Imaging Brain Abnormalities in Borderline Personality Disorder

[shelllj68]

I was officially diagnosed with BPD after being wrongly diagnosed with endogenous depression over 25yrs ago. I took all the meds and did all the therapy and never got well.  I am still learning about my disorder, but am in dbt and therapy and can finally at age 42yrs, understand why I behave the way I do. I appreciate anyone who brings our illness into the light. We need more understanding and acceptance that we suffer from a debilitating invisible illness, we did not choose.

[Raina430]

I understand why people don't like this. However if there is faulty brain functioning such as literally not being able to discern good and bad qualities in people or irrationally thinking people will abandon one in the face of all contrary evidence, then it's important to know it and address it. Some people with BPD for decades do not seem to respond to anything. I think he is trying to help them.

[MonacoBlast]

I'm not borderline. I'm very opinionated, and I hate being taken advantage of. Someday I hope everyone rebels against "being medicated". I certainly am.

[44prot]

These people(I wont call Drs) do more harm to the population than the drug dealers on the streets ever could.Marijuana proven to besohelpful?illegal!Why?That would mess up the whole bogus "war on drugs"bullshit.Cigarettes AND definitely alcohol should be illegal too.How many are killed by those?get Busted for DUI,yet there r public places where alcohol is served.How do they think your leaving the place? "Drink responsibly"Ok,Shoot up responsibly,leave loaded guns lying around responsibly too!

[44prot]

Every human in the population exhibits every trait of every Disorder EVER tagged by the Psychiatric pseudo organization. NOTHING can be proven they claim.They exist to feed the pharmaceutical companies and then themselves thru gaining income from those companies,and overmedicating the population with the poisonous drugs they pedal legally.Prozac =Flouride! Look up what Flouride does to your brain.All the antipsycotics?even w/ all the warnings,theyre still pushing em!

[Intelwethink4u]

The evidence we have does not show that chemical imbalances are causing these so called disorders. There is no objective way of testing chemical balances in the brain. A scan of a patient's brain does not illuminate the cause of the behavior, there are hundreds of variables that cause differences in brain activity. Changes in brain activity can be a result of emotional baggage and deeply ingrained maladaptive patterns of behavior, which is not a disease and is treatable using CBT.

[Intelwethink4u]

Psychiatry is pseudo-science, there is no biological test for mental illness. Listen carefully to what this man is saying, he is describing moral and philosophical problems with "patients" and then dressing it up in medical terminology. I am a psychology major in college and recall the dark history of psychiatry and the fact that many social and moral problems are being labeled as mental disorders for the sake of profiteering and exploitation of the patient. There are no cures in psychiatry.

[13abbitt]

"a sponge with horns" - well, I suspected as much from the defensiveness I have felt in the past, when inpatient. I try to never phone my therapists; I am not an asker of special favors. I am a "quiet Borderline." Of course, it is not conclusive: I could be just having a very long, bad day. Thanks for mentioning the anterior insular cortex.

[davidmorrison1955]

The guy is well intentioned but he is a little light on the biological logic.

A perspective shift might be useful.

What the imaging is showing are the artefacts of early childhood mistreatment.

See Van de Kolk and "The body keeps the score."

It is normally very early and continuous mistreatment that cause the results unfortunately labelled as BPD. Of course the result is structurally stored in the brain. Everything is structurally stored in the brain!! Everything is chemical.

Stop the abuse.

[nordic46]

very often BPD is coupled with other disorders. Its no point treating one of the symptoms and BPD IMO is a symptom. The cause may be due to the immune system inability to recognize therefore kill these opportunists. There is going to be a paper out in November talking about Mental Illnesses and the success thus far treating different types. It has been on going with human test studies for a few yrs. Its been difficult to study as no 2 people are alike, check out Marshall Protocol, utube in Nov

[deadlyorgans]

It's called very low self-esteem. Yes, there's some genetic vulnerability, but a deterministic point of view just causes learned helplessness. Keep telling people that it's all physical and they will hardly work towards improving their feelings of self-worth and self-efficacy.

