… Now I better go lie down for thirty minutes before I start crying again. Yep, in half an hour I am scheduled to get a call from one of the many places I’ve called this week while searching for a new therapist. This will be an evaluation call.

Oh yeah, the thank you once again. I wanted to thank everyone that replied and gave their insight in the post “A Disclaimer and a Serious Question for My Fellow Beeper (BP), Borderline (BPD) and Other Mental BLoggies”.

Addendum:

Search Terms from the Searchers, a Sneak Peak of the Day  

realistic 3d animation 5
stony funny avengers 1
don’t cry say fuck you and happy 1
you don’t know me 1
melancholically 1
you don’t know me 1
picasso manic 1
loki avengers puppy 1
flacid ass 3
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You know you’re borderline when you can not only relate to a comic book character that has of-the-charts anger management issues, but you suddenly feel deeply connected to this character as though he may be your long lost soul mate.

You wish he were real even, because then you wouldn’t feel so damn lonely. You imagine that the two of you would make the best of friends, so long as you’re a good dozen kilometers distance from each other when one of you ill perceives, imagines or exaggerates a slight and transforms in a fit of rage.

And you then imagine that the two of you, best mental friends forever (BMFF), would be able to stroll down Central Park sit down on a park bench and laugh and laugh and then SUDDENLY cry together, a long, hard cry.

As you sit there crying with Bruce, Bruce crying with you, Dr. Bruce Banner-Hulk suddenly hugs you and you hug him back, gripping tighter. And between sobs and drools, you cradle Bruce’s head, begin to stroke his hair and spit out, “I know man, I know what it’s like. I know exactly how it feels to wake up naked after a rage and feel confused and lost, not really remembering what happened, not knowing where the hell your clothes went or where the hell you are or if you’re still you or that dreaded other. I know Brucito querido. I know, oh dear god I do… And when you tell them not to push you there, not to take you back to that place you’d left because you fear you’ll loose control again if you go, fear what can happen if you abandon your new-found zen, you say, ‘DON’T, PLEASE‘. But you’re shoved inside a room, shoved between the wall and the Black Widow and her gun. Her tantalizing eyes intoxicate you and pierce your soul. Funny, because NOTHING can pierce you! Not even bullets! Not even the fire of bombs or radiation or torpedos! You say, ‘Please don’t. I’m done with that shit. Fuck off! I’m not going back there. I’m not allowing myself to go back to that level of rage. I’ve left all of that behind.’  You plead so much because you fear the other too, more than they do. See you’ve even tried to KILL the other, too keep him back at bay but he is YOU and he will NOT let YOU kill HIM  because your’re always angry anyway you say; you’ve merely learned to teeter on the edge of anger, learned to deal with that, to let the currents of anger swish you like seaweed swishes in the crystal blue. And then, SUDDENLY, it’s too late. You think you had it in your palm but the anger grows too big to hold: it takes control. POP POP–your muscles tighten; your veins flood; your fingers curl, only they’re more like claws than fingers now, and your bones pop. Everything swells! And you find yourself naked again, shaking your head in dismay, shivering body, fearing what you’ve done, hating yourself! Hating what you’d become even if only for a moment! So when everything around you begins to come back into focus, you grab the nearest person and demand, ‘Did I SMASH anything? What did I SMASH? Was it WORTH SMASHING? What happened? Answer me! Please!’ I know. Yo lo se querido Brucito… yo lo entiendo…”

This is exactly what comes to mind when I think of the Hulk as seen in the latest film adaptation of The Avengers, released this weekend but long overdue, anticipated for over five years.

The Avengers

A Brief Review and a Character Study

(minor spoiler alert)

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 Joss Whedon, screenwriter/director, did it right! Whedon pulled off a REAL believable non-cartoon, no bullshit Hulk in The Avengers (2012), what director Ang Lee’s disproportional body-to-head, Eric Bana-faced Hulk (2003) failed to do while flying across the Rockies and being shot by jet missles; what Edward Norton was left hiding in shame from in Louis Leterrier’s 2008 Hulk–ugh, and his overuse of the clichéd one liner, “Hulk SMASH!”

Yes, WE KNOW the Hulk SMASHES. It’s what the Hulk fuckin’ does! We get it! Thank you Joss Whedon for not having Mark Ruffalo or his animated counterpart speak such ugly words, not even once throughout the film. Thank you for handing that down to Captain America, who towards the beginning of the last, epic fighting scene turns to Hulk and says, “Hulk, you can smash now!” That’s how you slip those words in, by handing them over to another character: it builds irony.

In fact, thank you for not having Hulk speak at all with the exception of growls, screaming and that one time  when he finds Loki in Tony Stark/Iron Man’s mansion and Loki’s mocks him by calling him a brute and claiming, “I am a GOD”. Only then does Hulk reply with a quick smashing and a, “Yeah, a puny god” remark. This should be taken as a serious lesson: DO NOT INVALIDATE or UNDERVALUE HULK FOR HE IS BORDERLINE.

So thank you once again Joss Whedon for keeping Hulk’s angry vocabulary nearly absent while maintaining a complex character. Bruce Banner’s “I am calm” and “I am ok” vocabulary is layered and intelligent. Ruffalo does an excellent job of charming the audience almost as much as the charismatic Robert Downey Jr.

