Tuesday, September 10, 2013

Living With Borderline Personality Disorder (BPD) [From a Man's Perspective]

I found a blog article written by a man that did exactly what I did (except more briefly) way back when I first started this blog. He dissects each DSM criteria for Borderline Personality Disorder and describes how he experiences them. I love stuff like this. Too often society likes to tell us that men and women are so different. Oh really? Let’s see about this…

AUGUST 1, 2013 BY NATHAN C. DANIELS 

Borderline Personality Disorder (BPD), not to be confused with Bipolar Disorder, is the most consistently challenging condition I struggle to live with. For the benefit of myself, and others like me, I’m going to explore this life-threatening disorder. I’ll present information and offer a first-person account of what living with BPD is like and how it affects me personally.

I’m hypersensitive on an emotional level and extremely over-analytical, intellectually. My thoughts and feelings are balls in a lottery tumbler, and I never know when the next drawing will be or which ball will be drawn.

I’m a firm believer that reality is a matter of perception. That’s a terrifying truth, when you’re living with BPD and your perception of yourself and the world around you changes as frequently and drastically as the track on a rickety old roller coaster. Unfortunately, this isn’t a thirty-second thrill ride with built-in safety features. BPD is a dangerous psychological disorder I’ve had to deal with my entire adult life.

What is Borderline Personality Disorder?

BPD is a personality disorder that causes those afflicted to suffer extreme instability in self-image, behavior, and emotion. A disorder existing on the border of neurotic and psychotic behavior, BPD was recognized and named accordingly in 1980. This is a serious mental condition, and people living with BPD are highly prone to self-abuse and suicidal tendencies.

I consider this a life-threatening illness because approximately 10% of those diagnosed with BPD successfully commit suicide, and are prone to making decisions designed to threaten quality of life and mortality. I think it’s also noteworthy that this disorder rarely exists by itself, usually co-occurring with, and complicating, other mental conditions like depression and Bipolar Disorder.

There are nine criteria in the DSM-IV used to diagnose BPD. An individual typically needs to identify with at least five of these characteristics for an official diagnosis. Personally, I represent all nine, and I’ve endangered my life on several occasions as a direct result. I’m going to list the nine criteria here and offer an example of how each affected me one time or another.


DSM-IV Diagnostic Criteria & Me


[1] Frantic efforts to avoid real or imagined abandonment.

I’m constantly analyzing my behavior in an effort to assess whether or not I’m acting “normal,” because I live in perpetual fear that my girlfriend will abandon me if I show signs of mental illness. I have an unshakable sense of dread that if I can’t force myself to act “normal,” my six-year old son will think I’m “crazy” and be afraid of me, as I thought my father was crazy and I lived in fear of him.


[2] A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation.

My relationships with my immediate family members defined intense and unstable, paving the way for similar relationships I’d seek out as an adult. I choose emotionally abusive partners, who cheat on me and complicate my life, and my perception of my partner can change on a dime for no reason at all. One day, they’re the best thing that ever happened to me. The next day, I’m convinced they’re the source of all my pain and never really loved me at all.


[3] Identity disturbance: markedly and persistently unstable self-image or sense of self.

Sometimes, when I look in a mirror, I find my reflection disgusting and ugly … I have to look away. Sometimes, I think I’m attractive. Today, I might think I’m the best partner a woman could ask for. Tomorrow, I might think I’m a burden to my girlfriend and son … they’d be better off without me. One morning I was beaming with pride over my writing. The same afternoon I destroyed my last copy of the book I wrote, disgusted with my lack of talent.


[4] Impulsivity in at least two areas that are potentially self-damaging (e.g., spending, sex, substance abuse, reckless driving, binge eating).

During low times, I’m prone to reckless spending. I’ve maxed out all my credit cards, taken out unnecessary loans for frivolous spending, and had to claim bankruptcy. I’m ashamed to admit how much time I spent drunk or high behind the wheel of my car for years after my parents died.

I even prostituted myself to a suspicious man when I was a homeless teenager. I let him lead me into the woods, hoping his true intention was murder … it wasn’t. Most recently, I walked out on my family, and rented a condo, where I planned to die in self-induced isolation.


[5] Recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior.

I struggled with suicidal thoughts and behavior for twenty years. My self-abuse began with digging my fingernails into my skin when I was a child. It progressed to cutting and cigarette burns as a teenager and, as an adult, I’ve broken my bones and doused myself with boiling water. I still struggle with the urge to hurt myself, and I’m constantly plagued with intrusive visions of self-mutilation.


[6] Affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days).

Severe anxiety cripples my ability to function in society. I have Social Anxiety Disorder and I suffer debilitating panic attacks on a daily basis, which led to developing Agoraphobia. I have a positive attitude by nature, believe it or not, but my mood can become so dismal I feel a need to isolate myself completely. This often involves hiding in bed for hours, or days, and I can be impossible to get along with … every conversation becomes an argument at these times.


[7] Chronic feelings of emptiness.

Often, my life is dreamlike and I feel more like a ghost than a human being. I’m a phantom, operating in an unreal world, and it feels like nothing I do matters or has value. All my relationships are illusions, and I’m convinced I exist without substance or meaning.


[8] Inappropriate, intense anger or difficulty controlling anger.

Rage overcomes me, and I feel it well up inside me to the point that my skin starts tingling, flushes, and gets hot to the touch. I might have to lie down … just breathe. I’m fortunate that this symptom has never gotten out of control. I believe my experience in martial arts and meditation, my use of bodybuilding as a healthy venting mechanism, and my highly developed sense of self-awareness enable me to repress my frequent urge to smash things or lash out.


[9] Transient, stress-related paranoid ideation or severe dissociative symptoms.

I started dissociating when I was a child, a result of the abuse I endured. This psychological survival skill has been with me since, and to this day, I begin dissociating at the slightest hint of stress or panic. Sometimes I have a series of days when I weave in and out of dissociative states. This alien sensation ranges from, difficulty concentrating to catatonia, and it’s had a negative effect on my school ears, ability to work, and social acceptance.


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Of course as individuals we all have unique lives, but I don’t think when it comes to men vs. women we’re actually having a battle at all. It really is a matter of taking one individual at a time because who of us can’t relate too much of this? Maybe some of the details differ, but the general picture?....


Tomorrow I have a special treat for you. A two part special Guest Post! It’s incredibly important that we have true to life accounts from those of us who have experienced the things we struggle with. I think his story is something very relatable and I hope it will inspire other guys out there to speak up and give us some feedback as well. 





3 comments:

  1. thankyou for this post! I really identify with the struggle, especially when it comes to being consistent with my significant other.
    I am self diagnosed, but I have moments where things go well and I think I couldn't possibly have BPD. then as soon as something goes wrong Im aimless and lost. just wanted to know if this sounds like I might be, or if it might be something else. I certainly identify with everything you've written.
    anywho, I wish you all the best.
    Ruby xo

    ReplyDelete
  2. This sounds so much like my friend who is spiraling out of control right now. He says he wants therapy, but how do you tell someone they might need to go a therapist that specializes in BPD? Should I send him this article or will it throw him over the edge. In one way I am hoping he will find comfort in reading that he is not alone in what he is feeling.

    ReplyDelete
    Replies
    1. You don't need to do anything. Let him see whatever therapist he chooses. The Therapist will know what is best to do. If that Therapist does not feel qualified to deal with BPD, they will refer him.

      I would not necessarily give him this article if he is not already looking for answers. Sometimes it helps, sometimes it makes it worse. It depends on the person and I couldn't tell you for sure.

      Delete

Leave me a comment! It makes me feel good and less paranoid about talking to myself =)

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