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Occupational Challenges  

myelin36 53F
4614 posts
3/13/2015 2:49 pm
Occupational Challenges

I ran across a totally useless fact today. Did you know that female ferrets will die if they don't mate when they are in heat? I've been pondering that all day. I've come to realize that some women are in fact a lot like the female ferret. For instance, women diagnosed with severe Borderline Personality Disorder are highly suceptible to committing suicide when they feel rejected by a partner.

BPD is one of the most difficult and mentally draining types of diagnoses to work with. For those who aren't familiar with BPD, the symptoms include:

(From Psych Central) "a pervasive pattern of instability in interpersonal relationships, self-image and emotions. People with borderline personality disorder are also usually very impulsive, oftentimes demonstrating self-injurious behaviors (risky sexual behaviors, cutting, suicide attempts).

Borderline personality disorder occurs in most by early adulthood. The unstable pattern of interacting with others has persisted for years and is usually closely related to the person’s self-image and early social interactions. The pattern is present in a variety of settings (e.g., not just at work or home) and often is accompanied by a similar lability (fluctuating back and forth, sometimes in a quick manner) in a person’s emotions and feelings.

These individuals are very sensitive to environmental circumstances. The perception of impending separation or rejection, or the loss of external structure, can lead to profound changes in self-image, affect, cognition, and behavior. They experience intense abandonment fears and inappropriate anger, even when faced with a<b> realistic </font></b>time-limited separation or when there are unavoidable changes in plans (e.g., sudden despair in reaction to a clinician’s announcing the end of the hour; panic or fury when someone important to them is just a few minutes late or must cancel an appointment). They may believe that this “abandonment” implies they are “bad.” These abandonment fears are related to an intolerance of being alone and a need to have other people with them."

I used to facilitate a group for women with BPD. As a therapist, I see a great number of women who lack the resources and wherewithal to manage these symptoms and end up cycling in and out of inpatient mental health hospitals due to multiple suicide attempts. I have who did not follow through with treatment that are a statistic of this mental illness. Unfortunately, it's a tragic occupational hazard.

With this being an adult, sex-oriented community, I am sure that someone reading this has encountered an individual with BPD. Maybe you may have dated or even married someone who fit the above criteria.

These individuals need encouragement to seek out help. I don't know if you can tell, but it's been a challenging week. Thanks for allowing me to vent.

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SlenderGal88 57F  
10361 posts
3/13/2015 3:20 pm

Bring a caregiver for a living is difficult at times, I can associate with this.

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bonus801 76M
20 posts
3/13/2015 3:24 pm

I did not know that . I do know anyone working with people that need any type of mental help are themselves subjected to stress . As a medical first responder I had some myself.


tickles4us 62M
7262 posts
3/13/2015 8:44 pm

Unfortunately I'm all to familiar with that particular problem and it is a difficult one to deal with. Throw in some ODD and it gets even more fun. It can be very draining and frustrating.

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ProfPlayful 53M
3861 posts
3/13/2015 10:35 pm

I've known quite a few people with various mental illnesses, but I don't believe I've come across BPD. Thank you for the keen description which will help me spot it in the future.

I have a friend whose marriage broke up over Histrionic Personality Disorder. If you know anything about that topic I would love to read about it in your blog some day.

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ironman2769 58M  
12877 posts
3/14/2015 2:56 am

I had never heard of BPD until Brandon Marshall a Pro Football player who has had some off the field issues announced that he had been diagnosed with it.

He has become a spokesperson for BPD.

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New2Midlo 54M
1075 posts
3/17/2015 2:45 pm

You certainly have my sincere admiration for treating BPD patients. As you know, I've had my clock cleaned by my diagnosed BPD ex wife and she was super high functioning, as far as borderlines go. I can't imagine having to contend with the 'lower' end of the spectrum, much less treat them. Of course, a successful diagnosis is a bit of a breakthrough in itself.

On the flip side, I've gotten to see how the condition affects those who love the borderline. It isn't pretty how the endless parade of men and mental manipulation has affected my former step kids, particularly the 'black' child. Lest I digress further, I'll once again send some warm thoughts your way for the challenges you face in your profession. Keep your chin up.


myelin36 replies on 3/17/2015 4:21 pm:
Thank you for sharing your experience and for your encouragement.

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