Took DD to a neuropsych eval…. Was diagnosed with a personality disorder instead

Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:IMO, being hurt by someone with BPD is not inherently worse than being hurt by someone with autism. Every situation is different.


Oh, I disagree.

Signed,
someone with family members with autism, borderline personality disorder, narcissistic personality disorder, and bipolar disorder


DP. Disagree all you want. I have family members with all the disorders you describe plus depression, anxiety, ADHD, substance abuse and just plain old assholitis. In terms of being hurt, it makes no difference which disorder is the 'cause', the impact is the same. The 'cause' is only helpful in trying to understand the interaction (which doesn't mean it does not hurt) and how to remediate it.

Oh, and you don't get to tell someone their feelings are wrong.


it does matter because the behavior is different. For example, I never had an autistic person deliberately ruin another person’s wedding through a calculated series of actions. But I sure know a BPD person who did that!
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:IMO, being hurt by someone with BPD is not inherently worse than being hurt by someone with autism. Every situation is different.


Oh, I disagree.

Signed,
someone with family members with autism, borderline personality disorder, narcissistic personality disorder, and bipolar disorder


DP. Disagree all you want. I have family members with all the disorders you describe plus depression, anxiety, ADHD, substance abuse and just plain old assholitis. In terms of being hurt, it makes no difference which disorder is the 'cause', the impact is the same. The 'cause' is only helpful in trying to understand the interaction (which doesn't mean it does not hurt) and how to remediate it.

Oh, and you don't get to tell someone their feelings are wrong.


it does matter because the behavior is different. For example, I never had an autistic person deliberately ruin another person’s wedding through a calculated series of actions. But I sure know a BPD person who did that!


I’m sorry that you have experienced this. It sounds very difficult. But your use of deliberate and calculated indicate that you don’t understand what drives BPD behavior.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:IMO, being hurt by someone with BPD is not inherently worse than being hurt by someone with autism. Every situation is different.


Oh, I disagree.

Signed,
someone with family members with autism, borderline personality disorder, narcissistic personality disorder, and bipolar disorder


DP. Disagree all you want. I have family members with all the disorders you describe plus depression, anxiety, ADHD, substance abuse and just plain old assholitis. In terms of being hurt, it makes no difference which disorder is the 'cause', the impact is the same. The 'cause' is only helpful in trying to understand the interaction (which doesn't mean it does not hurt) and how to remediate it.

Oh, and you don't get to tell someone their feelings are wrong.


it does matter because the behavior is different. For example, I never had an autistic person deliberately ruin another person’s wedding through a calculated series of actions. But I sure know a BPD person who did that!


I’m sorry that you have experienced this. It sounds very difficult. But your use of deliberate and calculated indicate that you don’t understand what drives BPD behavior.


Seriously - why does that matter? I originally brought this up to discuss how the type of socially dysfunctional behavior is very different in autism vs BPD. And yes that hinges on how it is received. With autism it’s generally awkward or offputting or “inappropriate” and sometimes blunt/insulting. With BPD it’s things like direct and vivid attacks on you personally, efforts to disrupt relationships, baseless accusations, etc.

Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:IMO, being hurt by someone with BPD is not inherently worse than being hurt by someone with autism. Every situation is different.


Oh, I disagree.

Signed,
someone with family members with autism, borderline personality disorder, narcissistic personality disorder, and bipolar disorder


DP. Disagree all you want. I have family members with all the disorders you describe plus depression, anxiety, ADHD, substance abuse and just plain old assholitis. In terms of being hurt, it makes no difference which disorder is the 'cause', the impact is the same. The 'cause' is only helpful in trying to understand the interaction (which doesn't mean it does not hurt) and how to remediate it.

Oh, and you don't get to tell someone their feelings are wrong.


it does matter because the behavior is different. For example, I never had an autistic person deliberately ruin another person’s wedding through a calculated series of actions. But I sure know a BPD person who did that!


