Treatment Plan

So, I got some time to talk one-on-one with my therapist. We’ve come up with a strategy for success. Part of that is that I come to therapy every day, which I missed a couple of days this week, so the 3rd miss can complicate things, as far as my insurance is concerned and such. Part of the plan is also going to extend my 6-hour-a-day treatment by one week. Otherwise, I have only 6 days left of the 6-hour-a-day treatment then I would go down to 3 hours a day, which would just be group therapy. There is one 1 1/2 hour group session in the first half that I would miss out on, but also the individual time. While the extra time at home and stuff would be a lot of use, I think being able to meet with my therapist on a daily basis is really important. So, during the 13 days I have left of the “hospitalized” care, I’m going to meet with her more regularly.

I met with her earlier, and then the provider. My therapist and I discussed quite a bit at that time. She feels that among the symptoms of BPD/Trauma, there’s obviously the emotional deregulation, loose or lacking sense of reality, and shifting sense of self are big areas for me to work on.

BPD & Emotional Deregulation

In someone with Borderline Personality Disorder (BPD), emotional deregulation refers to the difficulty they experience in managing and regulating their emotions. People with BPD often have intense emotional reactions that can escalate quickly and feel overwhelming. This emotional deregulation can manifest in various ways and impact different aspects of their lives.

One of the main characteristics of emotional deregulation in BPD is the tendency to experience emotions more intensely and for longer durations compared to individuals without the disorder. For example, a minor disappointment or criticism can trigger intense feelings of sadness, anger, or shame, which may persist for an extended period. This emotional intensity can make it challenging for individuals with BPD to maintain stable relationships, hold steady employment, or engage in daily activities.

Additionally, emotional deregulation in BPD can also lead to impulsive and self-destructive behaviors. The intense emotions experienced by individuals with BPD may drive them to engage in impulsive actions, such as self-harm, substance abuse, or reckless behaviors, as a way to cope with or escape from their emotional distress. These impulsive behaviors can further complicate their relationships and their overall well-being.

Furthermore, emotional deregulation can interfere with the ability to effectively communicate and express emotions. Individuals with BPD may struggle to accurately identify and appropriately communicate their emotions, leading to misunderstandings and conflicts within their social interactions. This difficulty in emotional communication can further amplify their emotional distress and hinder their ability to form and maintain healthy relationships.

Overall, emotional deregulation is a key aspect of Borderline Personality Disorder, and its impact can be significant in the lives of individuals with the condition. Understanding and addressing emotional deregulation is crucial in working towards effective treatment strategies and support for those with BPD.

BPD & Reality

Whereas, when we explore the intricacies of Borderline Personality Disorder (BPD), we discover that individuals with this condition often face numerous challenges in their daily lives. One such difficulty involves their relationship with external reality. People with BPD may find it particularly arduous to navigate and interpret the external world around them. The way they perceive and understand reality can be significantly impacted, leading to a sense of confusion and instability.

Additionally, another noteworthy aspect of BPD is the subjectivity and instability of one’s sense of self. This ever-shifting self-perception can manifest in various ways, causing the individual to experience different versions of themselves at different times. The person with BPD might feel as though their identity is elusive, constantly in flux, and elusive, which can significantly impact their overall perception of who they are.

It is essential to recognize that the struggle with external reality and the fluctuating sense of self are interconnected. The challenges experienced in comprehending and responding to the external world can exacerbate the individual’s already fragile sense of self. As a result, both aspects can significantly impact their overall well-being and everyday functioning.

She mentioned that DBT is designed for people with BPD. Part of the treatment that I’m supposed to focus on is doing reality checks. I have to stop and determine if something is just a story I am telling myself or if it’s based on factual reality. I think this is going to be really important in not only my recovery but also in my day-to-day life going forward. Obviously, I’ll need therapy for the rest of my life but when I’m done with treatment here, it’ll probably be a therapist once a week and a prescriber once a month, which is what I’ve done until I went to treatment at Rogers.