it DID(some do), call it PTSD(Bc that is all the dsm 5 will recognize for if they put CPTSD it would cancels others out). HYPER ACTIVITY+flight/fight response in the nervous system dissociative= freeze. Any child diagnosed with this is experiencing trauma mark my words though there is no evidence to back this there will be. It's quite obvious. Plus when you really educate humans on what emotional neglect and abandonment look like, what covert abuse is etc, or even the opposite what consistent attunement, nurturing, kindness, and respect are, maybe the human race as whole could began to really look themselves. That is if they are able to self-reflect and really take accountability. At the end of the day it does not matter the label it is more for insurance purposes and from the particular clinicians perspective so that they may be able to help you. When so many clinicians are not educated on trauma labels that don't fit end up haunting people and actually harming them. I bet I have 30 labels. When at the end of the day I am a human that has experienced significant trauma and picked up all sorts of maladaptive coping skills to help cope along the way. How about focus on the healing and awareness vs the label. One last thing, BPD is absolutely from trauma so therefor there is a lot of treatment just like there is with adhd, and cptsd. That was the diagnosis that plagued me for 4 years where I was told DBT would help. DBT did not help as I still did not understand why I was having such an emotional response to the smallest things. It's because I'd repressed my emotions for so long they were just boiling under the surface. I just had to learn how to sit with them and let them flow out, understand the trigger, the memory, sit with the psychological response. There was a reason behind every "borderline" characteristic and that was unprocessed trauma. So when you think someone has borderline, I highly recommend educating them on family dysfunction, trauma both big T and little t, all the things that could of caused them trauma before slapping that label. I was continually asked if I'd been through trauma, I continually said no, because I wasn't educated. Turns out I'd been through so much I was just an unaware walking trauma bomb who infact had CPTSD.
BPD mood swings occur multiple times per day and can be triggered. People say their mood flips like a light switch. There are still some distinct mood periods in cyclothymia and there may not be any identifiable trigger for the mood change.
CPTSD has very much replaced BPD as a diagnosis.... however... CPTSD is more the story of the genesis of BPD in many cases.... there is also the factor of the overlap of those PDs within the B cluster.... what is important to ALWAYS NOTE IS...... the history of treatment....? Unfortunately, the first presentations can often lead to all sorts of colourful treatments and therapies.... and in my 25 year experience as a psych nurse.... often not lead to any significant improvement....
Then you know that folks with CPTSD are rarely as manipulative and aggressive when they don't get the attention or appreaciation they want. There is NOTHING like the anger of a person w/BPD who isn't getting what they want!
@Cathy-xi8cb I think you typical BPD is the product of cluster B parents.... CPTSD of course can be the result of a variety of traumatic experiences, typically ones that a prolonged like domestic violence situations. I think those with BPD, NPD or ASPD that results from cluster B parents is very VERY difficult to shift. Insight is often achieved but behavioural change is minimal.... in my experience.
I was diagnosed as borderline at 25. However the dbt and treatment I received for years never helped. At 32 I decided to get an autism assessment because my parents said a psychologist in kindergarten diagnosed me but they laughed and said that's not possible. So I did a two month assessment and the doctor said I have autism not borderline. It was a huge relief. I was able to get the proper therapy and get approved for the autism services I needed.
BPD folks are way too interested in the reactions of others, very attuned to social communication. TOO reactive. Don't know how they called you BPD. Sorry.
What services are you now getting & which country?
same story here. I was diagnosed ASD early on but they said it wasn't possible bc I am female. Then I had a period of treatment for all kinds of things that never worked. The one clinician who tried out the borderline diagnosis was the most damaging in terms of how I was treated and also overall relevancy. Later I was formally diagnosed autistic and things have really been moving forward since then... also has helped many women in my family like my Mom bc she is also on the spectrum and had even fewer resources available to her in her generation. Congrats on getting the assessment that you needed !
Lotssss of autistic women are falsely labeled as BPD... you're lucky to know at 32... I was diagnosed last year at 47...
@@Cass_772 hugs I'm so sorry
Rejection sensitivity dysphoria in ASD/ADHD can look very similar to abandonment fear. Maybe the problem is we don't understand any of them, or "comorbidity is the norm".
Yeah I have adhd and my sibling probably does too. But after a particularly abusive relationship it expanded from managed anxiety with a small history of self harm to what feels like Borderline to me.
Including the tendency to idolize one person and alternately explode at them. My sibling did this to me and it creeped me out and made me feel like I was justin Bieber (it was around the time of beliber fever)
So, I think BPD might (in some cases) be more likely among people with adhd and trauma, like a super c-ptsd formed from comorbidities.
i was thinking, this sounds like my bad days with ADHD
@@steggopotamusits the getting obsessed and hyper focussed with ADHD . im saying because i have that tendency....
Yes, great insight. Thank you for sharing this I’ve thought the same since so many of us have both or more comorbid
ASD/ADHD don’t have the strong links to early neglect and abuse that BPD does. and the personality disorder is linked to much more severe statistical outcomes
1:49 ADHD
3:20 ASD (autism spectrum disorder)
5:03 C-PTSD
6:34 Bipolar Disorder
8:05 Narcolepsy
Thank u
Oh no narcolepsy - if I don’t take Adderall - I can’t do anything - I fear I have this or a mild form of it.
I was misdiagnosed BPD and now I'm in the process of trying to figure out if it's just been CPTSD or I'm also on the spectrum with therapists
thank you, a youtube video of a list without the sections in 2024 is just a waste of time. the channel owner should be doing better.
I was diagnosed with BPD during one of the lowest points in my life. Last year I was seen by someone who specializes in ADHD in women and was diagnosed with ADHD. It makes so much more sense than anything else ever did.
I was too, despite spending 2 days with a neuropsychologist who said I had severe ADHD because they don’t take ADHD seriously and have to diagnose you with a mental illness for insurance to get paid for 😡
Me too,thank God!!!
BPD is horribly over diagnosed at the moment and I'm quite sure a lot of the psychiatrists diagnosing it are doing so in bad faith. It's a stigmatising diagnosis of exclusion, a very easy way to get a patient off your books and wash your hands of them. I received this misdiagnosis after being diagnosed with bipolar type 1 for over a decade, a new psychiatrist in my mental health team who did not assess me, but met me when I was going through a very traumatic time, decided it was BPD and took me off my bipolar meds. I spent two and a half years in and out of hospital and then prison, where I was told by the psychiatric team there that they had no reason to believe whatsoever that I had BPD and every reason to suspect schizoaffective disorder.
I'm so sorry to hear you went through this. Hell can't be worse. I wish you the best.
I think this too. Also misdiagnosed, to get rid of me.
Hope you find the help you need. Some doctors shouldn’t be able to do this.
