Personality Disorders

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    Daniel Graups

    Oppositional Defiant Disorder

    MMajor Depressive DisorderMal de Debarquement Syndrome (MdDS)Marfan SyndromeMast Cell Activation DisorderMcArdle’s DiseaseMcCune-Albright SyndromeMedian Arcuate Ligament Syndrome (MALS)Medullary Sponge Kidney (MSK)MedulloblastomaMelanomaMelkersson-Rosenthal SyndromeMeniere’s DiseaseMeningitisMeningitis and EncephalitisMenkes DiseaseMental HealthMental HealthMesotheliomaMetachromatic LeukodystrophyMicrocephalyMicrovillus Inclusion Disease#MightyPoetsMigraineMiscarriageMisophoniaMitochondrial DiseaseMixed Connective Tissue Disease (MCTD)Moebius SyndromeMood DisordersMotor Neuron DiseasesMTHFR MutationMucopolysaccharidosesMultiple Chemical SensitivityMultiple Endocrine Neoplasia Type 2Multiple Hereditary ExostosesMultiple MyelomaMultiple SclerosisMultiple System AtrophyMuscle DysfunctionMuscular DystrophyMyasthenia GravisMyeloproliferative NeoplasmsMyotonic Muscular DystrophyNNarcissistic Personality DisorderNarcolepsyNecrotizing EnterocolitisNemaline MyopathyNephrotic SyndromeNeuroblastomaNeurocardiogenic syncopeNeurodegeneration with Brain Iron AccumulationNeuroendocrine TumorNeurofibromatosisNeurofibromatosis Type 1Neurofibromatosis Type 2Neuronal Migration DisordersNeuropathy – HereditaryNeurotoxicityNeutropeniaNevoid Basal Cell Carcinoma SyndromeNew Daily Persistent HeadacheNGLY1 DeficiencyNiemann-Pick DiseaseNoonan SyndromeNystagmusOObsessive-Compulsive Disorder (OCD)Obsessive-Compulsive Personality DisorderOccipital NeuralgiaOcular MelanomaOnychotillomaniaOppositional Defiant DisorderOrbital MyositisOrthorexiaOrthostatic HypotensionOsteoarthritisOsteogenesis ImperfectaOsteosarcomaOtherMore DiseasesUncategorized DisordersOvarian CancerPPancreatic CancerPanhypopituitarismPanic DisorderPANS/PANDASParesthesiaParkes Weber SyndromeParkinson’s DiseaseParsonage-Turner SyndromePelizaeus-Merzbacher DiseasePeriodic Fever, Aphthous Stomatitis, Pharyngitis, Cervical Adenitis (PFAPA)Periodic ParalysisPeripheral NeuropathyPeriventricular LeukomalaciaPeroxisomal Biogenesis DisorderPersistent Depressive DisorderPersonality DisordersPervasive Developmental DisordersPhelan-McDermid Syndrome (22q13 Deletion Syndrome)PhenylketonuriaPhotophobiaPitt-Hopkins SyndromePituitary TumorsPityriasis LichenoidesPMM2-CDGPodcastsPoland SyndromePolycystic Kidney DiseasePolycystic Ovary Syndrome (PCOS)PolymicrogyriaPolymyositisPompe DiseasePort-Wine Stain BirthmarkPost-Concussion SyndromePost-Polio SyndromePost-traumatic Stress Disorder (PTSD)Postpartum DisordersPostural Orthostatic Tachycardia SyndromePrader-Willi SyndromePreeclampsiaPrematurityPremenstrual Dysphoric DisorderPrimary Ciliary DyskinesiaPrimary ImmunodeficiencyPrimary Lateral SclerosisPrimary Sclerosing CholangitisPrinzmetal AnginaProgeriaProgressive Supranuclear PalsyPropionic AcidemiaProsopagnosiaProstate CancerPrune Belly SyndromePseudomyxoma PeritoneiPseudotumor CerebriPsoriasisPsoriatic ArthritisPsychosisPudendal NeuralgiaPulmonary Arterial HypertensionPulmonary EmbolismPulmonary HypertensionPyoderma GangrenosumRRare DiseaseRasmussen’s EncephalitisRaynauds PhenomenonReactive Attachment DisorderReflex Sympathetic Dystrophy SyndromeRelapsing PolychondritisRenal Tubular AcidosisRespiratory Syncytial Virus (RSV)Restless Legs SyndromeRetinitis PigmentosaRetinoblastomaRett SyndromeRhabdomyosarcomaRheumatoid ArthritisRhizomelic Chondrodysplasia PunctataRing 22 SyndromeRosaceaRubinstein-Taybi Syndrome

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    #Dystonia

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    #Miscarriage

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    MyofascialPainSyndrome

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    IdiopathicIntracranialHypertension

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    #Hypoglycemia

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    #Lymphedema

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    keepgoing

    CyclothymicDisorder

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    #Tinnitus

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    #Dermatomyositis

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    PTSDSongs

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    lupusrash

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    Alpha1AntitrypsinDeficiency

