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There are positive and negative coping skills you can use when you're stressed. As a person with borderline personality disorder (BPD), I have to work especially hard to use the positive coping skills. The negative coping skills, such as self-harm, are my default coping skills. Recently I've learned a few things that make choosing the positive coping skills easier.
Bipolar disorder is associated with extremely high (mania/hypomania) and low (depressed) moods. This is typically seen with emotional changes, behavioral changes, energy changes and so on. Psychosis, on the other hand is the presence of delusions and hallucinations. Delusions – false beliefs that persist in spite of the existence of contrary evidence – and hallucinations are most closely associated with schizophrenia. However, symptoms of psychosis can occur in bipolar disorder and depression as well.
For a very long time I struggled with severe and crippling anxiety. At one point, around the age of fifteen, I could not leave my home. Literally. Anything outside of my home, my four-walled room, was terrifying. School--impossible. For as much as I tried to emulate my siblings, to smile and laugh, to have friends and go to classes, to come home and talk to my parents-I simply could not. My heart would race when stepping outside of the door; my legs would wobble, unsteady, unsure (The Silencing of Agoraphobia).
According to The National Center of Addiction and Substance Abuse, up to one half of those with eating disorders — including anorexia, bulimia, and binge eating disorder — abuse alcohol and/or drugs. (see Eating Disorders and Addictions) This is a dangerous combination. I didn't believe it would happen to me — until it did.
Last year, a small ill kitten showed up at my front steps without a home in the middle of winter. Being allergic to cats I tried to chase him off of my porch, but he persisted to visit. The more often he visited, the more he reminded me of the homelessness that I had experienced years ago as a result of my illness, Schizoaffective Disorder. Twice in my life I was homeless for extensive periods and in need of help. I am aware of the suffering and humiliation that this can cause, therefore I felt it would not be right to allow him to suffer. Eventually, I took him in and gave him the name “Mr. Giggles”.
Last night, I attended an amazing "Legislative Social" hosted by our local NAMI Fairfield (CT) affiliate.  What an evening of possibility, of hope. Thanks to the efforts of this strong NAMI chapter and its members, about a dozen state legislators and an audience of over 100  were there to hear about Supportive Housing, Young Adult Services, School-based Services, and Mental/Medical Community Health Services. There were presentations and stories from successful programs such as Bridge House (International Clubhouse Model, in Bridgeport CT),  Yale's Integrated Care Partners Project,  supported housing programs, YAS (young adult services) and a new initiative for School Based Health Centers in Connecticut.
Much of the information you'll read about teen dating violence awareness this month focuses on girls and young women. If the boys and young men are mentioned, it will probably be on a page designed to help them change. As the mother of two teenaged young men (Marc and Eddie) and a survivor of domestic abuse, I feel compelled to share my perspective.
ADHD runs in families.  It is a genetic disorder and a family affair.  If you are an adult with ADHD, it is highly likely that another relative of yours will have ADHD.  For many adults, this other someone is a grandchild.
There is a persistent myth that having bipolar disorder means you have a “broken identity,” or even, “split personality.” I would imagine the term “manic depression” (an older term for bipolar disorder) conjures up these images for some people. But I’m here to tell you, my identity is just fine as is my personality.
Because I was diagnosed with bipolar disorder at a very young age, a whopping twelve years old, I have a hard time remembering a life before the diagnosis—before I was told, “Natalie, you have Bipolar Disorder.” The only thing I understood was that I missed the Halloween dance at school; that I was sick and tired of being sick and tired. But I remember being a little girl. A little girl who did not take medication. I remember long nights when I could not sleep; even longer days when I was crazed and manic. I recall my mother’s eyes, frightened, and my father's hands hugging me, telling me to calm down. That I would be okay. I can visualize in flashes my siblings; younger than I. Talking to them from the hospital. But it ends there. Life after the diagnosis has captured the rest of my life. At the age of twenty-six, the word ‘after’ lingers.

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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!
Mj. Bean
You're definitely not alone. My boyfriend has DID and more often times than not, we dont get throiugh the day without arguing or disagreeing at least once. I'm head over heels in love with "Super Max" which is who he basically is when he reaches this sort of "peak performance" and the "lesser" maxs' are the ones that can get downright insane. One talks like an 8 year old, another one acts like he's around 20 years old. I didn't have any idea he had this until we were 3 months in and i had already fallen hard for him. Most days he's in "annoyed/angry max mode" where he is literally the biggest control freak on the planet. Obsesses over silly things like "spilling" things and such. It can be exhausting but the violent max is the one that, while i rarely see him, he's still the only one i dread and have only seen a handful of times.

My point being, I'm right there with you. I hate the rollercoaster. I just want to live life without being in a state of constant fight or flight mode, only for his character to change and de-escalate and I fall for the person I fell for all over again.
Exhausting is a horrible word. The understatement of all understatements, if you will.

I wish there were better support groups for this kind of mental health condition.
midnightvibes
I’m so sorry that you’re going through this. It sounds so difficult and I can’t imagine what it must feel like. I know what it’s like to feel like no one in the world cares, that they’re all just caught up in their lives, and I’m so sorry that you’re feeling that way. I would just say stay strong and seek the help you deserve. You deserve to be alive in this world. Even if it feels like you don’t, you 100% do. I don’t know you but I can tell from this post it’s seems like you are resilient and care about others and have some hopes for the future. Stay strong friend, seek help if you are able to, and have hope if you can. I believe in you so much <3