m borderline personality disorder.

There's talk of privatizing the state hospital system. That strikes me as a bad idea. We already have enough mental health services that run with a skeleton staff, minimal oversight, and an emphasis on the bottom line.

Dr. Marsha Linehan, best known for creating dialectical behavioral therapy (DBT), admitted in a New York Times article that she struggles with mental illness, once being called "one of the most disturbed patients in the hospital." She would diagnose her troubled  teenage self as having borderline personality disorder, or BPD. So why does this matter?

One possible symptom of borderline personality disorder (BPD) is substance abuse. When a person has a substance abuse disorder and a psychiatric disorder, they have a dual diagnosis. While help exists for people with mental illness and for people with substance abuse problems, getting help for a dual diagnosis is a lonely, uphill battle. Simply put, neither psychiatric facilities nor rehabilitation facilities have the desire nore ability to treat us.

Yesterday, I sought medical treatment after suffering some severe dizziness. After some tests, the doctor told me that the dizzy spells and difficulty walking were a result of a medication-related drop in blood pressure. The problem--the psychiatric medication responsible allows me to sleep without nightmares. It was my decision--psych symptoms or physical problem. "The Fat and Happy Paradox?" I asked. "Exactly," he replied.

I've heard too many stories of suicides of people told by their church that their problem was "sin" or the classic "If you just had enough faith..." . These aren't isolated incidents; they're a disturbing pattern. No one should be forced to gamble for their lives or perceived salvation. Religion and spirituality can heal. They can also hurt.

Rough week?  Symptoms flaring up?  Consider building a comfort zone as a way to self-soothe and de-stress. Watch this BPD video.

On very rare occasions, a person will fake a suicidal crisis, and in these rare occasions BPD is almost always a factor. However, Suicide Prevention 101 teaches "Never take a suicide threat lightly." Where should the mental health system draw the line?

The use of restraints--whether metal ones used by police and/or private security or the leather ones used in an inpatient setting--is one of the dirty secrets of mental health. Due to the destructive nature of some symptoms of borderline personality disorder (BPD), it is something of an open secret for us.

Schema therapy shows considerable potential in treating borderline personality disorder (BPD). In this video, More Than Borderline's, Becky Oberg, explains how schema modes affect the conduct of a person with BPD.