I am going to copy this out and hand over to my new trauma therapist, will circle which applies to me. I met with her last week and she educated me with certain diagnoses I was given that now fall under the new PTSD criteria. I also am keeping a daily log of my symptoms and triggers.
CAUTION: May trigger
Full copyrighted criteria are available from the American Psychiatric Association (1). All of the criteria are required for the diagnosis of PTSD. The following text summarizes the diagnostic criteria:
Criterion A (one required): The person was exposed to: death, threatened death, actual or threatened serious injury, or actual or threatened sexual violence, in the following way(s):
Witnessing the trauma
Learning that a relative or close friend was exposed to a trauma
Indirect exposure to aversive details of the trauma, usually in the course of professional duties (e.g., first responders, medics)
Criterion B (one required): The traumatic event is persistently re-experienced, in the following way(s):
Unwanted upsetting memories
Emotional distress after exposure to traumatic reminders
Physical reactivity after exposure to traumatic reminders
Criterion C (one required): Avoidance of trauma-related stimuli after the trauma, in the following way(s):
Trauma-related thoughts or feelings
Criterion D (two required): Negative thoughts or feelings that began or worsened after the trauma, in the following way(s):
Inability to recall key features of the trauma
Overly negative thoughts and assumptions about oneself or the world
Exaggerated blame of self or others for causing the trauma
Decreased interest in activities
Difficulty experiencing positive affect
Criterion E (two required): Trauma-related arousal and reactivity that began or worsened after the trauma, in the following way(s):
Irritability or aggression
Risky or destructive behavior
Heightened startle reaction
Criterion F (required): Symptoms last for more than 1 month.
Criterion G (required): Symptoms create distress or functional impairment (e.g., social, occupational).
Criterion H (required): Symptoms are not due to medication, substance use, or other illness.
Dissociative Specification. In addition to meeting criteria for diagnosis, an individual experiences high levels of either of the following in reaction to trauma-related stimuli:
Depersonalization. Experience of being an outside observer of or detached from oneself (e.g., feeling as if "this is not happening to me" or one were in a dream).
Derealization. Experience of unreality, distance, or distortion (e.g., "things are not real").
Delayed Specification. Full diagnostic criteria are not met until at least six months after the trauma(s), although onset of symptoms may occur immediately.
Note: DSM-5 introduced a preschool subtype of PTSD for children ages six years and younger.
So I suffer from split thinking quite a lot. People are good, or they're bad. No in between. And when they're bad, I go apeshit crazy. Fuckin mad episodes of rage.
For those with BPD (or any of the cluster B personalities), how do you control your anger/impulses when your emotions skyrocket?
I am currently on 300 mg of seroquel for bipolar II (mainly depression) and 300 mg Lyrica for anxiety. I want to come off the Lyrica because I think it might be causing rage and it always seems to happen after my morning dose of 150 mg Lyrica, and 100 mg of Seroquel. I take 150mg of Lyrica at 9am and then again at 5pm. My Seroquel is taken at 100 mg at 9am and 200 mg at 9pm. It is Extended Release. The Lyrica is in capsule form.
Any thoughts? I am smallish 44 yo woman.
Has anyone here come to realize the moments when you are projecting in a relationship? By Projection, I mean the behavior where you do not accept your own thoughts, motivations, desires, and feelings as your own. These "unwanted" feelings or thoughts are dealt with by being projected / placed outside of yourself or attributed to someone else...
I've noticed (as a chronically depressed, anxious, highly-sensitive person) that I have a habit of often projecting, and misinterpreting other's behavior as critical, unloving, uncaring, angry and disapproving...when in fact, these are the constant ruminations that I have about MYSELF. This is simply how my brain operates in the world. I'm VERY critical of myself (I often see myself as unlovable, unworthy, lazy, too emotional, disorganized, I never do anything right)... Ex: Someone communicates a neutral statement to me, but I over analyze and read into it emotionally, and start feeling and questioning that the person is angry with me or disapproves of me.
Anyone experience this? How do you de-program your automatic projections?