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Dissociation: Escaping Finally Has a Name

Dissociation is defined as a partial or complete disruption of one’s normal conscious or psychological functioning. Often dissociation is linked to trauma, sexual abuse, drugs, and allows the mind to distance itself from experiences that are too much for the psyche to process at that time. Some dissociative disruptions involve amnesia; this is charted in most serious causes, most disruptions do not. Dissociative amnesia is often thought of to be that of a memory disorder characterized by some to all loss of memory that is caused by extensive psychological stresses. Childhood sex abuse victims have a much higher chance for dissociative amnesia as it becomes an escape though the loss of personal identity, this may last a few hours or even days; typically proceeded by a severe stress or depressive mood. Situation-specific dissociative amnesia has been found to be a result of an exceedingly stressful event such as post-traumatic stress disorder, child sexual abuse, military combat, witnessing a murder or suicide, or other serious traumatic events. Situation-specific dissociation may occur when a sufferer is put in a memory triggering situation and is seen as an escape; in some cases this may be comforting and supportive to the victim. In some cases dissociative amnesia and/or dissociation may be cured by therapy.

Dissociations are normally unanticipated and typically experienced as startling or autonomous intrusions into a person’s usual way of responding/functioning. Due to such unexpected events that are largely inexplicable in nature dissociation is quite unsettling. There are many dissociative disorders related to trauma and/or stress. Child abuse, especially chronic abuse starting at very early ages, has related to high levels of dissociative symptoms thus being more likely to occur with amnesia for abuse memories and/or with the person or persons responsible for such abuse. In addition a non-clinical sample of adult women linked increased levels of dissociation to childhood sexual abuse occurring prior to the age of 15 and victimized by that of a significantly older male (family and non-family). The levels of dissociation were found to increase along with the severity of abuse while the levels of dissociation have been found to be related to abuse in general.

Psychoactive drugs can often induce a state of temporary dissociation. Substances with strong dissociative properties include ketamine, alcohol, marijuana, salvia, LSD, PCP, etc.. Using drugs to forget is referred to as emotional numbing. In some abusive cases the victim is given these drugs so that she/he falls into a forgetful state of dissociation. Typically, one or more (in combination) drugs are given repeatedly at very high doses; once the drugs begin to function sexual assaults can take place easily without problem that would naturally occur without dissociative properties.

Psychological numbness is a mental self-defense mechanism used to prevent psychological trauma, in which a mental entity chooses to ignore thoughts or emotions relating to a specific body of knowledge, emotions, or ideas. This is often induced by social conditioning. Psychological numbness is an important component of sanity in an individual whose basic moral principles or ideology would be rendered inapplicable by comprehending the full implications of an action or occurrence.

Borderline Personality Disorder (BPD) is described as a prolonged disturbance characterized by the depth and diverse variability of moods, these moods can change quite quickly. Borderline Personality Disorder manifests itself through excessive and abnormal instability of one’s moods, black and white and all-or-nothing thinking, idealization of others, extreme self devaluation, chaotic interpersonal relationships, poor self-image, feelings of worthlessness, as well as deprived self identity. An individual with BPD will often have an intense disturbance in his/her sense of self, based on the severity of this disorder. In those with extreme cases a disturbed sense of self leads to lengthened periods of dissociation, in which the person allows the mind to distance itself from experiences that are too much to process at the time; dissociation is repetitious for some as it can bring some stability and comfort when used as an escape. Dissociate disruptions can occur for minutes up to hours and affect any aspect of a person’s functioning. Severe cases of dissociative disruptions involve amnesia and are commonly saw in those with trauma, in example childhood sexual abuse, physical abuse, or verbal abuse at a young age.

Borderline Personality Disorder also includes “splitting” or a sudden switch between idealizing and then demonizing others. This sudden switch and combined mood disturbances can undermine relationships with family, friend, significant others, peers, and co-workers. Those with Borderline Personality Disorder act upon impulse and may take on various methods to inflict self harm, known as self-mutilation; the most common form of this is cutting. Self-mutilation or the direct injury of the body is often done without suicidal intentions, the impulsive harm is said to release pent up feelings and ease depression. Cutting typically occurs in cases that involve verbal abuse, sexual abuse, as well as emotional abuse; but is clearly not limited to these traumatic situations. Drug use, substance abuse, eating disorders, and dangerous risky behaviors are also very common in those with BPD. Borderline Personality Disorder is a very serious mental disorder that in extreme cases leads to death from suicide, without the proper diagnoses and treatment symptoms worsen with age and suicide is much more of a risk factor. BPD incurs a much higher risk for suicide in females.

