Borderline Personality | Dr Syl's Analysis
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- Опубликовано: 16 окт 2023
- Dr Syl reviews footage of a man struggling with silent borderline personality disorder (BPD). He discusses the signs, symptoms, challenges and treatments of BPD. He also explores the aetiology and cause of the illness whilst reflecting on the footage.The footage comes from the Project Improvement Blueprint RUclips channel.
Footage: • What a BPD Episode Loo...
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** The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional. If anything in this video was distressing please consider calling LifeLine 131114 **
Timestamps
00:00 - Introduction 
Кино
Link: ruclips.net/video/ubBmYGlfH8A/видео.html
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Hey Dr. Syl, thanks for posting this. I enjoyed this one, along with your other videos on mental health! I'm wondering if you can post a video on Bipolar w Mixed features?
It would be interesting to have advice for family members with someone with BPD.
Also combined diagnosis- how do you prioritize?
Hello Dr. Syl, someone close to me was diagnosed with Obsessive-Compulsive Personality Disorder (OCPD). I'd really love to hear your take on this personality disorder, and maybe how to support someone who suffers with it. Your videos are always insightful and respectful. Thank you!
Please do histrionic personality disorder! I feel like it’s not a well known one and definitely interesting. Appreciate all you do!
I'd love content on post-concussion syndrome and the impacts on mental health, or the CBT related to it.
When he says “one minute you love someone, the next you hate them.” That is called “splitting” which is a classic symptom of BPD which is viewing things or people as either “all good” or “all bad” with no grey area in between. I read an AMAZING book about BPD for patients and people who love someone with BPD called “I Hate You!…Don’t Leave Me!”
You know, I am Jamaican and he sounds like a Jamaican. And the hard thing he might be struggling with is how Jamaicans do not believe in mental health. It is even surprising for me hearing a Jamaican man speak this way of himself. Brave of him to come out and be honest about his feelings and diagnosis.
I hate when I feel good for a glimpse of the day. It's like a grasp of hope. And then you can have the worst depression the rest of the day. And then you get mad you couldn't keep positive. BPD is a roller coaster of intense feelings.
My partner has BPD due to childhood trauma by an emotionally immature parent. Knowing what he went through and is still going through with her now just strengthens my belief that some people should never have children.
I suffered BPD since my teenage. Also suffered severe depression. Not until my mom recommended me to psilocybin mushrooms treatment. Psilocybin treatment saved my life honestly. 8 years totally clean. Never thought I would be saying this about mushrooms.
they saved you from death bud, lets be honest here. and mushrooms are one of the most amazing things on this planet i wish people would all realize. they could solve a lot of problems, more than just mental treatments, environmental clean up; the possibilities are endless with fungus.
Can you help with the reliable source I would really appreciate it. Many people talk about mushrooms and psychedelics but nobody talks about where to get them. Very hard to get a reliable source here in Netherland. Really need!
YES very sure of Dr.benfungi. 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 hate that psilocybin gets grouped with drugs like cocaine and heroin. Mushrooms are a remedy, not a vice!
How do I reach out to him? Is he on insta
I can only wish that there were such doctors in Hungary like you. Yesterday i went to the hospital with suicidal toughts and the doctors didnt even looked at me, they sent me away. There are no doctors here. be like this forever!
I think europe in general is really behind in terms of mental health, I can easily imagine the same thing happening in Italy where I am from. Stay strong 💟
Szia, ha esetleg tudok sgíteni vmiben, kérlek szólj! Nem vagy egyedül!