[NikeshalovesCasey]

you dont have to have meds.... try to become more of an optimist. drill it in your head everyday that you are worthy of great things and love. Learn to love yourself!!!!! positive vibes!

[MsTridentgum]

you would have fun analyzing my family. I have bpd, one sister DEFINITLY has histrionic disorder and the oldest sister is a poster child for narcissistic personality disorder. Two other family members (twins) seemed to have escaped mental illness.

[muzzster1970]

The doctor says that many professionals avoid attempting to treat BPD. I feel this is because they are clueless to help the disorder, as evidenced here. 7 mins of nothing, really.

[dogterd]

I have some advice for any guys who find out their girlfriend has this condition. Step 1, dump her crazy ass... Step 2, get a restraining order, Step 3, buy a Belgian Malinois Attack Dog and a Glock.

If none of that works you'll just have to leave town.

[Speezerina]

"Sponge with thorns" Perfect description.

[mrfadedjeans]

There are no scientific studies here in 2010 which show a biological cause for bpd or any other mental illness label from a psychiatrists diagnosis. The journal he mentions is funded by pharmacuticals.

[MsAgnosticatheist]

@mrfadedjeans Everything is biological. We are all composed of cells and sometimes they don't function normally, or the hormones release too high or low, etc. Who we are depends on genes and environment. We do what we know and can only change if we have the right tools available. Our stress response systems are defective and over sensitive to stimulus.

[Mr1SXM]

Not bad. but although you seek the definitive 'answer' in BPD which is commendable, try not to distance yourself too far from the lives and the personal inner interactions of which may be 'fuelling' a certain type of brain funtioning. Starting by looking at the symptom is not always justifiable as the cause. look at the development, aswell as the end result where one might be influencing the other.

[Mystro1989]

i hate this guy. 20 seconds of this video was on brain abnormality. the rest was BPD shit that everyone who clicks on the video already knows

[noellads]

@3rdEyeBlind2008

try Vipassana. It is similar to DBT. Or else try Antar Mouna

[noellads]

@NURBS4life

I partially agree with you. My father and grandmother and a cousin of theirs have BPD. Many years of observing them and I have started to believe that their "difficult" behaviour is part "faulty wiring" in the brain AND part ARROGANCE. It appears that most borderlines are too afraid to face their innermost fears, so they just dump their "carziness" on others.

[Chiiiiyo]

@NURBS4life simply, just fuck off....

[Chiiiiyo]

@NURBS4life no offense.. but gfy! just because u feel that ur mom doesnt take responsibility dont drag everyone else down like that. not all people are the same... i am diagnosed with bpd, and i try to get better at handling my emotions. trying to kill myself for something someone else wouldnt feel down about is not funny and not something i want to struggle against all my life.... "bullshit diagnoses".... thanks.....

[esquimau007]

@NURBS4life you obviously have some personal issues that is clouding your judgement of BPD people in general. I don't blame you but i do not agree with you either.

[gma617]

whats the deal with this guys glasses....broken??

[jtraske]

whats up with doc's glasses? magnets are cool! heh heheh heh.

[deadpoetoftheyear]

It just took him 7 minutes to come to the point and then he spent a few seconds on that.

Likes to hear himself talk or what?

[jodiebakesalot]

'overly dramatic' is very stigmatising language. Given that many people who have attracted this diagnosis have rational and understandable reactions given the autonomic and psychological processes they are experiencing.

[Griet1975]

It seems that his glasses have a split personality disorder hahahaha...

Excuse me Doc, obviously you haven't really, I mean REALLY listened to anyone that actually has an Emotional Regulation Disorder.

The term Borderline drives me crazy, it gives so many people, including myself, a very bad taste in the mouth, it has a negative sound, eventhough only a few people know what it really is and what it feels like.

I am glad this man is not my Psychiatrist, he talks about numbers instead of people.

[chrisis138]

the term Borderline drives me crazy, it gives so many people, including myself, a very bad taste in the mouth, it has a negative sound, eventhough only a few people know what it really is and what it feels like.

I am glad this man is not my Psychiatrist, he talks about numbers instead of people.

yeah, bpd..big time, keep on goin to tha sessions.

[Griet1975]

@chrisis138

It's not me that actually has PBD, I just find its term hard to swallow.

