Reply to Just when I thought we hit the bottom: what can you tell me about DBT

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[quote=Anonymous][quote=Anonymous]Is “suffering through their own mistakes” and “making things worse”  Boarderlime or can it be ODD or just emotional regulation ?  [/quote]

In my nephew's case, the symptoms very clearly matched up with borderline personality disorder.  Emotional regulation and defiance are part of the mix, but borderline involves a lot of extremes from defiance to perfect compliance, from exstatic to suicidal (not explained by bipolar, which he also has and successfully managed with medication), and near total lack of awareness of how these extremes are self-generated and impacts other people's perception of him.  Also there is an element of unstable relationships - people go from saints to sinners in an instant with very unrealistic expectations that the other person will always be 100% available and if they are not, they are 100% terrible.  This will obvioiusly turn people off, and creates the rejection he so desperately wants to avoid.  I think with just ODD or emotional regulation alone, the person is aware of how their behavior impacts others, the just have trouble controlling it, or maybe they just prefer the negative attention.

DBT helped him identify the extremes in his thinking and to recognize the impact it was having on his life.[/quote]

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