Psycho-Babble Psychology Thread 811235

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Self-harm

Posted by Jamal Spelling on February 7, 2008, at 6:46:31

Is deliberate self-harm associated with any particular personality disorder, and if so, does it conclusively indicate that personality disorder?

 

Re: Self-harm

Posted by B2chica on February 7, 2008, at 8:22:01

In reply to Self-harm, posted by Jamal Spelling on February 7, 2008, at 6:46:31

i think it depends on the type of self-harm and how often it occurs. if occurred only a couple times then probably not. if a person is a self-injurer than i believe that is usually placed in the area of Borderline Personality Disorder. HOWEVER, sometimes people are placed in that category only because of the SI but don't really fit any other of the description. so it's kind of a catch-all for people who SI (which i think is wrong). and a good therapist will look closely at before labeling you, others will see one cut or whatever on you and slap that label on you.

But there are several on this board that SI. including myself...well, i havent in a while, but the urges are still there. and i would be happy to give support if i can.

b2c.

 

Re: Self-harm Jamal Spelling

Posted by Dinah on February 7, 2008, at 8:34:21

In reply to Self-harm, posted by Jamal Spelling on February 7, 2008, at 6:46:31

Several years ago a new pdoc said that he had to put borderline down as a rule out diagnosis because of self harm. But then he ruled it out.

So clearly it's not definitive.

 

Re: Self-harm

Posted by rskontos on February 7, 2008, at 9:39:31

In reply to Re: Self-harm Jamal Spelling, posted by Dinah on February 7, 2008, at 8:34:21

This is from the MayoClinic website:

The DSM criteria note that people with BPD have a pattern of unstable relationships, self-image and mood, as well as impulsive behavior. These typically begin in early adulthood.

For BPD to be diagnosed, at least five of the following signs and symptoms must be present:

* Intense fears of abandonment
* A pattern of unstable relationships
* Unstable self-image
* Impulsive and self-destructive behaviors
* Suicidal behavior or self-injury
* Wide mood swings
* Chronic feelings of emptiness
* Inappropriate anger
* Periods of paranoia and loss of contact with reality

A diagnosis of BPD is usually made in adults, not children or adolescents. That's because what appear to be signs and symptoms of BPD may go away with maturity.

And if you go the the information just on SI, it lists BPD as the most likely disorder. But each doc will decide just like with any personality or mood disorder you can find many opinions. ON the SI information page if also listed cutting etc as a form of release much like opiates too. That the body releases its own chemicals that makes the person feel good. So there are many theories about SI too. Hope this helps Jamal.

rsk

 

Re: Self-harm Jamal Spelling

Posted by Maxime on February 7, 2008, at 10:57:07

In reply to Self-harm, posted by Jamal Spelling on February 7, 2008, at 6:46:31

Bordeline personality disorder. But you would have to meet the other criteria as well.

I SI as well and it seems like the harder I try to stop, the more I cut. I am borderline.

Maxime

 

Re: Self-harm Jamal Spelling

Posted by MissK on February 7, 2008, at 20:09:50

In reply to Self-harm, posted by Jamal Spelling on February 7, 2008, at 6:46:31

From what I've read SI by itself does not define one particular personality disorder. It can be one of many outward symptoms of a psychological/psychiatric problem or mental distress that may or may not be part of a larger personality disorder.

 

Thank you all (nm)

Posted by Jamal Spelling on February 8, 2008, at 4:41:19

In reply to Self-harm, posted by Jamal Spelling on February 7, 2008, at 6:46:31

 

Re: Self-harm

Posted by B2chica on February 8, 2008, at 9:22:23

In reply to Re: Self-harm Jamal Spelling, posted by MissK on February 7, 2008, at 20:09:50

Miss K is right, but i guess i wanted to put out there that there are some therapists who well for lack of a better phrase, are afraid to deal with people who SI, so they pidgeon hole them with the label of BPD and then don't want to deal with them. i know this because i delt with one. i had that label put on me. then whne i was closely looked at by my next two VERY good therapists that 'I' picked out neither one labeled me with that they didn't feel i fit the other categories.
so i think that there are many people misdiagnosed with BPD because of SI.

however, there is slowly more research out there and i think they're getting closer to some changes in the diagnostics of people who SI.
maybe soon we'll see a change in the DSM?

Best WIshes J.
b2c.

 

Re: Self-harm B2chica

Posted by RealMe on February 8, 2008, at 17:02:03

In reply to Re: Self-harm, posted by B2chica on February 8, 2008, at 9:22:23

B2 You are right. Lots of people with the various dissociative disorders get dianosed with BPD initially or with Bipolar. SI folks usually have some sort of abuse in their background.

RealMe


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