Diagnosis of Borderline Personality Disorder is based on a clinical assessment by a qualified mental health professional over a specific length of time. Such assessment incorporates patient’s self-reported experience, clinical observations, mood changes, personality changes, altering the subject, shutting down due to discomfort. Typically the mental health professional writes down his/her assessment in a log, for each meeting; the professional may choose to audio tape each session for proper diagnoses to be made. A resulting profile may be supported or corroborated by long-term behavior patterns as reported by family members, friends, significant others, peers, or co-workers. Today’s BPD is used to describe an individual’s emotional deregulation and should never be confused with bipolar disorder or schizophrenia. The Diagnostic and Statistical Manual of Mental Disorders is used as a guide to diagnose Borderline Personality Disorders if five or more of the following is noted in the individual seeking treatment.

1.) Frantic efforts to avoid real or imagined abandonment.
2.) A pattern of unstable and intense interpersonal relationships characterized between the extremes of idealization and devaluation.
3.) Impulsivity in at least two self-damaging areas (promiscuous sex, reckless driving, binge eating, drug use, substance abuse, eating disorders, self-harm).
4. Identity disturbances marked by an persistently unstable self-image or sense of self.
5. Recurrent suicidal behavior, self-mutilation, suicidal gestures, threats of self-injury, interfering with healing scars or picking scabs.
6. Chronic feelings of depression and emptiness.
7. Inappropriate anger of difficulty controlling anger when rejection is perceived, use of anger to push others away, dissociation during anger where one does not remember words or impulses done, frequent displays of temper, threats, constant anger, or recurrent physical fights in the sense of rejection.
8. Transient, stress-related paranoid ideation, delusions, or severe dissociative symptoms.
9. Affective instability due to reactivity of mood, opposite or euphoria; intense episodic dysphora (uncomfortable mood, sadness, depression, or anxiety lasting a few hours to a few days.

Borderline Personality Disorder must also manifest three of the following impulsive and traits. If three of the following traits exist a secondary mental illness is most likely a possibility with BPD a primary mental disorder. Traits are:

1. An impulsive tendency to act unexpectedly and without consideration of the consequences
2. A liability to have sudden outbursts of anger and/or violence without the ability to control or understand the behavioral explosions; disassociation may also occur during these periods of anger
3. The presence of an unstable and capricious mood
4. The difficulty in maintaining any course of action that offers no immediate reward, these courses usually end with quitting or procrastination due to the inability of patience.
5. A marked tendency to act with quarrelsome behavior and conflict with others, especially when impulsive acts are criticized or thwarted.

Borderline Personality Disorder can be diagnosed without a secondary disorder as described in the above if the individual posses three of the following borderline traits. Extreme cases of BPD typically are associated with secondary Post Traumatic Stress Disorder with three of the above and at least two of the below.
1. Chronic feelings of emptiness, chronic feelings of worthlessness, chronic sadness/depression.
2. Recurrent threats or actions of self-harm including attempted suicide
3. Disturbances in and uncertainty about ones self-image, aims, and internal preferences (including sexual behaviors, wants, and desires).
4. Liability to become involved in a intense and unstable relationship leading to an emotional crisis but thinking nothing more is deserved due to not being good enough or the seeking of love, support, and care through sex.
5. Excessive efforts to avoid abandonment or failure to know how to deal when a close friend, lover, or family member goes away for even a day. Acting out with rage and intense anger due to the fear of that specific person not returning.
Akin to other mental disorders the causes of Borderline Personality Disorder are not fully understood and in some cases known. However, the most common finding is that BPD is linked to childhood trauma, abuse, sexual abuse, or neglect by one or both parents. Sufferers with Borderline Personality Disorder reports significant amounts of verbal, physical, or sexual abuse by caregivers and/or strangers of either gender. Typically, these reports show these caregivers to be known; either that of a family member, neighbor, family friend, trusted adult, etc. At times there can be more than one abuser and more than one type of abuse present. There is an also high incidence of incest or a loss of care providers in early childhood or other trauma relating in a death. Reports were high that parents or caregivers deny the validity of thoughts and feeling of those with Borderline Personality Disorder within childhood. Parents and caregivers also were reported to have failed to provide the needed protection and neglected their child/children, occurring in parents of both genders. Women with BPD who report a previous history of neglect by her mother (or female care provider) and sexual abuse by a male during childhood were at a significantly higher risk to be sexually abused by a non-parent caregiver. Children who experience chronic early mistreatment and attachment difficulties or children who grew up where one or both parents were physically abusive to the other biological parent may go on to have a high risk to develop Borderline Personality Disorder (BPD)

