Comorbidity of BPD traits and other things

[Birddog]

Bit puzzled, Checking for comorbidity of things with BPD traits to see if rings a bell with anyone.

Observing some odd tics with SO over last year, and can’t put finger on it.. I have had a couple relatives come forward recently that have observed some past tics with spouse.

Around 2, SO started involuntary forceful blinking, MIL took SO to eye Dr, pediatrician, SOs mom was LPN. Blinking Eventually went away. FIL thought stress of move.

As child, extended family reported SO started screaming when touched in early childhood.  hypersensity disorder?

As adult SO forcefully clears throat, observed off and on over 21 years. Thought related to dads smoking at time or allergies. Undiagnosed Tourette’s?  came up in 2012 therapy, went away.

Zip ahead 2018, I reached over to hold spouses hand, she started freaking out. Reminded me of what other relative mentioned from her childhood.

Been noticing recently return of blinking, symptoms similar to what was described when SO was 2. See the involuntary blinking when spouse becomes agitated.

The cough that disappeared in 2012 after therapy for “anxiety”  and “delusional social paranoia” has recently returned.

She has a thyroid condition that is now stabilized, stress is down, and low dose Abilify. neurologist did CT scan, seems normal there, about to see neuro psych. Schizotypal traits under control I think, (she has been able to mask severity in past and they surface in odd social situations and find out about years later). Still has BPD traits, more manageable now with thyroid and low dose Abilify.

Thinking undiagnosed Tourette’s? Something Neurolgical dating back to childhood? Buried childhood environmental factor/trauma? Hypersensitivity issues? I don’t want to go on fishing expedition into familial history unnecessarily, not sure what is buried in the past. Also mention no drug, alcohol, smoking history.

At a loss.

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[Ozzie101]

It's really hard to say. They could be stress coping mechanisms. Many of us have or have had those. (I stuttered as a toddler and have always done it when I'm stressed out.) There could be other, deeper issues at play. A professional would be the one to diagnose those. But it makes sense that certain behaviors could resurface at times of stress, etc.

As I understand it, there are many other things that can be comorbid with BPD: PTSD, OCD (I think), eating disorders, addictions.

[Birddog]

Thanks Ozzie,

Interesting the OCD, kind of had that one on radar, it’s something that has documented poorer prognosis.  Hit this with her  hyper-vigilance mode.

Will see a way to address, usually stay out of her doctors and therapists way unless near crisis or medical necessity, or omitted vital information that would jeopardize her care.

[No-One]

Some psychotropic meds can cause tic-like side effects in some people.  A drug company has been running TV ads for a med that will help counteract a condition called "Tardive dyskinesia". There are various causes of this condition, but apparently some psychotropic meds can be the cause.

Coughing can relate to allergies.  Some meds, especially blood pressure meds can commonly cause coughing.  Throat clearing can be due to post-nasal drip.

As Ozzie101 pointed out, BPD rarely stands alone.  Many mental health issues end up resurfacing from time-to-time. 

[Birddog]

Been watching symptoms for Tardive dyskinesia. There some overlap of symptoms for synthrax and abilfy to watch. 

It’s a work in progress, fortunately Tardive dyskinesia is not as high of risk in low doses, but still on my mind for long term management and treatment.