I see a lot of girls at work where this diagnose was concluded wrong, mostly it's Bipolar -or Posttraumatic Stressdisorder.

What I see and hear about  BPD it looks like it´s a bucket of not recognisable symptoms thrown on one pile.

(am Dutch, in case of grammar issues, sorry :-)

[gert83]

I had a girlfriend who had BPD tendencies. I recognise all the symptoms. Eventually I just couldn't handle her anymore. She couldnt empathise with my POV - it was irrelevant, she was always anxious, any advice was taken as criticism, she was clingy and controlling, she got abusive very easily.

One day I walked out, I was drained in every way from being with her.

She cut me out completely.

I wish I had known about BPD.

I wish there was a way to go back and help my ex. I still care about her.

[ThomasDeLello]

@gert83 - That is so typical, and I am sorry to say it.

[xxneondinosaur]

I don't like how he said overly dramatic. My feelings are real, yo.

[synndarella]

@xxneondinosaur

Yes I'm with you on that....but, do you find as I do, that after the fact, after the 'situation' is over, when I reflect with others explaining calming their side of the story (assuming I haven't cut them out of my life, as I usually do!) umm....that I can see it is me, it is the situation, but....I am out of sync, I can never see it at the time, ever, never gonna happen. I'm 34 now, and I trust my judgement but i try not to leap, not that it works all the time (!)

[ravenblackthorne007]

@3rdEyeBlind2008 Medication doesn't necessariy turn one into a "zombie". I have feelings. I have a life. And I have BPD as well as major acute depression. And I do live with the pain. What do you know about medication ? Have you needed any ?

[ohdoshutit]

i sent my mother a seven page text on how she impacted negatively on my development and she responded (once the shock subsided) by suggesting i see a therapist. lol. suffice to say, i will do my own mothering now.

[gazskull]

love your vlog keep them comming

[tragicblackness]

Are his glasses broken?

[rollingcube]

@3rdEyeBlind2008 you realise the world health orgainisation advises against chemical medication for the disorder

[vivalaleta]

A sponge with horns?

[catguta]

Is not the dysfunction of the anterior insular also indicated in sociopaths? Is there a difference between a borderline and a sociopath which is recognizable in the imaging?

[rollingcube]

@catguta none, but factor two sociopathy/psychopathy is a 5% risk factor in further untreated maturation.

[catguta]

@rollingcube Thanks you for the reply which I only now read (5 months out). Now divorced from BPD, her lack of empathy struck me as the overwhelmingly (for me) severe symptom, perhaps as the root cause. My own therapist suggested BPD may have been the start, but some behavior I described was probably that of a psycho/sociopath. One in twenty, I fear. That there is nothing I could have done for her does not seem to help.

[Enjolez]

@catguta Good question

[Enjolez]

Good question... 

[chrismanxxx]

Its amazing to me!! For centuries we have had a human history of mass populations taking part in black/white thinking (i.e. slavery, religious ideas, wars, etc) yet the psychiatric institution only starts to recognize the phenomenon as an abnormality when "mental patients" do it. Thanks for your awesome southern university insight, Dr NEmeroff!!

[rbogdewic]

NowTHAT'S a great video

[Eshrimpski]

I was diagnosed with BPD in 2007. I have been on a grip load of different meds for depression and am now just on Prozac and I am relatively okay on that alone.

[kurittaja]

@Eshrimpski Has the Prozac cured you? You should stop taking them for a while and see! The hard way is the only way!

[Eshrimpski]

Medication does not "cure" anyone...it helps with the symptoms. And as far as stopping taking it, that's a bad idea...you should never stop taking a prescribed medication without the advice of your doctor...

[kurittaja]

That's what I meant also. I hope you get well soon!

[spershall]

It gives me so much comfort to know there's something actually going on physically with my brain and that I'm not just a terrible person!

For those wondering what treatment works, DBT (Dialectical Behavioral Therapy) was a miracle for me!

[southlondonpimp]

@spershall not being funny but u sound more like an advert for it. but wud u care to elaborate on DBT..im interested to know.