This is the thing, Whedon aims to excite and entertain us with bombs and explosions à la Michael Bay style–and that’s what summer blockbusters do, that’s how they still manage to cash in–BUT unlike Bay’s sole eye-candy (think Transformers), Whedon does so with thoughtful, well-crafted artistic flavor. He does so while tending to character development. And if there’s anything I learned from my own film obsession and my film studies classes is that a good film need not have an amazing plot, or a sensible plot even (look at Easy Riders, 1969) if it has good character development.

So yeah, this 2012 Avengers Hulk is the REAL DEAL HULK. This is what I like to call, the BORDERLINE HULK, the way Hulk should be! This is the Hulk that will live up to his true comic book origins.

Hulk is and always will be about the loss of rational thought our primal, basal reaction to stress can leave us with; it’s about human anger. Hulk, however,  is the epitome of human anger response gone to extreme proportions–gone wrong, gone dare I say “disordered”.

And to portray him in a whimsical somewhat childlike but not one-dimensional manner (with few exceptions) says something about the quality of this film.

There was just the right amount of sarcastic wit in this film, a bit of cheese but not over-the-top cheese. Yeah, there was cheese of all flavors. Enough cheese to fill up a school bus full of melancholically manic mouses, but not so much cheese to make them all throw up out the windows. And for good measure, there is a pinch of darkness in the film. Mouse likes darkness more than cheese flavor and variety even, but not more than coffee.

The Hulk in an ending scene from The Avengers 2012. Look at that face. Is that not the face of a hurting borderline? And isn’t that gorgeous, realistic 3D animation?

********

We first see Bruce, played by actor Mark Ruffalo in Calcutta, India working as a doctor. He’s in this small, crowded shanty home caring for two sick boys when an impovershed girl runs in begging for him to help her dying father.

Of course this is all a lure, a lie the Black Widow also known as Agent Natasha Romanoff played by the sexy Scarlett Johansson, has created. The Black Widow has sent out and paid the little girl to deliver this deceiving message in order to trick him into joining the Avengers crew.

As fans may know already, Nick Fury, played by Samuel L. Jackson is the man in charge of getting all of these amazing superheroes (and demigod Thor) in a round table for round-house kickassery; they must save Earth from Loki, Thor’s adopted brother who’s filled with jealousy and has completely lost it, oh, and those evil creatures from Thor’s neighboring planet who are aiding him.

But the Hulk is reluctant at first, more so than pompadour sporting Captain America who also doesn’t want part in it and feels confused in the twenty-first century (with good reason). See, Bruce Banner/Hulk has taken a lot of shit from people, even more shit that Captain America has. That’s why he’s run off to India before they have to drag him back in to re-enlist as an agent (or a weapon of mass destruction depending on how you view it).

In the first half of the film Agent Romanoff/Black Widow tells Banner he must help because, “This is the Tesseract. It has the potential energy to wipe out the planet.”

Of course Bruce Banner is so self-doubting, so impulsive and quick to judge that he automatically assumes they only want the HULK side of him and completely disregards the fact that they need his scientific knowledge too. Black and white thinking ya’ll.

That is not the case, however, not yet, not until things have gotten really bad, not until that gigantic metal-covered slug teleports in from Thor’s neighboring planet and starts flying over New York City, killing hundreds and causing mayhem. (Why is it that every time something comes from another planet, it just so happens to land in New York City? Except for in Distric 9, good movie by the way–great social and political commentary.)

So when things get real bad, they will ask for the Hulk. But before then, when Black Widow is begging him to join because Loki has gotten the Tesseract–the energy thingy that could kill all living things–Banner replies to Black widdow, “What does Fury want me to do, swallow it?”

No Bruce, Fury merely wants your scientific genius for now! Jeez, they’re not all out to get you!

Remember what Captain America says, “We’re not your enemies Bruce!”

You sabotage yourself querido Brucito!

But you will help save people too querido Bruce, you will.

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Next

Part II: Why Bruce Banner/Hulk is suicidal and how the Mouse’s agressive vs. quiet borderline personality disorder (BPD) type and criteria matches up with his.

Why Hulk is indestructible but mentally vulnerable.

And…

Movie was great but why the hell aren’t they more like this second photo? Seriously, Scarlett is lovely and all, but she isn’t the only one with an ass.

Avengers, fo’ real.

Don’t remember where I found it. Sorry original artist. If I find your name I’ll post it.

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DISCLAIMER: By poking fun of mental health issues, I am not trivializing mental disorders. I’ve lived with a number of them most of my life, so I have no wish to trivialize and further stigmatize my own mental struggles as well as those of others. I am making fun of how others trivialize and misinterpret them. I’m merely a mental humorist and a poet (aw sheeeit, note what I just did there?). Besides, I just have to laugh a hearty laugh before I finally put the barrel in and pull the trigger. Also, this is more of a character study than a full film review.

Oh, one more thing: the “you know you’re borderline when…” meme was taken from Jaen Wirefly, LMSW & Nut Job’s blog. She has a great blog about borderline personality disorder, loads of humor too. Check it out, it’s a no bullshit, good information blog. If you don’t click, just remember I can go She-Hulk on you any moment.

“May is Mental Health/Borderline Personality Disorder awareness month.  😉

As many of you may already know, I have brittle bones disease which is scientifically called Osteogenesis Imperfecta (OI). As a result, I’ve broken roughly 100 bones in my life, stopped counting after 70. I was born, or rather already had 17 fractures before leaving the womb.