I've seen the very same thing caused by a person with BPD. I think weddings are seen as a great stage for attention seekers.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:I think reading more about BPD and the nuances between that and ASD would help you OP. Much more similar than most people recognize.


:idea: BPD and autism are not similar at all. BPD people have no problem making friends and grasping nonverbal communication. Often when you are on their good side, BPD are charismatic and flattering. Autism is characteristized by odd/unsuccessful attempts at socializing and/or reduced interest in socializing.


PP whose son was diagnosed with BPD. What you describe as characteristic of BPD is the polar opposite of my son.


My BPD DD also. These are stereotypes.


BPD is characterized by unstable relationships. Autism is characterized by difficulty in understanding social cues. They are two totally different things.


Not understanding social cues could very easily cause unstable relationships.


Yes but nothing like the drama involved in BPD.


It's not a competition. What you think is intense drama might be mild drama for someone else - and vice versa.


DP. BPD drama tends to exceed "mild drama" quite regularly.
Anonymous
Anonymous wrote:DD (21 years old) is currently taking a year off from college (has five semesters under her belt at UVA in a scholarship program FWIW). I’ve long suspected that she has ADHD/ASD, as she has many symptoms:

- Inability to focus on things that don’t interest her
- Has never had close friends…. Sometimes has one or two friends who she intensely pursues but usually turns them off from her intensity and her desire to be “best friends”
- Adding on to the second point, DD has never been in a friend “group” and has never done well in group activities (hated team sports as a kid, as well as church youth group and Girl Scouts)
- Inflexible, rigid mind that doesn’t easily compromise -- DD has a lot of "black and white" thinking
- Extreme rejection sensitivity; tends to see herself as a victim quite frequently
- Suffers from executive functioning problems, has bad time management skills
- Bad at regulating her emotions and interacting with others, as well as making eye contact
- Seems very extroverted and talks to others easily but is so in a rush to contribute to conversations that she doesn’t listen to what others say, or pause to think if what she’s saying is appropriate
- Misses social cues
- Has long struggled with severe depression and anxiety
- Frequently binge eats (DD is 5’6’’ and 160 lbs)
-Seems behind in maturity compared to her peers

DD has never been tested for ADHD or ASD because my husband (Taiwanese immigrant) doesn’t believe in neuropsychological evaluations. The Asian stigma against these things is real. However, this past winter, DD’s depression got so severe that in January, she took a year-long leave of absence from college. She has been working a retail job in the meantime and going to therapy, but she only got a neuropsych evaluation a few weeks ago because it took three months to get off of the waitlist.

The neuropsych (a well-respected one that was commonly recommended on DCUM) told DH and I that DD does not have ADHD or ASD. Instead, she told us that DD has both Narcissistic Personality Disorder and Borderline Personality Disorder.

I asked the neuropsych what led her to diagnose DD with not just one, but TWO different Cluster B personality disorders. She told us that DD is a “vulnerable” narcissist (also known as a covert narcissist), and that explains her social difficulties. She also mentioned that the binge eating is a symptom of Borderline Personality Disorder. She referred us to a therapist in DC who specializes in personality disorders, and she mentioned that we NEEDED to get her in expensive, specialized therapy for Narcissistic Personality Disorder or else DD has a good chance of ending up as a “Failure to Launch” case.

DH thinks that this is fear-mongering, and that there is no chance that DD is a narcissist. I definitely think that the neuropsych is unnecessarily scaring us into seeing this other expensive therapist, and that she’s using the scary future of ending up as a “Failure to Launch” to get DD to therapy.

I don’t know what to think. For the past week, my world has been thrown upside down. Has anyone else been in this situation?
This does sound a lot like borderline personality disorder, and if your neuropsych is as well respected as you say, I would, speaking as a psychiatrist, believe it. As someone else pointed out don't focus on how you feel about the diagnosis, focus rather on getting the person the help they need.
Anonymous
See a psychiatrist, physician.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:IMO, being hurt by someone with BPD is not inherently worse than being hurt by someone with autism. Every situation is different.


Oh, I disagree.

