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Author Topic: Is there such a thing as injury-induced BPD?  (Read 5275 times)
jreilly
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« on: October 02, 2005, 12:54:35 PM »

I'm a clinical supervisor for an Epilepsy Foundation affiliate.  The standard information we give persons with epilepsy in the frontal lobe area of the brain and their families is there's no equal signs between damage in that area of the brain and behavioral changes, BUT there's a lot of good research that shows that your chances of developing behavioral changes are very good if there's ongoing neurological changes in that part of the brain.  Remember that is the part of the brain that controls a lot of behavioral aspects of our actions.

Another concept we impart to everyone is that a brain injury causes damage not just at the site where the brain was impacted.  Think of the brain as sitting in a tub of fluid.  When a trauma is inflicted on the left side of the brain for example, the right side of the brain is slammed up against the inside of the skill and damage also occurs on the brain there.  And when damage occurs there may be blood clots, scaring or tearing of the brain tissue.  It can get very complicated as to the amount of damage done, and don't forget the tearing that can also occur to the brain stem.

Remember this is brain surgery stuff.  It is always best to leave the guessing to the neurologist, neurosurgery experts and the neuropsychologists.  We always recommend having a neuropsychologist do an evaluation after a person is stabilized to see what cognitive impairments may be present and to evaluate for clinical depression and behavioral changes.

This is my two cents worth.
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jreilly
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« Reply #1 on: October 05, 2005, 04:03:21 PM »

Other informational resources I used are:

Institute's Brain Resources and Information Network for the National Institute of Neurological Disorders and Stroke (a component of the National Institute of Health) at www.ninds.nih.gov

Citizens United for Research in Epilepsy (CURE) at www.CUREpilepsy.org

Epilepsy Foundation www.epilepsyfoundation.org

National Organization for Rare disorders (NORD) www.rarediseases.org
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caggif
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« Reply #2 on: October 07, 2005, 06:50:13 AM »

I am an active volunteer for a group called "Headway" here in the UK.?  We offer support for both members and the families of people who have suffered brain trauma, either by accident, or by surgical process ie:?  removal of a brain tumor.

Many of our members have undergone complete personality changes after suffering trauma according to their families who knew them beforehand.?  Much of what they knew previously has to be re-learnt - ie: walking, talking, reading etc. Many initially have no "personality" of their own, and are like a blank page.?  They have no preferences for things like food, music, etc - the endless list that we each have that make us individuals.?  

In many cases its a matter of taking a brand new person, and teaching them how to live in the world again.?  How well they recover is very dependent on how much nerve damage they suffered, and what specific part of the brain was affected.

Those who have suffered frontal lobe injury are the ones who have the most difficulty in re learning acceptable behavior.?  According to our specialists, this is where our inhibitions are formed.?  Damage to this area can result in a patient having impaired or no sense of right and wrong.?  

For instance we have a lady member who has to be escorted where ever she goes for her own safety. This lady was very shy before her injury.?  Since recovering she has become very uninhibited and will offer sexual favours to any available male. She propositions bus drivers, taxi drivers, men in the street - and has no concept of the danger she puts herself in, or the possible consequences for the men involved - she cannot empathise with their embarrassment, and sees absolutely nothing wrong with what she does.

I could cite other examples all day.?  I have stories that would both horrify and amuse you, but then again maybe not, as many of them direct parallels with the behavior of our various BPD so's.

The very big difference between a person who has been brain injured and someone with BPD is IMHO that the brain injured person really does do not KNOW any different, whereas BPDs do know that their behavior is unacceptable and wrong.

With BPD it is a Personality Disorder, whereas a brain injured person it is a Personality Absense. 

Nothing to say that someone cant have both though lol.
We have one guy who had a really bad RTA, and is excused his dreadful behavior because of his head injury - I knew the guy for years before his accident, and believe me he was just as obnoxious before the crack to his head.

I hope I've explained that to ya all okay - sorry not very good with the technical jargon?  grin

Caggi xx

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Gonefromhell
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« Reply #3 on: October 08, 2005, 03:19:46 PM »

