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#Dialectical Behavioral Therapy Treatments
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Dialectical Behavioral Therapy
Dialectical Behavioral Therapy (DBT) is a comprehensive therapeutic approach integrating cognitive and behavioral strategies for enhanced emotional regulation and interpersonal effectiveness!
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artisticdivasworld · 6 months
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Understanding Borderline Personality Disorder: Symptoms, Presentation, and Effective Treatment Approaches
Borderline Personality Disorder (BPD) is a mental health condition that affects millions of people worldwide. Despite its prevalence, BPD remains one of the most misunderstood and stigmatized mental illnesses. Individuals with BPD struggle with intense and unstable emotions, self-image, and relationships. They may also engage in impulsive behavior, have a fear of abandonment, and experience…
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malonecollective · 11 months
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What Is The Treatment Procedure For Post-Traumatic Stress Disorder?
Post Traumatic Stress Disorder (PTSD) is a common problem faced by many people, whoever has undergone any traumatic experience in life. It can happen due to a sudden accident, misbehavior of others, or mishaps that can leave long-lasting effects on the physical, mental, and emotional well-being. Several therapies, like Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Eye Movement Desensitization and Reprocessing (EMDR) are applied to patients suffering from PTSD. Various supportive services are also provided to help patients in increasing their mental strength. Click here to know more about the treatment facilities offered by Malone Collective.
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samarpanhealth · 1 year
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Samarpan emerge as a globally recognized and preferred Mental Health Center, scientifically addressing substance abuse and psychological issues to make more reliable diagnostic and treatment decisions. Samarpan offers therapy for a range of mental health disorders, including anxiety disorders, depression, bipolar disorder, obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), and personality disorders. We also offer therapy for addiction and substance abuse disorders.
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bbygirl-obi · 8 months
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"the jedi don't have therapists-"
jedi philosophy, and in particular the practices and teachings that jedi were expected to implement in their everyday lives, was therapy. dialectical behavior therapy (dbt), to be exact. anyone who's familiar with dbt knows where i'm already going with this, but like genuinely look up the basic tenets of dbt and it's identical with what the jedi were doing.
dbt, to put it simply, is a specific therapy technique that was designed for ptsd and past trauma. it's pretty different from traditional talk therapy. it combines a few different environments (individual, group, etc.), recognizing that no single format of treatment can stand alone.
the key focuses of dbt include:
emotional regulation- understanding, being more aware of, and having more control over your emotions
mindfulness- regulating attention and avoiding anxious fixation on the past or future
interpersonal effectiveness- navigating interpersonal situations
distress tolerance- tolerating distress and crises without spiraling and catastrophizing
i'm sure it's already clear from that list alone how much the jedi teachings correspond with the goals of dbt. the jedi value, teach, and practice the following:
identifying and understanding emotions
mindfulness and living in the present
compassion, diplomacy, and conflict resolution (on interpersonal scales, not just planetary or galactic)
accepting and tolerating certain levels of distress or discomfort (particularly mental, such as discomfort at the thought of losing a loved one to death)
idk man seems almost as if jedi mental health practices and dbt are two sides of a completely identical coin. (fun fact: both star wars and dbt are products of the 70s.)
and guess what? dbt was specifically designed as a treatment for borderline personality disorder. remember that one? or, if you don't, maybe you remember a specific character, the one who was literally used as an example by my professor in my undergrad psych class when she was teaching us about bpd?
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tldr: simply existing within the jedi community, practicing jedi teachings, surrounded by a support network of other jedi of all life stages, was the therapy for anakin. even when viewed through a modern lens. it was even, more specifically, the precise type of therapy that has developed in modern times to treat the exact types of mental issues he was struggling with.