Infants with type II OI, the most severe type, generally die from a collapsed lung, pneumonia or heart complications because the rib cage is so frail. Some die during birth or are stillborn with disconnected spinal and cranial bones.

I have type III, so I’m a little stronger than those with type II and fortunately, I can walk short distances while holding on to things. I mainly use a wheelchair, however, I do have a walker and would like to get crutches. Type I is the most common and also the least severe (I know, it’s funny how these are all out of order, you’d think type I would be the most severe).

Anyway, if you’ve been following my blog, you’ll remember that I wrote a post titled “Hooray, Phuckin A It’s Rare Disease Day!” and well, this is my promise of updating on the “awareness day” for OI. See, I do keep my promises! Some at least.

Now, I’m not going to place any links or any such things on here because chances are you won’t click (no offense) and I understand and don’t blame you because considering how many good blogs are out there, how crazy and fast paced life is, there’s just not enough time to read up on these things, especially some depressing disease. Who wants to know about diseases? They’re fuckin’ depressing man!

Really though, it’s not that bad. (HAAA, yeah, sure P). No, it’s not. I mean it’s not lethal like cancer or anything… wait… type II… nevermind. The case is, I’m going to keep my OI brothers and sisters in mind today.

As of today I’m also going to make a commitment to write more about chronic illness/disease and its relationship to mental illness (though I don’t like to use the term “mental illness” much). Anyway, there is a huge comorbidity there folks. For example, it’s no surprise major depressive disorders (MDD) are more common in a sample population of people with a chronic illness than in an otherwise “healthy” population. This to me, shows a high relationship with the psychosocial aspect of mental health.

****

So here’s to the little OI kids with little mangled bones all around the world! Keep on truckin’ little ones! Keep on! Keep on!

Wishbone Day is May 6th. It is held internationally in various cities to raise awareness and funds for Osteogenesis Imperfecta.
for more info visit http://www.wishboneday.com or
http://www.oif.org/site/PageServer

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addendum: Yous guys ever heard of the film Unbreakable directed by M. Night Shyamalan? Well, this Shyamalan guy is one I can’t seem to figure out. He’ll do one good film and then two terrible ones. I’m not going to say Unbreakable is TERRIBLE because I’ve never actually seen it and therefore, it would be very unfair of me to say anything. What I CAN say is that M. Night Shyamalan’s The Happening was a fuckin’ complete waste, bloody rubbish (ya’ll Brits have been rubbing off on me, I swear).

So, back to Unbreakable. (I swear I’m going to make a really good point here if I don’t forget.)

In Unbreakable, the fabulous actor Samuel L. Jackson plays a character–or was it Bruce Willis’ character–whatever, one of the two played someone that had none other than OSTEOGENESIS IMPERFECTA (OI). And, though I’ve never seen the film, I know that at one point they mention he has THE WORST TYPE of OI! WORST TYPE? HAHA! OUTRAGEOUS! If you’ve read this far, you know what happens to most of those who have the “worst type”. I’m a “midget” people! How can one of these two, muscular to built and tall to average-height men have it worse than me? I don’t even have “the worst” type to begin with!

And how do I know this? Because my dear deceased L told me this, and I believed him because he was a movie addict; when he wasn’t poppin pain pill after pain pill, drinking like a sailor and flipping out, he was flippin HBO channels. Also, he had type III OI like I do.

This just goes to show you guys that “REALITY” (whatever that may be) and FILM/TV are FAR FAR APART. And this is coming from someone who ADORES FILM, who DREAMS of MAKING FILMS ONE DAY!

****

Speaking of Samuel L. Jackson… My next post will be “P’s First Film Review: THE AVENGERS, a Character Study On the Hulk’s Raging Borderline Personality Disorder” (yes, I am now CONVINCED Sir Bruce Banner aka Hulk is borderline and I can say this without offending because I’m officially certified borderline myself and yes, I’ll take the label and milk it for what it’s worth for now).

Yep, I just got back from seeing The Avengers and did not have a panic attack!

Thanks for reading!

*mouse nibbles*

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addendum 2: I just realized it’s MAY 5th today! Bahaha. NOT May 6th! Oh well, for you New Zealanders I’m not off at least, am I? It’s already May 6th there isn’t it?

I really do think I need to be hospitalized at this point.  NO NO NO P, you do NOT. You will NOT go to a county PSYCH WARD! Nevermind. Shhhht. You don’  heard nor read nothin’ alright. Alright? I’m out.

*le mouse sigh*

I’m on the border y’all.

Not only am literally on the border (Texas borderlands) but I’m also on the border mentally.

It’s “official”.

It’s set on paper with nice black ink–though not in stone or anything–but it was kept from me, KEPT FROM ME!

Kept from ME by my own therapist, my Young Therapist.

Guys I’m going to warn you. Before you go any further with this post, know this: I’m actually going to be serious for a moment and I’m going to be saying some things that are not easy for me to say. I’m going to say some things that may be triggering to some of you. AND, I’m going to be serious without cursing! (Yeah, I know!)

Here’s where I bore you to death or at least until you’re nearly as suicidal as me. *trigger warning*

********

Let me explain, I suspected it ever since Young Therapist let it slip that her dissertation/PhD concentration is on Borderline Personality Disorder. In fact, I suspected it long before then. I suspected it nearly two years ago when I started with her and she gave me these handouts on dialectical behavioral therapy (DBT). When we began, I’d get packets–one after another. I’d get a new packet every week and now I have a damn book’s worth of packets in a folder. A chapter on mindfulness, a chapter on progressive muscle relaxation and diaphragmatic breathing, a chapter on DEAR MAN, another on Cognitive Restructuring of Mental Distortions and Distress Tolerance and the list goes on.

