Borderline Personality Disorder: Diagnosis, Course, and Treatment - Meet the Scientist Webinar

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Learn more about this webinar at: www.bbrfoundation.org/event/b...
Each month The Brain & Behavior Research Foundation (BBRF) hosts a Meet the Scientist Webinar featuring a researcher discussing the latest findings related to mental illness.
In May 2017, BBRF featured the research of Dr. D. Bradford Reich of McLean Hospital and Harvard Medical School. He presented BORDERLINE PERSONALITY DISORDER: DIAGNOSIS, COURSE, AND TREATMENT.
Dr. Reich briefly reviews the history of the concept of Borderline Personality Disorder (BPD), the symptoms associated with this disorder, and how these symptoms may change over time. In addition, he presents some of the theories of how patients develop BPD and some of the treatments shown to be effective for borderline patients.
Find recordings of past BBRF Webinars and register for upcoming Meet the Scientist Webinars here: www.bbrfoundation.org/events
Learn more about BBRF and donate to support mental health research: www.bbrfoundation.org
Remember 100% of your donation for research is invested in research grants thanks to the generosity of two family foundations that cover Foundation operating expenses.
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[@user-rn9jx8pp6g]

I went to the doctor the other day to get a referral for a psychiatrist. I’ve been diagnosed with depression and anxiety for years. I wrote a very long list of my symptoms and had him read it. I told him I think I have bpd. He argued with me and told me my symptoms are normal symptoms of someone with depression. Yet I have almost every single symptom in this video

[@razorsharplifestyle101hard9]

Exactly,I have bipolar 1 But I am experiencing borderline personality disorder also.I told my Psychologicist last week let talk about BPD and she promise me.We talk to today and she ignored me.I told her next session we must talk about borderline personality disorder for my diagnosis of it along with bipolar 1.So next time she call for my session I will let her talk and talk less because I feel ignored anyway.And if she continue to ignore me I will fire her and get another Psychologicist.Because I constantly feel worst after I talk with her.

[@razorsharplifestyle101hard9]

Exactly,Fire your Psychologist and get another.Apparently he don't care.

[@timgriffin3368]

I fired mine. Some just want a dx that they can prescribe. They seem to jump to bipolar and don't think about bpd.

[@michelekisly2535]

There is no BIG PHARMA BPD pill ...it isn't analized, diagnosed or treated often

[@replaceablehead]

BPD research is obtuse. How close do you fly to bipolar 2 before you start interrogating the evidence harder? BPD research needs to take off the bipolar blinders and be more suspicious of the ballooning similarities. It's like watching a driver drifting into the other lane. The way things are headed BPD DSM 6 will just be a straight up copy paste of bipolar 2, but the BPD researchers won't even notice. We have better science than this, it's like BPD research occurs in some kind of vacuum.

[@margaretcampbell2681]

The families are so often the problem, but this will not be admitted

[@Lulumelon333]

100% I’m fucked up because of my childhood/family.

[@nemos422s]

Yes I agree

[@kahlodiego5299]

You are so right. NAMI is devoted to keeping the focus on biochemical causes and solutions. Look up Bessel Vanderkolk.

[@kahlodiego5299]

@@Lulumelon333 👍

[@crc528]

SOOO TRUE!!! I WAS JUST DIAGNOSED WITH BPD..THIS DISORDER WAS THE RESULT OF CHILDHOOD EMOTIONAL NEGLECT...OF COURSE I AM ANGRY...AND NOW I AM THE ONE WITH THE PROBLEM AFTER MY ENTIRE FAMILY HAS EXCOMMUNICATED ME. THIS WORLD I LIVE IN IS COMPLETELY MISERABLE AND NOW I AM HOMELESS FOR THE FIRST TIME.

[@higherpowerlifting5065]

The affective and cognitive symptoms look like a dysregulated nervous system from attachment injuries and trauma. The rest of the symptoms look like compensation and coping strategies. It's basically complex trauma disguised as a personality.

[@katrinamenzies9398]

Borderline traits are similar to reactive abuse caused by narcissistic abuse.

[@MattsHardwarechannel]

Great explanations, concise and filled with fantastic insight. Thank you.

[@chaos-ku4vw]

I was kicked out of dbt first time around for lacking committment. I formally complained to my therapists superiors. I went back and did the therapy with the same therapists 10 years later and did really well and finished the treatment. We had a chat about the past whwn i reengaged. It was quite civil and friendly. And a good experience to have had.