A number of techniques have been studied for the treatment of Borderline Personality Disorder including cognitive behavioral therapy, interpersonal therapy, dialectical behavior therapy, and psychodynamic therapy among others. Medication also is available to assist with therapy including mood stabilizers, antipsychotics, anti-anxiety drugs, antidepressants however the evidence of benefit of pharmaceuticals are weak. Intense therapy takes months and years and must be gone into with an honest and open mindset with the belief in treatment and desire to follow through. Hospitalization has not been found to improve outcomes to prevent those with BPD from committing suicide or turning to suicide as an escape or out, again making this diagnosed illness much more serious then related mental health ailments. Borderline Personality Disorder first made an appearance in mental health of a person within the 1600’s and is recognized by writers such as Homer and Hippocrates. Today it is understood not to be linked to schizophrenia as they thought or put into verse. The features of BPD include emotional instability, intense unstable interpersonal relationships, a need for relatedness and a fear of rejection. As a result, people with BPD often evoke intense emotions in those around them. Pejorative terms to describe persons with BPD such as “difficult,” “treatment resistant,” “manipulative,” “demanding” and “attention seeking" are often used, and may become a self-fulfilling prophecy as the clinician's negative response triggers further self-destructive behavior. In psychoanalytic theory, this stigmatization may be thought to reflect counter transference (when a therapist projects their own feelings on to a client), as people with BPD are prone to use defense mechanisms such as splitting and projective identification. Without the ability of another person to properly understand the specific person the sufferer confides in may actually be of more harm though name calling, leaving, rejection, or inability to understand the problem professionally and making false accusations. This may lead to suicide. Those close to sufferers with BPD should fully be supportive and possess some understanding.
Post Traumatic Stress Disorder (PTSD) is typically associated as that of a war, combat, or post war injury of the psyche; however it can be much more. According to the American Association of Mental Health, PTSD is referenced in males who have various military experience and active duty deployments; more so than their female counter parts. Without the proper assistance from medication trials and extensive close therapy of a licensed provider suicide is a common risk-factor thus making this a life threatening and deeply serious situation. Post Traumatic Stress Disorder has increased significantly to a dramatic 400% n 2010 – a number that seems to explode by day with the current war. However, few are aware that Post Traumatic Stress Disorder can be associated to the mental state of a male or female without engagement in war, combat, or military situation. This misunderstanding makes it quite hard for the sufferer since family and friends reference this to war, making it easy for them to deny a loved one suffers from PTSD never being involved with the military.

