Psychiatric Interview: BPD (Borderline Personality Disorder) | Part 1 | Dr. Lois Choi-Kain

BorderlinerNotes32 minutes read

An individual struggles with managing emotions, especially anger, seeking to challenge misconceptions about borderline personality disorder and mental illness, emphasizing self-improvement and breaking destructive patterns. They reflect on past behaviors, coping mechanisms, and a journey towards accepting their true self while navigating relationships and avoiding conflict.

Insights

  • The individual struggles with managing emotions, particularly anger, and has a history of destructive behavior like breaking objects, indicating a need for therapeutic intervention to address these issues.
  • Despite progress in self-improvement and a desire to challenge misconceptions about Borderline Personality Disorder (BPD), the individual grapples with internal conflicts stemming from childhood trauma, fear of disappointing others, and a struggle to balance different aspects of their personality, emphasizing the complexity and ongoing nature of their journey towards emotional stability and healthier relationships.

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Recent questions

  • What is BPD?

    Borderline Personality Disorder

  • How can I challenge misconceptions about mental illness?

    Educate and advocate

  • What are therapeutic exercises for managing anger?

    Breaking objects

  • How can I address fear of anger and people-pleasing tendencies?

    Self-awareness and therapy

  • What are the downsides of breaking things as a coping mechanism?

    Relationship barriers

Related videos

Summary

00:00

Overcoming BPD: A Journey to Recovery

  • The individual is embarrassed and unsure of what to say, but is speaking with a professional at the request of someone named Rebbe.
  • Footage filmed by Ravi captures intense moments, including after an overdose and an angry episode where a laptop was broken.
  • Progress has been made, with the individual having a new laptop and not breaking phones recently.
  • The individual has been diagnosed with BPD but hasn't shared this with their boyfriend.
  • The individual wants to challenge misconceptions about BPD and mental illness, emphasizing that it doesn't fit into a box.
  • Self-improvement is highlighted, with the individual acknowledging progress in managing emotions and moving away from anger.
  • The individual's mother, who displayed similar behaviors, was likely borderline, leading to a realization about the diagnosis.
  • Hospitalization occurred after multiple overdoses, with the first involving children's Benadryl at age 30.
  • The individual honed skills for overdosing, including researching methods and creating playlists for suicide sessions.
  • A significant moment of incapacitation led to a realization that overdose was not desired, leading to a cessation of such actions.

14:15

"Empowering Anger: Breaking Barriers, Finding Balance"

  • The individual recalls a childhood memory where they were not allowed to express anger or emotions freely.
  • They mention feeling trapped, weak, and unable to defend themselves during that time.
  • The conversation shifts to the individual's struggle with anger and how it eventually became empowering for them.
  • The therapist discusses therapeutic exercises involving breaking objects like painted ceramics and glass jars.
  • The individual talks about their tendency to break phones and how it affects relationships.
  • Breaking things is seen as a release and a way to regain control for the individual.
  • The therapist and individual discuss the downsides of breaking things, including barriers in relationships.
  • The individual expresses difficulty in being their true self and the fear of disappointing others.
  • They mention the struggle of balancing their different sides and the impact on relationships.
  • The individual acknowledges the need to work on their fear of anger and people-pleasing tendencies to avoid conflict.

30:01

Avoiding Confrontation: Coping with Emotions and Anxiety

  • Managing emotions like anger can sometimes lead people to avoid confronting the issue, which may not be a sustainable solution in the long run.
  • Some individuals, especially those who struggle with expressing emotions openly, may resort to seemingly normal actions like excessive sleeping, napping, or using substances like Benadryl to cope with emotional challenges.
  • Social anxiety can lead to excessive alcohol consumption in certain situations, often resulting in blackouts, highlighting the need to address fears about how one is perceived by others for personal growth and self-assertion.
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