#yall marsha linehan did not die on the cross for this (this is a joke i know shes alive)
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rainagaintomorrow · 10 months ago
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Every single person here deserves an accurate diagnosis and compassionate care. The way people with borderline personality disorder (and I would argue cluster b personality disorders in general) is extremely stigmatizing and straight up unethical. The lack of understanding for how borderline personality develops and what effective and compassionate treatment looks like is baffling for a field that keeps diagnosing it.
I had a professor in undergrad (who specialized in working with BPD) once say "if a patient is attention seeking, then they need attention. If they need attention, give it." And while she was many thing, she was certainly right about that. Calling people attention seeking so you can dismiss them seems counter-intuitive, but it's so predominant in medical and behavioral health fields as a way to push away "difficult" or time-consuming patients.
You all deserve good care. I'm sorry it's so difficult for you to get competent care when it's already difficult to start looking for care in the first place.
As a late diagnosed autist I will say one of the most damaging but transformative experiences I've ever had was being misdiagnosed with BPD.
Everyday my heart goes out to people with BPD.
The amount of stigma and silencing they face is astonishing and sickening.
I took DBT for years. Therapists use to turn me away because of my diagnosis.
I would be having full blown autistic meltdowns, crying for help literally - but because I was labeled as BPD ANY time I cried I was treated as manipulative and unstable.
As if the only reason I could be crying was if I was out to trick someone.
95% of the books out there with Borderline in the title are named shit like 'How to get away from a person with Borderline', 'How to stop walking on eggshells (with a person who has BPD)'
I was never allowed to feel true pain or panic or need.
That was 'attention seeking behavior', not me asking for help when a disability was literally inhibiting my ability to process emotions.
There were dozens of times where I had a full meltdown and was either threatened with institutionalization or told I was doing it for attention.
My failing relationships weren't due to a communication issue, or the inability to read social cues. No, because I was labeled borderline, my unstable relationships were my fault. Me beggong nuerotypicals to just be honest and blunt with what they meant was me pestering them for validation.
Borderline patients can't win.
And the funny thing is - I asked my therapist about autism. I told her I thought I was on the spectrum.
BPD is WILDLY misdiagnosed with those with autism and I had many clear signs.
Instead - she told me 'If you were autistic we wouldn't be able to have this conversation'. She made me go through a list of autistic traits made clearly for children, citing how I didn't fit each one.
And then she told me that me identifying with the autism community was the BPD making me search for identity to be accepted - and that I wasn't autistic, just desperate to fit in somewhere.
I didn't get diagnosed for another ten years. For ten years I avoided the autism community - feeling as if I were just a broken person who wanted to steal from people who 'really needed it'.
Because of my providers - I began to doubt my identity MORE, not less.
Ten years of thinking I was borderline and being emotionally neglected and demonized by a system meant to help me.
To this day, I still don't trust neurotypicals. Not fully.
I know I'm not borderline now - but my heart aches for them. Not for the usual stuff. But for the stigma. And the asshole doctors. And the dismissiveness and threatening and the idea of institutionalization hanging over their head.
I love Borderline people. I always will. I'm not Borderline but if you are I love you and I'm sorry.
You're not a bad person. You're not a therapists worst nightmare, you are a human with valid feelings and fears.
Borderline people I'm sorry.
#as a clinician. i completely see how this happened. because i see it all the time#first of all everybody and they mama wants to diagnose bpd when they#a. dont have a clear diagnosis b. think the patient is making it up and c. dont care what happens next#having worked with patients with i would argue pretty intense and severe bpd cases: yall. it is NOT that bad. idk what theyre experiencing#but i aint seen it. like this idea that bpd is so manipulative and aggressive and that attention seeking means ignore them#yall marsha linehan did not die on the cross for this (this is a joke i know shes alive)#every day its absolutely wild how people go into helping peofessions and do MORE DAMAGE and think theyre doing great#if you have been diagnosed with bpd i stand with you. you deserve competent and compassionate care. im sorry that is so difficult to achieve#if you have been misdiagnosed with bpd because of incompetence i also stand with you. im sorry because you deserve compassionate care too#people are so fucking afraid of bpd AND FOR WHAT. tell me you dont actually understand how trauma works and have no compassion#ALSO DSM V TR WHERE THE FUCK IS COMPLEX PTSD? WHY DOES THE ICD 11 HAVE IT AND NOT THE DSM?? ARE YOU FUCKING KIDDING ME#having to tell my patients i cant diagnose them with ptsd and there is a better diagnosis but i cant give it bc we only use the dsm IS#so STUPID. SO FUCKED.#“they're collecting evidence” IS THE ENTIRE PERSONALITY DISORDER SECTION A JOKE? THE EVIDENCE EXISTS.#we have so much evidence on an individual level MUCH LESS THE FUCKING DIAGNOSIS AS IT RELATES TO MARGINALIZED POPULATIONS
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