They go off the DSM-5 which every person who works in the mental health field uses.
You would think with so much research and knowledge.
Getting a proper diagnosis I would use a neurologist. Proper brain imaging and brain wave test would be done even An EEG sleep study, or electroencephalogram sleep study, is a non-invasive test that measures brain wave activity during sleep to help identify sleep disorders and other issues.
Looking into hands on therapy.
Many illnesses/ symptoms triggers comes from the gut that the activates the brain 🧠. Sugar , alcohol, street drugs chemical foods, and lack of sleep cause inflammation in the brain which causes mental disorders. Environment people live in. If you surround yourself with people who are toxic that can cause triggers.
I was diagnosed with impulsive personality disorder (I live in Europe and I think it’s not a diagnosis in America) and ADHD. Then randomly, without discussing with me I was also diagnosed with borderline personality disorder. When I asked why don’t they consider PTSD, I was told I can’t have it because I’m too old for having PTSD from my childhood, and childhood traumas turn into personality disorders later in life. Well, as I have no identity issues I doubted I have two personality disorders. I have a consistent personality, I live calm and quite boring lifestyle, I’m not dramatic, have no turbulent relationships, I know what my values and political views are etc. I also had severe insomnia (which was the main reason for seeing a doctor) and I was so exhausted, I was barely functioning. I was just sitting and staring into emptiness all day long. They told me my exhaustion is also a sign of personality disorder. When I asked how did this personality disorder suddenly appeared at 38 years old, they could not really give a meaningful answer.
So, when I was diagnosed with BPD, I asked for a second opinion, and it turned out I do have c-PTSD and it’s even an official diagnosis now. At the first place they didn’t know anything about it. And when I got my c-PTSD diagnosis, I also got treatment for it and my insomnia has improved so much! When I slept 6 hours in one strech I was so delighted I wanted to cry.
Hi, what treatment you got for c-PTSD?
In Europe you finally got C-PTSD diagnosis officially in the ICD11. In the US, where we use the DSM, C-PTSD is still not an option! Insane. It’s been talked about for 30 years. And they still don’t have sensory processing differences as part of the autism and ADHD diagnoses. They are SO slow and behind.
@@zz-ic6vy I was prescribed a low dosage (25 mg) of pregabalin. I also tried 75 mg, but it was too much for me. It helps with anxiety, hyperarousal and racing thoughts. Which in turn helps me sleep better.
@@sarahlongstaff5101 I researched a bit and it turned out, that where I live c-PTSD is still not an official diagnosis, because ICD11 is still being translated. It has to be translated into the state's official language to be passed, and it takes time. I got confused because in my medical history, I'm diagnosed with PTSD and there's an additional note from the doctor that says I have the c-PTSD variation, and I thought it was official now. However, it looks like some doctors have found a workaround to treat c-PTSD under the PTSD label as ICD11 will be accepted as soon as it's translated and then the patients won't have to wait for it.
But in other hand, in the US new medications are popping up like mushrooms after rain. We are waiting for years to get the new medications accepted and into the pharmacies, that are already being used in the US...
Diagnosed with bpd at 19.
Felt like the therapist didn’t take time to understand my background or my whys.
I have adhd, ocd, depression, and cptsd. I’m 31 now and on medication and have gone through therapy and am doing much better these days.
same with me, but still waiting on a bpd diagnoses. I'm glad to hear medication and therapy helped I'm currently on meds for everything else but I feel like I should be doing more.
I have dealt with ptsd and ocd for years on meds still things were so hard.... recently though I got a PMDD diagnosis and medicine that really turned my brain around .. keep advocating for yourself when things dont feel right
@cenusasmr9541 Hi there, could you share what med was life changing for you please? I know were all different but it still helps asking when navigating mental health.
@@venusasmr9541 What’s that, If I may ask?
@jackiemcdonell1737 I was put on Lamotrigine which is a mood stabilizer it's really has calmed my racing negative thoughts, bad self esteem, and paranoia.
@Tinyteacher1111 it's is called Pre menstrual dysphoric disorder it's an extreme sensitivity to the hormone change it is different than pms in a few ways but each month it was putting me into terrible spirals every month and I felt hopeless until I was given a mood stabilizer lamotrigine and it has done wonders for my mindset and recovery
@@venusasmr9541 Thank you! I sure wish you well!
Thank you for addressing this issue. There are so many psychiatrists who don’t know the difference between BPD and autism. 😢 I was labeled with BPD at 18 after a traumatic incident caused by my mother that led me to attempt to take my own life. Now, at 48, I discovered two years ago that my mother was a malignant narcissist with some antisocial traits. Because of this, I was labeled as a liar when I wasn’t. This misdiagnosis has caused me a lot of pain, especially since I have difficulty understanding lies and manipulation due to being autistic, but being accused of lying. I have Asperger's with no comorbidities. My life has been severely affected by this false diagnosis, and it’s been hard to be believed by psychologists who thought I was lying or exaggerating when I was speaking the truth. I understand that autism wasn’t well-known in the 90s, but I’m relieved to finally understand my true identity.
I see this ALL the time in my practice. 😔
My mom lying when I was a teen led to medical notes that follow me to this day.
Does she have notes that say “force kids into surgery to steal their pills”?
No… she was thought of as a good parent.
Life is a bummer for many children.
@@KayStevensScholerNPC4444 If you believe them now, trust me-it’s the best gift you can give them. I found an excellent therapist, and I've made incredible progress in my healing. I’m very grateful to have found her. She helped me assign the blame correctly and forgive myself for staying in that relationship with my mom. I don’t speak to my mom anymore, and that, too, has been the best gift I could give myself.
I really appreciate your explanations here. I'm AuDHD. Instead of that, I was labeled BPD. I was put on horrible meds that ruined my health, well-being, and body. Found out the truth at 51.
I am audhd too and was misdiagnosed with BPD. They figured out that I didn't have BPD before I got diagnosed with autism at age 47.
I also have Bipolar disorder and PTSD. The only one I don't have is narcolepsy.
@@Catlily5 I have PTSD, too. Also C-PTSD from long term trauma. One of my cousins (who's gone now) had bipolar, so I know that's hard. I hope you're getting the support you need. It's sad that so many of are traumatized.
@@raven4090 I probably have CPTSD but my country doesn't diagnose it
@@Catlily5 There are online tests you can take that will show if you have it or not. You could find out if you have it that way. That's how I first found out that I have it. My counselor confirmed it later.
I was diagnosed with bpd however I have CPTSD. I received extensive EMDR therapy and I have greatly improved and I’m doing very well.
