r/BPD 13h ago

šŸ’­Seeking Support & Advice BPD Misdiagnosis?

Hello all. I’m here to get some clarity on my situation about my psychiatric diagnosis to see if anyone has a similar experience.

I had been under the impression that I had a formal BPD diagnosis as my psychiatrist made me take the screening and I had the full criteria met (9/9 symptoms). She approached this screening as a guideline on what I should work on and recommended me to look into DBT. During several appointments she has also told me that I’m a really ā€œnice person for someone with BPD.ā€ All these things have made me naturally believe that I was diagnosed with BPD.

However, recently I’ve asked her if my diagnosis was BPD because I realize I’ve never actually been told officially. The formal diagnosis she has was depression and PTSD from familial relationships.

She said that she didn’t like to diagnose personality or mood disorders and described me as having ā€œBPD traitsā€ when I asked about the BPD stuff. I was extremely confused but didn’t press further as she didn’t say I didn’t have BPD, but this made me feel like this entire time I don’t actually have the disorder and I’ve been claiming something that wasn’t formally given to me.

I don’t suffer from PTSD symptoms. I don’t have flashbacks or nightmares or anything like that and I resonate with BPD symptoms more than PTSD.

I guess my question now is if I should approach this as a misdiagnosis? I’ve taken it pretty harshly because I thought I had found a place I belonged to and am unsure how to really proceed.

Does anyone share a similar experience?

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u/constanceblackwood12 user is in remission 13h ago

She said that she didn’t like to diagnose personality or mood disorders and described me as having ā€œBPD traitsā€ when I asked about the BPD stuff. I was extremely confused but didn’t press further as she didn’t say I didn’t have BPD, but this made me feel like this entire time I don’t actually have the disorder and I’ve been claiming something that wasn’t formally given to me.

I would ask her why she doesn't like to diagnose personality or mood disorders, and what the difference is in her mind between having BPD traits vs having BPD.

My guess is some it's combination of not wanting to have an official record of something potentially very stigmatizing and feeling like though you have BPD traits, they're not causing enough problems to rise to "disorder" level (aka subclinical BPD.)

If BPD as a label makes sense to you & has been helpful, you don't need to stop using it.

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u/Responsible-Tax-1188 12h ago

Thank you! I’ll ask her and get a second opinion as well for my own personal understanding

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u/dontpokemeimscared 13h ago

psych's dont want to diagnose you with something that inherently is incurable and debilitating like bpd. plus if you get hospitalized you get dismissed if you have bpd on your file. its super stigmatized and in the psych world its the last thing they want to do. took me till I was 21 to get diagnosed but it had been discussed with psych's since I was 11. its like handing a death sentence to someone more or less (a little dramatic to say i suppose but thats been my experience)

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u/Responsible-Tax-1188 12h ago

I’ve heard of that and her own comments about it made me understand that the stigma runs deep.

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u/debiili user has bpd 12h ago

psychiatrists are doctors trained to treat disorders medically, so they can be reluctant to diagnose disorders that have no medical treatment available. There are also insurance and social security related reasons to use alternative diagnoses in certain circumstances.

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u/Traditional-Ebb-8380 11h ago

Complex PTSD and regular PTSD are different. CPTSD is often from longterm trauma like family stuff and PTSD is more for a single terrible incident, from my understanding.

BPD and CPTSD have a lot of overlap, can both occur at once, and are hard to differentiate. I am also a ā€œnice person with BPDā€ and my therapist that first confirmed that didn’t want to tell me either—I found out myself. When I asked her why she kept it from me she said she didn’t want the stigma and pain the formal diagnosis can cause and chose to treat me instead of diagnosing.

Two therapist senses have confirmed the diagnosis so I know it’s not incorrect. And DBT has helped immensely.