Levels or types of Borderline Personality Disorder


By David Joel Miller.

Are there different types of Borderline Personality Disorder?

People with Borderline Personality Disorder (BPD) differ so much there might be more than one type of BPD or that we may be placing several different mental illnesses together under one label. Gunderson in his book Borderline Personality Disorder describes three levels of functioning in people with BPD. Hotchkiss appears to enlarge this idea into three types of borderlines.

Diagnostic criteria for mental health disorders are largely normal characteristics which have grown so large that they begin to interfere with everyday life. Everyone has sadness sometimes and we all are or should be anxious occasionally. That same concept of degree rather than nature is applicable to BPD.

Masterson wrote about Narcissistic Personality Disorder and described this as coming in low, medium and high levels. I think the use of that same sort of yardstick for measuring BPD might be useful.

Low Borderline characteristics or traits.

People with low BPD or beginning Borderline traits have or are able to sustain a primary relationship. This relationship may be rocky but the low borderline trait individual is able to have satisfying interactions with a partner. They will perceive this partner as supportive.

What brings a low symptom Borderline into treatment will be feelings of emptiness, loneliness or depression despite having a supportive partner. They may also suffer from chronic boredom or masochism. They want both a close relationship and fear that relationship because needing someone exposes you to becoming dependent on them.

As a result of the presence of that supportive person in their life, a mild BPD individual may go undiagnosed. They may lack the intense anger and have fewer and milder mood swings than those that appear in more severe cases. Their self-destructive behaviors will be fewer and less frequent and may be ascribed to life experiences like layoffs or fights with their S. O. rather than being recognized as BPD traits.

What tips the clinician off to the BPD traits is not the current relationship but a history of previous unstable relationships and a pattern of over rapid entry into and speedy exit from relationships, as well as a history of being the victim of abuse or neglect.

Medium BPD.

As the symptoms of BPD become more severe you may experience more anger, more worries about losing your partner and more frantic efforts to keep your partner in the relationship. People with medium BPD are described as having difficulty seeing things from others point of view and devaluing others. They may manipulate as a way to get their needs met. They have the belief that asking will not get them what they need and that they need to force others to stay with them.

This level of borderline functioning is full of break-ups and make-ups, drama from current and previous relationships and recurrent self-harm or suicide attempts to force the partner to stay. Someone with medium intensity BPD may plan suicide with the thought that this will punish the other for not loving them enough.

High Borderline Personality Symptoms.

When BPD reaches this level the person with Borderline Personality Disorder is unable to maintain a relationship with a significant other. They are without a functioning support system and become increasingly lonely and angry. They may develop distorted thinking, delusions and eventually hallucinations. They may have episodes of panic involving various anxiety provoking possibilities.

At this level of BPD symptoms the most likely coping mechanisms are efforts to distract the self by using drugs and alcohol, abusing food, and acting out behaviors. Fights, promiscuity, self-mutilation or suicide attempts will be common.

Are relationships a cause or the result of the level of BPD?

There is some question as to whether having a significant relationship reduces the level of borderline traits or if people low in traits can maintain better relationships than those who are high in BPD traits.

One thing that seems clear is that if you have a supportive other in your life, especially in your primary relationship, you are more likely to be able to cope with your mental illness. Learning life skills can improve you functioning and increase the likelihood of finding a supportive partner. Healthy people attract healthy partners.

Are you doing all you can to create good relationships with others and to become the kind of person who can have happy supportive relationships?

Other posts on Borderline Personality Disorder are:

What is Borderline Personality Disorder?

What causes Borderline Personality Disorder?

Levels or types of Borderline Personality Disorder

Treatment for Borderline Personality Disorder

Want to sign up for my mailing list?

Get the latest updates on my books, due out later this year by signing up for my newsletter. Newsletter subscribers will also be notified about live training opportunities and free or discounted books. Sign up here – Newsletter. I promise not to share your email or to send you spam and you can unsubscribe at any time.

For more about David Joel Miller and my work in the areas of mental health, substance abuse and Co-occurring disorders see the about the author page. For information about my other writing work beyond this blog check out my Google+ page or the Facebook author’s page, up under David Joel Miller. Posts to the “books, trainings and classes” category will tell you about those activities. If you are in the Fresno California area, information about my private practice is at counselorfresno.com. A list of books I have read and can recommend is over at Recommended Books

Advertisements

54 thoughts on “Levels or types of Borderline Personality Disorder

  1. Pingback: What Causes Borderline Personality Disorder? | counselorssoapbox

  2. Pingback: What is Borderline Personality Disorder? | counselorssoapbox

  3. I read a thing about Princess Diana some years ago that implied she might have had a borderline personality disorder. She did have an enduring pattern of friendships that she just broke off. Apparently there was practically no-one in her life that she “wasn’t talking to” at some point or other.

    Then a psychiatrist was interviewed who claimed borderline personality disorder would have interfered with her Princessing skills ie that she wouldn’t have been able to go around ribbon-cutting, making 2-minute speeches and faking smiles while handshaking. Having known 2 people with BPD I’d disagree.

    By the way what do you think of this idea (Hagop Asiskal’s (sorry if I spelt his name wrong)) that BPD is a subclinical type of bipolar disorder? (And if that is so, what about cyclothymic disorder I thought that was subclinical bipolar too?) I know someone really well who has borderline personality, yes she has mood swings and no they’re nothing at all like bipolar ones.

    Like

    • Thanks for the comment. You ask some very good questions. That got me thinking and inspired a whole nother post titled Lady Diana, Bipolar and Borderline Personality Disorder. Hope that post answers your questions. I appreciate hearing from readers so please – feel free to leave more comments and/or ask more questions.