❤
This woman is so smart & straightforward and to the point so anyone can understand it 👑 love her
I'm bipolar (type 2) and got misdiagnosed once and tested three different times for Borderline (by different doctors). Took me more than a decade till I finally got properly diagnosed. I figured out my actual disorder through intense research and lots of self reflection, my therapists and doctors were either no help at all or giving me wrong or related diagnoses (depression, anxiety, panic disorder, OCD, complex personality disorder) and the wrong medications. 😠
Your videos helped me figure it out, so thank you.
I’ve been diagnosed with BPD, within five minutes of talking to me. Okay, maybe ten minutes. I looked up my symptoms, and CPTSD checked every box, and was consistent with the fact that I grew up in hell. My father was the obvious monster, but my mother, because of her eugenicism, never really believed I wasn’t a changeling. I wasn’t white enough to be hers. I was the scapegoat, and was ridiculed and rejected by the rest of the family.
One thing that checked a box I didn’t expect was globalized hyper-vigilance. I’ve become an activist for human rights, and my solidarity with my black sisters and brothers caused her and my stepfather to forbid my children & me to visit them. To say this hurt my feelings was a vast understatement. Once again, my mother had broken my heart.
Cognitive Behavioral Therapy was the thing that saved my life. I worked hard, and it was painful af, but now I have a whole new life. I wish my siblings would do the same.
I’ve encountered many hasty diagnoses, and I believe gender bias caused therapists to diagnose me with BPD. You cannot diagnose that condition in a ten-minute conversation. It did not really address the level of life-threatening violence that had characterized my life for 18 years.
This has made me stand up for others in pain. I know I have to be careful not to let my trauma be my guide, and it’s better I should work in groups, because my sense of self-preservation is still a bit wobbly. However, when I’m fighting injustice, I feel bullet-proof. No one would dream that a man in my life could reduce me to fear and desperation, because that’s the primary problem I have in relationships.
Thank you so much for this video. BPD has become the pop-psych insult du jour, now. It used to be OCD, and people would call each other, especially women, “neurotic” in the 50s & 60s. Freudian psychology was big back then. Hitchcock’s scariest villains were often Machiavellian women, & always blondes. That was gender bias writ large, across a movie screen.
This has been very helpful, and makes me feel better about the various hasty diagnoses I’ve been handed. I wonder if therapists are more apt to diagnose men with NPD, again due to gender bias. Something I think many people miss is the way a culture can give rise to male narcissism, even in men not inclined toward it. I’ve seen that those guys are much easier and more teachable than men I’ve known with obvious NPD. It’s actually rare to get that diagnosis, but I’ll bet it’s mainly given to men. I’ve known only one who really checked all the boxes, and of course, I was married to him. I practically had to gnaw off my arm, to get out of that marriage, and then had to deal with his and his new wife’s smear campaign. I practically became agoraphobic over that. My brother has done the same. He behaves like and reminds me of a Benny Hill joke. “I have two sisters, and one is so jealous that she resents the fact that I have two sisters, whereas she only had the one.” That’s my bro. Now I’m rambling. When I do this, I just hope a bit of it might be amusing enough to make up fir the excess verbiage. Again, thank you so much for this clarification.
@@bethmoore7722 you should meet my adult son. BTW, that joke was cute!
It sounds like you've had such a difficult past, I'm sincerely sorry to hear of all this. It sounds like your journey was a profoundly painful one. I've experienced a lot of pain and rejection for my own family but it sounds like I didn't have it as difficult as you have.
I'm just sorry that you had to go through all that.
We all wish we had emotionally healthy, stable family who can just love us in a healthy way and maybe manage a little respect on the side. Unfortunately it's not always in the cards for all of us.
I do try to end with optimism and say it's never too late.
Sometimes it's hard to believe that are genuinely ethical, respectful, upright and decent people out there, but there are. Sometimes they just seem hard to find. If you don't already I hope you can find more positive and worthwhile relationships in your life going forward; for me as well. Not everyone in life is a psycho scumbag, there are actually many who aren't. It's important we seek out and find some of these to share ourselves with. We can do it, we just have to remember it's never, ever too late!
Best to you!
@@YourCapyFrenBigly_3DPipes1999 Thank you for your kindness and compassion. You are the very kind of person I do seek out, although few ever know about my background. CPTSD can cause globalized hyper-vigilance, a hyper-awareness of any injustice & cruelty anywhere. I became an activist for human rights, whether in this country, or on the other side of the world. For 20+ years now, I’ve had allies and friends from all over the world.
Once I was grown, I began to meet people who were nothing like my family members. Good will was their default, and it was a revelation to me. You are spot-on in everything you say here. We can choose our friends, even if we can’t choose our family. We can be around people who build others up, instead of tearing them down. My youngest brother and I are very fortunate, in that we both like people. Do not go to the store with us, though. We’ll be visiting with our new best friend at the cash register, until she has another customer.
I just wish people diagnosed with BPD (whether they have BPD or were misdiagnosed, as I was) were treated with a modicum of decency. Especially by mental health professionals, who are supposed to be here to help. I'm confident that in a few decades the treatment of people with this diagnosis will be regarded with horror and incredulity, just as we look at the treatments for "hysteria" or at lobotomy nowadays.
Just browsing any comment section will show how much people with bpd are vilified. People are so relieved to not have actually have it like they thought, or were once diagnosed. It somehow makes them better people even though they still have the same symptoms.
OMG yes! I tried to help my friend get treatment and the things professionals say... omg horrible... You would just give up on life if you hear the crap they say, and the prognosis of 'things will probably not improve, just accept the shittyness of your life' There is so much stigma there, even more from professionals than from the general public. which is very worrying.
I’ve been caring for a family member with bpd amongst other diagnosis. It sickens me how others, even people in our own family, vilify and denigrate those with bpd. My family member is actually a kind and loving person, and the struggle of emotional deregulation has been worsened by therapists treating them as if they’re evil. It’s abhorrent.
I've literally lost a sexual assault case against a former roommate because I was misdiagnosed BPD and his lawyer got a hold of it and basically said people with the diagnosis can't be trusted because they're delusional and manipulative. I still fume about it. He fucking put his hands on me while I was sleeping
I've only ever had one professional be an issue, and it was sorta minor. "Oh, I specialized in BPD, trust me, I know how you work." Naw, the kid really didn't.
In general,though, my presentation generally gets "You have BPD? You seem really calm!" Well, yeah, dissociation is a thing, and sometimes is handy.
Biggest issue was I was diagnosed in 98, and it took nearly 20 years before I even had an idea what that meant. Nobody explained it, and I got fooled by "Borderline" thinking it was being used as "right on the edge of being an issue". Read an article around 2016 or so, and said "Why the fuck didn't they tell me this was serious!?!?!?"