Any trauma one experiences in his/her life that attributes’ to future depression or severe mental illness is categorized as Post Traumatic Stress Disorder. Setting these traumatic situations apart from other possible mental diagnoses is that PTSD always will occur, be it to a male or female, with threats made towards the life of that individual, something close to the individual, or someone who is loved and held near to the individual’s heart. In example a six year old is molested by a non-family member he carries on but convinces the small girl he will kill her mother and/or her puppy if she tells of their special time together. That small girl never goes on to tell anyone. Control over the victim in such a way is evident in cases where sexual abuse and/or rape lead to PTSD. This long lasting secret leads to abundant problems for the future and possibly death. In addiction Post Traumatic Stress Disorder severely compromises the emotional well-being of the individual who is hurt emotionally. This may include but is in not limited to witnessing a serious accident or injury that results in the death of another individual. Being kidnapped, sexually abused, held against will, being tortured and tormented such as forced sex with animals as punishment, impregnated, or so forth. Exposure to war combat and self defense measurements, having your best friend killed, being robbed, being assaulted, and/or sexual assault (raped) where sexual, emotional, and other forms of abuse causes extreme turmoil in life and especially the future. Those with PTSD also have dissociative traits where they will not remember minutes to hours, this is the only way of coping as is involvement in physical and civil conflict with those near. Post Traumatic Stress Disorder almost always comes with a primary diagnoses such as Borderline Personably Disorder, Stockholm Syndrome, Bipolar Disorder and so on when not in a military related situation. Bipolar disorder or manic depression is usually misdiagnosed as these two primary and secondary mental illnesses due to their hyperarousals which explains periods of exceptional happiness but such happiness is untrue and of a fairy tale. Unlike bipolar disorder PTSD and BPD follow suit with danger and sexual danger or other situations like driving too fast on back roads. Borderline Personality Disorder with secondary Post Traumatic Stess Disorder is classified by the suffers intelligence and intense creativity be it writing, drawing, or taking photography etc.

Those having PTSD will endure flashbacks where the trauma is lived once again over and over again, often thought to be the largest suicidal factor. Flashbacks may lead to a racing heartbeat, sudden onset headache, sickness, nausea, panic attacks. In many females with Post Traumatic Stress Disorder from a prior or lengthen sexual assault difficulty is had with normalcy within a relationship. Suffers may not be able to be seen naked by their spouse or significant other, they may not want to be touched in a loving or sexual way due to discomfort, some may cry during sexual intercourse, while others will not be able to orgasm in the future gaining that feeling needed of worthlessness (part of Borderline Personally Disorder). Sexual intercourse may be needed that is atypical of the common passionate embrace but possibility of submission and total power exchange (BDSM). Those possessing both Borderline Personality Disorder and Post Traumatic Stress Disorder, that have properly been diagnosed, may often use sex or drug use as an escape, it is not typical to declare these individuals as addicts until no control is shown; merely this is one of many ways to escape emotions and thoughts of suicide. Quite like a multiple personality, but not having voices within, these two disorders may open the door for the sufferer to go into a shell. Such shell he/she may give a name and very few will typically know of the existence of such shell. Primary such second half is often switched to as a way of changing subjects, stop thinking about negative emotions and that of suicide; a shell serves as a technique for avoidance. A sufferer can be in his/her shell for minutes, hours, and days. Having a shell is also means he/she doesn’t have to be counted on as an adult or be subject to questioning in regards to the past; many suffers will decide to attend therapy in this shell or mask of truth. A shell can also be an impulsive perfect world for the victims like that of a fairy tale come true without emotional or physical harm or hurt; this is true in most female Borderline Personality Disorders. Telling someone with true Borderline Personality Disorder and PTSD he/she is possessed by a demon due to intensified depression the sufferer is escaping from; he/she needs an escape as well as someone. If you are having issues understanding about the Post Traumatic Stress Disorder second to BPD you should always approach when the time is right to inquire personally or research online. Symptomatic re-experiences of the abuse may take place during the awaking hours that are accompanied with negative flashbacks. Depending upon the abuse of the victim, flashback’s can occur with triggers various for male/female with BPD and PTSD. Triggers can also cause cutters to cut so to release the build-up of suicidal want, depression, rage, anger, frustration, according to the Institute of Mental Health.

Males and females with Post Traumatic Stress Disorders use many other types of avoidance symptoms not described as above with the shell of escape. Males and females lose interest in things they once loved and thought of as enjoyable hobbies of the past. This could be things like social media or hobbies like photography. Avoidance also includes family, friends, significant others, peers, co-workers, and acquaintances of all ages and genders. Pushing away is quite common and exceedingly easy to do since these two mental illness take a bit of understanding for people having hard times coping with a suffers anger and impursiveness. Those with BPD and Post Tramatic Stress Disorder typically will push away everyone and get involved until that person/people start to show love and care. Sufferers cannot be wrong and must prove to themselves they’re correct about their worthlessness and rejection within society. The Mental Health Board stress how victims lose time when in dangerous situations, such time lost could be minutes, hours, or days but typically occur in person. Again, this is deeply dangerous and boarders on the need and high desire for personal death and suicide. In example a young girl with Borderline Personality Disorder and secondary Post Traumatic Stress Disorder may meet a Dominate Sadist off the internet for sexual intercourse and deserved beatings of a sexual and non sexual nature. This may reoccur, many times over. Also parents, siblings, and those who look up to the sufferers are typically very easy for the sufferer to push away. If anyone remains it must be justified that the man/woman is using, rejecting, and devastating the mind, body, and soul – noting that the heart has already been torn out by the sexually abuse within the early childhood

