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OK, maybe it seems like I’m being a bit hard on commenters. I swear I’m not. I like people who comment and express their opinion, but sometimes their opinion spurs one of my own. This is one such comment: I’m bipolar, and I think we ALL should have to take a Dialectal Behavior Therapy course. The DBT course helps with coping skills, year class, and helps  . . . these skills work if you want them too. Here’s someone singing the praises of dialectical behavior therapy (DBT). She would certainly not be alone as many people find DBT to be helpful. The problem I have with this comment is the last bit, “these skills work if you want them too [sic].” So, this means that if the skills learned in DBT don’t work for someone it’s because they didn’t want them to? I don’t think so.
When you have negative thoughts and beliefs, have you tried distracting yourself in order to feel better rather than examining them? Research and experience suggest that disengaging from your negative thoughts gives the ego's negative self-talk less power. It allows us to chill out and gain control over these intrusive thoughts and belief systems, not letting them lower your self-esteem.
Last week I wrote about how possible it is for the brain to change after trauma. This week I want to share with you one of the ways you can do that. It's all about creating positive experiences that last for long enough that your brain can record the experience through neural activity. Whew, sounds like a lot of science and hard work, doesn't it? Actually, it's as easy as eating a ripe strawberry. Here's what I mean...
For the last few weeks, I have invited readers to say goodbye to their problems in my post Dear Fear: A "Dear John" Letter To Anxiety. I shared one reader's letter to fear last week: "Fear, You Are Not Welcome Here!" Today, I am sharing a Goodbye letter from another one of my readers. Ken from Redeker's Travels wrote a Goodbye Letter to his OCD. His powerful words remind us that we can all change our relationship to our fears. Here, I read Goodbye OCD for you on video. Please watch.
Most professions develop technical jargon so rarified as to be virtually incomprehensible to outsiders. However, their impenetrability is simply an unintended consequence of the function served. Other enterprises deliberately employ coded slang so that insiders can secretly communicate with one another in the presence of clueless outsiders. Many of you are familiar with “Cockney rhyming slang” – an amusing grab bag of odd phrases used by English shopkeepers when they want to discuss matters of concern in the presence of customers without letting on what they’re saying. Entertaining snippets include “plates of meat” for “feet” – “trouble and strife” for “wife” - and “boils and blisters” for “sister”. I know what you’re thinking, something like that could never happen in the United States where people are direct, open, and honest all the time.
There was one flaw in my plan to wake up screaming--I wasn't asleep. This was not a nightmare, at least not in the literal sense. Although surreal, this was real—I was really pinned to my apartment floor, three people from Antioch Community Church in Waco, Texas, really were yelling at Satan, said people really were attempting to perform an exorcism without my consent. My illness had finally caused a conflict so severe it drove me out of that church and almost out of Christianity. Sad, because spirituality can be a powerful aid to healing from borderline personality disorder (BPD).
The abuse of prescription painkillers in the United States has reached epic proportions.  In 2008 drug overdose rates have more than tripled since 1990.  More than 12 million people reported using prescription painkillers non-medically in 2010, that is, using them without a prescription or for the feeling they cause.   
It’s true that hormones, like estrogen and progesterone, can and do wreak havoc on women’s mental health. Unfortunately, most of us were never taught the facts of how hormones affect our moods and emotions, facts that can help us take charge of our own mental and emotional health.
tneely
Hurting other people, especially those we love, is inevitable. Living with mental health issues like Bipolar Disorder, PTSD, Depression, Addiction and other mood altering conditions, means we will also have to live with the fact that we hurt other people with greater frequency and sometimes with greater depth than those who are not. So if we are going to have healthy relationships, learning to acknowledge our slights and ask for forgiveness is essential.
I am not an angry or an aggressive person. This is not to suggest I don’t have my moments, as we all do, but overall, I have far fewer issues with anger than most people I know. There are lots of reasons for this, I’m sure many have to do with my psychology the way I view anger (I view it as pointless and particularly undesirable). Nevertheless, it seems that people with bipolar disorder do, on the whole, have anger issues. I’m a bit surprised to hear this as anger is not a diagnostic feature of bipolar disorder, but people write in again and again and talk about either having bipolar and being very angry or being with someone who has bipolar and this partner being very angry. But are these just anecdotal accounts or do people with bipolar disorder have aggressive and angry tendencies?