    Fibro

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    LennoxGastautSyndrome

    MeningitisAndEncephalitis

    PhelanMcDermidSyndrome22q13DeletionSyndrome

    ThisIsDownSyndrome

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    #Nystagmus

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    #Craniosynostosis

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    #Shingles

    AttentiondeficithyperactivityDisorder

    AutoimmuneDisesase

    AutonomicDysreflexia

    BrachialPlexusInjuries

    BreastCancerInMen

    FamilialAdenomatousPolyposis

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    anger

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    #GRIN2B

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    RemoteJobs

    AutismAcceptanceMonth

    AutoimmuneThrombocytopenicPurpuraATP

    CongenitalHeartDefect

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    DownSyndromeAwarenessMonth

    #Neurotoxicity

    PalindromicRheumatism

    SticklerSyndromePierreRobinSticklerSyndrome

    AutoimmuneRetinopathy

    BipolarAffectiveDisorder

    DermatitisHerpetiformis

    Divorce

    DownSyndromeDiagnosis

    GiantAxonalNeuropathy

    HereditaryInclusionBodyMyopathy

    LockedinSyndrome

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    ServiceDog

    SkeletalDysplasia

    SleepDisorders

    SexAndRelationships

    ExplainMyPain

    AttentiondeficitDisorder

    CentralCervicalCordSyndrome

    ChronicIllnessStigma

    Depersonalization

    PompeDisease

    PostpartumDepression

    #Tremor

    Trisomy18EdwardsSyndrome

    Type2Diabetes

    #Vacterl

    RareAndMighty

    Crpsalifesjourney

    AnxietyDisordersTreatmentCenter

    ChronicSpinePain

    #Diabulimia

    GERD

    HereditaryHemochromatosis

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    MoebiusSyndrome

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    SmallFiberNeuropathy

    SphincterOfOddiDysfunction

    TBISurvivor

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    fibromyalgiafatigue

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    Dysthymia

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    EyeCancer

    MigraineBrainFog

    RepetitiveMotionDisorders

    SensoryOverload

    SmithMagenisSyndrome

    SUNCTHeadache

    adhdinmen

    crpsawareness

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    Allergies

    AutismUncensored

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    Community Voices

    True Evil

    In today’s modern age, we envision the horror genre as something that is unnatural, paranormal, and not of this earth. We see aliens, ghosts, and serial killers in the spotlight more often than not, and yet few movies capture, in my opinion, the essence of real horror. We go through life thinking that the scariest thing in real life is a man with a gun because that is the most surreal any danger can become. Well, imagine having distorted visions of strangers becoming your worst nightmare, hearing whispers in the middle of the night without any logical explanation for them to occur. Sadly, this is a common reality for people who suffer from #Schizophrenia#Schizophrenia. Schizophrenia is a mental disorder that affects a growing number of people every year and suffers from delusions and hallucinations as a side effect of this disorder. While there is treatment for this disorder, there are people who are given medicine for another disorder because the psychiatrist chose to not investigate further since many symptoms of schizophrenia do overlap with other disorders like #Depression#Depression and various other #PersonalityDisorders#PersonalityDisorders, and therefore implement the wrong kind of medicine onto their patient. Now while this is a rare occurrence, it still does come to pass. For these poor victims, Hollywood’s movies are a reality, of which they face daily. The real horror isn’t ghosts or aliens. The real horror is psychological disorders, it strikes randomly, it has no mercy and offers no escape, and the real villain is the system that didn’t know enough or didn’t care enough to give people the help they so desperately need.

