*dsm

PSA about PMDD

I just had to post this. I had to get the word out about something that needs to be more widely known and understood.

First of all,

PMS is not a joke. It is horrible and shitty to have to go through.

Second of all,

PMDD is different and is also not a joke.

Now let me explain for those who don’t know. PMDD stands for Premenstrual Dysphoric Disorder. Let’s look at those words more closely. 

Premenstrual: Roughly speaking the two-week period leading up to a woman’s menstruation every month.

Dysphoric: Dysphoria is described as being “a profound state of unease or dissatisfaction. In a psychiatric context, dysphoria may accompany depression, anxiety, or agitation.” And can often indicate an increased risk for suicide.

Disorder:  many clinicians will describe psychiatric disorders as deviant, distressful, and dysfunctional patterns of thoughts, feelings and behaviors

NOW, lets break down disorder into those 3 parts

        Deviant: thoughts or behaviors that are different from most of the rest of a given cultural context

        Distress: a subjective feeling that something is really very wrong

        Dysfunction: when a person’s ability to work, and live is clearly and often measurably impaired.

These 3 things are what the field of psychology would like to call the criteria for diagnosing someone with a mental or behavioral illness. That last one in particular. Now that was a lot of info so how about I make this all a little bit more visual…

So now that you understand what PMDD means and that it is a real diagnosable illness, lets take a look at what it means to live with it.

PMDD was added to the DSM in its most recent addition in 2013, the DSM5 lists the following 11 symptoms as characteristic of PMDD

·      Marked lability (e.g., mood swings)

·      Marked irritability or anger

·      Markedly depressed mood

·      Marked anxiety and tension

·      Decreased interest in usual activities

·      Difficulty in concentration

·      Lethargy and marked lack of energy

·      Marked change in appetite (e.g., overeating or specific food cravings)

·      Hypersomnia or insomnia

·      Feeling overwhelmed or out of control

·       Physical symptoms (e.g., breast tenderness or swelling, joint or muscle pain, a sensation of ‘bloating’ and weight gain)

Speaking as someone who has been diagnosed with this by an actual doctor, I can say that PMDD is the hardest thing I have ever had to deal with, when I am not in the premenstrual period I am constantly thinking about how far away from it I am. I plan things around it because I can, because it comes every month like clockwork. All I can do is try and enjoy my self for the two weeks every month when I am not in absolute hell. And when it comes, everything is a struggle. I have to force myself to go to class, force myself to talk to people, force myself to shower, brush my teeth and do anything other than pull myself out of crying fits and into numbness, out of anxiety attacks and into the temptation to self harm. 

After it is all over I try and move on and recover and live my life to the fullest until it comes back but that is all I can hope for. A half life.

So let me reiterate, PMDD is not ajoke. If those symptoms or my testament hit a little too close to home, please share your concerns with a doctor and get a formal diagnosis and treatment. And for everyone else, all I ask is that you spread awareness and try to think twice the next time you think about accusing a girl of PMSing because ever since 2013 this has been a bona fide mental illness. We as a society can not claim that we are working towards reducing the stigma on mental illnesses if we are only doing so for a select few on a list of many.

Please reblog and spread awareness.

Master Reference for Cluster B Personality Disorders

I’m posting this, and will be posting the other clusters at a later date, so everyone has a easily accessible reference that can help them to avoid making simple mistakes revolving around personality disorders.

youtube

MARCH 10 > ionnalee; SAMARITAN

in collaboration with COMME des GARÇONS
TWIMC / Dover Street Market / Kobalt Music

Kommissar after watching the Bellas’ performance in the Worlds Championship.

I love how she just knows that the Bellas are going to win, and she’s not angry or disappointed or even sad, she just turns to Pieter and the rest of DSM and tells them to back off from Beca the Bellas, to go quietly and leave it be.

It just gives a perfect insight into the person Kommissar is.

anonymous asked:

Why tf are people writing adhd as AD/HD???? I mean the slash is in the band logo AC/DC do people not realize that adhd is not a band?!

Haha the DSM now officially labels it AD/HD to indicate that the disorder may manifest with or without hyperactivity. It’s technically the most correct general term currently available however many people (like myself) get lazy when typing it and leave the slash out.

Whatever you label it, we’ll mostly work out what you’re talking about :)

Also, sidenote, I would now like to think of this community as a band. I call dibs on percussion!

ASPD and BPD, Why Are They Different?

ASPD:
* Pervasive pattern of disregard for the rights of others.
* Failure to conform to social norms with respect to lawful behaviors.
* Deceitfulness, as indicated by repeated lying, using aliases, or conning others for personal profit or pleasure
* Impulsivity or failure to plan ahead
* Irritability and aggressiveness, as indicated by repeated physical fights or assaults.
* Reckless disregard for safety of self or others.
* Consistent irresponsibility, as indicated by repeated failure to sustain consistent work behavior or honor financial obligations.
* Lack of remorse, as indicated by being indifferent to or rationalizing having hurt, mistreated, or stolen from another.