One day I asked Miss Young Therapist about this Dr. Marsha Linehan who was the author (you could read it on the fine print on the bottom of the handouts). Young therapist answered that Dr. Linehan was pretty much the mother of dialectical behavioral therapy (DBT) which is primarly used on borderline patients.

“But just because I’m giving you these packets P., doesn’t mean I’m saying you’re a borderline patient.”

That was, until I had my last session with her on Wednesday this week. The first half hour or so we did the usual, “How are you doing this week? Wha’ts going on? And this and that.”

I’d brought my “release of information” form signed for her so she could send my files to the new therapist I’ll be seeing at the community clinic. I was waiting for her to bring up the termination thing and sure enough she did.

“So, this is our last session,” she sighed, “is there anything you want to say?”

“Yep, it is.” I looked intently, sighed, then looked away towards my wheelchair where I’d placed my folder. “Oh, I brought the release form signed. I went to the clinic and found out the name of my new therapist and got the fax number and everything here for you.”

I pulled it out of the folder and handed it to her.

I went on and told her that I’d like a copy of the two reports she’ll be faxing in to them–the “Termination Summary” and “Intake Evaluation Report”–because since it’s a community hospital she can’t just send it directly to the therapist. And I added that since it would have to go through the medical records office which can take over a month, she might as well give me a copy of each just in case.

“Yes, of course, I’ll give you a copy when we head out.”

I wasn’t lying about the medical records office. They’re terrible! But, I did do something with double intention there. I wanted to get a hold of my records without being too obvious about it. I know right? Why couldn’t I just upright and tell her I wanted a copy? Why was I so nervous about that? It’s the dynamics I tell you, and my own anxiety and hesitance.

We went on to discuss what I’d benefited most from and she asked what I thought I’d become better at handling. I mentioned some of the mindfulness stuff and managing my anger. She said that I was one of the most “committed clients” she’d worked with as well as one of the clients with the most extreme life stressors. “You’ve had to deal with more than most people. And you’ve done extremely well considering that, I think,” she said.  She went on with the whole patting me on the back, flattering, and good job thing. I don’t doubt she was being honest though. She genuinely seemed pleased with my overall progress.

When we went out to the front desk and I paid her my dues, she wished me luck with the new therapist again and said bye. I thanked her and then just stared at her for a minute.

“Yes?” she asked looking confused.

“Um, aren’t you going to print out the Termination Record so I can have a copy?”

“Oh, oh, right.”

I don’t know why, maybe I’m just overly critical, but I once again felt she was holding back on me. She could’ve honestly forgotten but I don’t know.

Anyway, she printed it out and handed it to me and said, “If there’s anything you have questions about, about what’s on here, feel free to call me.” She gave me this look I can’t describe. It’s was a sort of apologetic look.

“Ok.” I looked at the paper and said, “This is just the termination summary, can I get the intake evaluation report as well?”

“Uh, mmm, I don’t know, I’ll really have to ask my supervisor about this P. Sorry.”

Again, I felt a little put off. But oh well, I figure I’ll call in a week and ask for her supervisor and try to get it directly from him.

*******

When I was in the car I began reading the termination summary, and read something that shocked me a bit it. At the end of the report, it read:

Diagnosis:
Axis I
296.32 Major Depressive Disorder, Recurrent, Moderate

Axis II
301.83 Borderline Personality Disorder

Axis III
Disease of the Musculoskeletal System and Connective Tissue: Osteogenesis [Imperfecta] <–She’d left out the imperfecta part.

Axis IV
Occupational problems
Economic problems
Problems with access to healthcare services

Axis V
GAF Current: 75
GAF Long Term: 55

What shocked me was the Borderline Personality Disorder diagnosis. But why? I had suspected it even though she never told me, ever, and even though I’m not big on holding to a diagnosis. What I mean is, I take a diagnosis with a grain of salt, a BIG grain of salt. They are merely there to draw a delineation the person’s major mental problems and a course of action.

BUT, then again, I contradict myself, because a part of me was and has been desperate, yearning even for some sort of label. With that I would have proof! I know, me wanting a label sounds shocking in and of itself! See I’d gotten a bipolar label after my monumental mental meltdown in 2008. That was the first time I’d seen a mental health professional in my life. And I got diagnosed only after the second session.

I’ll tell you though, getting something on paper felt like a relief then. It was a validation. I could no longer tell myself (even though I still do): “See P, you’re just making all this up. There’s nothing wrong with you. All of humanity is insane anyway! And you, you’re just weak! You’re just crying over nothing. Go on, cry like a baby over nothing. Always have! The baby you’ve always been. You can stop all this, you know? You’re just making it up anyway. They were right about you, your family and everyone! You and your antics and your dramatics. That’s all it is! There’s no such thing as mental illness girl! Yeah little, stupid, little selfish girl. You don’t need their help. You don’t deserve it either. Just straighten up and quit the crying! Quit it! Quit hitting your head against the wall and get that damn razor out of your hand!”

So you see, getting it in paper meant that I wasn’t just being dramatic as I’ve always been called. I’ve held my little BP label as a trophy even, in a sort of twisted way but I don’t think people can truly understand what I mean until they’ve been there in front of that psychiatrist or therapist looking like hell (oops, just a little curse).