Borderline Personality Disorder (BPD) can take numerous shapes and have seemingly endless variations depending upon the person being professionally diagnosed, typically BPD is a primary mental health analysis accompanied by a secondary diagnoses. Borderline Personality Disorder is a very serious and life threatening disorder that becomes more pronounced with aging when an associated trauma occurs early within life (most typically during childhood). This emotional disorder accounts for the most suicides of any mental health disorder, especially within female’s age 17 to 30 – a prominent age for such illness to be diagnosed. With a high relation to suicide due to lacking treatment and/or improper diagnoses Borderline Personality Disorder should always be taken seriously. According to The Board of Mental Health, BPD is a deeply serious and damning illness affecting 2% of all females and leads in the death at or above 72% within females with a past trauma, especially that of sexual abuse. In rare cases Borderline Personality Disorder occurs in males.

Borderline Personality Disorder (BPD) is commonly characterized by critical instability of moods, interpersonal relationships of the same and opposite sex, self-image, and most likely becomes the cause for repeated dangerous and risky behaviors. This instability far too often and almost always disrupts friendships, relationships, family, and work; pushing others who care away is very common. BPD interferes with long-term planning as severe confusion and uneasiness in day-to-day life is proximate. It is typical for the sufferer to not know what they want in their own life and many female’s possess clearly a lack in the proper knowledge to live day-by-day; many feel as if they cannot live a normal life at all due to the known struggles and confusion from BPD – typically an extreme panic/fear develops which leads to giving up (resulting in suicide).  It should be noted that females with Borderline Personality Disorder hide or mask problems as a coping mechanism. In example a female who has been sexually abused from the age of six (6) onward may choose to never tell due to intense guilt, shame, and most often self blaming techniques. Professional treatment requires the everyday panic of life to be treated accordingly in addition to therapy, antidepressants, and other medication following a doctor’s assessment. Those with Borderline Personality Disorder experience pronounced trouble regulating their emotions even with personalized therapy and medication trials emotional regulation may take years. Proper help is a must by a licensed clinical professional; sadly Borderline Personality Disorder is improperly diagnosed as being Bipolar Disorder (Manic Depression) due to several similarities in those who are not completely true with their mental health professional. Many who have been diagnosed and have found proper understanding of Borderline Personality Disorder improve over time and go on to live productive lives. Truth and timing are keys to learning as to how to live a productive life followed by proper treatment of any secondary emotional disorders, if any exist. One cannot and will not be free of this illness, with therapy and medical treatment in a matter of months, when diagnosed properly it may take years before one learns to deal properly with their feelings. BPD is known as one of the longest and the hardest treatments of all current mental illnesses. Tragically during treatment suicides have occurred quite frequently. This is why everyone should be aware of this illness, if not the cause which most find comforting to keep between themselves and their councilors.

