Personal Perspective: With borderline personality disorder, it makes a difference when you are diagnosed, and at what age.
made me think back to the timing of my own diagnoses. They all came in adulthood, in my late twenties: anorexia, major depressive disorder , mentalization-based treatment ,
The same article states: “BPD in young adulthood predicts a host of negative outcomes across the life span, including mood,, eating and substance use disorders, increased risk for physical illnesses and medical care, reduced quality of life, and reduced life expectancy. As a consequence, many BPD patients never manage to fully participate in society.”
In TFP, the therapist uses a combination of clarification, confrontation, and interpretation, but the focus is on the patient’s experience of the therapist. Dr. Lev was extraordinarily skilled at these techniques and although we moved the needle a millimeter at the time, and at times the needle even slid backward, I maintain it was my work with Dr. Lev and TFP that made the difference in my life.
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