Chapter 1: What is the main topic discussed in this episode?
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Part of the way through the valley of despair is realizing this has happened and you have to make a choice whether you're going to stay in it or move forward.
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Chapter 2: What is Borderline Personality Disorder and why is it significant?
Or is it Linehan?
I'm going to go with Linhan.
Yeah, she, as we'll see, is someone who not only suffered from BPD but kind of pioneered the treatment of BPD. But she said it's like having third-degree burns on 90% of your body metaphorically. So you're lacking emotional skin and you feel agony at the slightest touch or movement.
Mm-hmm.
And since you did mention self-harm, non-suicidal self-harm, it also, people with BPD have a suicide rate of, was it like 50 times higher than average in the population? Mm-hmm. Yeah. So this is no joke. This is a very hardcore disorder that bears more empathy and understanding.
Yeah.
Yeah, for sure. Let's go back to the beginning, shall we? Because borderline personality disorder is one of those terms that has taken on its own meaning in the general population. But if you stop and think about it, it doesn't really reveal much about what it's describing. It's just one of those terms.
Not at all. Frustratingly so.
Yeah, and that goes back to a jerk named Adolph Stern who really jerked it up back in 1938. Yeah.
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Chapter 3: What are the common misconceptions about BPD and its symptoms?
Yeah, that seems to be a really key thing is that it really disturbs your relationships. So to be diagnosed, you fit at least five out of the following nine that we're going to read for you. Chronic feelings of emptiness.
And that's emptiness feeling like isolated or lonely or hopeless.
Sure. Emotional instability and reaction to day-to-day events. That's the thing we were talking about earlier, like seeing mountains out of molehills seems slightly reductive, but that's kind of a basic way to say it.
Okay.
Frantic efforts to avoid abandonment, whether or not they're real or imagined.
That's a huge one.
Yeah, as we'll see, abandonment issues and this very, very much includes emotional abandonment as a really big precursor. Yeah. Unstable self-image or sense of self. What else?
Impulsive behavior is usually a big one, and you have to have impulsive behavior in at least two areas that are harming your day-to-day life, like an eating disorder and gambling addiction or something like that. Right. Another one is ā This is based on ā and so this is where some psychiatrists would be like, see, this is not ā this is a symptom that we're talking about here.
But it's unstable and intense interpersonal relationships. Meaning like you're really, really close to somebody for, you know, a couple of days and then they do something you don't like and they're the worst person in the world. Right. And it can happen very, very quickly with people with BPD.
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Chapter 4: How does emotional dysregulation manifest in individuals with BPD?
There's plenty of other ā disorders that have it. But one of the key traits of BPD is it can last a really long time too.
Can we make a t-shirt that has a chicken? that says parent across the chicken's chest. And then next to it, an egg that says mental disorder. Love it. And just, that's the shirt. No explanation. Figure it out or don't.
How about this, though? On the back of the shirt, mork is coming out of the egg. Okay. All right? To really confuse people.
Uh-huh.
Yep.
Oh, wow. That just really changed things. I like it. Okay. So as far as the number of people who experience BPD, it's kind of a wide range like all this stuff because it's one of those disorders that is a lot of people don't admit it or seek treatment, so it's really hard to nail it down. But Livia helped us out with this one, and she said 0.5% to 6%.
And they find it about four times more in women. But they've also found other studies are like, no, it's the women who are brave enough to come forward and seek treatment. And it happens just as much in men.
I also saw that it's a that's an indictment of clinicians who basically have to figure out for themselves whether the person has BPD and that they're more likely to assign it to a woman than a man, a male patient.
Yeah.
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