    Community Voices

    PSYCHIATRISTITIS

    The other day a grown woman cried like a baby. I finally got the courage, ONCE AGAIN, to find another Psychiatrist and was shot down before we ever got started. No fault of his. It took me almost all day to register online with my insurance website, find doctors with 100 miles, then look them up on the internet to see all the reviews, Facebook pics/comments, etc. that would help me make my final decision. I finally settled on a male doctor who seemed to be very warm and attentive even though I preferred a female. I was excited as I dialed the number because I had just jumped a huge hurdle. I haven’t seen a Psych doctor in about 3 years. When the receptionist answered the phone, I requested an appointment. I felt like someone slapped the crap out of me when she told me his last day was a couple of days before and he was leaving for NEW ZEALAND on Wednesday. Are you serious??? I crashed. After all that buildup of emotion, just to have a letdown all I could do is go to the bathroom and cry on the toilet for ten minutes. I felt like I had been Punked. Who called that doctor and told him to hurry up and jump on a plane before I made an appointment?!? I’m over it now…kind of. I made another call and am waiting for a response from another office. I’m proud of myself but I’m anxious. There’s got to be an easier way. Isn’t there a referral system somewhere especially for those with BPD so we don’t have to experience this fear and feeling of extreme vulnerability every time? A way of knowing, ‘Yes, these doctors are VERY sympathetic to people with BPD and are constantly increasing their knowledge so they can give the best care possible!’. That is my ultimate dream. What makes my story even more interesting was I was initially diagnosed with #PersonalityDisorders#PersonalityDisorders when I was seen by a Psychiatrist and consequently discharged from the Navy in 1992 after attempting #Suicide#Suicide. For the most part I’ve been living in resentful denial. Now I’m desperate. The last two experiences I had were heart breaking. I live in a small town so it’s hard to feel a sense of anonymity. There are no private mental health doctors in our 3-light town, so everyone must travel at least 75 miles away to see a doctor, do some good shopping, have an excellent dinner and perhaps see a movie. During my most recent appointment, I was told matter-of-factly that he didn’t think we were a good fit. And this was during the initial consultation. Funny thing is that ever since my appointment was made with him, I kept going over his name in my mind, because it sounded so familiar. By the end of our visit, I realized that he was already seeing someone who worked in the very same office as I did because he had the nerve to mention her name as I vented about my hostile work environment. His tone was very condescending and he made no effort to get to know me. I knew he thought he already had the 411 on me. REJECTION IS THE WORST. Especially coming from a doctor when it took a whole lot of putting my ‘game face’ on. I’ve missed a lot of time from work because I just seem to shut down after a while of ‘pushing through’. The older I get, the less tolerance I have for being in a negative environment for too long. I work in human resources where gossip seems to be a given. The gossip is always accompanied by judgmental and stigmatic remarks. I’m almost positive that the 15 women I work with see me as a person who “doesn’t want to come to work” and “lazy” even though I have shown otherwise. The other doctor was in a ritzy part of town. When I walked in her office the first time I felt like I wasn’t her type. The only good thing that came out of our visits was the medication she recommended. But I eventually stopped going because I felt so judged. I try to ignore race issues, but whenever I am the only chocolate drop in an affluent setting it’s hard for me to ignore what I feel are disapproving looks, condescending remarks and being harshly judged. Meanwhile, months have gone by, my issues have surfaced again and I’m back to scrambling to find answers before I get fired from my job. Another thing I wrestle with is my faith. It is remarkable to me that people who have a broken leg, high blood pressure or #Diabetes#Diabetes are not expected to just pray it a way. Apparently, you haven’t been praying enough if you have mental health issues. Yet I know many ‘pastors’ who wear glasses. The double standards kill me. Even though I have come to grips with how religious communities often judge those who see Psychologists/Psychiatrists, I still struggle with the thought of my faith maybe not being ‘strong enough’ and that’s why I have problems that I don’t see others having. So that’s other reason why I haven’t been able to be consistent in my recovery.
    Yes, I feel like I’m on that rollercoaster. It’s more like a hamster on wheel. I’m constantly exerting effort with not much positive to show for it. I scoff at the tons of ‘I’m starting over’ notebooks I’ve collected. I feel a tiredness that I’ve never felt before and it scares me. But I’m going to ride this recovery wheel until it comes off the hinges cause my life depends on it.

    Community Voices

    When Your Diagnosis is Both a Blessing and a Curse

    Hey, Fred here. Just a run of the mill person with invisible illnesses. I recently got my BPD diagnosis, and I’m sort of trying to work through that. So, here I am. Getting this diagnosis was both a blessing and a curse. I was expecting this for years. I had pretty much figured it out on my own. But hearing it from a doctor, well, that was something else entirely. A little bit about me: I’d been self harming since I was 13 (that’s 7 years, now, basically), I’d always have issues with mood swings (think being manic one night and one night only, hitting rock bottom a different night, with just general bouts of #Depression#Depression in between), and most of my friends can assure you, I tend to be a little neurotic about keeping friendships in tact, often panicking, apologizing a lot, etc. So, when I found the diagnostic criteria for BPD, or #BorderlinePersonalityDisorder#BorderlinePersonalityDisorder, I was pretty sure that I fit the diagnosis. For anyone reading this, Borderline Personality Disorder is, in fact, a personality disorder. But there’s nothing “borderline” about it. I’m not on the fence of being neurotypical, of not having a personality disorder. So here’s the lowdown on , before I begin. is a personality disorder placed in the “emotional” categories of #PersonalityDisorders#PersonalityDisorders. It is characterized by unstable relationships, an unstable sense of self, and unstable emotions. People with often have issues with emotional regulation, extreme fear of abandonment, and, not-so-fun-fact, is the only #MentalIllness#MentalIllness where self-injury is a diagnostic criteria. And it’s called Borderline not because patients are on the “border” of not having a mental illness, but because patients were originally thought to be on the “border” between #Psychosis#Psychosis and neurosis. Anyways, as I was saying, I was pretty sure I fit the diagnosis of pretty damn well. So, I shouldn’t have been rattled when my therapist officially handed down the diagnosis. Right? Wrong. Shouldn’t I have felt validated? After all, I got the answer I was expecting. I was right. I had a label that fit me. I had an explanation for my patterns of behavior, things I felt guilty for, but that I couldn’t help, no matter how much I tried. A lot of things finally started to make sense. So, why was I so rattled? My mental illness just got a lot more real. It’s one thing, thinking you might have a condition. I’m not a psychiatric medical professional. I don’t have the ability to diagnose myself. So there was always that little bit of doubt, the hope that I was wrong. After all, who wants a condition that isn’t medication responsive? Being diagnosed by a psychiatrist took away that doubt, that hope. This is my reality now. So, why am I sharing? I share in the hope that other people going through the same thing as I am know that they’re not alone. That it takes time to process a new diagnosis. And, for this next part, the most important part of article. What am I doing now? In the wake of a new diagnosis, where medications are guaranteed not to help, what am I doing to cope? Well, I got a bunch of new apps for my phone to help me manage my moods. And I made a therapy appointment with a practice that specializes in DBT, which has been proven effective for . And most importantly, I’m taking life one day at a time, and giving myself time to process.