Then, I didn’t stick around with that first psychiatrist in the spring of 2008.

“I hate them all! Nothing but drug dealers for the Big Pharma Co.s, nothing but pill pushers. They don’t care about you.” And then I caved and went back to another and then another and another all in the span of a year.

I eventually landed myself in one of the university psychiatrist’s hands by pleas and begging of my first therapist.

“Please go. Just try it,” she’d say.

So I went.

****

You? bipolar? I’m not sure. No se. Vamos a ver. I doubt it. But I’ll have to see more of you to be sure. Nos daremos cuenta con el tiempo,” he said.

He was an old Cuban man and I hated him the instant I saw him (not because he’s Cuban yall; I’m Colombian remember, so there’s a lot not to like there 😉 I kid). I just got a terrible vibe from him. I didn’t trust any psychiatrist then (am still hesitant) and I sure as hell didn’t trust some old mangy one covered in liver spots.

“I don’t think I’m going back there,” I told my first counselor/therapist, the one I was seeing at the university’s psychological services center (this is not the same place where Young Therapist works. Young therapist works at the College of Social Sciences in the Psychology  department).

“P. you really should go see a psychiatrist to help you stabilize those mood swings,” the counselor said. “Look if you don’t want to see that man, there’s this really good psychiatrist, just came back. She was going to retire but decided not to just yet.”

Needless to say she finally convinced me to go and I returned.

An awkward moment occurred when I went to see this new “good psychiatrist” and Dr. Cuban Liverspots said hi to me when he was marching with his coffee cup on the way to his office, right next to new “good psychiatrist’s”! Well, turns out this was the third or fourth psychiatrist (I honestly don’t remember how many I’d seen by then) and she said that I did not have bipolar (BP). But she didn’t say what it was that I did have. If it wasn’t BP, then what I wondered. I never asked though. I guess I can be passive in that sense. The only thing I knew, is when I went to the cash register to pay, the bill read, “Major Depressive Disorder” (MDD) and “Generalized Anxiety Disorder” (GAD).

At least I got my answer, I thought. That’s when the alphabet soup of my psychological disorders got spicy. I now had a gumbo soup of disorders.

Then this! This Borderline Personality Disorder. It sounds so macabre! So fantastical. So unreal. So STIGMATIZING! I’m sorry to break it to you guys, my dear BP internet buddies but my belief is that as stigmatizing as BP is (and it really is), the BPD label is ten times more. Why? I’ll explain in part two.

****

“What?! You got that borderline personality disorder!? What is that? Is that like when you have multiple personalities? OH MY GOD, you got multiple personalities P? You gonna go Dr. Jekyll and Mr Hyde on me P?”

“No! Come on! I don’t have multiple personality disorder, that’s not even called that by the way; it’s been updated by the APA. It’s now called dissociative identity disorder, Dee-Eye-Dee (DID). I’m just me, the one and only PAZ. I’m still the melancholically manic mouse, only now I fit the ICD and DSM and [insert random acronyms for other diagnostic manuals] criteria of a borderline meloncholically manic mouse. I’m a borderline melancholically manic mouse  is all. Maybe it’s because I grew up in a very unstable environment though my family was always tightly knitted and mostly very loving. Maybe it’s because I’ve had to deal with a lot of traumatic events, especially in my childhood so I’m somehow ’emotionally scarred’. Maybe I regress to childhood if you were to ask Freud, though the behavioralists wouldn’t agree. Maybe my brain does fire off too quickly, and if that’s the case, the pharmas are more than happy to hear. Maybe my limbic system has a malfunction and thus, my amygdala is hyperactive or hypersensitive; maybe it’s a genetic mutation like my malformed bones and that’s why I’m so quick to rage. Or maybe I was conditioned to rage by my mother’s rage and abuse. The behavioralists would agree with that one. Maybe I do have a shortage of dopamine, norepinephrine and serotonin or GABA or some other neurotransmitter. Maybe I don’t, but maybe I do, and maybe I have all of the above or none of the above. All I know is I have the emotional stability of a five year-old. I guess it fits my toddler height.”

Really, how do you explain all that? It just makes my alphabet/acronym soup spicier and more foreign than a crunchy Samosa plate served with dhaal soup.

Mmmm. Samosa.

********

Alright, some of you may know what this is already, this BPD and BP and Axis I and Axis II nonsense, but to those of you who don’t and are interested, let me explain what some of this is  (it’s a good thing I’m a nerd that’s into psychology and I have several books on it).

When I got home, you best believe I dug out those books from my book shelf.

First, the various “Axis” levels go like this:

Axis degrees are used as intersections of a person’s main mental problems in order to diagnose a mental disorder. Each Axis affects the overall diagnosis as each affects/intersects and correlates with the other.

Axis I: clinical disorders.    
Symptoms that cause distress or significantly impair societal or occupational functioning such as anxiety disorders, major depression, bipolar disorders, etc.

Axis II: personality disorders and mental retardation disorders. (now why’d they have to dump me in with the mental retardation folks? It’s just like they did when I was in PE class in middle school! P in PE with the retarded kids.)
Chronic and enduring problems that generally persist throughout life and impair interpersonal or occupational functioning.

Axis III: general medical condition.    
Physical disorders that may be relevant to understanding or treating a psychological disorder.