[@KatJ3st]

definitely been misdiagnosed in the past w/ Bi-Polar and OVERMEDICATED

[@BeGioBijoux]

me too dear. Ten Kg more, ten years less, wasted

[@HAHA-kk2xy]

Mine was misdiagnosed the opposite of you it was horrible my horrible psychiatrist put me on lexapro most bipolar can't take that I almost got 5150 #Assholepsychiatirst

[@carolyntomaselli3333]

My mother was medicated to death, literally. Diagnosed bipolar but was probably borderline.

[@KatJ3st]

@@carolyntomaselli3333 it's shameful how ignorant and narrow minded these so called professionals can abuse patients in their care in order to fit into some clinical trend because all they are taught is 'stack pharmaceuticals' and move on to next client.

[@averagebodybuilder]

How can neuroplasticity be used as a way to treat BPD?

[@leadimentoobrien1221]

this is so good

[@raylynchenterprisellc612]

Thank you so much for this video saved my life

[@merlinspot]

Great presentation, thank you for all the information on BDP. Please consider for a future presentation the aspects of helping love partners specially spouses from BDP individuals, on how to cope psychologically with the stress and emotional confusion that the daily life with a BPD partner brings, and in some cases goes to the effect to even star to reflect, and to mirror certain behavior displayed by the BPD person, to the extent of doubting one's mental sanity oneself. Thank you very much for considering this issue.

[@davidnewman7088]

Thanks to BBRF for all they do and these webinars are fantastic.. Have been following for years on a variety of subjects including bipolar, borderline personality disorder, anxiety , depression, novel treatments like TMS and Ketamine et el..

[@legacytrainer4242]

Excellent. Jam packed with info. Thanks!

[@antodavenia8688]

Thanks a lot 🙏🏼❤️

[@anushreedeshpande2762]

Thank you SO much sir for this information

[@OllertonMD]

I love this channel so much

[@chuckd1586]

Thank you...

[@edwardelkins8561]

First time of many to come Ambitious, Effective and Compassion to bad I'm not present.

[@YariePerez]

So true about being mis-diagnosed as bi-polar.... I was. Since 2009, with over medicating. That’s not the case now, thank god.

[@noklarok]

sorry that happened to you :(

[@Vishal-je7rp]

My brother also has bpd , is it hallucinations is for lifetime in bpd ?

[@edgreen8140]

I thought he was going to say is their any way to reduce "the splitting" but it was a technical question. Real or imagined abandondment, nice to hear about the pharmacologic approaches. Whatever happened with those calcium channel blockers which reduce calcium stimulating the amygdala? Engulfment anxiety is often not mentioned.

[@Hanooonah]

Thank you so much for posting. Can you please please give me all the references listed so i could look up the research more in depth? It would be much easier than finding it from the in text references. I found the slides on your website. Really really appreciate it.

[@emptinessform1677]

We are gonna see those statistics sky rocket in the future generations . Very sad

[@anushreedeshpande2762]

Yes this is very nice webinar, knowledgeable

[@crc528]

HOW IS IT THAT I JUST REALIZED THIS AFTER 53 YEARS ON THIS PLANET..RECENTLY DIAGNOSED WITH BPD..I HAVE LITERALLY LOST EVERYONE..LIVING ALONE IN AN RV THAT BARELY RUNS...I JUST CANT SEEM TO GET ALONG WITH ANYONE...EVEN IF I TRY...NO ONE LIKES ME.

[@IvoryFrost]

I'm so sorry. I found out at 31... at least there is hope. DBT can help!

[@lindam959]

my current lottery dream is to setup a tiny home community for sister & others afflicted with bpd. if/when i win i will find you chantal.

[@nenglay9546]

Hope anyone will get help from that as much early going to find clinical treatment and live as singular person as well as social accepted !

[@beyondbeauty6921]

Espcie gogo Agree borderlines should stay single that way no one gets hurt. Bpd’s struggle with interpersonal relationships... Number 1 criteria In DSM 5

[@bonitabrandt5286]

I wish they could get the charts and the dialogue in sync.

[@sarahduran614]

Narcissist abuse syndrome and bpd?

[@loopbasedzero]

some consider BPD to be tied in with endogenous opioid receptor disregulation, thus self harm is done to achieve release of endorphins........SIB has been treated with both opioid agonists and antagonists (subutex).