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suchananewsblog · 1 year
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Managing Treatment-Resistant Depression: One Person's Story
Managing Treatment-Resistant Depression: One Person’s Story
When Imadé Borha graduated from Columbia University in 2015 with a master’s degree in nonfiction creative writing, she thought the last thing she’d have to worry about was finding a job. It didn’t happen. “That was around the time of the first suicide attempt,” recalls Borha, 34, now a Durham, NC-based communications professional for a nonprofit organization. “Career instability was triggering a…
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joseywritesng · 1 year
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Coping with treatment-resistant depression: one person's story
Coping with treatment-resistant depression: one person’s story
When Imade Borha graduated from Columbia University in 2015 with a master’s degree in non-fiction creative writing, she thought the last thing she needed to worry about was finding a job. It didn’t happen. “That was around the time of the first suicide attempt,” recalls Borha, 34, now a Durham, NC-based communications professional for a nonprofit organization. “Career instability caused a lot of…
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All About Headspaces!
We thought it would be a good idea to write a post on headspaces (or inner worlds) as we understand them. This post will contain information that we’ve learned along with our personal experiences. No two headspaces work the same way, and no two systems will experience headspaces in a similar fashion, so don’t be alarmed if your system’s headspace functions differently from what we describe in this post!
What is a headspace?
A headspace (or inner world) is an imagined, fantasized place that exists within a person’s mind. Headspaces are not exclusive to systems - all sorts of people can build or create their own headspaces. Many created systems or paromancers may call their headspaces “wonderlands,” but they’re in essence the same thing. Any system member can start the process of visualizing a headspace, and as other members are included and collaborate together, their headspace can grow to involve the whole system and become a place of solace and rest.
The creation of mental “safe spaces” is often used in therapy for treatment of anxiety, PTSD, and other mental illnesses. When feeling overwhelmed, it can be immensely beneficial to have a gentle, peaceful place in your mind you can return to in order to calm down and relax. Headspaces are a skill taught in dialectical behavior therapy, and many therapists may incorporate building headspaces into their patients’ treatment plans.
Who can have a headspace?
Nearly everyone is capable of building and maintaining their own headspace! The one example we can think of for individuals who may struggle to create a headspace are folks with aphantasia. Since headspaces are visualization tools, those who are incapable of visualizing places within their mind might find themselves unable to create a headspace.
You don’t have to have DID in order to create a headspace, you don’t have to be a system, you don’t have to be traumatized or even struggle with mental illness! Headspaces are for everyone, regardless of ability or state of being.
Are headspaces the same as paracosms?
In our experience, if headspaces and paracosms are not the same, they are incredibly similar. Both are imagined worlds that exist within the minds of the people who create them. Our paracosm exists as a part of our headspace, and many other folks may find their paracosms are similarly connected to their headspaces!
Are headspaces physical places?
No, headspaces are imagined or fantasized places and only exist within the minds of those who create them. While experiences within the headspace may seem quite vivid or feel visceral and may even have physical consequences and effects on each individual, events that take place inside the headspace are not happening in a physical sense.
Some systems with particular spiritual beliefs may understand their headspaces as physical places which exist in alternate dimensions or somewhere else in the universe. While these individuals are deserving of having their experiences heard and taken seriously, most headspaces in fact do not function in this way.
How can I make my own headspace?
To start, try to find a calm, quiet environment where you can be by yourself for a while. Close your eyes, and try to imagine the first piece of your headspace. This can be an area like a beach or a meadow, or something simpler like a plant or a piece of furniture. As you imagine this space or item, ask yourself questions like:
- What does this place or object look like?
- What does it feel like? If I imagine myself touching the object, or the things in the place around me, what textures might I encounter?
- What does it smell like? What does it sound like? How does it make me feel?
Envision using all 5 of your senses to imagine this place or object. Once you have a pretty good idea of what it looks, feels, smells, and sounds like, spend a little time just sitting in your space or with your object. Then, take a break from visualizing. Later, come back to it and try to imagine everything exactly as you did before. By leaving and coming back to it regularly, you can help ensure your headspace can somewhat exist even when you’re not actively thinking about it!
If you need help finding inspiration for your headspace, you can turn to image sites like Pixabay, Unsplash, or Pinterest to help you discover what helps you feel calm and safe. If you have access to other members of your system, perhaps consult with them to see what they’d like to have in a headspace and what you could create that would help them feel safe and comfortable.
