Depression is Different

Playlist of depression videos

https://youtube.com/playlist?list=PLaZELV1Tbq-OdbGbFjOZbSD2-GWoVA5wm

BPD and The Depression Difference
Order The Borderline Personality Disorder Workbook by Dr. Fox:
In English: https://goo.gl/LQEgy1
In Spanish: https://tinyurl.com/55f8tz86
In Polish: https://tinyurl.com/npzs9f98

Complex Borderline Personality Disorder: How Coexisting Conditions Affect Your BPD and How You Can Gain Emotional Balance. Available at:
shorturl.at/bxB05

Depression, specifically MDD is seen in 83% of those with BPD
There is significant symptoms overlap:

• Sullen presentation mimics depressive symptoms
• Suicide risk and self-harm
• Affective instability = Intense episodic dysphoria; Frequent temper outbursts, agitation, irritability mimic agitated depression
• Feelings of emptiness
• Stress-related paranoia severe dissociative symptoms mimic depression with psychotic features.

Depressive symptoms that occur in those with BPD are due to identifiable stressors (instance of rejection, perceived abandonment) and depression remits when the stressor is removed or the relationship is restored.

Treatment steps if you believe you may have depression comorbid with BPD:
1. Identify the symptoms related to BPD outside of depressive symptomatology.
a. Do they last even when trigger, emotional button, or occurrence has ended?
2. Find the underlying driving force for the BPD symptoms; this is the client’s “core content” (i.e., abandonment).
3. Determine how the core content is driving BPD symptoms? For example, if the client has abandonment issues, how do you think, feel, and behave when perceived abandonment occurs?
4. Can you recognize the connection between perceived abandonment and BPD and depressive symptom expression?
5. Learn adaptive coping strategies, such as mindfulness, relaxation, or healthy distraction, when core content is triggered.
6. Address the fear of letting go of old maladaptive patterns; “no one will love me if I’m not depressed or broken”.
7. Learn new ways to see them themselves and their world without their core content, fear, and maladaptive strategies.

Daniel J. Fox, Ph.D., is a licensed psychologist in Texas, international speaker, and award winning author. He has been specializing in the treatment and assessment of individuals with personality disorders for over 15 years in the state and federal prison system, universities, and in private practice. His specialty areas include personality disorders, ethics, burnout prevention, and emotional intelligence.

He has published several articles in these areas and is the author of:

The Borderline Personality Disorder Workbook: An Integrative Program to Understand and Manage Your BPD. Now Available, you can order it now at: https://goo.gl/LQEgy1

Antisocial, Borderline, Narcissistic and Histrionic Workbook: Treatment Strategies for Cluster B Personality Disorders (IPBA Benjamin Franklin Gold Award Winner): https://goo.gl/BLRkFy

Narcissistic Personality Disorder Toolbox: 55 Practical Treatment Techniques for Clients, Their Parents & Their Children: https://goo.gl/sZYhym
The Clinician’s Guide to Diagnosis and Treatment of Personality Disorders: https://goo.gl/ZAVe9v

Dr. Fox has given numerous workshops and seminars on ethics and personality disorders, personality disorders and crime, treatment solutions for treating clients along the antisocial, borderline, narcissistic, and histrionic personality spectrum, emotional intelligence, managing mental health within the prison system, and others. Dr. Fox maintains a website of various treatment interventions focused on working with and attenuating the symptomatology related to individuals along the antisocial, borderline, narcissistic, and histrionic personality spectrum (www.drdfox.com).

Dr. Fox’s website: http://www.drdfox.com/
Facebook: https://www.facebook.com/appliedpsychservices/
Twitter: https://twitter.com/DrDanielJFox1
LinkedIn: https://www.linkedin.com/in/drdfox/
Instagram: https://www.instagram.com/drdfox
Amazon Author’s Page: amazon.com/author/drfox

This video is taken from an older video that appeared to be causing confusion, so I worked to simplify it. I hope you enjoy it and find it helpful.

Citations:

Gunderson J. Borderline personality disorder: a clinical guide. 2nd ed. Washington, DC: American Psychiatric Publishing, 2008.

Galione J, Zimmerman M. A comparison of depressed patients with and without borderline personality disorder: implications for interpreting studies of the validity of the bipolar spectrum. J Pers Disord 2010; 24: 763-772.

Grilo CM, Stout RL, Markowitz JC, et al. Personality disorders predict relapse after remission from an episode of major depressive disorder: a 6-year prospective study. J Clin Psychiatry 2010; 71: 1629-1635.