Paul Isaacs' Blog

Autism from the inside

Autism & Personality Disorders They Can Co-Exist – Borderline Personality Disorder

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OVERVIEW

Note- This is my personal perspective of having Autism and a PD

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In previous posts I have come to the conclusion that my Autism doesn’t define me, but in my early twenties and when I was in my first job which was awful, two Personality Disorders came into the forefront which were “extremes” of my “normal” personality traits.Donna Williams has done extensive research into these areas of personhood (including extremes) and the developmental aspects of Autism and how they co-exist.

 

Borderline Personality Disorder- Extreme/Disordered Version of the Emotionally Sensitive Personality 

It is characterized as:

A pervasive pattern of instability of interpersonal relationshipsself-image and affects, as well as marked impulsivity, beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:

  1. Frantic efforts to avoid real or imagined abandonment. Note: Do not include suicidal or self-injuring behavior covered in Criterion 5
  2. A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation.
  3. Identity disturbance: markedly and persistently unstable self-image or sense of self.
  4. Impulsivity in at least two areas that are potentially self-damaging (e.g., promiscuous sexeating disordersbinge eatingsubstance abusereckless driving). Note: Do not include suicidal or self-injuring behavior covered in Criterion 5
  5. Recurrent suicidal behavior, gestures, threats or self-injuring behavior such as cutting, interfering with the healing of scars (excoriation) or picking at oneself.
  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).
  7. Chronic feelings of emptiness
  8. Inappropriate anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights).
  9. Transient, stress-related paranoid ideation, delusions or severe dissociative symptoms

This was extracted form Wikidpedia with the DSM-IV TR Diagnostic Features Copyright World Health Organization 

Can Autism and Borderline Personality Disorder Co-Exist?
The answer to your question is yes it can. I had the features of self-harming behaviors which involved cutting, suicidal thoughts, over eating which included binge eating and under-eating, Feelings of emptiness, paranoid delusions, anger issues which made me snappy, problems with self image and the sense of who I was and my identity to the world, high levels of uncontrolled anxiety. This was due to problems with bullies in the workplace and not being able to fight back. However I will say this a strong controlled loving household (my parents) got me through this with positivity and self belief and convincing me that I wasn’t a victim!

Paul Isaacs Adult with Autism 2014

Author: Paul Isaacs

Paul was branded as a “naughty & difficult child” at school. He was classically autistic and non-verbal due to speech articulation difficulties. He had complex sensory issues and appeared both deaf and blind. He gained functional speech around the age of 7 or 8 years old. He went through the mainstream school system with no additional help or recognition of his autism. Consequently, he did not achieve his academic or his social potential and had very low self-esteem. At age 11, Paul was referred to the children’s mental health service with childhood depression where he was regarded as “developmentally underage” and having speech problems. As an adult, Paul had a string of unsuccessful jobs, and his mental health suffered. He developed both Borderline and Schizotypal Personality Disorders in early 2007. He was referred to mental health services and misdiagnosed with “Asperger traits with a complex personality”, which did not satisfy Paul or his family. A local autism organisation put Paul in touch with an experienced psychiatrist, who diagnosed him with Autism at 24 years old. In 2012 Paul was also diagnosed with Scotopic Sensitivity Syndrome by an Irlen Consultant who confirmed that he also had face, object and meaning blindness – conditions which Paul describes eloquently in his speeches and training sessions. He also has dyslexia, dyscalculia and also a dissociative disorder. Having started working as an local autism organisation as a public speaker in 2010, Paul joined their mission to promote autism awareness. His hope is that others will not have to suffer as he did. Now also a core member of our Training Team, Paul continues to enhance true understanding of autism at every opportunity. Paul has released and published 5 books on the subject of autism published by Chipmunka publishing and has contributed to other books too. Having overcome many challenges to achieve the success that he now enjoys, Paul’s message is that Autism is a complex mix of ability and disability. He firmly believes that every Autistic person should have the opportunity to reach their potential and be regarded as a valued member of society. Apart from autism related blogs Paul also write about movies, fashion, art and anything that is of interest. As of August 2015 Paul now works as a freelance speaker, training and consultant in and around the Oxfordshire & Buckinghamshire area. If you are interested please contact him via email at staypuft12@yahoo.co.uk

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