Once you are able to comfortably and reliably access the place or item you’ve created, feel free to repeat the process to add to your headspace! Our system created our headspace in this way, and by this point it is a vast world full of different areas for our alters to exist in when they’re not fronting. But it started with one room - a living room with quilts tossed over couches, rugs all over the floor, and big, bright windows with sunflower curtains. Gradually we added rooms, then an outside, turning it into a treehouse, and just kept expanding from there!
Wrapping up
We know this post doesn’t go into much detail, but we hope this is useful to folks as a bit of an introduction to headspaces, what they are, and how to go about making one! We’re including some links below to posts and articles about headspaces and inner worlds - hopefully they can help even more! Best of luck to y’all with your endeavors to create a headspace that fills you and your system with peace and comfort!
^ this link uses “tulpamancy” language - our system has switched to “paromancy” language, which is less racist and less culturally appropriative! the guides on tulpa websites are still quite useful, but we wanted to include a disclaimer on the terminology.
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tears-of-amber · 7 months
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If you are like me and live with BPD, I’m sure you may have at least heard of DBT. Dialectical Behavioral Therapy is the type of therapy that has really turned my life around, so I’d like to make a Masterlist of resources both free and with cost.
FREE RESOURCES FOR LEARNING DBT:
A great website that teaches the skills is ⬇️
A great YouTube channel that has videos of Marsha (the creator of DBT)
A great podcast that teaches and discusses the skills is:
DBT RESOURCES THAT COST MONEY:
This is a great easy to learn card deck with the skills explained in concise ways.
This is a great workbook. It was made BY the lady who CREATED DBT.
This is a great book that delves into DBT at its core (and isn’t so much activity focused vs. explaining each skill)
That’s it! I’m not saying this type of therapy is FOR SURE going to be the right therapy for you, but it’s SO worth trying if you have Borderline Personality Disorder like me.
Hopefully this helps someone!
-Velvet Rose Kthonia 🥀
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Dialectical Behavioral Therapy Treatments
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Synergy Treatment Services - Dialectical Behavioral Therapy (DBT)
Dialectical Behavioral Therapy (DBT) is a highly effective and evidence-based treatment approach that has been proven to help individuals struggling with various mental health disorders, including borderline personality disorder, bipolar disorder, and eating disorders. This comprehensive therapy combines aspects of cognitive behavioral therapy with mindfulness techniques to address emotional dysregulation and improve interpersonal effectiveness.
We will delve deeper into the components of dialectical behavior therapy, or DBT, and how it works in addressing complex psychological issues. We will also discuss the benefits of DBT skills training for those seeking professional drug and alcohol treatment and other mental health services. Moreover, we will provide insight into Borderline Personality Disorder – the core issue DBT was created to handle – and what can be expected during individual therapy or group skills training. Elevate your well-being through Dialectical Behavioral Therapy Treatments, specialized modalities designed to integrate DBT principles, fostering emotional balance and improved coping mechanisms.
WHY CHOOSE US
The Benefits of Dialectical Behavioral Therapy for Addiction Recovery
Dialectical Behavioral Therapy (DBT) can help with cognitive behavioral treatment for individuals struggling with addiction in many ways:
Improved emotional regulation: DBT helps manage emotions for a more stable mental state.
Increased self-awareness: Mindfulness practices help make healthier choices in response to triggers.
Improved communication skills: DBT enhances assertive expression while maintaining healthy relationships.
Increased problem-solving abilities: DBT teaches constructive approaches to challenges.
Decreased impulsivity: Distress tolerance skills help resist impulsive behaviors that may lead back into addiction cycles.
Overall improvement in well-being and quality of life.
DBT is an effective treatment option for long-term recovery at Synergy Sobriety Solutions’ Palm Beach location.
How Does Dialectical Behavioral Therapy Work?
Dialectical Behavioral Therapy (DBT) helps individuals identify and replace unhelpful behavior patterns through mindfulness, distress tolerance, emotion regulation skills, and interpersonal effectiveness.
