Jump to content
  • Announcements

    • Kris

      Depression, Mental Health and Crisis Support   06/04/2017

      Depression, Mental Health and Crisis Support   Depression and other mental health difficulties are common amongst people on the autistic spectrum and their carers.   People who are affected by general mental health difficulties are encouraged to receive and share information, support and advice with other forum members, though it is important to point out that this exchange of information is generally based on personal experience and opinions, and is not a substitute for professional medical help.   There is a list of sources of mental health support here: <a href="http://www.asd-forum.org.uk/forum/index.php?showtopic=18801" target="_blank">Mental Health Resources link</a>   People may experience a more serious crisis with their mental health and need urgent medical assistance and advice. However well intentioned, this is not an area of support that the forum can or should be attempting to offer and we would urge members who are feeling at risk of self-harm or suicide to contact either their own GP/health centre, or if out of hours contact NHS Direct on 0845 4647 or to call emergency services 999.   We want to reassure members that they have our full support in offering and seeking advice and information on general mental health issues. Members asking for information in order to help a person in their care are seeking to empower both themselves and those they represent, and we would naturally welcome any such dialogue on the forum.   However, any posts which are deemed to contain inference of personal intent to self-harm and/or suicide will be removed from the forum and that person will be contacted via the pm system with advice on where to seek appropriate help.   In addition to the post being removed, if a forum member is deemed to indicate an immediate risk to themselves, and are unable to be contacted via the pm system, the moderating team will take steps to ensure that person's safety. This may involve breaking previous confidentiality agreements and/or contacting the emergency services on that person's behalf.   Sometimes posts referring to self-harm do not indicate an immediate risk, but they may contain material which others find inappropriate or distressing. This type of post will also be removed from the public forum at the moderator's/administrator's discretion, considering the forum user base as a whole.   If any member receives a PM indicating an immediate risk and is not in a position (or does not want) to intervene, they should forward the PM to the moderating team, who will deal with the disclosure in accordance with the above guidelines.   We trust all members will appreciate the reasoning behind these guidelines, and our intention to urge any member struggling with suicidal feelings to seek and receive approproiate support from trained and experienced professional resources.   The forum guidelines have been updated to reflect the above.   Regards,   The mod/admin team
smileyK

BPD,BDD & A.S how common is MH conditions???

Recommended Posts

smileyK   

how common MH co morbid condition??? how is set aside from 'just A.S or just depression there'? is BPD ( borderline personality disorder) as i read checklist feels this 'fits' what i feel think do VERY true and well my reality and then there's BDD (body dysphormic disorder) aswell if mentioned this scared be classed as hypo to be honest .... depression on it's own don't seem 'right' as never feel balanced stable in mood /mind either feel too high too low never in middle i scare me! ....

 

XKLX

Share this post


Link to post
Share on other sites

well people with ASD do have mental health coexist with ASD, but its alongside. BPD isnt really common in ASD as it can be misdiagnosed because most of the symptoms such as relationship problems can come in to autism, and thinking in black and white. Yes BPD is 'borderline personality disorder', and some people use BPD as 'BiPolar Disorder', but BPD is not seen as a mental illness and you crave that attention from people. I actually can see it in my house mate but im wrongly diagnosed with it as i fit CPTSD (R Trauma Syndrome). The most common ASD suffer are depression, anxiety , PTSD

Share this post


Link to post
Share on other sites

What actually is borderline personality disorder?. In my book this shouldn't exist. Either the individual has a personality disorder or does not. It sounds like a psychiatrist isn't sure/can't make up her/her mind whether the individual has a personality disorder or not so just applies the label BPD to get them out the door. Does BPD mean the person has an element of depression?. Body Dysmorphic Disorder certainly sounds like a depression state as it suggests the individual is unhappy with some aspect of his/her body

Share this post


Link to post
Share on other sites

Exactly my point Special_talent123, even MIND's own website says BPD is "contraversal".