Its so bad, I recently got discharged because I forced them to do it. I was sexually assaulted and the Dr said I was wasting her time. When I left they told everyone thay I never went there for help. That was my 7th admission and the only one where I knew I needed help because I was going to kill myself. Well I hope you get help because we all deserve help
@@soundsforyourmoodsit’s not like that in The Netherlands. Important to not generalize Europe, there’s a lot of differences
It seems our part of Europe is really behind. I'm really sorry you didn't get the help you deserved. I hope you can really take to heart that nothing in this situation is your problem.. you deserved help, you went to ask for it, you did everything you were supposed to - there's nothing you could have or should have done or said differently. It's their responsibility, their failing - the fact you didn't receive help there and then doesn't mean you don't deserve it or need it. It took me decades to de-internalise these feelings,to stop feeling like I'm begging for attention, to stop feeling like I'm wasting everyone's time, taking it away from people who need it. You matter and it sucks that you have to fight for help - but please, do. If you have to knock on more doors - do it. Your life, your happiness - they are worth it.
My mum has BPD and as a child, one minute she'd shower me with love, and then the next minute, she'd be screaming and violent, or just forgot about me. When I was a little kid, she had left me at shops, in the car, and would forget about collecting me from school. As a teen, I grew up with alcohol and drug issues, not realising I had GAD. I have done CBT and my life has turned around, but I don't know how to help my mum seek help too. I have had to cut her out of my life because of her volatility and denial/resistance to even the suggestion of getting help.
Thank you for sharing this information, Dr. Syl. It's hard to be compassionate about her condition when she won't get help, but it is good to learn more about the condition.
If someone harms someone when in a dissociated state, they need to be held accountable the same way we hold someone in a psychotic state that hurts someone, accountable.
Prison isn't the place to house them. They should be held in a forensic psychiatric facility. And there be given regular in-depth therapy to learn how to manage their conditions in a safe and healthy manner.
Harms them in what way? Emotionally? You better hope to God that never happens. Physically I can understand and we have jail for that. You can't be grabbing people off the street because they are verbally cruel when splitting. I die on that hill.
@@DaddyChettyit’s very obvious no one is talking about emotional harm
@@DaddyChetty Physical harm...folks who do this need to be held in custody obviously.
I spent 12 years Diagnosed with MDD (Major Depressive Disorder) and Anxiety, all while having undiagnosed BPD. It wasn't until this year that I got diagnosed with BPD. So I spent years trying numerous numerous depression medications without really any benefit. My therapist now thinks that my "depression" may be entirely BPD driven.
If you haven't looked it up yet @DrSyl, Quiet BPD is one of the 4 unofficial subtypes that are generally widely accepted in the US. Its also known as high functioning BPD as mentioned by this person in the video. It was originally known as discouraged BPD. That said, the 4 subtypes are generally overlapping within a person with BPD. I think the reason you hear about Quiet BPD though is because out of the 4 sub types, its the one that is the most uniquely different from what is typically considered BPD that we are used too (screaming, throwing things, etc).
As you mentioned, because its "quiet" / internalized, it does mean that a lot of people end up going undiagnosed like in my case. Where it took almost 13 years.
I would like to recommend Dr. Foxes channel. Dr. Fox has specialised in BPD . He has a ton of videos on BPD and quiet BPD (surprised Dr. Syl has never heard of it) and CPTSDHe has a lot of videos on mangaging BPD symptoms and also advise for relatives, partners and friends. It's the absolute best channel on the topic.
I've never wanted to crawl through a screen and hug a man more than I do while watching this pain 💔❤ I'm so grateful to him for sharing this, thank you.
I was going to say the exact same thing
BPD people can be VERY dangerous to very empathetic people. Experience.
I find you are such a sweet caring person Dr. Syl!
I'm 24 and have been diagnosed and misdiagnosed with various MH conditions, but the one that was the most destructive is BPD. Been formally diagnosed since 13 but have recently been classified as being in full remission, and I've never felt prouder of myself.
I call BPD destructive, but rather it was manipulative. It changed my aspect of who I was, altered my perception of my relationships (family, friends and romantic relationships). I struggled with consistently taking medication, struggled with disassociation (which is the only side effect that I still struggle with today) and if it wasn't for DBT tools, I wouldn't be where I am today.