Hi, I'm autistic and was bullied my entire life. Can never get into a worthwhile or lasting relationship and I was diagnosed at 27 years of age. Not just women get diagnosed in adulthood!!!!!!
Edit: I realize she didn't specifically say only women get diagnosed in adulthood but it still felt valid to leave my comment sharing my life experience as I'm a rare case of a man who got diagnosed later in life.
I can’t even get an official diagnosis of anything besides my epilepsy because I had a massive seizure in front of my parents in their living room. My therapist, neurologist, my sister (who has autistic children) and my mother in law (who is a counselor for autistic patients) have all said that I should be tested but I’m unable to because of my lack of health insurance. I can’t form or even understand what a relationship is but I know that I want one in my life that is good, but I can’t understand people properly at all. It’s just baffling to me. I’m also almost double your age as well, so age may be a factor too. I have had numerous head injuries over the years too as well as many car accidents. I don’t know.. I just want to be happy again.
Can someone please shed light on unstable borderline personality disorder please
No one said that ONLY women get diagnosed later in life, just that its more common for women to be diagnosed later in life
My son was diagnosed in his 30’s. Check for Lyme!
@@user-hq5ps7dx7d mate I’m sorry to hear this, my life is upside down but trust me you have to keep trying not that it will cure you but we have to live to the fullest
Dr. Marks, I am in my last year of grad school to be a counselor and just wanted to say that I appreciate your channel so much. You explain so many concepts that our curriculum leaves out that are key to helping clients. Thank you for the good work you do
I was diagnosed with ADHD and autism before they diagnosed BPD. Later a psychologist did a full assessment and diagnosed autism (again?) with STPD features and said it couldn't be BPD, but then the next doctors I saw ignored that, and ignored the ADHD too and refused to medicate it, and kept operating on the assumption of borderline. Eventually I was diagnosed with schizoaffective disorder (not been told what type) by a new doctor, who finally put aside the BPD diagnosis. I don't like to seem like I'm finding more and more new labels, especially as it's a very inexact and flawed process, but since finding out about C-PTSD I think that was a better fit than borderline to begin with, especially on top of ADHD and autism.
They rushed into a BPD diagnosis when I was 19 and in a very unsettled and unstable transitional period (I was about to leave for university). Having that diagnosis meant that for over a decade other things were missed or outright dismissed in part bc of the stigma around BPD in mental health services, and I was either offered treatment that did not fit my needs or at other times offered nothing at all. My university years were a mess and in the years after I felt really lost, and then paranoid, and I just completely retreated from the world. I didn't trust mental health services at all and things had to get really bad before I turned to them again and eventually lucked out with a doctor who paid a bit more attention. I can't help but wonder how different life might have gone if that first doctor had taken more than one thirty minute appointment to make that decision.
@@felixc9131 it's a bit frustrating when time & care isn't taken to properly assess more complex presentations
As a mental health professional in Ohio I follow your channel and utilize your expertise as continuing education. The topic of BPD is personal as I believe I’m married to someone who exhibits diagnostic criteria of BPD. However, my wife appears to fit the criteria outlined in “Stopping Walking on Eggshells” 3rd edition. Mason and Kreger introduced an unconventional BPD who exhibits characteristics of BPD and NPD. These are discussed on page 45,chapter 2, under the heading “Real World Types of BPD” any feedback on this area would be greatly appreciated.
Given that some people diagnose within ten seconds, followed by encouraging one to self gaslight and insisting informing the client they do not know themselves and that they do not like what they like. Without asking the client. I often wonder why so many therapist absolutely suck at their jobs, I am pretty tired of explaining personality disorders. I have also been told that no one can have cptsd because it’s not in the DSM, so one must have BPD. (‘the assholes that refuse to put c-ptsd in the DSM are forcing people to be misdiagnosed).
I think the "new thetapists" coming out of school (Or wherver they got their degree and did their internships/residency, or whatver it is) are definitely in this group. I am very fortunately to see a therapist with a great head on their shouilders.
personality disorders/cluster B disorders are so highly stigmatized and misunderstood. lots of providers aren't up to date on new research developments or even modern standard of practice. i know of many mental health professionals who still use outdated terms that aren't even recognized in the DSM-V, "aspergers" and "ADD" for example. not to mention a vast majority of research has been conducted on a very narrow demographic and some providers struggle to apply diagnostic criteria to anybody who doesn't fit the stereotypes of the diagnosis. this is a very real issue in healthcare and undoubtedly lives have been lost and many more have been suffering because of medical malpractice in general, not just in regards to mental healthcare. i try to remain optimistic and do what i can through advocacy and education but sometimes it feels really bleak
That's awful I have cptsd symptoms from having a neglectful alcoholic home environment. I don't like therapists either because they just tell me my adhd gives me anxiety and depression nothing else. It's so frustrating.
I think it takes a lot longer to be a good therapist than just a degree and a few years of experience. How much can a person in their 30's know? Or even 40's? Wisdom takes a long time to develop. That's why I say while science is great and shit, sometimes you need a shaman. Seriously.
When I got my bachelor's degree, the dean said to us, "Congratulations, now you are educated." Puh-leeze. How much can any 21 year old know? Add another 3 years of education on top of that and bingo, you're a therapist? Really?
@@shankiepup I thought the DSM was never meant to be used as a diagnostic tool? Why do we make a Bible out of it? People are surely more complicated than any heading or chapter in a book.
So sorry to hear you have been bullied, & for your entire life… so sorry- no one should have to go through that. Wishing you well❤️
And again the comment section is more helpful that anything else and I also feel so seen. ❤
They thought i had BPD. Turns out i have Cptsd, Bipolar 2 with executive dysfunction and panic disorder.
My boyfriend has all those too. I never thought he had bpd but a lot of people think he does.
They thought I had Bipolar II but turns out it's CPTSD and possibly ADHD. When you combine the two it can look like Bipolar II and for that reason I don't think Bipolar II even exists.
I hope naming those treatment pathways leads you to therapies that improve your health
@engleharddinglefester4285 I assure you, Bipolar2 does indeed exist. I've gone through extensive testing over 7 years and have lived with this since I was 14 or so. I am 35 this year. Bipolar2 is a mood disorder, whereas ADHD is a neurodevelopmental disorder. Cptsd can exacerbate both. But each are stand alone disorders. I have very notable swinging, cyclitic behavior that improves with mood stabilizers. Stimulants trigger hypomanic episodes and have caused psychosis depending on the dosage.
I am more happy and stable now than I have ever been, and I graduate with my Bachelor's of Social Work next summer. I wouldn't have gotten this far without the treatments and therapies I have. We don't go around saying heart attacks don't exist because we experienced a panic attack, just like we do not go around saying schizophrenia isn't real because we experienced hallucinations one time after taking drugs. That kind of talk can be very harmful to people. I'm glad you know you do not have Bipolar2, it is not a fun disorder to have. Especially when i never could see it before. I had to spend 2 years recording my everyday life to see the cycles myself. but please don't discount my lived experience.