 

So either there is a personality disorder - or there isn't

Share this post


Link to post
Share on other sites

I have a diagnosis of Emotionally Unstable Personality Disorder (borderline type) and I think it is regarded as a mental illness. I was unfairly diagnosed with it having been forcibly sectioned after attempting to jump of a bridge, I was deeply depressed at the time. I kicked off as soon as I set foot in the hospital at the perceived injustice at being locked away on a ward, admittedly I do have mood swings from feeling very low to having giddy excited feelings of happiness. I was also told I have autistic features and possible ADHD, so maybe there is some comorbidity between certain disorders, eg BPD, BP, ASD, ADHD........

Share this post


Link to post
Share on other sites
trekster   

65% of those on the spectrum also have an accompanying MH problem.

 

Personally i think a BPD diagnosis should be questioned in cases of traumatic histories, as it could actully be CPTSD or PTSD. CPTSD is when a number of traumatic events have occured which a number of counsellers have confirmed i have but in my area a diagnosis is refused. PTSD is one traumatic experience (except for rape or sexual abuse).

 

http://www.nhs.uk/Conditions/Post-traumatic-stress-disorder/Pages/Introduction.aspx

 

http://www.nhs.uk/Conditions/Post-traumatic-stress-disorder/Pages/Symptoms.aspx

 

i wonder if the treatments for BPD could be harmful to autistics?

 

http://www.nhs.uk/conditions/borderline-personality-disorder/pages/treatment.aspx

 

Theres also a live well with autism section on NHS choices,

 

http://www.nhs.uk/livewell/autism/pages/autismhome.aspx

Share this post


Link to post
Share on other sites

I have a diagnosis of Emotionally Unstable Personality Disorder (borderline type) and I think it is regarded as a mental illness. I was unfairly diagnosed with it having been forcibly sectioned after attempting to jump of a bridge, I was deeply depressed at the time. I kicked off as soon as I set foot in the hospital at the perceived injustice at being locked away on a ward, admittedly I do have mood swings from feeling very low to having giddy excited feelings of happiness. I was also told I have autistic features and possible ADHD, so maybe there is some comorbidity between certain disorders, eg BPD, BP, ASD, ADHD........

 

No they don't clast BPD as a mental illness. They are often misdiagnosed among those with an ASD although they can have it its extremely uncommon to have the diagnosis in someone with ASD. Problem u get with that is we don't get the help we need often are ignored buy the mental health service

Share this post


Link to post
Share on other sites
smileyK   

i was more like burden hiderance nuisance to Adult MHT put me endless meds sent me on my way for another few months always felt abandonded let down disappointed as never really qualify for anything or fit into any of their neat tidy tick box list check sheet so unfair unjust i feel!:( felt so bad there ended up discharging myself signing paperwork to say so as wasn't positively benefitting my life situation MH probs depression etc making me feel so much worse! gr!

 

so suppose i'll never find out true why of what's going on MH wise with me?!as don't want go back there EVER way made me feel worthless like i knew 'nothing' at all about my MH probs self harm that it was dangerous risky negative critisms made my self esteem lower clearly obvious/aware i was 'mildly obese'

 

XKLX

Share this post


Link to post
Share on other sites

not to sound sexist, but i belive a-s is harder for a woman. because women have alot of complex emotions anyway, that with a-s is just a big pandoras box. my sister is simular to you in alot of ways. shes not so mad on exersise, but she sufferes from severe depression and she often says things simular to you. she struggles to understand pepole, probably worse than me actully, she always thinks pepole are saying things about her, and going out of there own way to upset her etc. shes also extremally tempermental, and was quite hard to live with. she was never actully diagnosed, but its obvious to me somethings up. to sum up all of the things you say though, feeling let down, disapointed etc, the only person you can trust 100% is you, only you are going to have your back till the very end. that said, you have to build a very strong realtionship with youself, look in the mirror and say to yourself, im beautiful, and while your there think about all your strong points and say them outloud, example, im smiley k, im beautiful even if my brain doesnt agree, im a good mate to my friends, im funny, clever, and pepole like me because im a good person. this is just an example. think to yourself in a quiet room (almost meditating) all of the things you like about yourself, not what you dont like forget about that, think of the things you like. then think where those things you like about yourself can take you, if you only like the sound of your own voice then you could be a singer, if you think you have nice hands then you could be a hand model. become your own biggest fan. i personally think alot of your problems 80% stem from lack of confidence, depression is a side effect. my post might not make any sence to you at all but this is my weigh in so to speak. just know that everybody on this forum is in your corner, even if our posts are completely unhelpful to you, we all care and were all here when you need us.