BPD:
* Pervasive pattern of instability of interpersonal relationships.
*  Frantic Efforts to avoid real or imagined abandonment.
*  A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation.
*  Identity disturbance: markedly and persistently unstable self-image or sense of self.
*  Impulsivity in at least two areas that are potentially self-damaging (e.g., spending, sex, drug abuse, or binge eating).
*  Recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior.
*  Affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days).
*  Chronic feelings of emptiness.
*  Inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights).
*  Transient, stress-related paranoid ideation or severe dissociative symptoms.

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Above are the list of symptoms or characteristic traits for ASPD (Antisocial Personality Disorder) and BPD (Borderline Personality Disorder). I’m going to do my best to sift through these symptoms and differentiate between the two personality disorders. I’m sure, just reading this by yourself, you can already see a few differences and if it’s glaringly obvious that they’re not the same thing, then this post isn’t for you. 

———-

First Symptom: As you can see, those with ASPD have persistently shown to be out for themselves; they disregard the needs of others and only look to benefit themselves. Whereas those with BPD are unstable and have difficulty maintaining any sort of personal relationship; this could potentially be confused with persistent greed and only loving themselves quite like someone with ASPD, but the key difference here is that someone with ASPD is consciously disregarding the rights and needs of others for themselves. Those with BPD are impulsive and unstable in their identity and therefore frequently disassociate themselves with their identity and anything tied to it.

Second Symptom:  These aren’t even remotely the same. Again, someone with ASPD is looking out for them and only them. They will do what they want when they want. Someone with BPD is frequently dealing with abandonment issues (real or imagined) because of their unstable identity and the subsequent impulsivity that comes with it.

Third Symptom: Someone with ASPD is typically a chronic liar. They lie for personal gain or profit in one respect or another; they have the tendency to lie even when it serves no real purpose at all. Someone with BPD, again, has a problem with their identity and the relationships that come along with an identity. But they can still easily form a relationship and when they do, they’re intense in one form or another. The intensity can range from idolizing the other person in the relationship or completely devaluing them. Either way, intense fluctuation of strong emotions are seen here, and that’s completely opposite to the identity of ASPD. Sure, you might see someone with ASPD pretend to elicit emotions for personal profit, but there in lies the problem, they don’t have any empathetic value.  

Fourth Symptom: Those with ASPD and BPD tend to be impulsive and this, at times, can make it very difficult to differentiate between the two personality disorders. You have to remember that some personality disorders share symptoms, but if they’re categorized as different personality disorders they have enough clear and distinct symptoms to differentiate between the two. Though, those with ASPD do NOT share the loss of identity or lack of self-image that those with BPD deal with. Again, someone with ASPD might change their identity superficially in order to manipulate another but at the end of the day, they know who they are and realize that they’re putting on a show and nothing more. Someone with BPD frequently struggles to identity who they really are and why they exist; there is no returning to a normal, stabilized identity.

Fifth Symptom: Both those with ASPD and BPD have patterns of being aggressive at one point or another, but those with ASPD usually get angry or irritable because of X. Y. or Z. Those with BPD can experience random fits of anger for no reason whatsoever. Also, we’ve already established that both can be impulsive, but those with BPD tend to be impulsive in a self-damaging manner whereas someone with ASPD can be impulsive in almost any aspect of life.

Sixth Symptom: Those with ASPD tend to be reckless as well as impulsive. This recklessness comes with a lack of regard for safety for themselves or others around them, but while they may lack regard, they’re not intentionally trying to hurt themselves. Whereas  someone with BPD experiences reoccurring suicidal behavior with the explicit intention to harm themselves.

Seventh Symptom: Those with ASPD are also irresponsible and that’s categorized by failure to be consistent in work ethic, schedule, or anything of that nature. Someone with BPD is unstable in almost all regards. They frequently suffer from an intense change of mood and dissatisfaction with life. While someone with ASPD can be quick to get angry or lose their temper they’re not prone to random mood swings caused by nothing other than their neurological makeup.

Eighth Symptom: Those with ASPD exhibit a consistent lack of remorse that consists  of justifying or flat out not caring about whatever misconduct they’ve caused. Whereas someone with BPD will consistently feel empty. There is a very crucial difference here. While someone with ASPD may not be capable of feeling remorse or caring about their misgivings they usually DO NOT feel empty in their life. Doing whatever you want without regard or care for others is, reversely, rather freeing and invigorating.

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BPD has two more characteristics or symptoms more than ASPD so we can look at them by themselves and compare if we have to. 

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Ninth Symptom (BPD): Inappropriate or intense fits of anger that the individual usually has a hard time controlling. As we covered before, both those with ASPD and BPD can get angry quickly, but someone with ASPD is more prone to get angry because of a motive or provocation rather than being angry just to be angry like those with BPD.

Tenth Symptom(BPD): Short lasting and stress-related paranoid formation of ideas or dissociation from oneself. Those with ASPD tend to be very detached from their emotions and, therefore, aren’t know to have problems with anxiety or stress; they also tend to be very carefree and removed from any responsibility or obligation which is very inconsistent with the paranoia and stress related problems those with BPD deal with.

In summation, while those with ASPD and BPD do share some key traits they also tend to be dissimilar in many more. Trying to call the two the same thing would be like comparing a shark to a minnow because they both swim and have gills. I hope I’ve helped to clarify the confusion you might (or might not) have had between the two personality disorders.  

Source: DSM-5 (Diagnostic and Statistical Manual of Mental Disorders Fifth Addition).