    Community Voices

    Types of Mental Disorders

    Types of Mental Disorders by Michelle Clark Bipolar Bandit
    You probably have heard of many mental illnesses, but do you know the types of each one? There are many that you probably have not heard of and they are listed below with a brief description of each one. Types of #BipolarDisorder#BipolarDisorder Types of #PersonalityDisorders#PersonalityDisorders Types of #Depression#Depression TYPES OF #Anxiety#Anxiety: Agora
    PTSD
    OCD
    Specified
    #AcuteStressDisorder#AcuteStressDisorder
    Adjustment Disorder
    Substance Induced
    #SeparationAnxiety#SeparationAnxiety
    Selective Mutism
    Caffeine Induced
    Androphobia
    Panic
    Social
    Generalized
    TYPES OF #Schizophrenia#Schizophrenia Schizoaffective
    Paranoid
    Brief Psychotic
    Schizophrenium
    Delusional
    Shared Psychotic
    Disorganized/ Hebephrenia
    Cenesthopathic TYPES OF #EatingDisorders#EatingDisorders #AnorexiaNervosa#AnorexiaNervosa
    #BulimiaNervosa#BulimiaNervosa
    Binge Eating
    Eating Disorder Not Other Specified (EDNOS)
    Atypical
    Purging
    Night/Nocturnal
    #Orthorexia#Orthorexia
    Pica
    TYPES OF SELF HARM Cutting
    Carving
    Using Objects (kicking or punching a wall)
    Scratching
    Picking
    Ripping Skin off
    Promiscuity
    Infidelity
    Burning
    Hair Pulling
    Rubbing objects on the skin
    Misusing or Abusing Alcohol or drugs
    Eating Disorders
    #Suicide#Suicide Attempt
    Law Breaking
    Poisoning with toxic chemicals
    Excessive exercise
    Multiple piercings and/or tattoos
    Overspending money
    TYPES OF ADD/ADDHD Inattentive
    Hyperactive-Impulsive
    Classic ADD
    Overfocused ADD
    Temporal Lobe ADD
    Limbic ADD
    Ring of Fire ADD
    Anxious ADD
    TYPES OF #Addiction#Addiction Alcoholism
    Drugs
    Nicotine
    Food
    Gambling
    Internet
    Sexual
    Shopping
    Work
    Video Games
    Plastic Surgery
    Risky Behavior
    OTC Medications
    Arson
    People Pleasing
    Perfectionism
    OTHER TYPES OF MENTAL DISORDERS: Walking Corpse: experience delusions they are dead, do not exist, or have lost their organs Alice in Wonderland: see objects much smaller than they are and it is not because of an eye problem Self Cannibalism/ Autophagia / Windigo: eating their own body or body parts often resulting in having teeth removed Erotomania: delusional belief that someone is madly in love with them even after the person has told them they’re not Lyncanthropy: believe they are an animal or are being transformed into one Alien Hand Syndrome: their limbs act with the person having control over them Aboulamania: pathological indecisiveness Synesythesia: stimulation of one sense triggers an automatic, involuntary experience (see sounds, taste words) Foreign Accent Syndrome: develop a foreign accent that is different from their native accent and have not learned in the past Koro Syndrome: anxiety that genitals or breasts are shrinking, retracting, and eventually will disappear causing death Fregoli Delusional: delusional belief that different people are actually a single person who changes appearance or is in disguise Stendhal Syndrome/ Florene/Hyperkulturemia: after viewing art it causes physical symptoms (rapid heart rate, intense dizziness, nauseau, hallucinations) Pica: compulsion to eat things that have no nutritional value like paint or wood Jumping Frenchman of Maine: extremely startled from a noise or sight resulting in involuntarily flailing arms, crying out or repeating words Landau-Kleffner: children lose ability to express and understand language Taijin Kyofusho: Widespread in Japan where there is a crippling fear of social interactions with a fear of everything that could go wrong Boanthropy: person believes they are a cow or ox Riley Day/ Familial Dysautomonomia: Insensitive to pain with difficulty swallowing and frequent vomiting Stockholm: hostages in a kidnapping develop sympathetic sentiments towards their captors Lima Syndrome: Abductors develop sympathy for their hostages Kleptomania: can’t resist urges to steal items that you don’t need and usually have little value Capgras: delusion where a person thinks that a friend, family member or pet has been replaced by an identical-looking impostor Paedophilia– (some don’t think it is a mental disorder) when an adult has a sexual attraction to children before they hit puberty Reduplicative Paramnesia: believe that a place has been duplicated and exists two places at the same time Celebriphilia: unusually intense desire to be romantically involved with a celebrity Bibliomania-type of OCD where there is passionate enthusiasm for collecting and possessing books often resulting in hoarding Munchausen syndrome: a person acts that he or she has a physical or #MentalIllness#MentalIllness when they are not sick #Trichotillomania#Trichotillomania: lack of impulsive control that results in repetitedly pulling out their hair often resulting in serious hair loss Exploding Head Syndrome: while waking or trying to go to sleep they hear a loud bang similar to a bomb , gun, or cymbals that seems to originate from inside the head. Apotemnophilia/ Body Integrity Disorder: intense desire to have an amputation or a want to be deaf, blind or paralyzed Hybristophilia: someone becomes sexually aroused by a partner who has committed a crime like rape Coprophagia: a desire to ingest feces #DissociativeFugue#DissociativeFugue State: “one or more episodes of amnesia where they are unable to recall some or all of one’s past and either the loss of one’s identity or the formation of a new identity occur with sudden, unexpected, purposeful travel away from home”. Ref1 How many of these have you heard about before? Did you know what they were called or meant? Hopefully you have learned something. types-of-mental-disorders-infographic SOURCES: DSMV, Mind Health Connect, NED, Healthline, ifred, Beyond Blue, Psych Central, Everyday Health, Medical News Today, Health Central, NIMH, WebMD, Mental Health America, DBSA, Somethingfishy, Additude Magazine, AddictionZ, Wikipedia, All that is Interesting, BlogIssues, Listverse, NHS.uk, Addiction Help Center, Calm Clinic, Helpguide, ADAA, Psychology Today