Edited by A-S warrior

Share this post


Link to post
Share on other sites
trekster   
http://www.england.nhs.uk/2014/04/03/bulletin-for-ccgs-issue-56-03-april-2014/#MHprovider

 

New legal right to choice of mental health provider

From 1 April 2014, patients have a new legal right to choose the provider of their mental health services at first outpatient appointment, as they do in their physical health care.

In response to a call for guidance, NHS England with the Department of Health and other key partners have developed draft guidance to help each part of the NHS utilise existing systems and processes to implement the new right. The draft guidance also signals further work to embed the new right by 2015. The guidance is currently being tested with various stakeholders before being issued for adoption and formal consultation in April.

Share this post


Link to post
Share on other sites
trekster   

I've done some research recently and come across this website. My comments are marked with ***

 

http://bbrfoundation.org/bpd

 

Borderline personality disorder (BPD) is a serious mental illness with a high prevalence in the U.S. population. Symptoms are severe and disruptive, and include emotional dysregulation, unstable interpersonal relationships, identity disturbance and marked impulsivity.

Emotional dysregulation
- Volatile emotions, difficulty controlling anger, short and intense episodes of anxiety, irritability, despair and depression, as well as chronic feelings of emptiness

 

***Sounds like the ups and down of being due on a period (for girls and transmen). Also depression is hard to treat in a number of autistics, some of us cant tolerate any antidepressants.

Unstable interpersonal relationships
- Stormy interpersonal relationships, frantic efforts to avoid real or imagined abandonment, extremes of idealizing and devaluating significant others, and hypersensitivity to rejection


***Many autistics have these symptoms to those that really don't understand meltdowns and sensory overload. Also PTSD can cause these symptoms as well.

 

Identity disturbance
- A distorted or unstable sense of self, adopting values and habits of whomever one is with, and transient dissociative symptoms under severe stress (i.e., feelings of being disconnected from reality)

 

***This can be a coping mechanism for autism especially in autistic females. Shutdowns can be part of autism and appear to be disassociation. Also if you let an autistic know in a way they can understand why and how they are doing something wrong ie using the SPELL approach they can normally change to the more acceptable method once taught. Transsexuality appears common in autism which can make someone question who they are and who they would like to be.

Marked impulsivity
- Potentially self-damaging impulsivity such as substance abuse, reckless driving, binge eating, promiscuity, in addition to self-mutilating and suicidal behavior

*** anyone pushed to their limits could display such behaviour. Also this can be a way of blocking out traumatic past which is a behaviour associated with PTSD. Many ADHDers display these sorts of behaviours.

 

http://www.mind.org.uk/information-support/types-of-mental-health-problems/borderline-personality-disorder/self-help/?o=8668

 

The link about whether Borderliners can recover or not is quite scary no right or wrong answer but hard to know whether you can recover from autism as well.

 

http://www.mind.org.uk/information-support/types-of-mental-health-problems/borderline-personality-disorder/can-i-recover/?o=8668

 

I really like the BPDworld website, this explains the common misconceptions about BPD;

 

http://www.bpdworld.org/what-is-bpd/common-misconceptions

 

Manipulative

 

Dictionary definition: “To manage or influence skillfully, esp. in an unfair manner: to manipulate people's feelings”

 

This is a very harsh comment to make about someone that is using the best skills they have available. Try to imagine what someone with a personality disorder has gone through, and then think about what extremes you would go to protect yourself. Isn’t it true that life is a fight for survival or would it be seen that way through the eyes of someone with a personality disorder?