The most scariest part for me was how isolating BPD was. A sense of overwhelming doom, causing chaos towards whatever or whoever I interacted with and feeling like the only way out was self destructive behaviors. Learning to break through that was tough but for the first time in my life I can confidently say that I'm glad that I'm still here!
Thank you for providing the amazing clinical insight that you bring with your videos. They bring a smile to me each time I watch.
So genuinely happy for you. My 17 year old is struggling with this and refuses all treatment and has rejected her family. Hoping she turns a corner someday. It’s heartbreaking to watch her self sabotage.
Interesting you pointed out the painting. Someone I believe to have many BPD traits describes he always has a black cloud following him.
I couldnt help but cry at this video, idk if i have bpd bc ive never been diagnosed and i just dont know very much about it but everything he said i related to. I just want to give him a hug
I’ve commented before as a mom of a 26 y daughter with both BPD and bipolar. Today was a better day. She did have an episode of self hate but she somewhat brought herself around. I’ve truly racked my brain to find the trauma in her childhood. Through her therapy she has come to some conclusions about teachers and school trauma. I’d just like to point out it may not be a parent that “caused” the environmental part of the equation. Is this a relief for me? Not really. As this man spoke so purely-there won’t be a cure but hope of ease in life. To all who suffer - keep riding those waves.
I absolutely agree. The trauma is different levels depending on the sensitivity of the individual also. I mean what one person thinks is abuse may not be another's perspective. Add Bipolar to the mix. But Bipolar is often used as a diagnosis BECAUSE the shrink doesn't want to deal with 'borderlines'. They try to medicate it out of them. Really do your research. Get a therapist aside from a shrink. They can't do much past write a script.
@@KatJ3st Absolutely agree with your post. I have done a lot of research on both BPD and bipolar and she was first diagnosed as bipolar until finally realizing she has BPD. It took quite awhile to find a therapist who deals with BPD. Much easier to find one for bipolar for sure.
I've been both a Narcissistic Bpd (the shitty emotionally abusive bf, very combative, angry, loud mouth, very opinionated etc.) and now through a lot of self reflection I turned into a Quiet BPD. The big difference is all the craziness and chaos of the usual Narcissistic BPD is still present, but all the arguments, venting, frustration, rage and outburst are only inside your mind or when no one is around. You feel like there is an insane asylum inside your mind with just your own voice saying crazy things, but on the outside you look completely normal or even happy and super charismatic and supportive to others. Quiet BPD can happen if you either 1 fear losing people if they saw the craziness that is your emotional states going batshit crazy all day long or 2 you have grown in compassion for others and refuse to hurt people again so the symptoms you would project onto others is now only projected onto yourself. Think of it like masking in autism. You still don't have a "normal" brain, but you have mastered hiding it away and presenting how society thinks healthy adults should be. I use to be in theatre and honestly that is the best way to say how it is you play a part of what you would be like in an alternate universe if you were a normal person with a gentle nature and especially when you are around the people you love you buy into it and even feel like you ARE actually normal and care free. However, I notice within 3-4 hours of being separated from the people I put that the best quiet BPD mask on for have left I begin to spiral again and then by the time I wake up the next morning I am back to very angry, not wanting to see the people that I know always uplift me, but under the spell of BPD you just don't care about it the rage consumes your logic.
Very insightful, thank you for sharing.
He is a brave soul, thank you for reviewing his video. I love your content and ones like these are extra special to me. Living and thriving in the outside world while living and fighting with chaos within you. It's hard to put into words.
Insurance does not cover us. It's all out of pocket, especially if your on Medicare. There is no hope for therapy for those who are low income. I heard him say that 80% to 90% recover from BPD if they get to like 5 years of therapy or more. My wife tried out of pocket once a month for about 8 months. Every so often we could afford every two weeks. It was starting to help, but we nearly financially ruined ourselves trying to pay for this help. We had to stop if we wanted to continue to pay rent and eat. We ate through all our savings in 8 months. I am greatful for what i did get though. But yeah if you can afford it guys please get it.