Axis IV: current psychosocial and environmental problems.    
Problems (such as interpersonal stressors and negative life events) that may affect the diagnosis, treatment, and prognosis of psychological disorders.

Axis V: global assessment functioning (GAF).
The individual’s overall level of functioning in social, occupational, and leisure activities. (Now I’m not going to go into detail with this one but if you want more info go here. You probably won’t though since no one clicks my links. hehe

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Then there’s the Borderline (BPD) diagnosis. I had already known about BPD but again, I thought if anything I fit more into the BP criteria (tell me if this is getting confusing). I could just relate to those who have BP, who I’ve  talked to either face-to face or in online forums. The BPD people folks though, I said to myself, are said to be manipulative and I’m not manipulative, no, no I’m not. Am I? No. I’m not.

I’m not going to talk about the major depressive (MDD) diagnosis because that was a given for me.

So a very, very short description of Borderline Personality Disorder (BPD) is that it is essentially a disorder of extreme and pervasive emotional disregulation characterized by impulsivity and instability in moods, relationships and self-image. (Karen Huffman)

None of this is catch all, you see. We are still people with unique personalities and cultures, histories and separate though connecting lives. We’re individuals, even those like myself who now have had the personality disorder diagnosis slapped on.

****

I cried uncontrollably for about two hours Wednesday night. It could’ve been PMS and a thought about L. I don’t know why I didn’t get so worked up about the other diagnosis (Dx) in my past. Then it dawned on me the more I thought about it. Could it be that  it’s because I think it’s actually the most accurate Dx I’ve had to date? And then, could it be that this has made me subconsciously think about all of the things I’ve been through, all that I’ve done? All the extremes in my life? I mean, all the psychiatrists never saw me for who I was. They never saw me more than twenty minutes at most and once every month or two (again, at most).

Young Therapist did see me for who I was, at least partly. She saw me for an hour every week for almost a year, then every two weeks for another. And she had me do tests and talk about so many things which I never did with the others. Young Therapist actually saw me cry. I cry a river damn near ever day when I get depressed but I don’t cry in front of people! And Young Therapist saw me get shaky to the point of telling her I had to puke, to the point of having to put my arms down and sit on them. Young Therapist, if anyone, would know how to diagnose me. So maybe I cried because I got the sense that not only did I get diagnosed with a very severe, very misunderstood and stigmatized disorder (albeit relatively treatable), but I felt for the first time they got to the core of me. Maybe, I was also crying out of relief.

In order to qualify (ha,  “qualify” like a merit) as having BPD in America, you have to fit at least five of these within your problem scheme. Here are some of the criteria according to the damn (oops) DSM-IV:

  1. frantic efforts to avoid real or imagined abandonment. Note: Do not include suicidal or self-mutilating behavior covered in Criterion 5.

Ok this one got me. I don’t think I make frantic efforts to avoid any kind of abandonment. Do I? No, you don’t P. But maybe I fear it so much I’m in denial? Maybe P, maybe. Or maybe this one just doesn’t pertain to me. Remember, it’s not a catch all.

  2. a pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation.

Yes. Yes. Yes. That’s definitely me. Just this week I said, “Damn you WordPress. You suck! Why do I bother with you,” then, “Oh Dear WordPress. Don’t leave me. I love you. You’re the best. What would I do without you?”

  3. identity disturbance: markedly and persistently unstable self-image or sense of self.

Yes. Maybe. Yes. No. Maybe. I’m the best! I’m the worst! I’ll talk about this later. What do you mean by this anyway? Of course I have an identity! It’s not disturbed. Ok. Hmmm. Maybe. I don’t know. I change my mind about what I think about myself, what I want to do with my life and many people do that right? Yes P, but not at such extremes. I doubt what my strengths are. Am I good at writing? No! But I love writing. I’m good at it. Yes? Should I stick with editing video then? But I want to write documentaries and dramatic films. I like to draw too. Could I write comics? Who am I kidding, I’m not an artist. Should I be a therapist? Yes. Yes! I’m so wise, so loving. I want to embrace everyone. No! You’re a misanthropic nihilist. Nothing fits. Am I splitting? What about the web design thing you were trying to do, and what about the multimedia journalism masters at UT? What about the Latin American Studies masters you’d thought about too P? What about your music P? What about your photography P? And what about your poems P?

Yeah, I’ll have to get back to this one later.

  4. impulsivity in at least two areas that are potentially self-damaging (e.g., spending, sex, substance abuse, reckless driving, binge eating). Note: Do not include suicidal or self-mutilating behavior covered in Criterion 5.

Yes. I’m a highly reactive and highly impulsive person even though I tend to over-think things before I do them–so in that sense I’m not impulsive. I hesitate too much on doing them, say choosing a college degree or buying a flavor of yogurt or talking to someone I find attractive. My impulsivity in other aspects, however, has gotten me in trouble and put me in dangerous situations. I’ve done drugs. Many. I did cocaine with L. I was always a bummer, never a buyer. I bummed drugs off of people whenever they were offered, so I never considered myself a “real” user. I was a functioning alcoholic or as the AA people would say, I am an alcoholic in recovery.

I’ve also had phases in my life where I binge eat, particularly to deal with stress. People with BPD, especially young women tend also have a comorbid eating disorder, most notably bulimia nervosa. Though I’ve never been bulimic per se, I have always punished myself in some way or another after binging. My weight has also fluctuated drastically throughout my life. Right now I’m more on the healthy weight to slightly-underweight side.