Signed,
someone with family members with autism, borderline personality disorder, narcissistic personality disorder, and bipolar disorder


DP. Disagree all you want. I have family members with all the disorders you describe plus depression, anxiety, ADHD, substance abuse and just plain old assholitis. In terms of being hurt, it makes no difference which disorder is the 'cause', the impact is the same. The 'cause' is only helpful in trying to understand the interaction (which doesn't mean it does not hurt) and how to remediate it.

Oh, and you don't get to tell someone their feelings are wrong.


it does matter because the behavior is different. For example, I never had an autistic person deliberately ruin another person’s wedding through a calculated series of actions. But I sure know a BPD person who did that!


I’m sorry that you have experienced this. It sounds very difficult. But your use of deliberate and calculated indicate that you don’t understand what drives BPD behavior.


what drives BPD behavior?
Anonymous
Anonymous wrote:I do think that seeing 'NPD' everywhere is a new and very american thing. It's especially common among women referring to their mothers or women referring to their ex dhs. I'm not saying it's not accurate exactly but NPD is a very extreme dx and i think a lot of people attribute it where someone is actually just an a****** .


I totally agree but this is not that. DCUM complaining about XH is very different from a trained neuropsychologist making a diagnosis.
Anonymous
Anonymous wrote:
Anonymous wrote:BPD persons know they are mean and do it on purpose, there is a difference between autism and NPD.


The behaviors of people with BPD are driven by a deep sense of shame, a desperate fear of abandonment, and a lack of emotional regulation. It may seem purposeful, but it is largely out of their control.

I am not sure about it. Narcs I know are lying on purpose and hurting people on purpose. Yes, it is to soothe their pathetic egos, but they are aware deep inside that they are the problem and choose not to address it.
Anonymous
Anonymous wrote:
Anonymous wrote:This is horrifying. I would disregard it completely and take her to another evaluator.


I just got around to reading this thread, but your comment really shows what's wrong with neuropsych evals. Many parents are just shopping around for evals because they want to hear that their kid has AuDHD and refuse to acknowledge that something else is wrong with them.

An expert told OP that her daughter has multiple personality disorders. The fact that you and OP just want to disregard it because it's horrifying shows where the daughter gets her narcissism from.


You hit the nail on the head. Around here, everyone is an expert on everything. People think they know more about mental health diagnoses than those who studied and trained for years and who saw hundreds, maybe thousands, with the diagnoses over their years of study and practice. But it doesn’t end with that. People who have never worked in education think they know more about running massive school systems, writing curriculums and educating kids than those who have education, training and experience in those fields. It goes on and on.

I get that BPD is a tough diagnosis to hear - I am one of the PPs who has a child with that diagnosis, among others. And, it’s a shock to hear. But really, when you go to a well respected, well educated, highly experienced diagnostician and undergo objective testing, well, it’s time to put aside your own sadness and disappointment and get your child the help they need rather than poking holes in the diagnosis and letting your child flounder while you come to terms with your disappointment, disbelief, embarrassment or whatever.

And, I do get that in a minute number of cases, the diagnosis will be wrong. But that comes out during treatment and then there is regrouping and revamping. Continuing to shop for the diagnosis you want or that your untrained mind thinks you see just delays helping your child. And, at age 21, there’s already so much wasted time and it’s really hard to get your kid on track so there is actual harm to the delay. I mean, the goal is really to get your kid to the point where they can live an independent, happy and successful life, especially after you are not here to take care of them and at 21, you’re at the end of your influence if you even have any left at all.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:IMO, being hurt by someone with BPD is not inherently worse than being hurt by someone with autism. Every situation is different.


Oh, I disagree.

Signed,
someone with family members with autism, borderline personality disorder, narcissistic personality disorder, and bipolar disorder


DP. Disagree all you want. I have family members with all the disorders you describe plus depression, anxiety, ADHD, substance abuse and just plain old assholitis. In terms of being hurt, it makes no difference which disorder is the 'cause', the impact is the same. The 'cause' is only helpful in trying to understand the interaction (which doesn't mean it does not hurt) and how to remediate it.