They cover for those things. But BPD therapy is not covered. The therapy is called Dialectical Behavioral Therapy. I am in the US as well.@maureensmith9923
I live in Poland, we have national health system here from taxes, but I pay for my therapies from my own pocket. Free help is mostly for alcoholics, drug addicts, etc. - people who may harm others. For "quiet BPD's" not much national help.
@maureensmith9923situations probably differ from state to state.
@@WouldntULikeToKnow. I have Medicare that is Federal. It does not change from state to state. Medicaid is state funded and does in fact change from state to state. I am just outside of the qualifications to get Medicare assistance, but make dont make enough to afford care out of pocket. I am grateful for my Medicare though. I get my physical needs met, and I have a regular Psychiatrist to give me meds to tamper some of the symptoms. But medications are not as effective on us as say for instance Bipolar Disorder, or Major Depression, due to the fact that BPD stems of a fault in the personality. Our high lows only mimic Bipolar in that we have hi's and lows. But unlike Bipolar our cycles are mostly situationally based upon our perception of reality based on emotional state. Also we cycle not due to chems for the most part, thats why meds dont work well. And as the vid brought out we can cycle in miniutes not days or weeks. What we need to get better is not more meds but the actual Dialectical Behavioral Therapy that is specifically and specially designed for those who suffer from BPD.
Well that gave me a knot in my stomach. I have a load of stuff like that going on in my head but i manage to hold down a job etc. And no one really believes me when i tell them how i feel. I seem to have got my depression treated with medication now but realised i can still feel dying and my emotions are all over the place which sucks.
I've been diagnosed with BPD. Not once have I wanted to kill someone besides myself. This is very disturbing.
Although it’s disturbing, homicidal ideation is a symptom of BPD that can be experienced, just like suicidal ideation, thoughts of self harm , & of harming others. It’s uncomfortable to discuss but it is a very real side to this disorder and many others.
I think that some of us (with BPD) can feel just blind rage towards some people sometimes. Since our big feeling feel big, it might come across as harmful thoughts and behaviors towards yourself and others. Therapy has REALLY helped me sort out those feelings from reality ❤️🩹
Hi Dr. Syl!
Thanks for this video.
Excellent discussion!
Thank you so much for making this video ❤️ I was diagnosed with BPD recently and I really appreciate the way you describe BPD and this man who suffers from BPD is how I’ve been feeling… all of the feelings.. thank you for putting this together!!!
Having BPD is almost like fighting a battle alone, nobody knows what it is, nobody understands it, many doctors think it doesn’t exist, and you just feel hopeless. At one point, you just convince yourself that it’s just you, you were born wrong. That pain he talks about, I can feel it, not knowing who you are, feeling like an outsider and having doctors giving you multiple diagnoses like ADHD, depression, anxiety, bipolar disorder, makes it even worse honestly. All I wish is for more doctors like you.
oh yes. have dx of ADHD ( think I have this)- PTSD ( have CPTSD-) but constantly DX as Bipolar 2- no, I don't think so .. quiet BPD is a possibility
How fortunate that this man was accurately diagnosed and is apparently getting treatment. In general, I see social media (like RUclips) negatively; however, if it gives this man a sense of community and connectedness, I'm all for it! I also have BPD, but unfortunately did not receive appropriate treatment until I was in my 50's.
I was diagnosed with BPD a few years ago, I love your videos and was hoping you'd do a video on BPD. Thank you for spreading awareness! Much love
My father had undiagnosed and obviously untreated bi polar disorder. On top of cptsd and depression. He tried his best, but I went through a lot because of him and ended up with bpd. Stay strong 💪
Quiet bpd is one of the 4 subtypes. There's quiet, petulant, impulsive...I forgot the other. And you can tend toward more than one. It's just how your traits often present. Dr Daniel Fox has videos on this...I'm not sure who came up with the subtypes though.