Sex. That’s a difficult one. I was a shy, late bloomer, a wallflower. But I knew a lot about sex at a very young age. Growing up with an older brother and always hanging out with the guys, you find out about porn early on. Then I lost a close friend because of my impulsive sexual behavior. However, I’m still extremely shy, self-conscious and have issues about my body so I’ve turned down many sexual encounters due to the fact that I have terrible anxiety about it. I’m really short, have brittle bones (some of which are a bit disfigured), use a wheelchair and I always felt no one would find me attractive. I mean, really, who would find a girl in a wheelchair attractive, I’d tell myself. There are ignorant folks out there who still refuse to believe someone like me could have a thriving sexual life.

Who would find a midgety, malformed mouse attractive? So when I found out that I was found attractive indeed, when I was put on the spot, I often backed away. I’m very impulsive sexually though so there’s a tug of war going on in my head. “I can’t but I want to so bad”. Once I get comfortable enough, I’m very impulsive with sex so much so that L and two male “friends” of mine who used to called me a nymph. That’s when the alcohol and drugs come in to play as well.

Oh, and I’m also bisexual, though I mainly just identify as queer and don’t tell people I am. I guess I’m still in the closet about it.

  5. recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior

Triple yes. Though I’ve never really attempted and don’t think I make “gestures” of my suicidality to people. In fact, I try to hide it as much as possible. I don’t talk about my suicidal ideations or depression, the only exception being the therapist and even then I’m very vague about it.

As far as gestures… I don’t know. Maybe I make them and don’t realize it? There was, however, one time when I got in a huge fight with my brother not too long ago and I became a “maniac P., you’re acting like a manic! Chill! Chill! What are you…? Oh, f****, hi officer. No, no she’s alright. No, I don’t think I need to take her to the ER. She’s my sister. Yes. She just needs to sleep. I just need to get her to bed. No, I got it. Ok, yes, I’ll see if I take her to the nearest ER. I’m just getting to my apartment right around the corner. I will call them once I’m there, yes. Thank you.”

A cop had pulled us over because my brother wasn’t watching the road because he had to pull me back as I was trying to jump out of his car while screaming, “LET ME OUT”. Maybe that’s a suicidal gesture? I’m not sure. I don’t recall much of of it since I felt out of my body. I only remember sitting on the curb of some parking lot near his apartment complex that night crying and shaking uncontrollably and then, eventually, getting picked up by my dad who later said I couldn’t make a coherent sentence. Very impulsive indeed. Oh and that’s another thing with BPD. Borderlines supposedly have a tendency towards depersonalization  and derealization as well as transient psychotic or psychotic-like breaks under crisis situations, something I’m very familiar with.

Self-mutilation. Yes. I’ve never been much of a cutter, but when I have, it’s been extreme. I’m going to leave it at that. And I’d banged my head against walls ever since I was about ten or eleven or younger even. When I was in middle school, I got into the habit of scratching and slapping and punching myself and pulling bits of my hair. So triples yes on that one too. This is embarrassing guys.

  6. affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days).

Yes, it’s one of the things that got me the initial Dx for bipolar. There’s something that should be said about this one though, because unlike the criteria, I usually don’t just have these episodes for only hours or days thought that is the case sometimes.

  7. chronic feelings of emptiness

Not as much as years back. It fluctuates for me. The way I see it: I fill up and then I drain, I fill up and then I drain.

  8. inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights)

Yes to the power of ten. I’m a recovering rageaholic too. When I was a kid, I threw a butter knife at my brother over a simple remark he’d made and smashed all the plates. It hit him in the forehead. Fortunately, it was only a butter knife and my weak hands couldn’t throw hard enough for a blunt force to seriously hurt him. And these types of violent outbursts were not at all uncommon for me. I have dozens of similar stories ranging as early as when I was four.

  9. transient, stress-related paranoid ideation or severe dissociative symptoms

Yes. People are after me. I make terrible, mean comments on WordPress and that makes everyone get offended and so on and so forth. I have dissociation episodes galore. Where am I? Are those shadows moving? Are they people? Am I there and not here. I’m outside of myself!

********

Ok, I’m going to leave it here for now, but I plan to write more about BPD, what I think of all of this and all of the psychological research I’ve read about it as well as the co-morbidity of BP and BPD.

Hey? 🙂 You there?

See, I bored you to death. 😦

*Le mouse sigh*

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Resources

Handbook of Personality, Third Edition: Theory and Research edited by Oliver P. John, Richard W. Robins, and Lawrence A Pervin

Psychology In Action, 6th Edition by Karen Huffman

PsychCenteral

Mayo Clinic

National Education Alliance Borderline Personality Disorder (NEA BPD)

National Alliance on Mental Illness

National Institute of Mental Health

About.com, Borderline Personality Disorder Guide

Wikipedia, Borderline Personality Disorder

BPD Today – DSM-IV TR Diagnostic Criteria

Because

for T.H.L. because he knew me so well

Because the dead don’t
wake in a rage,
two silky bones,
chalky fingers
calmly linger
and ask for more.
“Two more please.”
As if Consuelo needs
another drink.

Because the dead
don’t wake with hunger,
two bandit mice
scurry down the table
filled with fruit and
the drops left of
Consuelo’s
Modelo.

Because he had wanted
to savor the dreams
of a well dressed man,
they migrated
from country to city
and adapted to
ambitious conditions
of this land.