Oh, and you don't get to tell someone their feelings are wrong.


it does matter because the behavior is different. For example, I never had an autistic person deliberately ruin another person’s wedding through a calculated series of actions. But I sure know a BPD person who did that!


I've seen the very same thing caused by a person with BPD. I think weddings are seen as a great stage for attention seekers.


My mom has BPD and behaves horribly at and around weddings. But it's not "attention-seeking" behavior. It's a trauma response triggered by having a lot of family around, and engaging in events that make her think about her own past. To someone who didn't know her, it would seem manic, self-absorbed, rude, difficult. She desperately doesn't want to be any of those things, but cannot control her emotions to these events. And her desire not to be rude or unkind often compounds her bad behavior, because once she's done something problematic, her shame will then drive her to do progressively worse things to try and "fix" it. Her shame is so intense that she will do things that are deeply selfish and disruptive because she needs to be validated/forgiven as quickly as possible.

There has been quite a bit of research into BPD that indicates it may be caused by childhood trauma or narcissistic abuse. By the way, my dad has NPD. He also experienced severe trauma as a child.

People with BPD are made, not born. I'm not suggesting OP is an abusive parent, but if her DD has BPD, there may be traumatic events from her childhood that went unaddressed, and the BPD could be a maladaptive response.
Anonymous
I’m sorry, OP. All of this sounds like ADHD. And maybe a little autism. Dud they really rude those out??

Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:IMO, being hurt by someone with BPD is not inherently worse than being hurt by someone with autism. Every situation is different.


Oh, I disagree.

Signed,
someone with family members with autism, borderline personality disorder, narcissistic personality disorder, and bipolar disorder


DP. Disagree all you want. I have family members with all the disorders you describe plus depression, anxiety, ADHD, substance abuse and just plain old assholitis. In terms of being hurt, it makes no difference which disorder is the 'cause', the impact is the same. The 'cause' is only helpful in trying to understand the interaction (which doesn't mean it does not hurt) and how to remediate it.

Oh, and you don't get to tell someone their feelings are wrong.


it does matter because the behavior is different. For example, I never had an autistic person deliberately ruin another person’s wedding through a calculated series of actions. But I sure know a BPD person who did that!


I've seen the very same thing caused by a person with BPD. I think weddings are seen as a great stage for attention seekers.


My mom has BPD and behaves horribly at and around weddings. But it's not "attention-seeking" behavior. It's a trauma response triggered by having a lot of family around, and engaging in events that make her think about her own past. To someone who didn't know her, it would seem manic, self-absorbed, rude, difficult. She desperately doesn't want to be any of those things, but cannot control her emotions to these events. And her desire not to be rude or unkind often compounds her bad behavior, because once she's done something problematic, her shame will then drive her to do progressively worse things to try and "fix" it. Her shame is so intense that she will do things that are deeply selfish and disruptive because she needs to be validated/forgiven as quickly as possible.

There has been quite a bit of research into BPD that indicates it may be caused by childhood trauma or narcissistic abuse. By the way, my dad has NPD. He also experienced severe trauma as a child.

People with BPD are made, not born. I'm not suggesting OP is an abusive parent, but if her DD has BPD, there may be traumatic events from her childhood that went unaddressed, and the BPD could be a maladaptive response.

Yes, sure we get it. However, for each person that is rude, annoying and has BPD due to trauma, millions of others had the same or worse upbringing but are not abusive to others. SO, no it is still an excuse and there is no excuse for abusing others.
Anonymous
Anonymous wrote:This is not adding up to me. My DD is still in middle school but she has never been given any tests during her neuropsych testing that would even allow for those diagnoses.

Has your DD seen a psychiatrist or psychologist in the past for her depression?

Btw I don’t think 5’6 and 160 is at all alarming. What makes you think she’s binging?


Doesn’t add up to me either. Maybe this is a troll post. Several things are Off in the original post.
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