How do you know when someone has borderline?

Borderline is, with all due respect, a little bit the junk attic of psychiatry: There is too much in it, it is too comprehensive.

If you would like to replace borderline with a one-liner I would say ‘ unstable ‘.The deepest felt, so intense experience is instability. Unstable in relationships, unstable in ‘ work ‘, unstable in (sexual) identity, unstable in emotions, unstable in ambitions, unstable in…. Almost everything. It’s where the is itself is so severely burdened, a suffering that is big and heavy. The eternal and gnawing feelings are sometimes so heavy that it is attempted to overcover them by an even more intense feeling: self-damage, auto female mutilation, suicidetries-the self-damage can go very far. And in addition, a devastating uncertainty about relatives and Nabijen: they do not leave me, they still remain.

The word ‘ borderline ‘ refers to the original conception of this disease.Border means boundary, and it was believed that borderlines regularly crossed those border, here the boundary between psychosis and non-psychosis; A surge between both. That view still exists, and there are certainly borderlines that are psychotic at times but it is doubted whether it is ‘ the core ‘ of the borderline.

A more modern view states that A is is by definition a trauma.This is somewhat special because you have two classifications: borderline and PTSS. Advantage is that it offers handles for treatment: trauma/polytraumata must be processed. It is difficult that the is often does not have the confidence and the rest to tackle this too. It is about very early polytraumata (so at a very young age), sometimes even pre-verbal trauma, which makes processing considerably more difficult.

Already around 1940, 1950 is written very extensively about borderline.It was, and is, a difficult concept to grasp. Working with borderlines requires a lot of the professional. The treatment is long-term and heavy, for both patient and practitioner. The IS does an extraordinarily heavy one on his/her rescuer: I myself have been pelted with chairs and tables, got bitten, spat, threatened, attacked once with a razor blade-and no, the IS does not intend to Damage (although that can happen very well), but ‘ shouts ‘ that way the misery looks like.

Improvement is quite possible.Non-improvement unfortunately too.

The only correct answer is: If this person tells you.
The only other who can tell it is the practitioner, and who has a professional secrecy.

However, we can determine a few things about a borderline personality disorder, which gives you an indication.
The first thing that is important to realize is that there are two “standard works” for the classification of mental illness.One is the DSM, the other the ICD. I will not interfere with the details, but for the rest of my answer I am going out of the ICD classification-this focuses more on the core of the problem.

ICD-10 describes a generic type of personality disorder: the emotionally unstable personality disorder.This indicates the core of the problem: emotional instability. Emotions are more strongly driven by the acute situation as from an inner self-image. This creates what we can call a regulation problem: because of the strong emotional response to what happened “now” it is difficult to control/regulate the emotion.
Within this classification, a subtype is present, the impulsive subtype.For this, 3 out of 5 characteristics must be fulfilled. These are behavioural characteristics that are a strong indication of impulsiveness.
In addition to the impulsive subtype, a number of characteristics are still to be set.If 2 of the 6 characteristics are met, there is a borderline disorder. This is a specific classification: ICD-10 F 60.31.
This is easy if you are a psychologist or psychiatrist, you know that ICD-10 is the total handbook, that F is the part for mental and behavioural disorders, that 60 is the part for specific personality disorders, that 3 is the part in which the Emotional-unstable personality disorder is described[1 and that 1 is the subtype borderline.

You also see this coming back in the answer of R soul.
Emotional instability (ICD-10 F60).Impulsive (F 60.30, the described aggressive behavior). Self-damage (F 60.31). And if the aggressive behavior and self-damage are not complemented with other characteristics, the diagnosis of emotionally unstable personality disorder can be determined at most.

To indicate how tricky some of the borderline features are: the notion of emptiness is one of the borderline characteristics, but is very difficult to determine objectively/empirically.Only in 2008 is an article published[2 in which the relationship of this void with other “states” has been established.It is not boredom, but it does have a close relationship with hopelessness, loneliness and isolation. This void is also directly associated with depressions and the far-idealizing of suicide.
However, these are feelings that other people may also have, it is really the combination between emotional instability, impulsiveness and the “borderline characteristics” that make the diagnosis possible.

Then I will now return to the highest classification for completeness.A part of this is “personality disorder”, which is an indication that the disorder is an integral part of the personality, and this has been for a long time (from childhood onwards). It is therefore not a trauma-driven disorder (such as PTSD/S, ICD-10 F 43.1) or a mood disorder (e.g. bi-polar disorder, ICD-10 F31).

I am writing this up in this way consciously, so that it becomes completely clear why only a professional psychologist or psychiatrist can give the diagnosis borderline personality disorder.For a layman this is almost not to do unless you are very long time together with the person, confesses to the person’s past, and are sufficiently familiar with the various types of psychological and behavioural disorders to distinguish the distinction between the various categories Can make.
Let me put it this way: the chance that someone with a borderline personality disorder can bind to someone for a long time (think: emotionally unstable… and impulsive… and the specific borderline characteristics are also drama) and can also make it so open that the traumas from the past become apparent that it is not a PTSD, and that the “non-borderline” has a sufficient knowledge/skill to Diagnosis purely without actually being a psychologist or psychiatrist (in training), that probability is almost equal to zero.

On the other hand: a professional (take R soul) is perfectly capable of diagnosing after a series of conversations, and may have, based on data subjects ‘ descriptions, sufficient to provide a strong indication “possible borderline Personality disorder “without seeing the person with the disorder.It occurs more than once that a data subject (family member, partner) is somewhat damaged by the behaviour of the “borderline” and therefore landed in the auxiliary circuit.

To conclude: If you want to know for sure and the data subject has an official diagnosis and wants to share it: the person with the disorder.
If you are totally mad about the behavior of a family member or partner you can ask a professional for an impression, but that is certainly not an official diagnosis.
The indications: emotionally unstable-onset at a young age-coupled with impulsiveness and a number of specific characteristics that you can look up on the basis of ICD-10 F 60.31.


[1 http://emotioneel-instabiele per. ..

[2 ..

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