scoff wrote:Bloodflowers wrote:scoff wrote:
BPD overlaps with so many other conditions I think that maybe it would be better to separate them. If a borderline patient struggles with emotional instability + anxiety, then just diagnose anxiety and emotional dysregulation.
I mean, the term is ancient anyways, and in the beginning it wasn't even an actual diagnosis, but rather something they put on young women when they couldn't figure out what the real problem was. In the 50s - borderline simply meant "this person does not act normal, but is neither psychotic nor neurotic".
It is called emotionally unstable personality disorder (in swe) now
No, only when it comes to inpatient care. Regular psychologists and psychiatrists no longer use ICD (which is the book in which borderline is now referred to as EIPD), but have switched to the american DSM after DSM-5 came out so much earlier than ICD-11 in 2018 (I still don't think a swedish version exists). DSM-5 was released five years earlier, and since psychiatric diagnoses is such a new field and the ICD-10 was from 1992 (which makes it two years older than DSM-IV which was considered old and out-dated).
If we were to go by the ICD still, we wouldn't diagnose people with ADHD, for example. And we do. In ICD, ADHD is referred to as "hyperkinetic disorder". We do not diagnose people with hyperkinetic disorder.
It is true that historically Europe and North America have had very different ways of looking at mental issues and on diagnosing. For example, the term "schizophrenia" wasn't used in Europe until WAY later. Here, it was called "dementia praecox" or "dementia primaria" depending on what institution you were in. Even after we switched to schizophrenia, the criteria were wildly different. The american version seldom focused on more than the positive symptoms, while europeans more likely PRIMARY focused on the negative ones that affected cognitive abilities. Fun fact!
It says emotionally unstable personality disorder in my papers. Im not in any inpatient care