Other Emotional Health Issues / Question
Published: May 27, 2004
Dear TeenHealthFX,
I am almost positive that I have a borderline personality disorder...With disorders such as this, what should be done for diagnosis and treatment? I have another question. Whenever I try to sit still or something, I always start rocking back and forth. I don't do it on purpose or anything, it just happens. Is this normal, or is it yet another physchological issue I posses?
Signed: I Think I Am Borderline!
Dear I Think I Am Borderline!,
It must be really difficult for you to be asking for this information. Since you seem to have been looking for an answer and probably have gathered a lot of information. It is important to note that neither you nor TeenHealthFX can diagnose your problem; only a doctor who meets with you in person can really give you the answers you are looking for.
Below you will find extensive information regarding the symptoms, causes, and treatment of Borderline Personality Disorder. FX is providing you with this just to give you an accurate picture of this disorder. FX suggests you speak with a counselor who will be able to search out information about all the symptoms that you are experiencing so that an appropriate diagnosis can be made. You should also discuss your concern about rocking to a therapist, as it may or may not be a symptom of this or another emotional disorder.
To find a therapist in northern NJ call the Access Center for Behavioral Health at (888) 247-1400 or the National Mental Health Association.
A person with a borderline personality disorder often experiences a repetitive pattern of disorganization and instability in self-image, mood, behavior and close personal relationships. This can cause significant distress in friendships and at work. A person with this disorder can often be bright and intelligent, and appear warm, friendly and competent. They sometimes can maintain this appearance for a number of years until their defense structure crumbles, usually around a stressful situation like the breakup of a romantic relationship or the death of a parent.
Relationships with others may be intense and unstable with difficulties in maintaining close connections. People suffering from this disorder may manipulate others and often have trust issues. There is also an emotional instability with frequent shifts to an empty lonely depression or to irritability and anxiety. There may be impulsive behavior, which might include excessive spending, promiscuity, gambling, drug or alcohol abuse, shoplifting, and overeating or physically self-damaging actions such as suicide gestures. Anger and lack of control of emotions may be present. Under extreme stress or in severe cases there can be brief psychotic episodes with loss of contact with reality or bizarre behavior or symptoms. Even in less severe instances, there is often significant disruption of relationships and work performance. The depression, which accompanies this disorder, can cause suffering and can lead to serious suicide attempts.
As many as 10-14% of the population suffers from Borderline Personality Disorder. The frequency in women is two to three times greater than men. Treatment includes therapy, which allows the patient to talk about both present difficulties and past experiences. Sometimes medications such as antidepressants, mood stabilizers, or antipsychotic medication are useful for certain patients or during certain times in the treatment.
Feeling like there is something wrong with you must be very upsetting, so seek out help. Talk to your parents about how you are feeling and have them help you to see a doctor and get into therapy.
Signed: TeenHealthFX
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