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Diagnostic indices of forming an accurate diagnosis of Borderline Personality Disorder

Posted Dec 04 2009 11:52am
By Bill Cohen, NJ Licensed Psychologist # 161
This report will concern itself with the diagnostic indices of forming an accurate diagnosis of Borderline Personality Disorder. Without an accurate diagnosis, effective treatment is not possible I recently read an excellent bog written by a young woman who speaks about some teenage boys who think that waving a supposed mental illness around like a flag is cool. Of course. their diagnoses are inaccurate. If they truly had the illness they would be suffering, not bragging.
Psychiatry and Clinical Psychology have become a ” Tower Of Babel”. People in and out of the profession  are throwing diagnostic terms around like Frisbees. There are all kinds of quick fix treatments advertised .People with mail order degrees find this illness to be a ”gold mine”. Note, that whatever degree one places after their name, that they have a “State License” that can be confirmed . When people are desperate for help, they are the legitimate prey for these “Snake Oil” salespeople. Treatment can be expensive. Be careful. Do not be afraid to ask for credentials and whether the “therapist” has had experience treating children and adults suffering from BPD and a license to practice.
The DSM1V is the only vehicle available at this time to determine a valid diagnosis. It provides diagnostic material on 5 Axes
Axis 1 Clinical Disorders such as Schizophrenia, Bipolar Illness and Major Depressions. Note, that while insurance companies require a clinical report that contains material obtained from all 5 Axes, they will only pay for psychological illnesses on Axis 1
Axis 11   Personality Disorders:  For example BPD, Paranoid Personality Disorder, Avoidance Disorder, Social Anxiety Disorder , Antisocial disorder.  Since BPD is our major concern I will discuss that in extensive detail in my next Clinical Report.
Axis 111  General Medical conditions:  Heart disease, Cancer Pain. Impending Blindness, Severe back pain These are considerations, but do not fall under requirements for psychiatric payment.
Axis !V: Environmental problems.   Family problems Arguments,Physical or Sexual abuse ,Runaways
Axis V Global Assessment of Functioning   Quality of interaction with Others Social or  Vocational.
This is the end of the first part of a total Diagnostic picture. In the next clinical report I will discuss Axis 1,2 and  5  in extensive detail, since the combination of these Axes will give a clinical picture of a persons life. I will also discuss proven methods of treatment, Available recourses  locally and nationally
I want to thank you all for reading this and hope it provides a good overall picture of diagnosis. Within a week I hope to fill in material that will relate specifically about how Borderline Personality Disorder fits into the overall picture. Most importantly, I want to speak  to you about hope, help and where and how to find it.
Wishing you all my best greetings.   Never lose hope. Borderline Personality Disorder is treatable, even if you have limited funds. In my years of clinical practice, I have always found Catholic Charities to provide the most outreach services for emotional disorders. No, you don’t have to be Catholic.
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