    Community Voices

    What is a Narcissist? A close look at Narcissistic Personality

    Narcissistic Abuse is a term referring to the Abuse Someone with #NarcissisticPersonalityDisorder#NarcissisticPersonalityDisorder(NPD) inflicts on their victims. There is a huge difference between displaying some Narcissistic tendencies and traits and being a Narcissist. A person with Narcissistic Personality Disorder has reached the extremity of the spectrum for selfishness and superiority with symptoms severe enough that they significantly impair their ability to develop meaningful relationships with others. #PersonalityDisorders#PersonalityDisorders are deeply ingrained ways of thinking and behaving that are inflexible, unhealthy and deviates from the norm of the persons culture. The defining characteristics of someone with Narcissistic Personality Disorder (NPD) is extreme self-obsession, a false image that is protected at all costs, constant need for validation (Narcissistic Supply), pathological lying, no compassion for others, incapable of feeling real love and administering intensely traumatic abuse and manipulation toward their victims, that is calculatingly obscured from others. They can however imitate compassion, love, sincerity, trustworthiness and any other quality they need to manipulate victims or protect their false image. Narcissists may appear to have high self-esteem, but the opposite is true. They are severely lacking in self-esteem and confidence, constantly needing narcissistic supply(validation) to fill the empty void.
    There’s a deep sense of insecurity underneath that grand exterior. They want others to be envious, but they are the jealous ones.
    They are easily hurt, but either choose to not show it or overreact in rage.
    They can’t stand criticism and refuse to take responsibility for their flaws and failures. Even if caught in the act or presented with proof a narcissist wil simply deny any wrong doing and turn the situation around with you ending up having to defend yourself. Narcissists use a combination of emotional and psychological abuse that can be accompanied by physical abuse to gain control of their victims for personal gratification and gain.
    They range from being extremely extroverted to very introverted and will present themselves differently accordingly. (Part 2 of this article will deal with the different types and sub types of Narcissists) The abuse is insidious, gradual, intentional and cumulative. Narcissists easily presents themselves as loving partners, while using subtle and covert tactics to inflict damaging and painful, unseen injuries. It starts slow and insidious without the victim noticing, but once they are emotionally attached, it builds up to frequent, often overt abuse, gaining in intensity and critically undermining their sense of self-worth and identity. The cycle of abuse is designed to keep the victim firmly hooked and creates an extremely potent trauma bond that lasts long after the end of the relationship. Because the narcissist operates outside of normal moral boundaries and are devoid of compassion, those who haven’t experienced narcissistic abuse first-hand, don’t understand it and typically diminish or dismiss it. Some even go as far as victim blaming and shaming. Many trained mental health practitioners do not understand Narcissism and its devastating impact. Often getting duped by the Narcissist who is excellent at pretending to be the victim.
    Marriage counselling frequently leave the victim worse off and going through a divorce or any other legal process with a Narcissist is extremely daunting. The combination of being a seasoned liar, great actor, convincing victim, having no compassion or moral compass, no conscious and being sly and cunning is hard to counter, especially without insight and support from people in the system that you rely on to protect you. This has a profound and compounding effect on the victim – having to question their reality, feeling even more alone, powerless and victimised. NPD is still more prevalent among men, but the percentage of woman with the disorder is rising rapidly. Narcissistic personality disorder is seldom diagnosed as Narcissist don’t perceive themselves as having a problem and therefore don’t seek help. They blame whatever goes wrong in their lives on someone else. If they do end up at a medical professional for some other reason Narcissistic disorder is seldom detected because of the carefully constructed mask and false image they portray. This results in very few narcissists being diagnosed so there is no accurate figure for what percentage of society has Narcissistic personality disorder.  However, there is undeniably a sharp influx of people presenting with this disorder. It’s not known what exactly causes narcissistic personality disorder but it seems to be a complex combination of various factors.
    Many professionals believe that a combination of biological/genetic factors, individual temperamental patterns, and early life experiences (such as excessive pampering or, alternately, harsh or negative parenting) contributes to the development of NPD.
    Cultural elements also play a role since NPD traits have been found to be more common in modern societies than in traditional ones.
    Individuals are much more likely to develop NPD if they have a family history of the disorder. NPD is regarded as an untreatable condition.
    People with NPD see nothing wrong in their behaviour and therefore see no need to change. They cause more emotional pain to others than they cause themselves, giving them little motivation to change. If they do reach rock bottom and seek help, they swiftly feel better, having received some attention (Narcissistic supply) and revert right back to their previous behaviour. This is one of the profound and life altering facts that victims need to understand. Someone with NPD will not change and can’t be cured. This leaves victims of narcissistic abuse with only one option – breaking off all ties. There is no way to change or cure your abuser. The only change you can bring about is in freeing and healing yourself. Realising this can be quite traumatic if you are in a narcissistic relationship and have been clinging onto hope for dear life. Hoping against all odds that they can and will change. Although coming to grips with the truth is hurtful and difficult it is the first step toward your recovery. If you were at your wits end and contemplating leaving, you will be relieved and this fact will give you that last bit of motivation to finally end it. It will still be painful but not as painful as staying in a hopeless situation. If you have been abandoned by the narcissist or left, this fact will comfort you, knowing that you truly are better off and that they will repeat this behaviour in all future relationships. This certainty will help you on your road to recovery. In the 2nd part of this article we will look at the different types and sub types of narcissists. And in the 3rd part we look at the great deal of overlap and co-morbidity between what is classified as Cluster B type personality disorders.