[spershall]

@southlondonpimp What would you like to know? I did DBT at Payne Whitney in NYC. It worked wonders. Feel free to message me!

[jampie06]

@spershall So I guess you´re nuts. Right? lol

[porcelain100]

@spershall really? what does dbt consist of

[tirosfun]

i have to do knee surgery and i have bpd is there any problem with anasthesia and bpd drugs?

[aprilbear101]

do you think theres any psychiatrists with bpd , i do , the realy inteligent high functioning one, and they use their relationships with patients to feed their need for intimacy and good bad dicotomy ,

[JamesDusk]

Great work. Keep it up.

[madliv]

I wanna talk with that doctor & explain him a couple of things that he and his big decorated wall cannot explain. I wish he could contact me!!!

[taniaaust1]

great video. i have BPD and huge trust issues.  Before i saw this video i thought my trust issues were all to do with my past experiences, now i wonder.

[kayjanew]

Firstly thank you forgiving your time to helping people like ourselves....i was first diagnosed with manic depression then Bi-Polar....now registered disabled with bpd....very confusing....thank you for some insight......x

[Blobadon]

And with the money situation of course i'm going to be uneasy at handing a wod of money of mine over to someone as theres alot of backstabbing cunts about!!!It just makes me cautious...............i'm sure theres alot of people without my mental state that routes around for the best deal too!But on the other hand i do agree with him when he says about putting people you know into categories of either loving or hating them,i'm not sure if other people do this or not but surely some must do

[Blobadon]

I have SEVERE BPD and i don't agree with him when he say's we basically enjoy seeing a loved one of ours being hurt or what not............man i go to GREAT lengths to look out for my friends,lend them money when there in trouble and listen to them when they have a problem etc but i laugh if a friend trips over providing it's not onto a metal stake!!Plus i laugh at myself if i trip up in front of someone!So because i laugh at my friend falling over does that make me a bad person.................

[neobubu]

Same thing here. I was diagnosticed with BPD and went through all the junk. I'm better now. What makes me laugh is when I read people compare BPD with NPD/Sociopath saying they're the same. Heck after having dealt with two NPD/S, if there's one thing I'm sure of is that I don't willingly go after people to ruin their life as these people do. It's not because we're also toxic (yes we are) that we necessarily are as bad as people with NPD/Sociopath. At least, unlike NPD/S, BPD can be treated.

[Blobadon]

Thanks for the decent reply,was expecting an ear bashing for a second there lol So you had BPD but are now better...........how lon did you have it for roughly and how did you treat it?Did you take medecine or go down your own route?Also i saw your other comment was removed,how comes,what did it say??

[neobubu]

been diagnosticed at 21 but didn't get a proper treatment until 28~29. at first, I just abused the meds the psychiatrist gave me, along with other street drugs, and that's it. things got better and I stayed untreated for roughly 7 years, then I sought for help after a life event which trigered some traits back. After, it took like over a year on meds and a CBT to get rid most traits, like the confusing rapid mood swings. I'm still taking meds and seeing a therapist as I also have social phobia.

[neobubu]

the other comment was a double :D

didn't know that it takes time before replies are displayed on youtube and thought that I had clicked "discard" by mistake. came back an hour later as the second comment didn't show up instantly either after posting it and I removed one.

There's hope to get better when you have BPD as long as you're aware that you have it and ready to face yourself. Seeking for help isn't an option either and nothing to be ashamed of if you do really want to get better.

[andyskytten]

If you don't mind my asking what meds worked for you? I was diagnosed in '04 and was treated with different meds until '06-07 when I finally gave up because the meds were making my symptoms worse. Due to a few catalists in the past year (that everyone thinks I'm fine with but I know better) I'm looking for help again and curious about what's worked for others. Yes I know everyone's different but not trying only hurts me.

[neobubu]

the effects of meds depends on people. Some people will feel better with some meds while others will fill worse.

I've taken Ixel 50mg 3/day for a little over a year mostly for anxiety but helped little for BPD symptoms besides impulsiveness. Side effects weren't this bad but there were some. mostly cognition and it's subtle. They weren't as bad as when I tried celexa, which literally made me fell braindead, and I only really started noticing the side effects after I stopped taking the meds.