[@Elle.deeyay]

Very intriguing. Going to look into this.

[@loopbasedzero]

@Eszter Gaming Gacha meaning some people deliberately hurt themselves to feel better. Pain releases natural hormones that are soothing. And there are better medications that help target this better.

[@scarletsletter4466]

This is absolutely my view on BPD. I'm a neuro, not a psychiatrist, but in the scope of practice I've worked with a psych who frequently treated BPD with generic buprenorphine (Subutex is the name brand you mentioned). For reasons that are not fully understood, buprenorphine tends to stop a wide range of impulsive & addictive behaviors. It's used for opiate addiction, obviously, but it's also seen success for alcoholism, gaming/ gambling & other compulsions & behavior disorders. Now, we could argue whether this is happening as a result of blocking the opioid receptors, therefore the patient doesn't feel as much reward from the behavior or drug of choice, OR, whether the use of the opioid simply improves the patients' sense of well-being & reduces the impulsiveness, basically creating "space" for the patient to respond thoughtfully, much like mindfulness meditation. I'm a functionalist, so I don't really care much about the mechanism of action as long as the medication is safe & effective. We've seen patients getting good results on just 1mg of buprenorphine daily. I certainly can't diagnose anyone or recommend meds over the internet, but any of you who are struggling with this should consider asking your physician to consider low dose buprenorphine. The generic in the US can be purchased for about $10 per month, even without insurance

[@loopbasedzero]

@@scarletsletter4466 perhaps with Biden's new leniency on FDA regulation of Suiboxone prescribing there will be more Suboxone out there, and more willingness to use it off label. The important thing, in my mind about the mechanism of Suboxone is the agonist antagonist structure of the drug. It used to be that prescribers thought that the value was in Naloxone to block the effects of opiates, however the value appears to be in the buprenorphine to actually assuage an opiate receptor deficiency in the patient.

[@JeffreyWilliams-dr7qe]

Will see if this program is intended for Grown Ups or not!

[@lisahueffmeier8949]

You are. So right about abuse of the other family members. I was abused by a narcissistic mother and stepfather. My siblings were abused by these same people.

[@lightbeaming]

My friend takes cipralex & abilify, none the medications this slide . Are these ok?

[@sinead.]

I have BPD and micro dosed (0.04grams/dose) on "pink buffalo" mushrooms/psilocybin for a month and never felt better while on it. Not enough to hallucinate just to be clear headed and notice when I was being distracted and then was able to refocus and stay focused throughout the entire day. Thanks for all this info. P.s F my dad bastard

[@myyinyang]

Sinéad I am pursuing microdosing for myself. I’m so happy to hear of your positive results. Will you share who you source from? Maybe I can find them on insta. And, do you dose for just one month? Or is it monthly? Nervous but hopeful! And did you go off your other meds before starting?

[@claudiakayla7097]

Yes and also mental health are a problem because they are nosy and try to boss you around I have bpd and give up and sick of living with this diagnosis

[@alanmichael6713]

Definitely

[@claudiakayla7097]

hello very intresting, i have borderline personality dissorder i find i talk to my self alot not sure if this is part of the diagnosis, i take mirtaqzipene venlafaxaline and seroquel all are mood stabalisers apart from seroquel helps reduce agression, i have alot of problems with my neighbours distraction and music helps with my anoying emotions, im stable at the moment but that can change

[@user-rn9jx8pp6g]

Have you found therapy to be helpful in being stable?

[@razorsharplifestyle101hard9]

Exactly

[@Bayoubebe]

I feel the agoraphobia/panic my biggest barrier when it comes to obtaining and maintaining friendships. It’s very lonely.

[@BeccaL2016]

How about the ones have Al except suicidal thoughts and self harming? Is that considered BPD?

[@sandecox6031]

I am wondering if dating someone with BPD would be a bad idea and wanted to learn about techniques I could use to possibly help him. I am very interested in learning more of these modules for therapy.

[@noklarok]

bad idea but you can look up DBT therapies on youtube.

[@chriswelsh8826]

Im so so very sorry to say this,,,... but all i can say is dont walk. Run. Its the most exhausting confusing unfair debilitating thing ive ever experienced...very very painful for me. And that was only 7ish months in! Fell in love but i now know and can truly say,, i will never be the same.