    Community Voices

    What is a Narcissist? A close look at Narcissistic Personality

    So how do you identify a Narcissist? There is no “one fits all” description for Narcissists.
    They are categorized in types and subtypes of Narcissists and the lists seem to be endless. It is not important to be able to precisely pinpoint the exact type and subtypes of your narcissist but the information serves to help give clarity and insight. Most articles are written in general terms and focus more on the deceptive Covert Narcissist.
    This might make you doubt if your abuser really fits into the category of narcissism if they deviate in some ways. The most important function of this knowledge is to create awareness of the almost limitless, possible presentations of a narcissist. Many victims have made the mistake of going for someone “completely different” to their previous partner only to come to the shattering realisation that they once again find themselves in an abusive relationship. Going for slightly obnoxious and rude because you feel at least that is real, in an attempt to avoid more of the fake charm and vulnerability that fooled you previously or vice versa is likely to give you the same results in a different package. Protecting yourself from future abuse will not depend on you making a study of and learning each and every possible combination. A good understanding of the Narcissists and Narcissistic abuse is vital, but your main focus and energy must be shifted to recovering from the emotional wounds and recreating yourself to be abuse proof as soon as possible. That is where your protection lies – In the change you create in yourself. In understanding how to create new healthy boundaries and actively enforce them while feeling confident and content. Narcissists are all devoid of compassion, extremely self-obsessed, have a false image that they protect at all costs, are pathological liars, highly manipulative, incapable of feeling real love and need constant validation and Narcissistic supply, but their other personality traits comes in all shapes and sizes. They range from being Extroverted to being Introverted. This can be anywhere on the scale from Extremely, moderately or slightly with the accompanying characteristics adapting to the scale or even combining and blending. The Extroverted Narcissist is typically an Overt Narcissist . Overt Narcissist are the most obvious of the Narcissists and the type that most people picture when thinking of a Narcissist. They are loud and obvious, not hiding their sense of entitlement, while being arrogant, boastful and demanding.
    They are always right and everything must be done their way with them firmly in control. Even the slightest thing can trigger a loud outburst. They can be successful, powerful, public figures with lots of money or they may not be successful at all. This can lead to them inventing or exaggerating achievements and/or credentials to gain the recognition they so desperately crave. Despite their arrogance, real or contrived success and perceived high confidence they have deep feelings of unworthiness causing them to openly intimidate, diminish and slander others. They are very distrusting, incredibly jealous and insecure therefore demanding utter control and transparency while being secretive and conniving themselves. Initially victims can find their confidence and success attractive and the sense of control and power they radiate may invoke a feeling of safety, while their mask of bold charm and excitement sweeps you off your feet. Although their abusive nature is more upfront and obvious to others , the full extent of the abuse their partners suffer may still be mostly obscured. The introverted Narcissist mostly present as a Covert Narcissists(also referred to as Stealth Narcissists). A covert Narcissist appears to be shy, vulnerable, kind, loving and have integrity. They are mostly, highly likeable individuals, wearing a perfectly constructed mask to effectively hide their abusive nature from outsiders.
    They are extremely good at pretending and can often be found in positions of trust – religious leaders, teachers, counsellors or politicians. Covert Narcissists have grandiose fantasies and feels a sense of entitlement. They are highly exploitative and will take whatever they want and need, with no interest in contributing unless it will work to their advantage or serve an ulterior motive. They are vulnerable to stress, tend to worry and suffer from ineffective functioning and unfulfilled expectations. Often complaining about unfairness towards them and feeling their worth is not appreciated while others unfairly receive recognition. Their past and others are blamed for their insecurities and inadequacies ,while their vulnerabilities are used to elicit sympathy and compassion.