@@engleharddinglefester4285 I know that you got misdiagnosed, but claiming that a disorder doesn't exist because of a mistaken diagnosis leads to spreading more stigma and invalidating others.
Figuring out the right diagnosis can take time and multiple tries. Just because that diagnosis wasn't right for you doesn't mean that there isn't a body of evidence that Bipolar II exists.
I was diagnosed with BPD when in a toxic relationship (with someone who went on to destroy the mental health of our son too) in my twenties. I spent so much time trying to get them to rethink it as nobody else could see how it described me and I had different struggles it didn't explain. Long story short my ASD assessment has finally come to the top of the list and is next week, I have my fingers crossed because it explains so much more about my lived experience than BPD ever did.
The DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, 5th Edition) doesn't have a specific diagnosis solely titled "fear of abandonment." However, several diagnoses involve abandonment fears or issues:
1. Borderline Personality Disorder (301.83)
Fear of abandonment is a core criterion.
2. Post-Traumatic Stress Disorder (309.81)
Trauma-related fears, including abandonment, may be present.
3. Separation Anxiety Disorder (309.21)
Fear of separation from major attachment figures.
4. Reactive Attachment Disorder (313.89)
Difficulty forming attachments due to neglect or abuse.
5. Disinhibited Social Engagement Disorder (313.89)
Difficulty forming attachments due to neglect or abuse.
6. Anxiety Disorders (e.g., Generalized Anxiety Disorder, 300.02)
Excessive worry about abandonment may be a symptom.
7. Dependent Personality Disorder (301.6)
Fear of abandonment and need for reassurance.
8. Attachment Issues (V61.9)
Includes difficulties with attachment related to abandonment.
9. Adjustment Disorders (e.g., 309.0)
Abandonment fears may contribute to adjustment difficulties.
10. Other Specified Trauma- and Stressor-Related Disorders (309.89)
Includes "abandonment fears" as a symptom.
Keep in mind:
Only qualified professionals can diagnose mental health conditions.
A comprehensive evaluation is necessary for accurate diagnosis.
Would you like more information on any of these diagnoses or related topics?
CPTSD and late diagnosed autistic woman here. I was misdiagnosed with BPD for over 15 years. And when I told them about my suspicion about being autistic I got labeled paranoid. A year later I was diagnosed autistic. Duh.
I had so many wrong and harmful therapies when I was misdiagnosed back then.
I was misdiagnosed with BPD and it turned out I had ASD combined with perimenopause and PTSD. In the autism groups online I found it quite common for women to only find out they have ASD during perimenopause as they can no longer mask anymore.
I have adhd and perimenopause symptoms (nobody has believed me for 4 years cuz I started having hot flashes and insomnia for the first time when I was 34 and I'm 38 now) That transition made everyhing I've ever struggled with WORSE and no doctor will believe I'm dealing with peri because I'm "too young" A lot of women have told me they knew women who started perimenopause in their 30s but for some reason doctors think it's not true 🙄
@@DRAGONFLYS06 young children can't mask. This masking until middle age narrative is now popular with influencers & their followers.
@@BipolarCourage I didn't mask as a young child but I was born in the early 1980's and autism wasn't known much back when I was little. I was the child that never played with my peers and hated noise and was fussy with food, I would have uncontrollable tantrums if my routine was changed , I got overwhelmed by noise, social advents, having my special interest interrupted and felt an alien all my life. The only thing that would calm me down was my dad holding me down. When I was 4 at school I would disappear to the library during my free time, breaks and lunch. At age 4 I refused to learn the ABC song as I knew my letters and didn't know why they had to be in an order. I was obsessed with collecting things and hated fiction stories as they did not make sense to me. I loved puzzles, facts and numbers and yes as I got older I learnt to mask to try to fit in. P.S I am not self diagnosed.
@@DRAGONFLYS06 I didn't mask as a young child either & assessed as fitting PDD-NOS (autism spectrum features) subclinical to ASD.
Seen plenty of social media influencers quietly admit at times that either never been assessed, deliberately put on a performance during assessment after being coached by others, or would never have been diagnosed in childhood, as nothing to notice.
I had mutism, didn't go out to play with other children, would sit in one spot & not interact when dropped off for babysitting. Not move for 2 hours.
@@sweethope8604it is so true!!
I have c-ptsd, I was formerly “diagnosed” as someone with bpd after one session by saying one thing: “my moods can shift fast throughout the day”. Allow me to explain: I grew up with a BPD mother, I was never safe at home including no safety with my own feelings, I wasn’t allowed to be my own person, I had no right to life, privacy, locked doors or simply my own emotions. When my mom was sad I was not allowed to have a normal mood, when my mom was happy I was not allowed to have a sad or neutral mood, I had to mimic her otherwise it would be followed by threats, beatings, horrible words, assumptions that I don’t love her, suicide threats etc. so that followed me growing up, my emotions were not my own. Once I moved out I went to a psychologist straight away and I didn’t talk about my mother, I actually didn’t know she did “anything wrong” so I told him only what I felt which was a remnant of her. I did my research on bpd and it didn’t sound like me but it sounded an awful lot like my mother so I went to someone else and finally saw things more clearly.
Thank you for your comment here. Your words really resonate with me. Sending ❤ from Kansas.
Holy CRAP!
Dr. Mark, you described ME! In a mere few sentences! I’m going to share this with my therapist at the end of the month! Wow!
What clued me in is my absolute fear of being abandoned by people. I for some reason have developed this fear of abandonment when I was in a very dark place in my life (another commenter mentioned the reason why already - I have no need to mention it here), that as well as my inability to create relationships as well. I’m thinking this may be a good help for me. I hope. I just want to feel what is was to be happy again. I remember that feeling, but I can’t grasp it anymore. This may allow me!
Surprised you didn’t mention other personality disorders. Avoidant and Dependent can often have similar symptoms to BPD like self harm, emotional spirals in response to people, self hate. Also attachment is a huge component to PDs especially disorganized.
Don't forget abandonment! Dependant and avoidant also fesr abandonment!
As someone officially diagnosed with both C-PTSD and ASD I'm really grateful for this video! :)
I was diagnosed with BPD, PTSD, Bipolar 2, and social anxiety. I completed a DBT program, which helped a lot. After years of trying different Bipolar medications that did nothing, I was diagnosed with ADHD and put on concerta. It completely changed my life. I highly suspect I'm on the spectrum, but I don't see a purpose in spending the money to get a diagnosis. The only downside is I feel like the BPD stamp on my records prevents me from being taken seriously with doctors when I try to get help for chronic pain.