Mindfulness: Practice being present in the moment without judgment to increase self-awareness and promote healthier decision-making.
Distress Tolerance: Learn how to cope with difficult emotions or situations without harmful behaviors like substance abuse.
Emotion Regulation: Develop more effective strategies for managing intense emotions like anger or sadness.
Interpersonal Effectiveness: Learn communication skills that foster healthy relationships and reduce conflict with others.
DBT treatment programs often include group and individual therapy sessions for sharing experiences and support. At Synergy Sobriety Solutions in Palm Beach, Florida, our comprehensive approach incorporates individualized counseling and support group work for long-term success.
What is Dialectical Behavior Therapy (DBT)?
Cognitive-Behavioral Techniques: Identify and change negative thought patterns contributing to emotional distress.
Cognitive-Behavioral Techniques: Identify and change negative thought patterns contributing to emotional distress.
Mindfulness Practices: Incorporate mindfulness exercises such as deep breathing or meditation to increase awareness of thoughts and feelings.
DBT is effective for treating mental health conditions, including Borderline Personality Disorder (BPD), substance use disorders, depression, anxiety disorders, binge eating disorder and disorders, and post-traumatic stress disorder (PTSD). Synergy Sobriety Solutions’ skilled therapists utilize tailored DBT techniques as part of our comprehensive drug and alcohol treatment services in Palm Beach, Florida, near the beach.
How Long Does Treatment Last?
Dialectical Behavioral Therapy (DBT) duration varies based on individual needs but typically lasts 12-24 weeks. You’ll work closely with your therapist to develop the healthy coping skills necessary for long-term success.
Your mental health diagnosis and symptoms affect the length of treatment.
The severity of your substance abuse issues also plays a role.
Your commitment to attending therapy sessions and practicing new skills outside of sessions is crucial.
Co-occurring disorders or additional challenges may require more time.
Synergy Sobriety Solutions‘ programs in Palm Beach, Florida, provide comprehensive support throughout your DBT journey. Our staff customizes every program to suit your requirements, guaranteeing you the most effective treatment available.
Borderline Personality Disorder: A Rollercoaster of Emotions
BPD is a psychiatric disorder that results in erratic feelings, an unstable sense of self, and troubled interpersonal relationships. People with BPD may experience drastic emotional shifts, act impulsively, and have difficulty sustaining healthy relationships. BPD’s underlying cause is a mix of genetic predisposition, neurochemical imbalances, and environmental influences such as early childhood trauma.
Fear of abandonment is a common symptom of BPD.
Unstable personal relationships can be a challenge for those with BPD.
Feelings of emptiness can persist for long periods of time.
Irritability and anger outbursts can be triggered easily.
Self-harm and suicidal ideation may be experienced over extended periods.
Dialectical Behavioral Therapy (DBT) has been proven effective in treating BPD by using mindfulness skills and teaching essential skills for emotional regulation and interpersonal effectiveness. Utilizing DBT techniques integrated with other therapeutic models, our highly experienced therapists at Synergy Sobriety Solutions assist clients with achieving lasting recovery from substance use disorders, self-destructive behaviors, and co-occurring mental health conditions like Borderline Personality Disorder.
What to Expect During a Dialectical Behavioral Therapy Session
Be ready to confront your issues and gain knowledge of fresh capabilities and behavioral skills to boost your mental health.
Mindfulness Exercises: Practice deep breathing and meditation techniques to become more aware of your thoughts and feelings.
Distress Tolerance Skills: Learn strategies for coping with difficult emotions and engaging in healthy distractions.
Emotion Regulation Techniques: Develop tools for managing intense emotions like anger, sadness, or anxiety.
Interpersonal Effectiveness Strategies: Improve communication skills by practicing assertiveness, setting boundaries, and expressing needs effectively.
Your DBT therapist may also assign homework assignments between sessions so that you can continue practicing what you’ve learned at home. Commitment is key to achieving long-term success with DBT treatment from a licensed mental health professional at Synergy Sobriety Solutions, Palm Beach.