[@sarahduran614]

Howcan I get help.w medicaid

[@mistyculous9644]

Ask your Primary Care Provider to recommend how you can find a therapist who will NOT recommend mood stabilizing drugs for you. Instead research those therapists who know: Cognitive, Dialectic or Schema (this recommendation comes from a friend with these issues.)

[@jaanikamalla7061]

Please anyone commenting here - how can you afford or even find the specific therapies needed for BPD? I'm from a small country in Europe so DBT is non-existent and I don't have thousands to pay for therapy and our healthcare doesn't cover such things. How the hell do y'all find the help you need :(

[@UnironicallyToast]

Well you just die. That’s what BPD and most mental health patient from poor countries ends up. Your country, and mine, don’t care about us. We’re a deadweight and they decide were not worth it to keep alive. We’re not human, on their term. How do you not get it yet?

[@burtgummer463]

Ugh! do I want to sit through this ? as a man diagnosed with BPD I really cannot handle others opinion of what they think my life is like. If you don't understand how my mood can change from minute to minute hundreds of times per day.. you have no opinion.

[@alinag3831]

Burt Gummer right

[@nemos422s]

Anything sets me off and I spiral into insecurity and self loathing

[@kokiekokie7608]

Totally agree

[@Vishal-je7rp]

My brother also has bpd , is it hallucinations is for lifetime in bpd ?

[@constancecoleman8774]

I have never understood how a person can teach anything that they have not battled.

[@sarahduran614]

I learned about bpd informing myself about narcissist I know and love. WOW I found myself! Can bpd and being impath coexist?!

[@farmerv8319]

BPD often describe themselves as empaths (to such a degree that I can say, personally, I now am automatically suspicious of anyone calling themselves an empath or sensitive).

[@pauladuncanadams1750]

@@farmerv8319 covert narcissists too, which are similar.

[@Bayoubebe]

Yep, same

[@delaineymacphearson6850]

I know my parents and my life before the adoption effected me this way.

[@alanmichael6713]

Same

[@beyondbeauty6921]

living with a untreated borderline is like living with a devil, to put it mildly!!

[@kennymac8949]

Being born with no personality doesn’t have a cure.anyone who has no foundation to fall back on would automatically act like that.actually the symptoms are a very natural and normal reaction,frankly if a normal person lost their personality they would have no choice to behave any differently.the only cure would be to actually program a distinct and unique personality into the void.No therapy could do that

[@Haliotro]

@@kennymac8949 please elaborate? I am intruiged. Are you suggesting that rather than an unstable personality, bpd has no personality?

[@noklarok]

@@Haliotro their identity is dispersed like steam

[@fromnorfolkwithlove]

How would one"program a personality into the void?"

[@davidmilan7064]

Can't accept constructive criticism. They become very defensive and project back on you.

[@theciav]

David Milan they ?

[@BeGioBijoux]

may i kindly invite you to make a conscious effort not to be a complete douche and try keeping in mind that "they" became like this after encountering douches such as "their" parents and possibly yourself? A little more empatry would help to curb this butterly effect of passing pain and evil onto the following generations.

[@farmerv8319]

@call me viktoria no, it doesn't. That is a core piece of BPD: seeing/feeling 'offense' and attack where it simply does not exist. It's (part of) why the rage, anger, insult that BPD sufferers spew on those around them is so destructive. That projection (original comment) is unfounded and a defensive tool that is too often abusive (intention aside).

[@marcharsveld2914]

like narcs, histrionics and antisocials. Cluster B, one happy family.

[@margaretcampbell2681]

Try network chiropractics, it dissolved my traits

[@forgetfulfunctor1]

Lol wat

[@mistyculous9644]

yes, good solution!! I know it's true that our condition physically affects the mental antics, gives a sort of impulse control capacity. Lower the level of tension physically and the mental becomes more stable, I have found. Also, a very good friend of mine with this disorder had success with identifying, questioning and confronting her "unreasonable" expectations.

[@margaretcampbell2681]

@@forgetfulfunctor1 yes that’s what I thought when the networker told me he could cure it. I thought “and pigs can fly” but it did happen. The psychiatrist who diagnosed me nearly fell off his chair when he saw what happened, but promptly withdrew his diagnosis of BPD. Now this psychiatrist is referring patients who are interested to this Network Chiropractor

[@edgreen8140]

Genetic predisposition and trauma.

[@amatllona3308]

👍🏻👍🏻

[@Fightnight92]

I think borderline personality disorder is just an empaths with a lot of past trauma.