A person suffering from Borderline Personality Disorder may experience intense bouts of anger, depression, and high anxiety that may last hours or days; a manifestation of many other mental disorders like that of Bipolar Disorder. Episodes of impulsive aggression (physical fighting), risky or dangerous behavior (most commonly sexual intercourse with strangers to feel loved), self-injury (cutting or burning), and substance/drug abuse (alcoholism) are common signs of BPD – these and others are looked at as that of an escape or way to escape. Distortions of cognition, known as dissociation, can occur in which the sufferer doesn’t remember words or threats made during intense anger phases; usually sudden anger. This also is true, in some cases, in which intense pleasure or satisfaction is being had such as during arousal or sexual intercourse this may also be a result of sexual abuse. Dissociation (failing to remember) is classified as dangerous behavior, such dangerous behavior is not limited to these listed. Distortions of reality, people, and/or dissociative behavior are pure coping mechanisms adopted and altered per situation to find some type of sought peace. In example, it is common for one with Borderline Personality Disorder to push away a person or persons who shows care to prove rejection to her/him allowing for destructive behavior, a person usually always returns to destructive paths as an ability to cope without guilt. According to the Institute of Mental Health this is noted in females where dangerous and risky sexual behavior has been adopted as the only way to cope with past trauma; leading to second diagnoses of Post Traumatic Stress Disorder. This may lead to unwanted pregnancy or sexually transmitted diseases which worsens an already desolated condition.  It is common to see fear of the outside, panic/anxiety, fears in relation to the future, and/or trouble coming to terms with the real trauma. In 84-89% of cases studied the female failed to take proper steps to tell others of a previous trauma, in over 50% of cases where the female was thought to be “actressing” their existing problems suicide occurred. Actressing is classified as acting if all is well and pretending as a method of escape so not to detail true feelings. In conclusion 95.31% of these hidden situations related to childhood verbal, physical, and sexual abuse. In 72% of males this resulted from sexual abuse during the ages of youth, substance abuse and alcoholism achieved an 81.41% commonality.

Females with Borderline Personality Disorder have highly unusual and unstable patterns of social relationships. Females tend to develop intense but stormy attachments to others (family, friends, and current/past romantic partners.) Unlike males, females tend to love unconditionally and with a full heart; in conclusion they are hurt, emotionally, the worse of the two genders – this hurt occurs more frequently. Males tend to engage in sexual behavior as a form of escape without the attachment of feelings for their partners. Females tend to form an often immediate attachment bond to those in which love is associated. During this, the female tends to idealize the other person and when even the slightest separation occurs (be it a small vacation, business trip, move, or even a sudden justified alteration of plans) a female with Borderline Personality Disorder switch unexpectedly to the other extreme; going from an intense passionate love to that of a extreme and angered accusation to the one who has hurt them (typically a significant other). Such quick change of feelings may lead to hurting the other person, emotionally and even physically and in some cases acting with dissociative behaviors (unknowing of actions). This is noted as a spectral change as the female goes from an extreme of love/care on one side and angered hurt on the other side, within minutes and staying that way for hours and possible days. In few cases does the female fails to understand this saddened change and without knowledge as to why blame is put on the other person that they no longer care or love them in the way they assumed prior – rejection and fears of rejection is clear to the female and in many cases extreme anger may lead to self mutilation and suicide..  This behavior even happens with  family members as females/males with Borderline Personality Disorder are exceptionally sensitive to the feeling of rejection, reacting with exceptional anger (this anger is not understood but nevertheless occurs rapidly and again lasting hours or days in some events). Such spectral alterations occur due in part to Borderline Personality Disorder’s immense fears of rejection. Such fears are connected to events in earlier childhood and are measured much more severe to also be diagnosed with BPD and Post Traumatic Stress Disorder – Stockholm Syndrome may also be a known and charted cause for lengthy sexual abuse in early childhood. Females typically (and sometimes males) feel strongly lost in their rejection, worthless, hated, and the hurt they feel at the time of these sudden changes they attribute to their lack of worth in society. A connection leading also to suicide and the extreme ability of no desire to go forth in life, seek help, or gain a proper perspective in understanding. Charting these moods reveal that females suspect lies from both significant others, friends, and family members so that when lied to they believe they are at 100% fault and take the entire blame. Attachments are almost always broken and risky behavior leads them to comforts known to make up for the rejection felt. These comforts are dangerous and may take shape of drug use, substance abuse, dangerous behavior such as driving dangerously/speeding or sexual behavior(s) with men they have no prior relationship with; the female will press on until injury or death thinking these explained situations are their only chance at love since the ones in which they loved (or deeply cared about) rejected them in a extreme unjustified manner. This occurs almost each and every time and tends to worsen as the BPD sufferer desires much more intensified risks. It is difficult to discuss and open up to others. In very few events where the male/female does ask for help from that of a trusted source the proper knowledge of Borderline Personality Disorder leads to hurt, deviant sexual behavior, emotional pain, and feeling exceptionally disrespected – starting the path of deviation once again. Usually when disrespected in opening up to a trusted source (friend, significant other, or family member) the female will cease any behavior of attempted talk or trust. This is why it is exceptionally important for others to understand to the best of their ability the truth of Borderline Personality Disorder or such disorder with a secondary ailment such as PPSD.