Because the uncertainties
fogged them,
they built a meager home.
What once were two
heavy cheeks
are now
fleshless visages
that dart
melancholy.

Because they have drank
each other bloodless,
his spirit wafts now
beyond flasks and cantinas
still singing, echoing
“My love’s consumed
like a cigarette”.
So goes the cliché.

Because he is now
a nameless man,
a busker with
a guitar in hand,
he serenades her with his
drudging charade.

Because the dead don’t
have trouble sleeping,
and
“Because,” his stony jaw exudes
“women were the death of me,
there’s something
liberating
this death brings”.

© Paz

********************************************************************************************************

Today’s prompt: an ekphrastic/ekphrasis poem, which is a “dramatic description of a visual work of art.”

Today also marked a month and a day since I found out about L’s death. I’m sure he’d laugh/is laughing at the dark humor I tried to get in this one–after all, it’s for him. Oh, and the poem is based on a painting he owned (I have no idea who has it now) but I took a picture of it the day I hung out with him during the Superbowl, and though I hadn’t wanted to look at those pictures, I will upload the picture of the painting that goes with this poem tomorrow. It’ll make more sense when you see the painting. Maybe I’ll catch up on yesterday’s Earth Day poem too.

These last two were difficult to get through. Whew.

But the fact that you guys are actually reading them encourages me, really.

Xxx

1.
un-birth me mamita linda.
no te quiero ver!

uncover me papito lindo,
pero no, no te quiero ver!

lo que ocurrió es que
el viento me
robó las alas
y borró
el polvo mágico
que me regalaron
las hadas.

sí, las que cantaban
dentro de mi, pero no las quiero ver!

***

2.
i was spleen-size
sucked out, cut clean from
below your womb,
a piggish wad of pink,
red, purple and blue goo–
grey sack you could’ve
thrown out.

seís meses, they said.
young men in white robes
out of universidades.
they probed and probed
and probed you,
they, youthful men
as fruitful as you
but not as torn.

“six months and her heart
will stop.”
too big for her fragile
chest
they said and laid me–
tiny bag of broken bones–
to rest.

un-birth me mamita linda.
no te quiero ver!

unearth me amor viejo, arrugado,
listo para fallecer
como yo lo he hestado.

oh yes, i remember
the story clearly,
remember it dearly.
how many times
hadn’t i heard it?
you’d resigned
dear papi,

already grieved
my death
with swigs
and nightly sighs,
“mija, déjala,
que yo la cuido
venga duerma.
de un modo o otro
uno de estos dias
se nos irá.”

you never gave up
though,
i guess
that’s love;
that’s hope
mamita linda
and i didn’t go.

but you know,
it’s difficult
to cope.
this heart is still
too crammed in this
barrel chest and one
day, someday
it will stop.

for my dear mother who endured all the poking, the prodding and was somehow able to birth me without a cesarean, and for Sailor Carrie

© Paz

*************************************************************************************************

[my lazy translation; some things will always be lost in translation]

1.
un-birth me dear mommy.
i don’t want to look at you!

uncover me dear daddy.
but i don’t want to look at you!

what’s happened is,
the wind
snatched my wings
and erased
my magic powder,
yeah the one
the fairies
gave me.

yes, the ones that
sang within me,
but i don’t want to look at them!

2.
six months, they said…

blah blah blah…

unearth me old love, crumbled
and haggard, ready for death
like I’ve been.

student doctors prodding you…

….

…hadn’t i heard it?
“honey, leave her,
i’ll take care of her
go on, go on
sleep,
on day or another
she’ll be gone.”

****************************************************************************************************

Guys, I was lucky enough to have lived past the six month mark those doctors gave me and have survived thus far (which sometimes still surprises me considering the crazies I get), but unfortunately, a fellow mental health blogger’s little girl did not; she passed during childbirth.  I can’t fathom what that must be like.

His blog is Salted Lithium. Maybe you can pay a visit and show some love. I’m sure he could use it.

A Scene From Child-hood

Shots ring out past
the playground,
unzipping the air.

A block away, blood flows
down the sidewalk cracks
as the rats run out
to lick their
reddened creek.

With bloated bellies
they scurry
‘neath the
nearby cemetery’s mulberry.

Behind blue and black-belted men
and their blaring
two-way radios,

little bouncing heads,
like tied balloons,
the color of mud, of deadened
clay, of soot,
sway and totter
with bloated minds
that hurry

hurry

to adjust
into the frame
of a rolling camera.

© PAZ 2012

****************************************************************************************************
So I was just reading about this month being NaPoWriMo (http://www.napowrimo.net/) on one of the blogs I came across. I don’t even remember which one now. It’s like the NaNoWriMo in November. Basically, you write a poem a day for the entire month. Anyway, after reading about it, I wrote this today. Not sure if I’d do the challenge though I’m interested–we’ll see. It’s half way over with by now.

But if I do, this’ll be the first of the lot.

All former, pitiful, bloody content in this post has been removed and swallowed by one of my pretty little demons.
prettylittledemonringleader

My left arm which is the one I write and draw with is still broken, so I can only make due with the remaining useful arm. He’s a little angry that I had to render him so poorly though, especially because he’s the ring leader of all of my other pretties.

He says he’s not interested in buying anything either, this includes salvation–so don’t offer–unless, of course, it’s a sexy little thing.

Kudos and thanks for reading.

Until whenever…