[@emma9995]

Fightnight92 nope

[@alinag3831]

That makes sense I’m an empath with trauma

[@china3234]

no lol

[@buzzybee5937]

excuses

[@margaretcampbell2681]

It certainly people with a lot of trauma, but also a lot more

[@unknownfromkashmir260]

I have this disorder. It makes me wanna burn the world for having this with no fault of mine.

[@LadyCeLovesHerFans]

Same I feel u

[@dorian7215]

Me too.

[@Vishal-je7rp]

My brother also has bpd , is it hallucinations is for lifetime in bpd ?

[@hashirfazal4256]

Prove this

[@djdebssuperlawyersjusticeu9855]

Is TRAUMATIC CHILDHOOD ABUSE A DETERMINING FACTOR!?? IT'S SEEMS VERY MUCH SIMILAR TO DEPRESSION?!!!!?!!! DOES ANYONE RELATE!!???????????! IT SOUNDS ALSO LIKE (BIPOLAR******) ALSO???!?

[@davemcdonald8790]

Yes I think it’s often confused with bipolar disorder

[@crc528]

YES DEFINITELY RELATE...MESSED ME UP EMOTIONALLY FOR THE 53 YRS IVE BEEN ON THIS PLANET

[@NeqMed]

Yes 100%

[@NeqMed]

BPD, and creativity as an outlet.

[@NeqMed]

kzbin.info/www/bejne/jJPPpp1ur9N9a80

[@hashirfazal4256]

Posdark

[@drina4706]

Ummm, a lot of this is wrong. A lot of people with BPD are very aware of the needs and emotions of others! That's because a lot of BPD patients are empaths. BPD is a spectrum disorder. That is extremely important to mention. My family member who has low spectrum BPD is always aware of others' needs and emotions. And his own. He is also an empath. He also has always known who he is and isn't prone to arguments and chaotic relationships ( he actually hates arguments). In contrast, I had a high-spectrum BPD boyfriend. Totally different deal. Disappeared on me constantly. Kept saying that he didn't know who he was as a person which I didn't understand! He was manipulative--- he told me that if I would buy an expensive Italian made semiautomatic coffee maker (with my own money) he would not marry me, because I was proving irresponsible with my $. I drove a 20 year-old car and lived in a bachelor/one room apartment. I was NOT irresponsible with my money. He threatened to break-up with me if I would spend money on certain things, even though it was my $ and I wasn't buying anything expensive. If I compare my family member who has low-spectrum BPD to my ex-boyfriend who has high-spectrum BPD it is like day and night. My family member is emotionally sensitive and so was my boyfriend so they have that in common, but my boyfriend would not allow me to talk about certain things because he didn't want to hear them/discuss them and he would threaten to throw himself in front of a train. My family member has never done that. Never. My boyfriend didn't stick with therapy and did a lot of self projection on to me and also seemed to twist what the therapist said in the sessions to whatever pleased him. He also didn't take his meds properly. He was addicted to alcohol and pot. He ripped into me because I didn't drink nor do pot even though he knew that from my match.com profile and I had also brought it up numerous times in person. I was also on medications which were metabolized by the liver and I could not take a sip of alcohol because the result would be hepatocellular safe or death. He didn't care about that but rather said that he wants a girlfriend with whom he can have a drink after a long day at work. He pursued me like crazy on match.com and I rejected him a few times before giving in. Even then he wanted to meet right away and I said no, we have to talk on the phone to get to know each other better first. My family member has never ever acted like that and is compliant with treatment. Very different people both with BPD but varying degrees of BPD. It makes a world of difference. I am not saying that my family member is a saint because he is not--- he is afraid of arguments, hates chaos, doesn't know how to always stand up for himself and is still seeking love and approval of his cold, uncaring (to say the least) parents. But he doesn't disappeared on his girlfriends. He doesn't force them to drink or smoke pot. He isn't manipulative like my ex-boyfriend.

[@saltybear6117]

Is it possible to go into remission in a healthy relationship and have children... and have another traumatic event happen and you start all over with BPD?

[@eugeniasyro3482]

It is a lifelong condition. It doesn't come and go and it is incurable.

[@davidnewman7088]

It is very possible to have a healthy and happy relationship and have children.. Ups n downs and hard work, must have a good support network and knowledgeable professional

[@beyondbeauty6921]

just bcoz borderlines can have children does not mean they should!!!! Dysfunctional destructive ppl.