Conclusion - Dialectical Behavioral Therapy
DBT is a game-changer for addiction and treating borderline personality disorder, using individual therapy, group therapy, and skills training to regulate emotions, improve relationships, and develop healthy coping mechanisms. Don’t suffer in silence – seek professional DBT therapy and comprehensive DBT treatment with Synergy Sobriety Solutions to achieve long-term recovery and self-respect with evidence-based techniques like mindfulness meditation and cognitive-behavioral strategies!
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hauntedselves · 1 year
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Steele's Notes on NPD
NPD vs BPD
Generally have less capacity than BPD to mentalize, lack more insight, have more difficulty recalling early abuse/neglect, have less empathy toward others
Severely avoidant of genuine connection;
May need to keep a power differential in the relationship
Don’t respond well to being reassured that they are “human” and “normal,” unlike most borderline clients.
Classic NPD symptoms & behaviours
Arrogant, entitled, critical, controlling, lacks empathy
Inflated “self” is a defense against shame and devalued “self”
Experiences related to devalued self are completely avoided or denied
Generally are unable to acknowledge devalued self
Therapist should not explicitly confront the defense
Acknowledge that it might be lonely and challenging to feel that no one else is good enough
Explore any perceived disadvantages to the defense
Fragile NPD
Alternate between grandiosity and inadequacy
Unhappy, critical of others, anxious, envious, competitive, and have extreme reactions to perceived slights or criticism
Tend to obsessively compare themselves with others
Strong perfectionism
Have narcissistic defenses that work well until they are criticized or rejected
Can access their devalued self: therapist can focus on root causes of devalued self
Reversed NPD
Strong belief and need to be the worst, the sickest, the most traumatized patient
Underlying need to be special, but due to dysfunction, not adequacy
Strong need for validation and compassion
Therapist focuses on emotional validation and less on content of distress
Encourage client to communicate through more positive experiences and affect (compassionately shift focus from negative to positive experiences
Treatment approaches for NPD
Trauma-based in many clients
Certainly affected by quality of early relationships (neglect)
Work with conflicting idealized and devalued selves
Work with inner critic and perfectionism
Mentalization based treatment
Transference based psychotherapy
Dialectical behavior therapy
EMDR and other approaches to resolve early traumatic memories (often not explicitly accessible in the narcissistic patient)
Treatment approaches in Fragile NPD
Identify the conflicting idealized and devalued selves
Help client notice swings between the two
Help client recognize the distortions in both
“I suffer more than anyone; my abuse was the worst; I am completely damaged”
Versus
“I could have been and should be the best”
Help client deal with relentless inner critic
From Kathy Steele’s presentation 'Integrating Personality Disorders in our Work with Complex Trauma and Dissociation' (PDF), 18 August 2021, Delphi Centre.
[Transcribed from a PowerPoint presentation without notes; therefore this post is without context]
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woman-for-women · 9 months
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So usually I wouldn’t ask for advice of this genre, but I’m genuinely worried. I think my already abusive parents are catching on that I’m a trans guy. I seriously want to detransition but it almost feels physically painful. What do I do? For context, I’m pre-op, pre basically everything. I still look like a girl and stuff.
Hi! I'm sorry you're going through this. I would consider myself dysphoric/desisted, but not truly detrans because I didn't truly socially (de)transition or medically (de)transition. I have some suggestions (adapted from one of my earlier asks on this topic), but it might be useful to talk to detransitioned women to get another perspective.
Talk to a trusted adult in your life. It could be a parent, an aunt/uncle, a teacher, or an older sibling. The adults in your life generally want the best for your health and happiness. If your parents are abusive or you are afraid to tell an adult you are trans, you can just tell them you are distressed with you body/gender roles and want help.
Contact your doctor or a local gender clinic and ask if they can point you towards detransitioning resources (if you have medically transitioned)
Search online and see if there are any detransition support groups near you (unlikely this will pan out, but it's worth a try). If you happen to know anyone who has detransitioned, you can also reach out to them.
