Borderline Personality Disorder (DSM 5)
Diagnostic criteria
Proposed criteria (alternative model)
Further information
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@borderlineblondie
Borderline Personality Disorder (DSM 5)
Diagnostic criteria
Proposed criteria (alternative model)
Further information
@positiveseed
Clarice Lispector â A Breath of Life
Trauma travels through family lines until someone is ready to heal it.
Your ancestors and descendants celebrate every time you do the work.
Lather, Rinse, Repeat
Thereâs a negative feedback loop that occurs in my head at times like these.
I wake up late/low on energy, which is a sign of depression. I take time to try and figure out if I am, in fact, depressed. I look back on my moods and reactions over the past 24-48 hours, and acknowledge that, yes, Iâm probably depressed. I see how much time has passed. I get angry at myself, but donât have the energy to do much about it. I realize Iâm low on energy, which leads me to thinking about depression, which consumes more time, which makes me angry. Lather, rinse, repeat.
I want to share something with you Iâve learned over the years, through many mental and emotional up and downs. I used to think that depression was just a state of mind, something that could be dealt with and shaken off like a cold breeze or an old, dried-up skin from a snake.
Thatâs incorrect. Depression is not a state of mind. Depression is a disease.
It is a chronic, recurring, subversive condition. It doesnât necessarily have a root cause or origin, but it does have various triggers both obvious and unknown. Coping with it is not a simple matter of âcheering upâ, as nice as that would be. It can be managed with medication and the victim can take other steps to try and blunt its effects, from physical activity to social interactions to less healthy things like big piles of chocolate.
The worst part about it, though, is that itâs invisible.
Iâm not going to say itâs anything like other invisible, chronic conditions, like lupus or endometriosis. Depression does not cause physical pain or make physically demanding tasks more difficult in and of themselves. It does, however, have physical effects. The lack of energy is the most obvious one, but the mental state can also amplify physical problems like sore muscles or headaches.
You canât necessarily call in to your boss and say âI canât come into work today, Iâm depressed.â Due to a lack of education and understanding, a lot of employers will simply say âGet over it, get in here, and be productive.â The culture of employment in general and corporations in particular tie the worth of the individual into what they can produce, and a depressed person can be less productive than normal, which reflects badly on both the individual and their supervisors. Unsurprisingly, this can aggravate the depressive state and lead to another, insidious downward spiral.
Another aggravating factor is when the patient has bipolar disorder. With the awareness of this disorder and its swings comes a vague fear of it. Having gone through some pretty nasty swings myself, I know how quickly a hypomanic state can come over me, and how blind I can be to its negative effects and how it colors my perceptions of and interactions with others. So, when Iâm depressed, I know that itâs possible the opposite state can happen if Iâm not careful, which makes me afraid. Being vigilant of my mental and emotional state and trying to manage things in such a way that can forestall or completely prevent an extreme swing requires more mental energy and attention, which leads to me feeling drained, and see above for the end result of that little condition.
So how do I cope with it? Well, if youâve read this far, youâve helped me do just that.
While I donât believe you can just 'get over itâ as much as I did in my younger and more ignorant days, I still believe that talking about a problem helps a person deal with it. Itâs like an ancient magic in which you use the true name of something to alter, control, or destroy it. Itâs difficult enough to internalize and analyze oneâs feelings when the negative feedback loop is running at full capacity. Talking about it, especially with someone who is either trained in enabling the victim with coping mechanisms or someone who can actively and effectively sympathize, makes a huge difference in pulling you out of the miasma. I cannot overstate the difference that a good therapist and good friends have made in keeping me in this world.
Even writing about it helps, and while I donât enjoy having to put other work on hold to get some of this crap out of my system, itâs better to do that than let this fester. I may feel better soon, or later, or not at all, but I think putting these words down will help keep things from getting any worse.
I canât just stop the loop in its tracks. But with words like these, I can try and slow it down, hopefully to bring it to a gradual halt.
And I hope, if youâre reading this and going through something similar, that it helps you do that, too.
I really cannot emphasize enough how much depression brain is a lying piece of shit.
I am not a natively optimistic person, Iâm not a âlook on the bright sideâ pollyanna who ignores negative things.
But breaking your cycle of negative thoughts/fixations by spending a little bit of time every day going âyou know what, I heard Judas Priest on the radio today and found out that Rob Halford wrote a book and thatâs coolâ or âwow the sunset was very pretty so even if everything else sucked thereâs thatâ or âmy social media friend is having a good dayâ will make you feel better and will make the world seem like less of an oppressive, insurmountable slog of misery IF ONLY because your negative depression brain isnât getting constant reinforcement from your negative thoughts.
I know it sounds like Iâm saying âThink happy thoughts to make the depression go awayâ but what Iâm saying is âmake yourself think about happy - or at least not actively miserable - things once or twice a day to remind your lying piece of shit depression brain that not literally every single thing in the world contributes to your miseryâ
We get into depressive ruts and we reinforce negative thoughts with further negativity and that is part of the illness! Thatâs a symptom! And the treatment for that symptom is not uniformly reinforcing the negativity.
âWithout forgiveness life is governed by an endless cycle of resentment and retaliationâ
â Roberto Assagioli
The desire for reassurence. And, equally, to be reassured. (The itch to ask whether Iâm still loved; and the itch to say, I love you, half-fearing that the other has forgotten, since the last time I said it.)
Susan Sontag, As Consciousness is Harnessed to Flesh: Diaries 1964-1980
some excerpts from heather havrilesky/ask polly's books and columns that snap me out of uselessly longing and obsessing over romantic love:
'let's try this: if i told you that you would never, ever fall in love again, what kind of plan would you make to ensure your own happiness moving forward? what would you work toward? what would you do more of?'
'you need to begin by painting a picture that doesn't include love. you need to stop making room in your life for someone else's love and start making room for yourself instead. [...] when you can imagine a beautiful life even in the absence of romantic love, finding love or losing it again won't seem nearly as scary.'
'you must break this fixation on love as the cure all to all of your ills. if you found love right now, you would run it straight to the ground in seconds. you need an outward focus that has nothing to do with guys.'
'it's time to forget about being lovable. and in fact, it's time to forsake someone else's idea of what gives you a spark or no spark. block the "other" from this picture. no more audience.'
'the central challenge in your life is not finding people who will support you and love you. the central challenge in your life is you finding a way to give yourself support and love. you need to shift your concentration away from this imaginary hole in your life, and shift it towards bigger projects that will feed and sustain you over the course of a lifetime.'
DEPRESSION [VERB]
1.     to put on       your best outfit       and feel       like youâre dressing       a wound.
â Andrea Gibson, from Lord of the Butterflies
SPOP CHARACTER CARDS 139/200
Oh heck.
what is familiar and comfortable is not always whatâs best for you. keep that in mind.
No one else cares for your success (as much as their own) so you have to care. You have to force yourself to get up early, you have to force yourself to turn your phone off and revise, you have to force yourself to workout, you have to care for the whole world because no one else cares until they start seeing results. And they wonât ever see your results if you donât care enough first. Itâs your life, they are your goals, your dreams, it will be your success but it has to be your effort and your work first and foremost x
Progress takes some work, but this stuff helps a bit.
I need to practice this
âSelf love is also remembering to let others love you. Come out of hiding.â
â Irisa Yardenah