Autism and ADHD run in my family and I was diagnosed with BPD. I tried to explain this with my doctor. He told me ADHD was not medically recognized accused me of drug seeking.
I would elaborate on the pathologizing of common human behaviors and reactions to particularly challenging situations that cause distress in any human being. Unfortunately, overdiagnosis is common nowadays, even among people with mental illness. Situations where someone is diagnosed with 10 conditions with overlapping symptoms do not sound right to me, but clinicians know better.
🙌 Yes keeps everyone a job! Some Drs care, but many mental health professionals spend maybe 10 minutes or even less with their patients every 3-4 months, so yes! Totally tons of overlapse.. Telling kids you are flawed guilty or not enough to even exist wow 😮 it’s things we’ve been through, most of my twenties was from pleasing everyone but me.. and you will forget yourself become normal in misery : Don’t not pass go- Don’t accept that!
Dove into why I’m I here what’s the reason ? Around 25-26, now in Oct will be 32 and still healing, I was terrified of my own “Spirit Remembering.” For a long time,
We all on our journeys and we gotta make it a priority OURSELVES, for us People pleasers, before I got married at 19 I was not like this, I loved me, and was fine. Don’t let people replay in your head notice it , and laugh 😂 like that’s some bs and Do YOU!
ALL OF THIS! It's a business at this point.
@@yourhighness444bingo!
So true and right on! Different times in my life, going through tuff times, I was diagnosed with different things. Now will not allow labels put on me!!
I've been recently diagnosed with ADHD. In the past I took an assessment through a private clinic in my home country and they thought that it might be bpd, but it made no sense to me or my partner. Once I got my ADHD diagnosis through an official process, I felt relief as it made more sense, especially that the meds help.
Thank you for making this video. This topic is very important for society to be aware of.
I was diagnosed with BPD when I was 15. I never felt seen with it, and it was a reason for maltreatment and was not often questioned further on.
Some practitioners said that It was not a good match, but in the end, I had to seek further evaluation with lot of hassle when I was 39. (Diagnosed with ADHD then)
I'm almost certain that it's also autism.
What probably led also to the conclusion of BPD, was my premenstrual disphoric disorder. - in pmdd times, I would say I sometimes act if I had BPD.
I can say that dbt therapy group helped me, but I felt so much more "in control" of myself than the other participants.
I noticed that SUD (Substance Use Disorder) can sometimes be mistaken for BPD as well especially when the SUD is concealed. I have a family member that appeared to fit the BPD criteria almost perfectly. When treatment failed and doctors delved more deeply the SUD was disclosed and the treatment was pivoted to address it. They are now 2 years free from the SUD and the behavioral burden has practically resolved completely. From their reported testimony the constant cycles of intoxication/withdrawal triggered fears of being unable to take care of themselves, terror at being left alone or abandoned, volatile mood swings (withdrawal induced), etc.
We also found this person had full MTHFR/COMT homozygotic mutation that probably was making the effects of the SUD much worse. They are currently taking the necessary supplements/medication to address that as well and have often stated that their cravings reduced significantly when their genetic issues were addressed.
Yes! Addressing those genetic mutations was key to my recovery! I used to think I could just eat healthy and be fine, but these mutations make it so hard to absorb b vitamins to the point where supplementation is necessary.
@@darkmom8903 Thankfully these DNA testing services have become incredibly affordable. I can't wait for AI systems where I can upload my genomic results and get decent, actionable insights rather than having to read through tons of conflicting and sometimes inscrutable research papers.
What type of doctor did your relative see in order to get the mutation diagnosis?
@@carrington2949 I'm not sure, I know their team ordered a test called Genesight and the DNA mutation was managed by an endocrinologist (I believe, not 100% sure)
I know someone who has PTSD (from desert storm) & BPD who's self medicated with alcohol & drugs. Keeps relapsing despite wanting to stop. Clean & on meds seems like a good person but toxic verbal/narcissistic abu$e & drama in dark times. I just figured the alcohol cancelled out the effects of his Rxs. Any other ideas? He gets manic/anxiety prior to leaving for treatment (hence the binges) creating a vicious cycle.
Diagnosed with BPD however ended up being Bipolar 2 with rapid cycling. Doing much better now with the right diagnosis.
Thank you for this clear and concise explanation.
Would have loved if you included that people can have multiple of these diagnoses.
Yeah I'm surprised she didn't mention that.
I have ADHD, ASD, and Borderline. To say my life and mental state is tumultuous is an understatement.
That wasnt a purpose of this video
People have multiple diagnoses so that psychiatrists can have a wider choice of medications to treat you with. It has more to do with insurance requirements. So they pile on all the diagnoses that fit you. DSM diagnoses are not meant to be your identity though. They are just a means of communicating with health insurance companies.
I know I have CPTSD but also suspect I'm on the spectrum
After watching this.. I definitely had BPD
It’s a curse and the pain never leaves 😢
So true someome i know was initially told Borderline when it was actually Adhd/Autism combo
Thank you, Dr Marks. My mental health has been poor. Under prolonged excessive work pressure I have had angry outbursts at work resulting in disciplinary procedures. I had wondered whether I had BPD. When I asked my therapist she didn’t want to clarify my diagnosis. It’s a relief to hope that this may be just part of my ADHD (I’m diagnosed with mild inattentive type). Of course, I possibly need to seek a clinician who is willing and able to clarify this.
Informative as always, and this is particularly helpful. Thanks you.
Very interesting. I appreciate your very clear style of explanation.
What a great explanation 👏🏻 substance abuse is pretty common in BPD and Bipolar too.
My doctor did that to me by the second time ever meeting me he had diagnosed me with borderline personality disorder. Turns out I have complex PTSD struggled with an eating disorder. I’m autistic and I have ADD along with severe anxiety.
Dr. Marks, you are brilliant and entertaining and such a good teacher. Your logic and reasoning, and therefore your conclusions, are clear and easily comprehended. Love the lists of similarities and differentiations.
Thanks Tracey, another well paced explanation towards achieving better health
As someone who suffers with extreme severe anxiety I can totally relate to her. I would stop eating for days at a time as a punishment. I worry a lot about my life, everyone around me and pleasing everyone. It's absolutely crippling, so glad she got the help she needed, lovely young lady it's so sad that society has 1 in 3 people suffering mental health issues. I hope everyone seeks help
People need to realise that people with anxiety disorders have oversensitised nerves, it's not a simple case of manning up and getting over it.
Can you help with the reliable source I would really appreciate it. Many people talk about how mushrooms and psychedelics treats anxiety, but nobody talks about where to get them. Very hard to get a reliable source here in Australia. Really need!