 

Attention Seeking

 

Dictionary definition: “seizing the attention”

 

There are many people with personality disorders; they may be considered attention seekers but let me ask you, if you had a cold, what is it you look for from your partner or friends? Isn’t it comfort, reassurance and attention? So why would it be any different for someone suffering from severe emotional distress? The other point to note on this is that people with personality disorders have often had their behaviours reinforced. As an example should someone with a personality disorder threaten to cut themselves with a knife because their partner was going out for a drink with a mate and in turn the partner agreed not to go, the behaviour is reinforced and makes it more likely to occur again.

 

Demanding

 

Dictionary definition: “requiring more than usually expected or thought due; especially great patience and effort and skill”

 

Imagine having a broken leg, you know there is treatment and with a little patience you will be better before you know it. With a personality disorder you are likely to experience the problem for many years with no real hope of a cure but your symptoms are likely to lessen as you grow older. Unlike a broken leg, you can not exactly see what is wrong but you can definitely feel it. I am sure everyone will agree this would make anyone quite demanding and impatient.

 

Obstructive

 

Dictionary definition: “To impede, retard, or interfere with; hinder”

 

People with mental health issues have been often through mental health services for years. People with a personality disorder are likely to be involved with services for much longer than the standard mental health patient. They are offered so many services and therapies that have different names but often mean the same; they often end up feeling like a bit of a guinea pig, and reluctant to continue with another service or therapy.

 

"Borderline personality disorder is regarded as difficult to treat, with therapy usually lasting for at least a year. During treatment it is important, as with the treatment of other personality disorders, that a structured and therapeutic setting is established from the onset. Client’s with borderline personality disorder are often discriminated against by mental health care professionals and regarded as “trouble-makers”. It is important that therapists takes into consideration the fact that the client’s behaviour, whilst sometimes regarded as inappropriate, is a result of their disorder. The main aim of therapy should be to provide a highly structured environment in which the client’s ability to live more independently is improved."

Share this post


Link to post
Share on other sites
smileyK   

the end of last year was 'discovered' to have ADHD (combined type) I have been informed by clinical nurse specialist that part and parcel of ADHD is uncontrollable and unpredictable mood patterns like rollercoaster which can be hard and difficult to manage so suppose this would fit with my 'issues' and difficulties emotionally!

 

XKLX

Share this post


Link to post
Share on other sites
trekster   

You have made a good point there Smileyk, I am wondering whether the antidepressant often used for ADHD can help my hypervigilance at night.

Share this post


Link to post
Share on other sites
smileyK   

still struggling to adjust with my settling in sleep patterns can be quite difficult as never know whether it is ADHD ,AS or Anxiety or Depression or bit of everything as always struggled with sleeping patterns as feel restless , irritable

 

XKLX

Share this post


Link to post
Share on other sites
trekster   

I have a few points to make, 1 of my friends told me "you have a personality if you are described as having a personality disorder" which I felt was a very kind thing to say to someone. They were told "having a PD proves you have a personality.

 

My 2nd point is I find the MIND guides online really helpful. I have been using a 'smart' phone for a while and you can download the guides to refer to whenever you need them. I've got the PTSD, anger, sleep and self esteem guides on my phone.

 

Sleep problems can be an unfortunate side effect of having ASD, ADHD or a range of disabilities.

 

http://www.mind.org.uk/information-support/tips-for-everyday-living/sleep-problems-tips/

 

http://www.mind.org.uk/information-support/types-of-mental-health-problems/sleep-problems/

 

http://www.mind.org.uk/information-support/minds-position-on-adhd/

 

Sometimes I find the MIND guides easier to read than the National Autistic Society website.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now


×