If you are able to, please look into counseling. If you are dysphoric, you can ask for a counselor that will help you explore your discomfort with your body/gender roles and reconcile your relationship with your body. I’d avoid any therapists who advertise themselves as LGBTQIA2S+ friendly: they may be well meaning, but their primary method of treatment for dysphoria will likely be transition. Therapists and other mental health professionals tend to have bios where they list their background and what they specialize in: I'd suggest looking for a therapist who is female, and possibly someone who is comfortable gender non-conforming (someone who doesn't see being unhappy with gender roles or gender non-conforming as being the same as being trans). I went to a counselor who was an older lesbian. You can also send an email to Gender Exploratory Therapy Association (GETA) to see if they can match you with a therapist.
If you can't go to counseling, I strongly recommend this DBT Workbook (the link is to a free PDF version). Dialectical Behavioral Therapy is a way to cope with distress and improve your distress tolerance through different techniques.
You can journal how you feel. It doesn't need to be fancy (it can be a notes page on your phone or some binder paper, but if journaling with markers and stickers and washi tape helps, you can do that too). Ask yourself what made you feel like you weren't or couldn't be a woman/girl? What does the thought of detransitioning make you feel? It can just be how you feel in general. If you're comfortable, you can also share your journal with a trusted adult or counselor. Or, it can just be for your eyes only.
Work on improving your integrity and comfort with your body. It helps you feel wonderful feelings, taste your favorite foods, see beautiful things... your body is not trying to hurt you or work against you. For example, your body is not menstruating because it is "punishing" you for not being pregnant (this is something I heard a lot growing up). Menstruation is just something female bodies do. It's vital to regulating your hormonal health, bone density, and weight. While yes, you can get pregnant and be a parent if you choose to as an adult, your body is not telling you to do anything. Your bodily functions are not a mandate. You exist for you!
Try to avoid seeing your body as a problem, or as fractured parts you want to fix: your body is just your body. Don't think of your body as a decorative object you need to change to please anyone. Your body exists for you and (most importantly) your body is you. Treating your body well is part of treating yourself well.
To improve your relationship with your body, I would recommend picking a sport or physical activity. Do something you like that makes you comfortable! If wearing a swimsuit fills you with dread, wear a more modest one or don't pick swimming. It can be as simple as walking, stretching, or yoga in your room. The point of a physical activity is not just to keep in shape, but to feel how your body is capable of doing whatever you want it to. Your body doesn't have to look a certain way for that.
Your image of your body and your comfort with being female might also improve if you take a social media break. I know it can be hard, but try to commit to a short break (a week, a month). Use this time to read, listen to music, draw, relax, exercise... whatever will keep you happy and healthy. Social media is saturated with images of sexualized, objectified, and impossibly thin women. It can be stressful to feel like you don't "measure up" to what the Internet tells you a woman is supposed to be. Take this time to remind yourself that you don't need to imitate these people to be happy.
I would also recommend you unfollow any social media accounts that make you feel bad about your body or talk about transitioning and gender all the time (you can always refollow later). Focus on how you feel about your body and yourself, not what other people promote.
What or how you decide to change socially, who you tell, or how you say it is up to you. You don't need to disclose why you're detransitioning either. You can just tell people you've decided it wasn't for you or that you'd like to go by your old name/pronouns. Don't let anyone, especially other transitioned peers, pressure you into doing or revealing anything you don't want to. If you have a friend group of trans peers your age, don't let them make you feel bad! You have the right to do what's best for you. If you have friends that aren't supportive of you doing what's best for you, it might be best to look for a new friend group.
If you've been happiest dressing in "boy" clothes or doing certain "boy" activities, none of that has to change when you detransition! Detransitioning should be about accepting that your natal biological sex is female. Being female is a neutral fact, like being brunette or being 167 cm. Being female has no bearing on what you can do, who you can love, what professions, hobbies, or interests you have... that's all gender. You don't have to change how you dress, think, feel, act, talk, etc. None of these things can disqualify you from being a woman or girl. Just be yourself and know there's no wrong way to be female.