Yes, doctor Greg mushroom I have the same experience with anxiety, depression, PTSD and addiction and Mushrooms definitely made a huge huge difference to why am clean today.
Please, how do I reach doctor Greg?
Is he on the internet?
Love you Dr. Marks! You just get to the point,and have helped me figure ME out! Sharing this with my next coulsner!
I seriously need to show this video to every psychiatrist I ever see. I have c-ptsd and bipolar and there is ALWAYS someone that’s like YOUNG WOMAN?? Must be BPD!
Love your channel. You make things so clear.. Thankyou Doctor ❤✨
Packed with data and experience! Please do more of those comparisons!
Can you do a video that specifies the difference between ptsd or CPTSD/ anxiety & panic disorders vs narcissists?
I find there are some people who genuinely cannot differentiate between hyper vigilance and paranoia. As well as stuff like the difference between victim mentality and the hyper vigilant reaction to potentially compromised safety.
Triggers and trauma responses vs drama manipulative intentions.
A narcissistic self preoccupation and diminished capacity for connection with others vs the tendency for hyper-independence and a greater amount of time and energy being required to form trust with others as in trauma survivors.
The real and true dilemma of flash backs or extreme/ socially inappropriate reactions to seemingly insignificant events vs center of attention mentality and the behavioral manifestations it brings in narcissistic (cluster B) personalities.
I keep trying to explain it all comes back to motive and causation.
Which is easy enough to understand when we review the end result and how that effects the individual who’s behavior is in question.
Do these behaviors benefit them in some way or is it something they contend with.
Is it something happening to them or is it something they impart onto the world around them.
Do they gain anything from the departures in social norms they experience or is a something they display some kind of awareness for the improper nature of these reactions.
Are they insistent on doing things “their way” from a sense of entitlement or in recognition of the inherent limitations in functional capacity as it pertains to aversive prioritization in task execution in an effort to minimize the potential for ptsd “episodes” if you will.
As a person with ptsd, I cannot for the life of me manage to relay these concepts successfully.
Help?
I once told a therapist that I thought I might have borderline personality disorder and she made me leave her office and told me she couldn’t treat me. I swear to God that happened. Turns out I don’t have that disorder but learning about it helped me figure out some things about myself that helped me heal.
No thanks to that crazy lady. Sadly, a lot of the people who are supposed to treat mental illness are the most mentally ill.
Wow, Dr Marks, this was like a masterclass. Thank you so much.
Excellent analysis and presentation, Tracey!
thank you, Dr Mark.
Thank you for helping me diagnose myself because my psychiatrist won’t do his job and evaluate me thoroughly. He said I have bipolar disorder but won’t tell me which type
Such an important topic, thank you for covering this!
Thank you so much Dr Tracey. I'm in the process of confirming a narcolepsy diagnosis. I've wondered if I met the criteria before for BPD because I've had periods where I reacted in ways that I normally wouldn't. (Generally when being woken up or while trying to fight off a sleep attack) It's making me realize since the onset of my symptoms and being told that I was just depressed and that's why I couldn't stay awake (not true for the majority of the time I've experienced symptoms) has shaped how I talk to myself. I'm slowly working on changing my negative self talk instead of "you just slept for 12 hours how can you be falling asleep you're so lazy..." I say kind things to myself. I appreciate what you do.
Thanks very much Dr Marks for this. May I just say, you Look fab! The colour suits you well😊
Thank you for your voice - your videos has helped me many of times
I totally learned 💯 new info on Narcolepsy instead of the stereotypes. Thanks all to the Great Dr. Marks!! US Mental Health needs her on TOP - taking the reins and making serious changes in the system, personnel, and complete overhaul.
Narcissistic abuse survivors can present similarly, too. Our abusers can also speak to
doctors and claim we cut them/other abusive people off because we have BPD in order to place the blame of their abuse onto others.
Good morning and thank you.😊
Thank you for this interesting video❤
Excellent presentation 👏 and great information ❤️
Thank you Dr. Marks!
Excellent and highly educational video, thanks Dr. Tracey
Just a fun fact, I played your Video and you spoke fluent German. I Was amazed❤ Turns out there is a Translation of Audio available. Thought you would find it entertaining to watch yourself in a completely different language😂❤
It wasn't any of these. Overlap of C-PTSD, but I think the flaw is, a lot of psychiatrists do a one and done appointment, don't always look you in the eyes, send you on your way, look at short term solutions like medication and don't necessarily take a longevity, holistic approach. I appreciate how thorough you were on each condition within such a short video.
Thank you so much for talking about narcolepsy!
Thank you, Dr. Marks.
I had a half hour evaluation via telehealth during my divorce proceedings. It screwed so much up for me, and i was bullied and abused throughout the court process, so much so that i ended up just completely giving up. Ended up giving up everything i worked for and has left me with nothing.
I'm so so sorry to hear this. Is there any way you could try to go back to court and get your due? What was your lawyer doing during this whole process???
It may not be too late. I hesitate to give up completely. Nobody deserves to take everything from you. I'm not a lawyer but if you'd like to talk about it briefly some more with me please do. I just hate to see this happen to anyone.
YOU DESERVE WHAT'S YOURS!!!!!
Would you like to talk about it??
MAN you're a good teacher, did you know that? :)
It took me a few years to get officially diagnosed with BPD and I wouldn’t wish it on anyone.
thank you for the clarifications.
Thank you! Very valuable information
I wish I knew what was wrong with my big sister. She's a gaslighter and mostly emotionally abusive but when I got sick and needed her to take me to the ER she physically abused me on the way there. I don't like her. She's been horrible to me my whole life. She's also got false memories. When I was a kid if I ever showed happiness she would do or say something to make me cry so I grew up being miserable all the time because I couldn't handle the constant abrupt endings of my happy feelings. She lies compulsively and cares a lot about appearing like a good big sister.
I am F and was diagnosed with autism at 53. Diagnosed with ADHD AT 54. Been a long tiring journey.
I was diagnosed with BPD at 61 years old, after a 1 hour session with a psychiatrist, and I suggested BPD to him, to which he agreed. But, in the following years I feel now that I have symptoms of CPTSD and have all the symptoms of having had a mother with malignant narcissism!? I wanted to get some mental health support, but my doctor refused to refer me, saying I was too old and it would be a waste of time. I just wanted to know the correct diagnosis and why my entire life has been constantly undermined by my vulnerabilities.
great video, thank you dr marks
One of the hall marks of BPD is mood shifts with in minutes because of feelings, thoughts and actions if l am correct. Adding another layer of the issue is aging 65+ what is normal aging or what is a bullet points of BPD or traits.