I think you might be interested in my experience. My ex wife was diagnosed with MS in 1998 with positive lesions on MRI scattered throughout her brain including the frontal lobe. She also has lesions on both optic nerves with episodes of iritis as well as optic neuritis. Her spinal tap was positive for all 3 markers of MS. She actually fit the secondary progressive MS description better than Relapse Remitting since she had nuro deficits that were permanent. She was put on Avonex as well as a boat load of other drugs. All 3 step children have some kind of emotional problems to include panic/anxiety in a daughter, crazy money spending & binge eating in a son & ADHD in the 3rd child. My granddaughter was dxd with Schizophrenia at age 15, non drug related. My ex has a history of depression, drug abuse, alcohol abuse & crazy behavior. Our marriage counsellor (RN, PhD Psy) felt she has BPD. Her MS did not cause her children's abusive behavior nor her grandaughter's schizophrenia. My ex's mother died of Lou Gerhig's disease and her alleged father committed suicide after numerous failed marriages. I believe my ex wife inherited BPD from her father combined with MS susceptibility from her mother. (ALS & MS being auto-immune diseases). My ex also abuses narcotics, tranqulizers, sleep aids & alcohol. I know she has MS & drug abuse while she likely has BPD too. All 3 things can screw up your cognition, memory, personality etc. Her children grew up in this BPD world & needless to say, are dysfunctional. I think there is a link between her MS & BPD or perhaps she is just unlucky enough to have both at the same time.
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Divorced after 25 yr marriage. exbpdw has Multiple Sclerosis & drug/alcohol addiction
Abigail
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« Reply #4 on: October 17, 2005, 02:36:32 PM »

Yes, I have read that certain brain injuries can cause BPD in some people.  It is not the only cause of BPD.  Genetic predisposition can be a factor as can abuse, early parental loss, untreated ADD, etc.
  I don't know about a connection with MS.
  Dr. Heller believes it is a type of epileptic seizure in the limbic system of the brain.  Check out www.biologicalunhappiness.com for more info.
  Abigail
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Abigail
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« Reply #5 on: October 19, 2005, 03:56:55 PM »

Pat,
  On Dr. Heller's website at www.biologicalunhappiness he refers to an article/study  Compr Psychiatry 2002 Sept.-Oct. (Milano, Italy) "History of childhood ADHD symptoms and borderline personality disorder:  a controlled study"
  Dr. Heller also strongly suspects that a large percentage of untreated ADHD patients go on to have the BPD.  He has also found in treating thousands of patients who have BPD that 50 % of them also have ADHD.
Abigail
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Almost_Nobody
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« Reply #6 on: November 25, 2005, 01:28:41 PM »

In this site
http://www.biologicalunhappiness.com/index.html

BPD is described as a form of epilepsy;

which i have not found much here or anywhere.

My dad have some hysteric anger driven fainting symptom - which i have only found in 2 more peoples here. Before even knowing about the BPD/NPD i thought his problem is a kind of epilepsy which i have understood is not true after studying BPD.


Now i find someone is describing it again as epilepsy.


 Any idea?

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Abigail
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« Reply #7 on: November 25, 2005, 06:18:08 PM »

  There are many different opinions regarding the BPD--there is a lot that isn't known yet.  However, I do agree with Dr. Heller  that the rages are a type of epilepsy.  I may be mistaken but I don't think the disorder as a whole is epilepsy but some of the emotional outbursts, such as the raging.  My husband sees Dr. Heller and has greatly improved since being treated by him.  Dr. Heller has spent a lot of time researching and dealing with borderline patients, and successfully helping them, I might add.
   His books make very interesting reading.  From "Life at the Border", "The biological mechanism for panic likely exists within the limbic system.  Due to circuit damage and/or serotonin deficiency, a borderline's panic is uncontrolled--gaining momentum like a snowball rolling downhill.  Many neurochemicals are released excessively during stress/panic, stimulating feelings of anger, desperation, emptiness, and depression, resulting in dysphoria.  This massive "neuroelectrical" stimulation overflows into other brain areas, much like epilepsy.  When the stimulation reaches the temproal lobes, bizarre sensations occur--such as dejavu, depersonalization, etc.  The epilepsy medication Tegretol likely works by slowing down or stopping this neuroelectrical stimulation."
   Did you know that epilepsy was once thought to be a mental disorder and not biological in nature?
  Abigail
   
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goochiegirl
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« Reply #8 on: November 26, 2005, 12:09:54 AM »

I have recently read that epilepsy is also related to bipolar disorder.

I have bipolar, and I have been on Topamax for 4 years (the most successful medication I've experienced - after 2 years of trying other ones).. Topamax is an anti-epileptic, and is also prescribed off-label for bipolar.
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loki8447
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« Reply #9 on: November 26, 2005, 08:58:34 AM »

A woman who is student teaching brought up a similar idea, this weekend.?  She talked about a student that had seizures where they "went into some kind of a rage."?  I've heard this idea tossed around in a school setting but never heard it so clearly stated before.
?  ? She did mention that the staff was aware that all of the child's rages weren't seizure induced.?  Some of them were simply because the kid didn't get their way--but the rages were the same.?  The only way they could guess the difference was by watching to see if anything external triggered the rage.?  I'm not sure what to think about that one.
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