[neobubu]

I think the CBT and psychiatrist helped more than the meds to deal with BPD symptoms.

Taking Stablon (not sure if it's available in the U.S.) right now also 3/day for a year now and so far it's the best antidepressant I've ever taken so far. It lowered my anxiety to nearly 0 and that with almost no side effect. I just feel normal and it's very relieving.

Good luck with your search to find the right med for you.

[andyskytten]

Thank you so much. I know results vary but it's worth having the knowledge :)

[neobubu]

you're welcome and sorry for the broken English.

[andyskytten]

Broken my AZZ!!! If English isn't your first language I would have never known. There's this thing in America called Ebonics....now THAT my friend is broken English :)

[PinkLederhosen]

I didn't quite understand the part about the anterior insula being activated when you see someone you love being exposed to discomfort. I guess what he means is that the BPD anterior insula would not activate and the normal person would? My exerience with the BPD in my life is that you are on your own with them. And they will not step in to protect on many levels.

[PinkLederhosen]

I'm thankful for any information of this topic. I grew up with my parnets and some siblings with BPD. This is good infor for anyone who wants to understand it.

[nec6fg]

giv him 25 mg risperdal end 25 mg hadoll end 2x 50 mg saresta

[herstome5656]

It's unprofessional to refuse to treat borderlines. Should they really allowed to be so picky? It's the government who pays them to treat the public. They have to treat all of us.

[riotriotriot55]

With Diabolical Behaviour Therapy I've been working out how to manage a small, but achievable gray-zone.

[spershall]

DIABOLICAL Behavior Therapy?!? I think it's Dialectical. :)

[doobiesan]

the guy who is writing about a connection between masturbating and mental illness is so incredibly of!? Do you realize how many people in the world jack off/have sex every single minute?

[screamstalkgrindteet]

Telling us about our illness is not going to fucking help anyone is it?There is so much crap on youtube to do with bpd.Its so easy to tell someone to live a normal life eat sleep healthy.But no one ever tells us HOW!fucking prick

[brainheal]

if you torture your brain with masturbation - medical business may only make money selling you numbing drugs.

It is easy to live heaalthy & happy life.

Just do not masturbate and eat beef away from dairy products.

If you have more questions read Exodus.

[anna0936]

i have bpd , i found this info.. very helpful .i have a big problem trusting people liking people, i tend to take the wrong message frm. people who r really trying to help me.. its a very hard illness , the pain we feel is hard to explain because we don't know ourself . as a result we become loners well i have , i want people but push them away

[LiberalM]

are you retard!!!

[fun69stein]

no - you are brainwashed or drug seller.

mental illnesses are caused by killing own neurons by masturbation.

medical business makes thousands of billions on that obvious fact so the real cause of depression, borderline, ADHD and schizophrenia will never be published.

Money is important - not children commiting suicides in this world.

[LiberalM]

masturbation doesn't cause BPD or any personality disorder , if so convince me

[fun69stein]

it is simple and easy.

Almost all depressions (excluding injuries and poisonings) dissapear after 6 to 8 weeks of no irritating your nerve cells with sex.

[LiberalM]

where can i read about this, give me some sources

[fun69stein]

in trustworthy sources.

start with Exodus - this is about getting out of depression.

then read some Greek about Odyseo and Prometeo.

If you need recent studies - read what

hipocrates wrote about the "dorsal disease".

There are plenty of sources - but all were written before the medicine become a business.

[andy92811]

@LiberalM lol wut!????

[LarissaLIBERTY]

uh what?

[brtnywns]

hi i have bpd and a learning disorder. i cant keep jobs for more than 3 months at a time. i havent worked in 3 years and when i tried i quit in one day. i was wondering what i should do. is there a way i could get paid to donate my self to sience? please help i dont want to end up in the hospital again and leave my daughter behind. thanks brit

[icywytesoljas]

i cant keep a job either more than a day, a day and a half was my best...Are you artistic in anyway or something you could do on your own? For me I am training to fight in Mixed Martial Arts but thats not for everyone. Are you seeing a doctor? I am on klonopin, seriquial and abillify and they work wonders.