The unfortunate part about the medical system and whether it’s physical health or mental health is that they’re 20 years behind and they need to step their game up. This is why so many get misdiagnosed and just slapped the label especially knowing that how many girls and women have been missed for ADHD and ASD. Health professionals have no clue what they’ve done to people and the added distress that they’ve added to peoples lives that is unraveled it and not help them get any better. Not always but majority of the time and it’s time that the health world, whether physical or mental, step their game up and get cracking on properly diagnosing and even more so providing the proper treatment that is going to help people.
Off the topic but editing is awesome!
Thank you! I used to wonder if I had BPD though not in a severe way After some professional diagnosis and treatment, it's autism.
thank you for this video. There's so much info about being misdiagnosed with something else but actually having bpd, not the other way around. I think about everyday if my bpd diagnosis is incorrect because I don't improve with therapy, including DBT.
I am surprised you did not mention comorbidities, I am 47yo diagnosed with BPD, CPTSD, and scitzoaffective bipolar type. I have had a psychiatrist mention narcolepsy, but I have not done the sleep study yet. It has taken teams to identify what has been going on since I was a kid. I have also had psychiatrists turn me away due to the complexity of my case and case history, particularly the history during adolescence.
Thought i had BPD but no. CPTSD, ASD/ADHD.
After living under the impression of people believing i was borderline and how others would interpret that and interact with me.. i cant cry wven by myself without wondering if someone would try to accuse me of using my tears as manipulation. The way it exasperated my imposter syndrome
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I pray we all find the right words for our struggles and that the hefty dose of stigma all mental health disorders receive disappears
Thank you doctor....
Thank you! We diagnose and treat BPD. We have individuals who self diagnosed or come with a diagnosis of BPD that is just wrong.
My very first diagnosis was Borderline at 18 years old. I was at a psych ward and the doctor that diagnosed me met with me a whole two times. He's now in jail for insurance fraud. But I continued treatment for bpd for years and my symptoms only got worse. The whole "mindfulness" thing was terrible because being in my mind was overwhelming. A few years later, my new therapist told me I likely had c-ptsd. But I still didn't improve. Shock of my lifetime came when I was 31 and my therapist told me she had the final piece of evidence needed and she sat me down to tell me I had a dissociative disorder. I can definitely understand how BPD can look like DID and vice versa. But it took over 13 years to get the correct diagnosis.
I was misdiagnosed with BPD (& bipolar disorder), then correctly diagnosed with ADHD, C-PTSD, & come to find out at almost 30 y/o I’m also autistic 🙃 (was never diagnosed since I learned how to mask to an extent young, & as a woman didn’t show the typical symptoms looked for)
I was diagnosed with BPD a few months ago, despite not having the fear of abandonment. I'm pretty sure I have Autism and C-PTSD, however the psychiatrist won't hear me out or change the diagnosis. He thinks BPD and C-PTSD are the same, but I'm not convinced. He diagnosed me in one sitting, and won't budge on his diagnosis. I'm so discouraged.
ADHD was my first diagnosis, the BP2, then BPD, then CPTSD. I experience all of the adhd symptoms, all of the BPD, and CPTSD, along with night terrors, sleep paralysis, and hallucinations upon awakening at times. I think the United States has seriously tried to seperate things way too much with the DSM. As a child I learned to dissociate go into a freeze response because of the trauma I did not know I was experiencing. I have severe fear of abandonment and I did as a 2 year old because of what I was going through and the emotional abandonment I was experiencing. After repeating the cycle over and over again in adulthood one can only take so much pain. Then life throughs death at my plate 8 times within a 2 year time span and then the SI began at age 31. Call it ADHD (they still do), call it BPD (they still do), call it CPTSD (they still do), call it unidentified dissociative disorder (they still do), call it sensory processing disorder (it makes sense), call it generalized anxiety disorder (still one of my labels), call it major depressive disorder or seasonal depressive disorder after all those were my number 2 and 3 diagnosis, call it DID(some do), call it PTSD(Bc that is all the dsm 5 will recognize for if they put CPTSD it would cancels others out). HYPER ACTIVITY+flight/fight response in the nervous system dissociative= freeze. Any child diagnosed with this is experiencing trauma mark my words though there is no evidence to back this there will be. It's quite obvious. Plus when you really educate humans on what emotional neglect and abandonment look like, what covert abuse is etc, or even the opposite what consistent attunement, nurturing, kindness, and respect are, maybe the human race as whole could began to really look themselves. That is if they are able to self-reflect and really take accountability. At the end of the day it does not matter the label it is more for insurance purposes and from the particular clinicians perspective so that they may be able to help you. When so many clinicians are not educated on trauma labels that don't fit end up haunting people and actually harming them. I bet I have 30 labels. When at the end of the day I am a human that has experienced significant trauma and picked up all sorts of maladaptive coping skills to help cope along the way. How about focus on the healing and awareness vs the label.
One last thing, BPD is absolutely from trauma so therefor there is a lot of treatment just like there is with adhd, and cptsd. That was the diagnosis that plagued me for 4 years where I was told DBT would help. DBT did not help as I still did not understand why I was having such an emotional response to the smallest things. It's because I'd repressed my emotions for so long they were just boiling under the surface. I just had to learn how to sit with them and let them flow out, understand the trigger, the memory, sit with the psychological response. There was a reason behind every "borderline" characteristic and that was unprocessed trauma. So when you think someone has borderline, I highly recommend educating them on family dysfunction, trauma both big T and little t, all the things that could of caused them trauma before slapping that label. I was continually asked if I'd been through trauma, I continually said no, because I wasn't educated. Turns out I'd been through so much I was just an unaware walking trauma bomb who infact had CPTSD.
There is Cyclothymia bipolar, which has rapid cycling mood swings too
BPD mood swings occur multiple times per day and can be triggered. People say their mood flips like a light switch. There are still some distinct mood periods in cyclothymia and there may not be any identifiable trigger for the mood change.
CPTSD has very much replaced BPD as a diagnosis.... however... CPTSD is more the story of the genesis of BPD in many cases.... there is also the factor of the overlap of those PDs within the B cluster.... what is important to ALWAYS NOTE IS...... the history of treatment....? Unfortunately, the first presentations can often lead to all sorts of colourful treatments and therapies.... and in my 25 year experience as a psych nurse.... often not lead to any significant improvement....
Then you know that folks with CPTSD are rarely as manipulative and aggressive when they don't get the attention or appreaciation they want. There is NOTHING like the anger of a person w/BPD who isn't getting what they want!
@Cathy-xi8cb I think you typical BPD is the product of cluster B parents.... CPTSD of course can be the result of a variety of traumatic experiences, typically ones that a prolonged like domestic violence situations. I think those with BPD, NPD or ASPD that results from cluster B parents is very VERY difficult to shift. Insight is often achieved but behavioural change is minimal.... in my experience.