Is DID a form of a Borderline Personality disorder?
And can a person have both BPD and DID at the same time?
My own answer to both of these questions is: No
but these are serious and often asked questions that needs more attention, but sometimes seems a forbidden subject to talk about. Why? Personally I think, it’s a problem because this subject goes under the influence of 4 groups with different meanings and opinions.
- One group says: ‘No DID doesn’t exists it’s an therapeutic iatrogenic artifact, and the disorder is a severe form of a BPD
- Another group says: ‘Yes DID exist as a trauma related tertiary structural dissociation (only level 3)
- Another group says: ‘Yes DID exist but level 2 and level 3 are the same (BPD+DDnos the same as DID)’ and the disorder goes always hand in hand with a personality disorder such as BPD
- And another group diagnosed BPD+OSDD (DDnos) clients can’t accept the diagnoses and dominates al sort of community’s in presenting: ‘we don’t have BPD-OSDD (DDnos), we are the same as those with a DID because we also suffer of an identity problem and switching behavior between personality states, so I also have an identity disorder
In the middle of that ongoing discussion goes stuck: DID and BPD-OSDD (DDnos) traumatized clients with the highly need for more effective (therapy) treatment possibilities at the appearance of their own distinctive and specific trauma related disorder that causes severe agony and daily suffering. But to see that happen there needs to be more research in declaring the difference between the secondary en tertiary dissociation of the personality.
There has been enough research that says both levels (secondary and tertiary) are without a doubt trauma related. But then a less they are distinctly different from each other. So treatment policy should also be different and I will try to explain why I’m that meaning.
I will start with writing a little bit more about my own 48years of psychiatric experiences with both of those live time disorders, and the distinctly difference between those disorders DID and BPD (+DD). Also both have identity problems and switching behavior between different personality states. But the switching behavior within those two disorders are distinctly different from each other.
In my writing I will point out:
- Borderline Personality Disorder as BPD mature cause: psychological neglect of the young child
- Dissociative Disorders (very divers) as DD² (OSDD) mature cause: Al sorts of Traumatic experiences during childhood and or teens
- Dissociative Identity Disorder as DID³ mature cause: repeatedly psychical and or sexual abuse during the very premature stage of live (very young child)
levels of trauma related Structural Dissociation of the personality:
- BPD+OSDD² as SSD the secondary SD (traumatized level 2)
- DID³ as TSD the tertiary SD (traumatized level 3)
- Both disorders are Trauma related Complex PTSD type II and III.
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end of part I go to part II can BPD and DID accur at the same time