Being a woman or girl can be scary. Menstruation sucks, sexual harassment sucks, sexism sucks. But there's light at the end of the tunnel, and that's other women and girls! Reach out to them. They are your lifeline. Build friendships. There are other women and girls just like you. You are never alone.
On that note, having positive female role models and consuming books/TV shows/movies/music by and about women can help you feel better about detransitioning and reconciling with being female.
Don't discount the wisdom of older women! They're not nags, shrews, or "Karens". They're female, too. Many of them have likely felt what you feel.
Detransitioning doesn't mean you need to feel a certain type of way on gender or trans issues. Don't let radical feminists, conservatives, or trans-rights activists bully you into saying or doing what suits their narrative. It's your life, so do what's right for you!
Lastly, here are some resources I would recommend, both about transition and detransition:
A Booklet on Gender Detransition
The risks of binding
Testosterone use and pelvic health
The LGB Alliance USA also runs a virtual group for adult dysphoric women every other Wednesday
Detransition may feel painful now, but I truly think accepting my body and working hard to deal with distressing thoughts like dysphoria has improved my quality of life a lot. It will take work, but freeing yourself from the expectations of gender and treating dysphoria like any other body dysmorphia (as that can be improved over time) is a lot better in the long run than trying to obsessively tailor every aspect of your life to be gender affirming to lessen your feelings of dysphoria.
The prevailing narrative told to dysphoric and trans-identifying teens is that you need to transition, you need to go on hormones, you need to do xyz or you will die. This is not true. Most dysphoric youth who do not medically transition end up as happy, alive adults. (If you are having suicidal thoughts, please tell a trusted adult or call a hotline). So I’m going to tell you instead what I was told, and what other lesbian, gay, and bisexual kids were told growing up: it gets better, and you are going to be okay <3
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zexoula · 10 months
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what a touching read. to feel validated in the intensity of my feelings as someone suffering an emotional disorder. every sentence resonated.
marsha linehan is a psychologist credited with developing dialectical behavioral therapy (DBT) which ive been told throughout my entire hospital stay by many drs i would greatly benefit from. every time i seek treatment, the acronym ‘dbt’ is always recommended to me over other courses of therapy and reading words from the woman herself, i can see why. this specific approach realizes and adjusts to the fact that bpd emotions are extreme emotions, and that the feelings and thoughts that we cannot control having are just that - out of our control. dbt focuses on what can be in our control in order to cope with intense splits, such as remaining focused on your present surroundings and recounting the facts.
this is my first time reading of the ‘burn analogy’ and at first i felt it was wrong comparing my emotional traumas to the physical suffering of someone with a very real, painful condition and then i thought more to myself and i was like.. no, just because my pain is not visible, because people cannot look at me and tell instantly i am in a great deal of pain - it doesn’t mean my pain isn’t real and my suffering isn’t comparable. it is. the sensitive layer of skin that has been burned and is now extremely fragile & sensitive is entirely comparable to the fragility of my mental state and strength of my emotions vs triggers and episodes. no matter what , i will always be sensitive and my mind won’t always be rational. and i can feel like it’s my fault as much as the disorder wants, but it’s just.. not..
what is my fault is how i go forward knowing what my triggers are and how i react to them. what is up to me is how i get myself through intense episodes and learn how to not feel like my world is falling apart, thrusting me back into the depths of depression from the constant reminders of the emotional stability i lack. if i split and i implode and i feel and think and say these terrible and intense things, i can still apply techniques taught in dbt to recenter myself in reality instead of letting my spiral continue.
it’s important you go with a therapeutic method where you can firmly stand by what the developer’s goal is. my goal is not to NOT be emotionally unstable, it’s unrealistic and frankly unachievable as the period of my life meant for developing emotional maturity has already been tainted. the goal is to not let that instability ruin other aspects of my life, to remind myself that no matter what evil and negative things i feel inside - i am loved and im part of peoples lives and i deserve to not feel like i am a bad person for never being taught how to handle these traumas. it’s not too late to start learning
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burningtheroots · 8 months
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what's your feminist take on borderline personality disorder? is it real? why do you think that diagnosis is so commonly pushed onto women?
