How do you detect BPD when the subject is so uncooperative and knows how to act normal enough to trick you?
I suspect someone of having BPD who doesn't want any help at all (suprise?). What will convince a psychiatrist or counselor?
How do you detect BPD when the subject is so uncooperative and knows how to act normal enough to trick you?
I suspect someone of having BPD who doesn't want any help at all (suprise?). What will convince a psychiatrist or counselor?
please don't engage in armchair dx.
Edit: Don't take this the wrong way, but others have given you a bad name: you sound as professional as Microsoft support.
Our interactions were mostly them telling me all about themselves, troubles, and what I considered a bit too wrapped up in their family and essentially anything I said was forgotten. But they were nice to have a glass or two of wine with.
After the incident, I said maybe they should seek professional help. They said that they hated that I turned out to be one of "those people" that, when they were being 'different' or 'standing up' for themselves, were always saying that maybe they should talk to a therapist or that something was wrong with them and that they were "disappointed" in me. Over the three days following they tried to shrug it off, bring me gifts, etc. but I figured it best just to go "no contact" as they say online.
Anyway, I don't know if they have BPD (though a friend with a bipolar mom confirmed some things) but it's tough when 80% of the time the person is nice and functional but there are hidden faultlines that rapidly turn frightening.
If I could afford to, I would go see a therapist just to get a different perspective on my life from my friends but it's sad that someone who seems to really need it are in refusal. I recall when my mother told me about her taking depression meds and was sad that she was struggling with that and I had not recognized it but also happy that she had sought help.
I confess to a personal interest as I've sought at times for things like anxiety and depression, and frustratingly enough would not be able to tell you what treatment I was actually receiving under the name of therapy.
People should have a choice of what works for them.
http://www.crisiscareconcordat.org.uk/inspiration/meeting-th...
That document lists:
Dielectical Behavioural Therapy Mentalization Based Therapy Cognitive Analytic Therapy Transference Focussed Psychotherapy Interpersonal Group Psychotherapy Cognitive Therapy for Personality Disorders Schema Therapy
and it lists intensive therapeutic programmes, therapeutic communities, and arts therapies.
Of these DBT probably has best evidence, and has most people providing it.