I can literally only hope and wish that there were more doctors as passionate and Informative and helpful as you. ❤thank you for being here. You help more than you think you do 💫
Recently found you and enjoying your vids, Dr Syl. Yes, would be nice if you could do more BPD vids! Maybe a possible insight to how best to understand/deal with these people in our daily environment?! It can be quite challenging.
I really enjoy your insights, thank you
Thank you!
Thanks for putting more out their for individuals with borderline personality disorder. The stigma still exists. I'm glad you spoke about some of the core issues and secondary issues of of how individuals live with this illness. Also that hope is not in the shadows. It's has to come from within. I don't think that individuals with borderline personality burn out when aging. Yes l have " heard of quite borderline personality disorder" just as he expressed. It's extremely hard to feel the consistency in life. Excellent video.
I would love to see identical twin explain or experience borderline personality disorder. Thanks again.
I love for you to do a podcast with him!
Hey I love your videos and was wondering if you could do one on disassociation, distraction and mindfulness.
I have CPTSD and struggle with really intense emotions, and self esteem much like the guy in this video due to past bullying. I use music as my form of escape/meditation however the music (I listen to a range of things) both can help and hinder me. I can get quite obsessive or intense about it and can listen for hours sometimes to a particular band or song on repeat (though not too often). It helps me process emotions and build self esteem what’s left, however I also feel it intensifies the emotions and thoughts that are attached when I’m trying to break from them. When I’m listening it feels therapeutic and a release, but also causes me to ruminate and often drift into some type of disassociation state. I’m not sure this is always helpful and I’d love to know your thoughts on this and how it affects others with other mental health/anxiety depressive conditions.
Much respect 🙏
I cannot fathom suffering with this, after truly doing some deep dives into this personality disorder.
I was in a situation with someone with NPD, & desperately wanted to help, which lead me into fully diving into BPD
My own healing journey from narcissistic abuse & CPtsd aside i can’t fathom this level of agony. I wish i could just be an ally for people going through this illness.
I was diagnosed with bpd because of sh and si, as well as relationship problems. It’s an interesting diagnosis.
Hi Dr. Syl, where can I find a larger version that I can save of the DBT Cheat Sheet that is referenced? Im a new follower, Love your videos!
I'm doing research on this on my own behalf right now, I have been going through similar thoughts and emotions as this man my whole life, feeling like I'm on a bipolar rollercoaster.
What’s the difference between complex PTSD and BPD? I could see in both a situation where someone has these feelings. Great video. Thank you.
I haven't been formally diagnosed, but after a decade of mental health improvement, I can say that I show all of the signs that would guarantee a BPD diagnosis. It was after recognizing that there was something such as this and that I wasn't an evil, monster for having it that I really was able to make major strides in my day-to-day life. My husband has worked with me for so long on it. I can say that the only 2 things that really helped me in the long run (as painful as they were and can still be in the moment) were holding myself accountable and living in the grey area. Another thing that helped me was being on my ADHD medication. To have my mind clear and slowed down, I can sit back and recognize my emotions and actions much quicker.
I do have one question regarding this diagnosis (since you mentioned smiling): is physical pain that can last days on end (the feeling as if there is a balloon blown up in your rib cage and being physically bloated from it too) something that you see in any patients with this diagnosis? The only thing that has helped me through those moments that I deem severely high-stress times is to smile (trick my body into thinking I am happy) and take my ADHD medication.
