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Think About It... Whenever we refuse to take responsibility for ourselves, we are unconsciously choosing to react as victim. This inevitably creates feelings of anger, fear, guilt or inadequacy and leaves us feeling betrayed, or taken advantage of by others.~ Lynne Forrest
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Author Topic: Still not ready to give up  (Read 801 times)
Easydoesitnow
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« Reply #20 on: February 28, 2012, 05:18:11 AM »

Do you think that is that a hint? 

A hint of what?

Do you think the GP is not looking for a PD?  Or is it Waaayyyyyyy too early to tell?  Do you think a psychologist would be able to dx?  Or would it take a psychiatrist?
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Auspicious
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« Reply #21 on: February 28, 2012, 05:25:55 AM »

Do you think that is that a hint?  

A hint of what?

Do you think the GP is not looking for a PD?  Or is it Waaayyyyyyy too early to tell?  Do you think a psychologist would be able to dx?  Or would it take a psychiatrist?

Hmm. In the US, I believe that only a psychologist or a psychiatrist can diagnose mental disorders. And I believe it would be normal for a GP to refer the patient to one, for anything beyond maybe a careful trial of an antidepressant for mild depression.


That said, you don't actually know that there is a PD - only a qualified mental health professional can diagnose one. And differential diagnosis can be difficult - there are a lot of similarities between bipolar and BPD, and PTSD and BPD.

To put it simply, you don't actually know that he suffers from BPD.

Given the opportunity, you could certainly encourage him to get evaluated by a clinical psychologist or a psychiatrist. That's likely to be helpful no matter what he suffers from.
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Have you read the Lessons?

Easydoesitnow
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« Reply #22 on: February 28, 2012, 05:38:11 AM »

Thanks AUS,

That's what I was wondering - he has been referred to a psychologist - given that the psychologist, if it is the one I am thinking of, specializes in bipolar and PTSD, but not PDs I was wondering if that was a hint at what the GP was looking for.  Also I wasn't sure if s psychologist could dx Bipolar/PTSD or PD or if it had to be a psychiatrist to make a dx.

The differences between BPII/Cyclothemia/ BPD/PTSD and some forms of substance abuse can it seems, be subtle,  and any, or several of these could be the issue for him.  Or none.  He could just be horrible at times...(dx bad person)  lol
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Easydoesitnow
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« Reply #23 on: March 14, 2012, 08:17:24 AM »

Where are we at now...

Well, after 2 more weeks NC he said he wanted to catch up for a movie and I agreed.  We ended up spending the whole day together.  I haven't committed to anything.

He is in therapy and on medication and trying to reduce drinking with some success.  He is considering medication and AA to assist with that and has discussed that with the therapist.  He says the therapist says he has 'hypo' something...he didn't say hypomania and he knows about that so I'm not sure what it is...could even be cyclothemia as he was talking about mood fluctuation at the time...but I'm just guessing.

I am keeping a bit mentally distant in light of my previous experience...
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