Hey! This is a very good question.
I think that borderline personality disorder (BPD) itself isn’t completely invalid as a disorder, but the way it‘s perceived, thrown around as a diagnosis and treated currently is a huge problem which definitely roots in misogyny, and I‘d even go so far and agree with the idea that it‘s basically become the "modern hysteria".
There are different approaches to the topic, and I think many of them hold some truth to it. There are people who display various symptoms of BPD, whether they co-exist with other mental health conditions or not, and I think that it’s important and good to acknowledge this + focus on specialized treatments (dialectical behavior therapy, for example) for said diagnosis. Of course, DBT also works for other disorders, but I guess you know what I mean.
However, most (if not all) of the time BPD goes hand in hand with other psychiatric conditions, especially PTSD. Many people with BPD also have ADHD or autism, just as a side note. So while I can‘t really tell whether BPD itself is an independent disorder (though the symptoms are objectively a collection of other conditions‘ symptoms) or not, I‘d assume that a very high number of BPD patients received that diagnosis due to some professional‘s incompetence or laziness whilst the actual issue is PTSD, caused by childhood trauma. This doesn’t only apply to BPD — many diagnoses are simply made to put patients & especially female patients on medication and avoid the effort it’d take to actually treat them.
The diagnosis is commonly pushed onto women because it‘s easiest for providers and society to label you as "emotionally unstable" (which, again, is very broad and shows that BPD symptoms are often usable as umbrella terms) than to take a closer look at what was done to you, and how you can be helped.
Women have been disregarded and viewed as "crazy" before, and the modern BPD is very similar to it. That doesn’t mean that BPD can‘t be valid — it just means that the way it‘s defined, perceived and treated right now is not.
Also, I think that BPD has successfully become more of a social trend — I‘d suggest that if anyone wants to learn about it, don‘t use social media as a source. What you see online and even in tv shows does it even less justice than the already flawed DSM-5.
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unwounding · 2 months
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bpd girlies i urge you to undergo dialectical behavioral therapy it is by far the most effective treatment for the disorder and was especially made for people who struggle with severe emotional dysregulation.
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hannagoldworthy · 2 years
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Honestly knowing Anakin meets the criteria for BPD it makes me wonder if medication wouldn’t have helped
Quick disclaimer: I am not a therapist by any means. I am not a prescribing physician either. My profession serves to support both of those roles, and thus I get to see a lot of the interplay between them, but I am not an expert. I do, however, have the benefit of having had a long-term relationship with someone diagnosed with a similar condition.
So, in my non-expert and completely subjective opinion: there is no medication that magically treats Borderline Personality Disorder. There are medications to treat comorbidities of BPD, like depression and anxiety, and Anakin could have benefited from them as much as he could have benefitted from a decent night’s sleep (and there are medications to help with that, too!).
But, the treatment that works on the actual personality disorder is dialectical behavioral therapy…basically, talk therapy. Which Anakin was getting! And he was undermining its efficacy, because DBT’s method of treatment works on the assumption that the therapist is an ally and not an enemy, and Anakin was not treating Yoda like an ally when he lied about the real source of his current anxiety and prevented Yoda from giving relevant advice.
So…yes, Anakin could have popped a Space Ambien to get some real sleep, though the dreams would have stayed and possibly even become more vivid, which was the last thing he needed. He could have downed a Space Xanax when he was hyperventilating about his visions and grabbing Padme like a security blanket, but that wouldn’t have erased his visions or gotten her to an obstetrician. He could have started a course of Space Zoloft when he felt like he wasn’t the Jedi he wanted to be, but that would not erase his lingering guilt over the Tusken incident or make him any better suited for a position on the Council which was above his experience level - and, in fact, it might have actually made his depression WORSE, as it occasionally does in younger patients, which we have to warn about when dispensing it for the first time.
Medication could have helped Anakin a great deal, or, he could have seized the medication as yet another route to run away from his actual problems instead of facing them head on. And, given how he tends to deal with his problems as a character? I think we all know which way he would have inevitably turned in that scenario.
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