Another thing that helped me was having a major moment where I thought differently from previously and recognized it. My husband pointed out that I basically am a pathological liar to myself when I am being controlled by my ego or emotions, so I have to always keep in mind that I may not be thinking clearly if I feel that surge rush through me or when I am out of energy and lower than the ground or when I am higher than the clouds. I've learned how absolutely wonderful it is to feel neutral and I strive for that feeling in everything I do now. Pure contentedness and acceptance
This got me so emotional because I have suffered with BPD for years, I was finally diagnosed at 16 I waited 3 years before it was final. I'm 21 now and it's so hard because I also have a lot of dissociation and psychosis
I just got out of the hospital a wk ago this thursday from my BPD/anxiety gone into an overdrive where i NEEDED help asap. I was asked about my depression alot and i kept saying its not the depression its the anxiety its the ocd neg thoughts that i need to stop. LUCKILY I got on an awesome medication that from day 1 i could tell the self harm thoughts might be there the anxiety might still be there but its SOOO much more manageable. its like I feel "normal" now
Thank you so so much❤❤❤❤this is me,undiagnosed,😮treated for anxiety depression, but this is me...quiet one...lived alone no close relationships since my late 30s...this is why!!!! I'm 65 yrs old...I left
I found it soothing to just listen to you talk through his activation and then your upbeat and compassionate voice responding to his feelings was really touching and encouraging. I struggle sometimes to hear the good, so you pointing it out is helpful. a random video idea, maybe you could do some meditation videos for us? Like, 1 minute of 4square breathe, 2 minutes of 4-7-8 breathe, etc. a lot of stuff on youtube is 10+minutes and sometimes you just need 90 seconds of someone helping you count and breathe.
Good idea! Dr Syl has the perfect voice for guided meditations
Hi Doc… thanks for the videos they’re great! I’m curious to hear your thoughts on Gabor Mate’s take on ADHD, which is almost identical to how you describe dissociation - inability to fight or flight so you learn to “zone out” instead. What do you think of this parallel?
I’ve been diagnosed bpd too. A bit like this guy
Yes to more BPD content 😊
After therapy and aging (important), my impulsivity is better. I can maintain a job and certain interpersonal relationships, but I still struggle. I absolutely can not do romantic relationships because I can't reduce the splitting. I actually only even realize in hindsight. I'm 38, and I've never truly experienced romantic love, and I deeply believe I don't deserve it. I also still dissociate. I'm just not so petulant. Basically, I'm just easier for others to deal with, and I still can't deal with myself.
I believe even if someone dissociates they need to be aware of consequences of their actions. I believe this is helpful to create guidelines to reality, what behaviour is considered criminal behaviour needs consequences, however rehabilitation should be the priority for these individuals.
Perhaps quiet BPD is a term that you're not across yet because it’s not really found in the DSM-5 or other diagnostic manuals. BPDers usually know about it though! There are ways of breaking down BPD into different subcategories. I think people talk about quiet, avoidant, etc. Not sure if they're official, medical terms but I definitely use some of those labels as a self-identity
Ive thought maybe ive had this since my teenage years, but didnt have any deep relationships for years so i thought i was healed and on a spiritual journey. I have been with my partner for 2 years now and have seen a side of myself i never knew existed.
It starts with sadness and feeling lonely and my partner will be apathetic and i try to express my emotions and when i feel they are not heard or cared about i get angry. Back and forth with him my anger becomes so uncontrollable. I really hate myself. God forgive me for being that way again, i never wanted to yell like that again
Close relationships can trigger really strong emotions. I've been married almost 50 years, but my spouse still does not know me in some areas. Open communication and sharing in a calm manner is the best remedy for this. It is a huge growing experience.
I’m a psychologist and bipolar 1. I really think you need to know more about rapid and ultra rapid cycling and mixed state in bipolar.
Your question about Not criminally responsible (NCR in Canada where I live) is a super tough one for me. On the one hand, I am diagnosed BPD and have pretty hardcore dissociative symptoms (derealization and dissociative amnesia). So I can get how not in control (or even in reality) you can be.
On the other hand, I had a family member murdered by someone who was found NCR and I deeply want them punished and put away forever. Compassionate of me? No. But its how I feel.
I like to think that if I murdered someone in my dissociative state, I would want to be locked up and not allowed out unsupervised though.
