Intermittent Explosive Disorder / Borderline Personality Disorder.

by therapyjourney

Monday 25th August 2014

In my research on the internet I have unearthed information about a couple of conditions that I might have. I know, I know, I recently thought I might have psychopathic leanings but that was probably brought on by moments of excessive self-doubt and the unhealthy relationship I am (was?) in taking its toll and bringing out my worst sides. The reality of my being a psychopath is far from possible. I don’t lie very much or very convincingly and have a very developed sense of responsibility toward myself and others. Moreover I am too self-aware of own propensities which psychopaths are not.

More likely, it’s possible I have Intermittent Explosive Disorder. It sounds made up but it’s real. At the risk of pinning the tail on a scapegoat, I have been thinking more broadly about my behaviour in relations with friends, partners and my parents over the course of my whole life. I identify with all the risk factors for the condition.

  • Recurrent outbursts that demonstrate an inability to control impulses, including either of the following:
    • Verbal aggression (tantrums, verbal arguments or fights) or physical aggression that occurs twice in a weeklong period for at least three months and does not lead to destruction of property or physical injury (Criterion A1)
    • Three outbursts that involve injury or destruction within a year-long period (Criterion A2)
  • Aggressive behavior is grossly disproportionate to the magnitude of the psychosocial stressors (Criterion B)
  • The outbursts are not premeditated and serve no premeditated purpose (Criterion C)
  • The outbursts cause distress or impairment of functioning, or lead to financial or legal consequences (Criterion D)
  • The individual must be at least six years old (Criterion E)
  • The recurrent outbursts cannot be explained by another mental disorder and are not the result of another medical disorder or substance use (Criterion F)

I have to get used to talking about my violence. It sounds so strange that phrase, ‘my violence’.  Looking at me, quiet as a mouse most of the time, it would seem inconceivable to a stranger that I have done the things I’ve done. Hit an ex in the eye. Rip an ex’s phone in two and destroy it with a hammer. Pull down friends in the street and sit on their backs, squashing their faces into the pavement. Yank J’s fingers back so far that they still hurt when he makes a fist ten months later. Leave red fingernail marks on J’s face. Punched him while he was totally off-guard. That’s not to mention the verbal aggression; I’ve called people, some of them strangers, awful things that express so much hatred. I’ve had the police called on me, been chucked out of a hostel, a student union, pubs and nightclubs.

A commenter on my blog voiced an idea that I might have Borderline Personality Disorder. I have done a little research on this too, including some online personality quizzes. Guess what, I score high on the symptoms on every test. This from Psych Central

Psych Central BPD assessment

Wikipedia says: ‘The most distinguishing symptoms of BPD are marked sensitivity to rejection, and thoughts and fears of possible abandonment. Overall, the features of BPD include unusually intense sensitivity in relationships with others, difficulty regulating emotions and impulsivity. Other symptoms may include feeling unsure of one’s personal identity and values, having paranoid thoughts when feeling stressed and severe dissociation.’

Yup, yup and yup! I’m going to dwell on too much as them as diagnosis requires a psychiatric evaluation. Certainly something to think about. I think I would feel like less of a freak if I could have a label which would go some way to explaining my errant behaviour. All my life I have felt like there’s something wrong, but we’re told to ignore it, be happy and get on with things. I’ve been sweeping this under the rug for too long.

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