    Deep feelings of unworthiness and shame prompt them to seek power and control. They need to dominate their partners using covert strategies. Like the overt narcissist they can explode, but it may take more provocation.
    They are very capable of ripping you to shreds with their words without raising their voice, coming across as calm and reasonable.
    They are masters at punishing you by withholding and in passive aggressive ways. When dating they quickly determine what you are looking for and morph into your soul mate. They overwhelm you with adoration and attention moving at lightening speed from meeting to commitment, sucking you into their abuse cycle. Cerebral and a Somatic Narcissists It is believed that Narcissists are both Cerebral and Somatic with the one most valued in childhood becoming dominant. Narcissists can switch between their dominant and recessive type, going from sexually active to not interested in sex or vice versa.
    This change is normally brought on by severe Narcissistic hurt or a major life event. The change to disinterest in sex can be used to punish their partner for a real or perceived transgression. Many male narcissists revert to cerebrals after child birth – presumably because their wife’s attention is then divided and not solely focused on them. Cerebral and a Somatic Narcissists can be either Overt or Covert Cerebral Narcissists Cerebral narcissists has a profound belief that they have a superior intellect, that far exceeds that of ordinary people. They convey real or fabricated stories magnifying their brilliance and achievements to feel admired and loved by others. They are quick to criticise, having great contempt for anyone perceived to be of inferior intelligence. Their main Narcissistic Supply is generated through admiration for their intellect or work . The partner must always appear less intelligent and knowledgeable, and must not challenge the ideas of the narcissist. They may ignore or neglect their physical health and appearance being totally obsessed with their intellect. Cerebral narcissist rarely engage in sexual intercourse with others.
    They do not need or want intimacy, preferring personal stimulation and pornography as a means of satisfaction. Due to their lack of interest in sex, they can remain faithful and in long term relationships, only leaving when they are not treated as superior at home. Somatic Narcissists Somatic Narcissists are obsessed with their physical appearance and the way that image is perceived by others. They work hard on their appearance as their main Narcissistic supply is derived from sexual conquests and reactions to their appearance. They need constant proof of their own perceived uniqueness, desirability and irresistibility leading to habitual unfaithfulness. Sexual conquests gives them a sense of omnipotence and control. Although they might be skilled and exciting when it comes to sex, it is likely to be an impersonal and emotionally lacking experience deprived of authentic attachment and intimacy. They often treat their partner as an object and use their partners bodies to masturbate. Somatics are rarely faithful and often have a string of failed relationships. It’s important to understand that individuals with #NarcissisticPersonalityDisorder#NarcissisticPersonalityDisorder may be a mixture of types and subtypes. You get the: Parasitic narcissists who wants to be taken care of and feed off others. Rescuer Narcissists who wants a partner that they can “rescue” making them feel instantly superior. Boomerang Narcissist who is constantly popping in and out of your life. Usually they have several other partners that they are involved with, bouncing from one to the other when it suits them or something is expected of them. Victim Narcissist present themselves as victims feeding off your compassion. Some lavish money and luxury on their partner while others deprive their partners of money to exact control and manipulation. Some want submissive, quiet partners while others want bright, intelligent attractive partners to boost their ego and to feed off their energy. Some are aggressive using physical violence, ranging from pushing and shoving to punching and hitting, while others don’t get aggressive. Some have no interest in their children while others see their children as an extension of themselves. Some are criminals while others are pillars of the community.
    Some are successful, rich and even famous while others can barely scrape by. Narcissistic Personality Disorder is part of what is classified as Cluster B type #PersonalityDisorders#PersonalityDisorders. In the 3rd part of this article we look at the great deal of overlap and co-morbidity between these personality disorders.