On a side note, I was misdiagnosed until I was 39 (my current age) because I would be what would be quiet BPD, when I was younger I expressed it very outwardly, as I aged and experienced other traumas, I turned it inward. Sometimes known as high functioning BPD.
I was diagnosed with EUPD in 2020 after 10 years of being fobbed off as simply having anxiety and depression. In those 10 years I completed full courses of CBT on 6 separate occasions which was really effective in the short term (primarily because they were simply treating 2 of my EUPD Symptoms.) However once I was referred to the alleged 'appropriate psychiatric department' for EUPD treatment they were completely useless and contact with them detrimentally affected my mental health. They've basically refused to treat me 'because my EUPD isn't severe enough!' (well according to them anyway!) So obviously my EUPD has to get to the point where I'm involuntarily sectioned before they'll do anything! I've completely lost faith in the UK mental health service so am desperately trying to keep my head above water on my own. I still battle anxiety and depression because during my psychiatric assessment I was told that these two issues are symptoms of having untreated EUPD. All the psychiatric service who SHOULD treat EUPD simply made me do ANOTHER course of CBT and then discharged me!
I love your videos! I wish you lived in 🇨🇦! I am not sure if BPD can be treated by medication or not. I think if a person is compliant with medication and gets in trouble with the law the court system should work with the care provider to help the person to get well and enforce community service and no criminal record if it’s a non-violent crime. If a person is non-compliant with treatment and medication and gets into the trouble then maybe mandatory hospitalization to stabilize the person. Advise the patient they must stay on the meds/treatment for a period of time as an out patient which will be similar to probation. Of course regular sessions with their mental health team. If the pattern continues with non-compliancy then the court will have more say with punishment. I feel it’s better to treat the person as humanly as possible to help them get well and work together with the court system.
In Canada (which I see you posted above - cheers!), it's called a CTO (Community Treatment Order)
All best wishes for this man. I feel you!
As for being held accountable: sorry, boring answer, but this needs to be judged case by case. Did someone who did something bad have any awareness of their mental health issues? Have they been seeking help? If they have been seeking help and not getting it, that would be a migitating factor. But if you are aware of your own sh.t and refuse to at least try to manage it, yes, you are accountable.
See it like this: ask me to drive a bus full of passengers. I know I cannot deal with it. So if I immediately say, this is dangerous, I am not able and no one steps in to help me, I am not totally responsible when things go wrong. On the other hand, when people ask me, are you up to it? And I say yes, absolutely. Then when things go wrong, well punish me.
To the question should people be accountable when experiencing symptoms of Mental Health.
I would say context is not a excuse.
If laws were broken one should be accountable, also context should be considered when determining consequences.
I agree, we all suffer with issues, and one is responsible for their own actions. I do not agree with letting offenders go like what's happening here in the States.
I would argue this (whether someone is accountable) highly depends on what you understand by accountability. I would argue that to me, being put into a forensic institution (not sure what you call them in Australia), is accountability as well. You might not spend time in a prison but in Germany you do not have a release date or years that you spend in the forensic institution. Which means they let you out only when you have had psychotherapy and medical treatment leading them to be conclude you are safe enough. One could argue that is a higher accountability because you dont get to be put on freeze time like in a prison. Where you get released after x amount of years. I like this better anyway.
What good does a prison do people who are severely mentally ill? Does it have the resources to provide the treatment needed?
I hope thé US helps our mental health and health system so we can get help easier 👍🏽❤️
12:56 They should be evaluated by a psychiatrist/therapist, obviously away from the general public but not jailed/imprisoned, so hospitalized I guess. The professional who is evaluating the patient should talk to them as another person, not a criminal, so they figure out what is going on with this person, and then make a treatment plan. If it's BPD then it can be managed (or even cured) and does not warrant imprisonment.
Is there any concrete ways to tell the difference between CPTSD and Borderline?
