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Emotional dysregulation - same as BPD/ EUPD?

30 replies

Capricorn8990 · 16/10/2021 15:58

I had my mental health phone assessment yesterday and the nurse said they don’t and won’t diagnose over the phone and they prefer to not give out diagnoses these days and actually look at the symptoms as that’s what needs to be addressed.

She determined I have emotional dysregulation and tolerance issues with stress which are symptoms of borderline personality disorder/ emotionally unstable personality disorder which is what I thought I had. I knew I had emotional dysregulation as this has come up in past therapy sessions.

Every time I google emotional dysregulation BPD or EUPD comes up. She even told me to look at the MIND website and search BPD/ EUPD to see if I can associate with any other symptoms. She's going to send me so self help stuff as I work full time and I'm not "unwell" enough for community support but also ill be getting some CBT and I'm on medication.

I still feel frustrated not to get a diagnosis but I do understand it's complex. I just would feel validated with a diagnosis but I also understand it's not a great diagnosis to have.

I feel like I've been half diagnosed but she just didn't want to label it.

She has advised that if things don't improve to contact my GP again for a further referral for a face to face.

Anyone else had a similar experience?

OP posts:
MatildaIThink · 22/10/2021 11:30

@Lostandlittle

…. And it’s symptoms that should be treated
You want to treat the underlying causes, if you just treat the symptoms you will never cure anyone. Symptoms will likely need to be managed though, so that treatment can be successful.
XenoBitch · 22/10/2021 14:30

EUPD is a lot more than emotional dysregulation. They are other diagnostic criteria you need to meet (I think it is 5 out of 9 symptoms at levels that affect your life).

Like others have said, there are many other conditions that have emotional dysregulation as a symptom. Or you can just have it as a stand alone symptom, and not have a diagnosed disorder at all.

Believe me, EUPD is not a label you want to push for.

Berkeys · 22/10/2021 14:54

@Littlefish

Emotional dysregulation is also part of ADHD. It may be worth you reading up on it.

Girls and women are often misdiagnosed, when the root cause of their uses is ADHD.

This
flower11 · 22/10/2021 20:41

Emotional dysregulation can be part of autism, females often present very differently to males . And can also be a symptom of PTSD. I was misdiagnosed with BPD in my youth when I actually have PTSD.

MatildaIThink · 24/10/2021 16:02

@XenoBitch

EUPD is a lot more than emotional dysregulation. They are other diagnostic criteria you need to meet (I think it is 5 out of 9 symptoms at levels that affect your life).

Like others have said, there are many other conditions that have emotional dysregulation as a symptom. Or you can just have it as a stand alone symptom, and not have a diagnosed disorder at all.

Believe me, EUPD is not a label you want to push for.

@XenoBitch That is probably the DSM diagnostic criteria for BPD which is a bit of a nightmare really, the ICD version is much more relevant in the real world, at points DSM has made physical self harm a compulsory behaviour for a BPD diagnosis which does not hold true for many.

ICD is
At least three of the following must be present, one of which must be (2):

marked tendency to act unexpectedly and without consideration of the consequences;
marked tendency to engage in quarrelsome behavior and to have conflicts with others, especially when impulsive acts are thwarted or criticized;
liability to outbursts of anger or violence, with inability to control the resulting behavioral explosions;
^difficulty in maintaining any course of action that offers no immediate reward;
unstable and capricious (impulsive, whimsical) mood.^

I agree that BPD is not a diagnosis that one should push for, but then no diagnosis should be pushed for, it should be a rational processes based on meeting diagnostic criteria.

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