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Claire
Good heavens, we may have been friends with the same person. I befriended a woman about 3 years ago when we first moved to this new town. At first, I thought she was sophisticated and well-bread, but the incessant complaining, finding fault, nitpicking, promising to appear somewhere and then cancel due to a myriad of issues; headaches, sleeplessness, mood, anxiety, and other issues....Every social media post is cryptic and always a put-down of the food, the area she lives in, and people in general. I finally had it after she said she needed medical insurance as a retiree and wanted a part-time gig with insurance benefits. She gets the interview, then rants that they didn't call her back ASAP to start onboarding. Then she onboards and is eligible for insurance in 30 days. She simply fails to return to the job. No call. No text. No email, nothing. Worst of all, my husband works there and the upper management barbed him on the new hire and her no-show, no call, no communication. I asked her what happened. She states, "Nope. not for me. too many red flags." "I" 'm just going to focus on my dogs and my weight." I wanted to throw my phone across the room, I was so outraged. She literally couldn't care less how this action affected us. We look like a fool for giving her praises to the management team... I have since just stopped liking her posts or commenting. She used to attend our bible study on Wednesdays and claimed to like it. Now, she is no-show completely. I finally just had it. No more communication with her and life is better. I don't often give up on ppl but once I see where they're heading, it's just a no-win for either party. It's been a little over 3-4 weeks now and I feel just plain better to be away from it. No guilt on my end. I tried, but I am not going to drain my life energy for this person.
Taylor
I am 35yr old and have adhd. I didn't get my drivers license until I was 29. I have very poor sense of direction when driving and even when I have taken the same path to and from home several times. I can't go anywhere without my GPS. I even have great difficulties finding my car when I'm done at the shopping center. It seems to be connected to my adhd struggles.
Paula
I have a lifetime of trauma and BPD and depression & anxiety and i can really identify with everything you have said chronic low self esteem and believing i nothing worthwhile to contribute to any conversations in social situations, iv grown up believing i was a bad evil person who doesn’t deserve anything good that life has to offer, even when im with my family i again feel like im an outsider and all the above caused me to isolate for 16 years and this made my situation a million times worse when i came back into society only months ago, im absolutely filled with Paranoia and i dont feel safe around humans unless im with 2 people that i can sort of connect with but its not often this happens and on any given day im that terrible or feel unable to have a conversation with people i can retreat to isolation again which again makes me worse everytime, i feel like i suffer if im out with people and i suffer if i isolate, im just constantly in a state of anxiety and terror and it paralyzes me and makes me brain shut down where i cant even think of a sentence to strike up a conversation with people, it’s absolutely horrendous and all the negative things my head tells me about myself it’s disturbing! I wouldn’t talk to anyone else the way i talk to myself but i just dont know how to stop it its been so ingrained in me for at least 4 decades now and im 45 years old.. i keep hoping one day it will get easier, but my heads such a mess, honestly and im not a bad person, iv just had a lifetime of trauma since i was a little girl that it completely changed me, that I don’t even recognise myself and neither does my family or anyone who knew me, but i might have more serious mental health iv just never been able to get out the house to go to mental health assessments.. but i wish you all luck!
Anonymous
Hi I'm 15 and I have severe anger issues that I can't control. I don't know why I am like this but when I am super mad I like to punch myself in the head repeatedly until I pass out and I sometimes slam my head against the wall. I used to cut but I try not to. I would just take scissors and you know, snip snip. I think this started when I was younger- around 12 years old. I always thought about sh but now I actually do it. I wish I had never started because once you start you can't go back. It's like a one-way road. There is no way you are going back to where you started.
anon
I do not have a BPD diagnosis (or think I should), but I can relate to much of what you're saying. I had a parent who was bipolar and struggled with addiction and who ultimately died when I was in my twenties. My other parent was extremely religious and I was raised in a controlling and punitive environment. I am extremely codependent on my intimate partners but can simultaneously hold others at a distance when I feel overstimulated or just want to be alone. I too am very triggered by perceived abandonment and really struggle to communicate with others because I feel too much too intensely and cannot make others understand it..I don't always understand it. Despite all of this, I feel very triggered by this post?? I have a friend who also struggles in the same ways I do, but I suspect it is much worse for them. I notice they ALWAYS have plans even when they feel burned out because they are terrified of being alone. We used to be very codependent on one another but now I find myself keeping my distance. And sometimes for unrelated reasons, I have to cancel plans. OR I will state upfront that I tentatively agree to the plans but reserve the right to cancel if I don't feel up to it. I don't know if that makes me a bad friend or not; I have been in counseling for years learning how to hold space for both myself and others. And sometimes that looks like cancelling or rescheduling. I know that this is a trigger for my friend- they not so casually mention other "flaky" friends in conversation- but at what point am I supposed to cater to someone else's (sometimes irrational) needs at the expense of my own peace? Why do I have to give you a play by play of my thought process (and maybe a doctor's note) to get out of doing something? What's an acceptable reason to cancel? This friend recently encourages me to just say I don't want to do something (almost aggressively mind you), but when I do, I feel like I get the silent treatment or otherwise passive aggressive responses. And I am constantly hearing stories about this person's disappointment in other friends who cancel or are perceived as flaky. I want to give them space to process their feelings about cancelled plans, but sometimes I feel annoyed and overlooked. Like their pain is more valid or important than my own. I have not had the courage to talk to my friend about this but feel I need to soon or else I will continue to harbor resentment. Anyway, I know there's room for all of us to feel our feelings but it's so hard to navigate right now. I have been a caretaker in one form or another my entire life. I really need to take care of myself and not feel guilty about it. The end!