I have explosive Bpd with antisocial traits. My mother and sister were also diagnosed. So the genetics factor interests me. Also Hi from a fellow Sydney sider.
I would appreciate more info on managing bpd :)
I really recommend a book called “The Mindfulness Solution for Intense Emotions: Take Control of Borderline Personality Disorder with DBT” by Cedar R. Koons
ok im curious, ive just come out of a 6 month low low and my memory from those 6 months is very... patchy/foggy. i remember being very sad wanting to self harm not wanting to be seen by any human being including my partner, i even quit my job because of it. when i look back on it it feels like it wasnt me but it was. like now i dont know how i could go that low it just doesnt feel possible atm but a part of me knows its going to happen again and i hope not. there were times where i felt like the most confident happiest person alive then just dropped down to feeling like a spectator, feeling super sad and empty for weeks then a burst of energy and id be at the gym 2 times a day for a couple weeks before dropping again. i dont wanna talk to a theropast but i wanna know whats wrong with me XD
In response to should someone be Held accountable I think Everyone needs to be held accountable for their actions.
Perhaps use those diagnoses as consideration after triple verification the sentences. He’s telling you he has learned coping skills. Especially in this day and time with all the resources. I have been around mentally challenged people they too are aware when they behave badly and can be taught. My main point is the sentencing part or be admitted to Hopsital and follow up. Just my two cents
Can you cover pmdd?
Please?!
yes this needs more awareness, I’m 21 and have been suffering with pmdd since I was 15, finding treatments that work are hard. I’m currently seeing a napro doctor who has put me on progesterone during my Luteal phase as it is low. I can’t tell if it’s helping yet. I think trauma plays a big part in it… messing up our bodily functioning as is said in the book “the body keeps the score”.
My psychiatric nurse practitioner told me NRIs are being looked at to help pmdd I’ve been taking it for three months and it has been a huge improvement
@@MSHoneybee210 as in norenadraneline re-uptake inhibitor? I take an ssri (Prozac 60mg) which tones down the symptoms but doesn’t do the job enough. Diazepam is most helpful when the pmdd causes me dissociation, intense anger and the feeling of needing to crawl out of my skin. If this progesterone doesn’t help - I’m going back to the psychiatrist for a mood stabiliser or something.
Dr syl - Do you think that borderline personality is often diagnosed too quick in young woman? I have noticed this as a trend in recent years.
Would like to discuss with you my borderline experience that turned into a bipolar DX1
It's easy to say, "Ride the wave," when you've never been crushed by it. 😅
The volume is so quiet!
This brings up thoughts of Free Will. These people's thought aren't their own. That is not free will, right. Do any of us even have free will? Our brains can easily force us to experience things outside of our conscious control, so maybe that is always the case.
Hey @drsyl I don't know if we can request videos, but I wanted to request a video on Eugenia Cooney 🙃
By law when a condition has been diagnosed and are evidence the fact happened in the presence and as caused(consequence of) by a dissociative state one is not guilty, but as Crime law has 2 levels of guilt/responsibility a)Full whole malignant intentionality and b) not intentional but still damaging, some country can apply the b level of guilt (european CULPA, rather than the full malignancy of DOLUS) .
Its very hard to Lear n anything from the person who actually has it due to your constant interruptions.
I miss your mane of hair Doc 😢
Dbt therapy has saved my life and those who have relations with me.
TI 👀
At least in the united states, if a person commits a violent crime in a dissociative or psychotic state and is found not guilty be reason of insanity then typically they will be sent to a forensics unit, and in some cases will be committed there for a period that is longer than the period of incarceration had they been found guilty.. Neither outcome is good for the person or for society. Either outcome is tragic and a loss for all.
Hopefully they would receive the help they need in a forensic facility. . Unstable folks need to be in custody for the safety of society.
Are you opting for a hair transplant or just accepting your baldsie future, mate?
🙄