    Community Voices

    Diagnosis vs. Treatment: A BPD Story

    I was hospitalized on November 23, 2015, after I tried to overdose on my dog’s seizure medication. I spent a month in a psychiatric hospital, I was discharged with a concrete diagnosis of #GeneralizedAnxietyDisorder#GeneralizedAnxietyDisorder and #Depression#Depression, and a small note in my chart, to “rule out #BorderlinePersonalityDisorder#BorderlinePersonalityDisorder”. This tiny afterthought, this minuscule mention of another disorder became my fixation for the next year. Borderline Personality Disorder, or BPD, is defined by the National Institute of Mental Health (NIMH) as “a serious mental disorder marked by a pattern of ongoing instability in moods, behavior, self-image, and functioning.” This can lead to hot and cold relationships, impulsive actions, intense episodes of anger, depression, and #Anxiety, and #EatingDisorders#EatingDisorders. People with BPD also have high rates of self harm, #Suicide#Suicide attempts, and substance abuse, along with other self destructive behaviors. Much like many other #PersonalityDisorders#PersonalityDisorders, cannot be diagnosed in patients until they are 18. This means that even though you might meet all the criteria for a diagnosis at 16, but you can’t be diagnosed with it until you’re 18 because your brain isn’t fully formed and your symptoms might just be a case of the “teenage rebellious years”. This was what happened to me. The psychiatrist in the hospital mentioned it to me, and because I crave completion and perfection (because of my #Anxiety), I wanted a concrete diagnosis right away. I would spend hours, sometimes staying up all night, researching, watching videos about, and obsessing over . It became so unhealthy that my therapist at the time would ask me every week if I had searched about it in the same breath as she asked me about self harm and suicidal thoughts. It was one of my compulsions, because I wanted answers. I wanted to know, once and for all, that I wasn’t just depressed, that I wasn’t just anxious, that there was a reason for all of these symptoms. One day my therapist and I were talking about it, and she said something that I remind myself every time I go down that thought path. She said, “So let’s say you have . You’re going full speed ahead for a diagnosis at 18, and you’re just waiting it out. That’s all well and good, and I’m sure you’ll seek out treatment when you get that diagnosis. Here’s the thing, you’re already getting the treatment for , because it’s the same treatment for Depression. So stop obsessing over what you have to name it in the books, and focus on treatment.” I’d like to say this changed my life, and that I no longer think about how frustrating it is that I can’t be diagnosed with it, because I do. I watch videos about it when I’m feeling particularly chaotic and down, and I still lay on my bed and fixate sometimes because it still bothers me. I focus so much on diagnosis, and not enough on treatment. I’m about to turn 18, and although I still have some symptoms of , I don’t know for sure if I would qualify at this point for the full diagnosis, so maybe they were right not to fast track me to that diagnosis. I might have lived my whole life obsessing over something I didn’t really have. So maybe we shouldn’t focus so much on diagnosing, but more on treating the symptoms. Now that I’m stable, I’m able to see that it was all for the better, and that treating what I actually had was the best decision the psychiatrists could have made.

    Community Voices

    Why I Self-Diagnose

    It’s not because I’m trying to punish myself. It’s not because I want more medications. It’s not because I’m a hypochondriac and want something to be wrong with me. I’m one of those people that doctors hate; one of those people that do research in efforts to give names to the health issues they have. Except that I don’t just go on WebMD and type in my symptoms to find these answers. I know better than to just jump on the first site Google shows. I want to be a psychiatrist when I grow up. That is my life-long goal. I don’t know when I’ll get there, but I want to get there. I’ve taken a Psychology 101 course (I will admit to getting a C- because I never did my homework, but I read the textbook cover to cover several times) and I’ve read so many articles about the disorders I have, I couldn’t tell you. I understand what I’m reading well enough to feel certain in my self-diagnosis of BPD but I also understand that self-diagnosis is the bane of healthcare professionals. But here’s the thing: I know myself really, really, really well at this point in my life. My doctors do not. My psychiatrist I see about once a month. So twelve times per 365 days. Meanwhile, I’ve been with me for 22-going-on-23 years. My sister has been with me for 22-going-on-23 years. My boyfriend has been living with me since mid-December of 2016. I’ve spoken to them about their observations, I’ve done my research carefully and I’ve thoroughly read the #PersonalityDisorders#PersonalityDisorders section of DSM-4 and the DSM-5. I’ve been through a lot. I was traumatized from school by teachers who weren’t equipped to handle me when I was in elementary school. I was sexually abused by my biological father when I was 13. I have #BipolarDisorder#BipolarDisorder. My older brother is Schizophrenic and Autistic. My sister has PTSD because of her ex-boyfriend. My little brother has #Dyspraxia#Dyspraxia, ADHD, and Autism. My mom basically raised the four of us without any help. She did a fantastic job, considering the situation, but my life has still been a whirlwind of stress and people betraying my trust. The setup for a personality disorder is there but when I say “I think I have BPD because I literally have every single pathological symptom, and they are definitely ruining my life”, the answer I always get is “oh, don’t be cruel to yourself.” The thing is, I’m not being cruel to myself. I want to know what’s wrong with my brain so I know exactly what I need to do to get it into working order. Personality disorders can’t be medicated into submission like #Schizophrenia#Schizophrenia and Bipolar can. Personality disorders are something you have to actively work on and it can take years to get good at managing yourself. If you find a lump on your neck, you go to the doctor to find out if its a benign or malignant tumor or just a plain old cyst. You don’t just leave it there to swell to the size of a baseball and hope it goes away, because that would be incredibly stupid. Likewise, I want to know all that’s wrong in my head so that it doesn’t swell to the size of a baseball and ruin my life. My current boyfriend is the love of my life and he’s gotten so, so good at dealing with me over the past few months. He’s gotten that good at it because I’ve been able to explain my mood swings and overreactions and loud, profane outbursts. If I didn’t know anything about and Bipolar, how could I explain to him why I yelled at him when I misplaced my phone, which he hadn’t touched? How could I explain why I freaked out at my sister for being a little flaky about something that doesn’t matter that much? I couldn’t. How do you explain the quadratic formula to someone if you don’t know what the quadratic formula is? I’m pretty sure you couldn’t. I self-diagnose because I need to know what I’m fighting if I’m going to beat it. All I’d ever ask is that medical professionals would listen to their patients.