Suicide threats and suicide attempts can both be a very common action in the male or female with Borderline Personality Disorder. Females tend to threaten suicide when angry to those who evoke their emotion or those they open up with. It is common these threats to be ignored or disregarded as BPD fall under an atypical category. These threats and self-mutilation are not for attention, love, to hurt or manipulate others, and never a cry out for help as misdiagnosed. Extreme close care but should be taken as these are true wanted actions that often get closer or to a point the way out (suicide) is the best option. Ignoring these threats often occur in a much more intense anger and self hatred that lead to suicide, especially impending in females. This risk of harm and suicide intensifies with secondary issues such as panic disorder, Stockholm Syndrome, Post Partum Depression, or Post Traumatic Stress Disorder. In addition it is not recommended to threaten assistance in the form of calling the authories but has been charted that love and care is the best alternative to keep such deaths from occurring. However, if death is thought of as being the next step the involvements of professionals are needed, starting with their active therapist if known. It is also suggested to never provoke or anger someone with BPD especially if the patient has a secondary disorder causing panic of any type such as Post Traumatic Stress Disorder. These males and females should be treated as they are emotionally, fragile. Most should be aware that it may only take a bit of time, love, and careful care to help the female or male that needs such help with assistance from the police as a near option but never a threat. Again, there is no such thing as a “cry out for help” when suicide is concerned and this matter should be dealt with accordingly with stabilization the first priority. It may be too late when threats are made. Research of the illness should always be toughly done so proper relations can be met. Anger or a fighting attitude is never and should never be an option due to those with Borderline Personality Disorder needing far more care and love than anything else, depending upon the immediate situation. Be aware that those with BPD will exhibit other impulsive behaviors and the above overview is not an entire assessment due to the differences (gender, past abuse, current abuse, depression, secondary disorders, etc). In almost all cases BPD will occur with risky dangerous behaviors and other psychiatric problems that should be professionally addressed (binge drinking, gambling, binge eating, anorexia, impulsive behaviors, depression, panic disorders, anxiety disorders, rape, childhood sexual abuse, trauma, threats, exposure to crimes, etc.). Not everyone will be the same and should be understood based upon facts but not thought of as a textbook case, no one male or female will be that of a psychological textbook case.

Treatments for Borderline Personality Disorder have drastically improved over the recent years. Group and individual psychotherapy are partly effectively for a number of patients without serious secondary issues; however BPD with Post Traumatic Stress Disorder is also coming to better individual treatment plans. Dialectical behavior therapy (DBT) has been developed and is still being perfected for many males and females with BPD. Pharmacological treatments are often used in addition to proper therapy; yet the most effective help for Borderline Personality Disorder is appropriate therapy shaped to the female or male who is affected. Mood stabilizers and antidepressants are common and most helpful for depressed moods and or moods that are “labile”. Antipsychotic drugs may be prescribed when distorted thinking accompanies Borderline Personality Disorder.

Factually: 40 to 71% of those with BPD have prior sexual abuse by a non-caregiver, most likely in occurrence during early to mid-childhood. 40-59% involve sexual assaults by a non-caregiver in the preteens to teenage years prior to age 18. Many never seek treatment and sadly this occurs in suicide. Those family members, friends, or spouses never having experience or knowledge of Borderline Personality Disorder fail to provide proper understanding making it harder for the female or male who suffer. Secondary disorders may be as bad if not worse than singular BPD. Suicide is common and this is common in females more so then in males. Many cases go unreported and/or treatment is failed to be sought ending in death. (Sourced: USA.gov)  Changes such as a sudden move of a loved one or a trip by a trusted significant other will provoke BPD that may last days or even weeks. Getting help is of deep and critical importance. Typically females who suffer with BPD will push away everyone in her life due to rejection or hurt at some point and never tell the other person why.