Monday, February 16, 2009

Depression and Borderline Personality Disorder defined

I suffer (don't know of many who really enjoy mental illness) from Major Depressive Disorder and Borderline Personality Disorder. They are diagnosed as follows:

Depression - Diagnostic Criteria
Clinical depression is characterized by the presence of the majority of these symptoms:

  • Depressed mood most of the day, nearly every day, as indicated by either subjective report (e.g., feeling sad or empty) or observation made by others (e.g., appears tearful). (In children and adolescents, this may be characterized as an irritable mood.)
  • Markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day
  • Significant weight loss when not dieting or weight gain (e.g., a change of more than 5% of body weight in a month), or decrease or increase in appetite nearly every day.
  • Insomnia or hypersomnia nearly every day
  • Psychomotor agitation or retardation nearly every day
  • Fatigue or loss of energy nearly every day
  • Feelings of worthlessness or excessive or inappropriate guilt nearly every day
  • Diminished ability to think or concentrate, or indecisiveness, nearly every day
  • Recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide

Borderline Personality Disorder - Diagnostic Criteria
A pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:
  • frantic efforts to avoid real or imagined abandonment. Note: Do not include suicidal or self-mutilating behavior covered in Criterion 5.
  • a pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation
  • identity disturbance: markedly and persistently unstable self-image or sense of self
  • impulsivity in at least two areas that are potentially self-damaging (e.g., spending, sex, substance abuse, reckless driving, binge eating). Note: Do not include suicidal or self-mutilating behavior covered in Criterion 5.
  • recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior
  • affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days)
  • chronic feelings of emptiness
  • inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights)
  • transient, stress-related paranoid ideation or severe dissociative symptom

The italicized text is how these illnesses are displayed in me. I am doing much better now. Many of the symptoms I have been medicated for. I have a cocktail of medications that I take everyday. I fear that if I get off these medications that I will most assuredly return to my previous monster.

I call it my monster because that thing that I once was is just the opposite of Dr. Jeckle and Mr. Hyde. He took a potion to become the monster, whereas I take a potion to become...human.

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