[@Elle.deeyay]

@@eugeniasyro3482 incurable but not unmanageable. I can easily see how one could get it under control and manage to implement successful compensation strategies, but a stressful and/or traumatic event or time period could hamstring the progress, even causing regression or devolution

[@beyondbeauty6921]

Just me Borderlines seek company of prostitutes just to avoid being alone..

[@sarahduran614]

Infj personality/bpd?!

[@pauladuncanadams1750]

INFJ have high empathy.

[@NeqMed]

Omg. That you would mention this… Is amazing. I have positive the same thing. That INFJ is a result of nurture, I wrote this to my closest friend after sending this video. This is me. Sadly, it is nurture, (or lack there of). Coupled with I think, genetics passed down. I will overcome it, but relationships do not seem to be my strong suit. I am_INFJ/T “Turbulent. Which is in line with borderline, BPD. I don’t see how a relationship would be sustainable, and yes, abandoned as a child. I had several caregivers who are not my parent growing up. And often unwanted. So when learns to people please, Walk on egg shells, what does helped me, has been self-determination, and surprisingly, stepping out of my shell through musical performance. No one can deny art. Thank you Sarah and all

[@NeqMed]

kzbin.info/www/bejne/jJPPpp1ur9N9a80

[@margaretcampbell2681]

The abusive background is severe sexual abuse, often in very early childhood.

[@ConnieWobbles]

That's not always the case. Not everyone with BPD has experienced sexual abuse. I personally believe that most people with BPD have experienced a form of abuse, but that can be in other forms such as emotional neglect or physical abuse that's non sexual and simply violent or invalidating. I believe most of the evidence points in the direction of a form of abuse but there are other issues that are listed such as issues with attachment as a baby. I'm no expert, just listing what I've learnt so far.

[@margaretcampbell2681]

Connie H The current research shows 99 percent cent of BPD sufferers who present to psychiatrists have a sexual abuse history however that only is revealed after in the second or third year of therapy.

[@ConnieWobbles]

Hi Margaret, that's interesting to know. I haven't come across that type of statement as yet, but I take on board what you've said. I myself have BPD and didn't experience and sexual abuse, and I have a family member who also experienced non sexual abuse, so we must be in the percentage who didn't experience it. Most of the info I've come across so far has mentioned sexual abuse as being common, but lots of other causes have been listed on everything I've read, or watched, so I'm surprised to hear your views. But as I say I don't consider myself in any way knowledgeable on the research, I'm still learning and mostly understand my own struggles with it atm.

[@noklarok]

@@ConnieWobbles i believe that many BPD sufferers were just constantly invalidated.. i don't believe the sex-abuse is as high as 99% without some evidence

[@marcharsveld2914]

@@ConnieWobblesSpot on. Any long term abuse during early childhood will do, I guess.

[@bellarose8511]

Is this genetic?

[@marcharsveld2914]

Watch again.

[@faux-nefarious]

16:11

[@hashirfazal4256]

Phd

[@joannelewis8038]

Mum was a covert narcissist she abandoned me when I was 3.

[@mistyculous9644]

maybe she did you a favor, strangely enough. Hope you found better parents.

[@NeqMed]

Me as well. Same. Art kind of helped me, self determination, to break out of the shell I was placed in. I hope you enjoy this, I am BPD. No one can deny or take away what you created yourself. It will make people envious of you. But for me, just cultivating art help me stepped beyond the smallness I was told to stay in. kzbin.info/www/bejne/jJPPpp1ur9N9a80

[@dyh8500]

adjust the slides to your subject you're speaking about. very annoying

[@marcharsveld2914]

It's his eager mouse :)

[@kennymac8949]

Actually the cause of BPD is very simple.We were born with no personality.That doesn’t mean we are dumb or not capable of love.but there is just no substance to have an original identity.Any normal person (that is,anyone with a personality,good or bad)who suddenly got stripped of their very emotional core that makes them who they are,would all of a sudden have no choices how all the symptoms the same as an

[@pauladuncanadams1750]

Personally is both inherent and formed

[@chaos-ku4vw]

Youre incorrect there. Sorry. Its a matter of personality instability and a split in the personality in that respect. You need to sew it all back together. As with anything else that is torn apart. Thats all.

[@fromnorfolkwithlove]

@@chaos-ku4vw how?🥺