      Like

  4. Pingback: Lady Diana, Bipolar and Borderline Personality Disorder | counselorssoapbox

  5. Pingback: Mental Health, Self-improvement & Happy life –Counselorssoapbox.com January 2013 Best of Blog | counselorssoapbox

  6. Pingback: February 2013 happenings on counselorssoapbox.com- Top posts | counselorssoapbox

    • First don’t be too focused on some or all the symptoms. Most symptoms are things all humans experience from time to time. The question is how sever the symptoms are. I recommend you seek help from a professional especial one trained in or familiar with DBT. Standard treatment consists of a small amount of time on the current symptoms and problems and a lot of time focused on getting to know yourself and learning the life skills you need to overcome problems effectively. meditation and mindfulness can also be helpful. A good part of life is learning to accept the things we cant change rather than upsetting ourselves over things not being the way we think they should be. Working with a counselor you should be able to get this under control and have a happy life.

      Like

      • Some of the symptoms I experience are not normal or (at least I think so). The symptoms don’t interfer much with my life, but I’m afraid it will later.So, if I went to see a professional do I tell him/her about my suspects?

        Like

      • First you need to develop a relationship and feel comfortable talking to the counselor but beyond that yes if it is a concern to you by all means tell them and see what they think.

        Like

  7. Pingback: counselorssoapbox.com most read posts – March 2013 | counselorssoapbox

  8. Pingback: counselorssoapbox.com posts you read the most | counselorssoapbox

  9. Pingback: 2013 Midpoint – Top 10 posts | counselorssoapbox

    • Thanks for reading and for Re-blogging. The idea of levels or types of BPD is a theory. I will be interested to see how people who have this issue relate to this idea. We need to do more to reduce or eliminate all forms of stigma about mental illnesses. I continue to believe people get and recover from mental illnesses just like any other illness. Best wishes.

      Like

  10. It’s interesting that you’ve picked the ability to hold down a relationship as a key factor in diagnosing a level of BPD. It’s not one of the factors I consider at all within my own diagnosis and “recovery”. I was in a relationship and married for nearly 13 years, although the marriage broke-down due to my eventual hospitalisation and suicidality. I don’t doubt the relationship was unhealthy from the start because of my heavy dependence on him and his “walking on eggshells” (unbeknownst to me) in order to keep my happy and stable. Now I’m in a new relationship which is much healthier as I have a diagnosis and am fully aware of my symptoms, triggers etc. However, just because I’m in a happy relationship, doesn’t mean my BPD is under control or low level. Other factors play in my illness and having one part of my life in order doesn’t mean the rest falls into place and stays there. I can be as happy as I like with my partner, but when I still have money worries, or I’m still stressed because I can’t see my kids as much as I’d like, or any of a myriad of “minor” things going on in my life, my BPD flares up just as badly as ever. I may cope slightly better because of my partner, but only very slightly. My brain is still coming out with its wonky logic and exaggerated emotional reactions. My S.O is helpless to prevent that from happening, as am I. And, as I learnt in the past, I can have what appears to be a wonderful relationship with two beautiful children, and still want to kill myself. I firmly believe more emphasis needs to be placed on the genetic side of BPD and the phsyiology of the condition, rather than the ability or not to hold down a relationship.

    Like

    • Thanks for that great comment. When therapists talk about relationships we have something different in mind than what most people are thinking of. In the future I will try to make that clearer. Beyond romantic relationships there are or can be problems in relationships with parents, playmates, school teachers and then later in life problems with employers, co-workers children and neighbors. “Relationship issues” or lots of problems with other people is a symptom that is often easy to see, like a person running a fever, it gets noticed first. I do not think a bad romantic relationship necessarily makes someone bipolar. Genetics, life experiences and a host of other things are risk factors. We still do not know why one person with risk factors gets the disorder and another person from the same family does not. Again thanks for the comment and best wishes on having the life you want.

      Like

  11. Pingback: Top 10 counselorssoapbox.com posts | counselorssoapbox

  12. My childhood was a mess. My mother, I believe, has narcissistic personality disorder. She reminded me frequently throughout childhood that there will always be someone better than me. She could cruel in many ways. She told not-so-nice things about me to her friends and to mine as well. She would create drama and competition between people. Then, when confronted, would lie about it. Holidays became a horrible, dreadful time. It has only been in recent years that I have started to enjoy them again.
    My father had a traumatic childhood adding to the mix of dysfunction. Because I understood why he behaved the way he did I gave him the benefit of the doubt. Like my mother, he plays the martyr, while victimizing others. I felt from a very young age that my birth ruined his life.
    It came to me that I was dealing with a bowl of spaghetti that was intertwined that it was a gooey mess. No matter what I did, whatever went wrong was all my fault. So, I removed myself from the situation. I am estranged from both as I realize that they are toxic to my life, and I can’t fix them. My life is happier without dealing with their criticisms, devaluing and crazy-making. All I can do is pray for them. My strangeness has been in the fact that I am slow to commit in a relationship because I want to scope it out first. I have maintained relationships, but have learned not to get too attached. A psychiatrist told me about thirteen years ago that I am “normal”. Ha! At this time, I was taking anti-depressants and sleep aids. The farther I am away from “blood” the healthier my attitude and physical being. Because it is not “conventional” many do not understand. I have learned to accept that.

    Like

    • Thanks for sharing that. Given what you have been through it is reasonable that you would need to cut some people out of your life. Someday you may be healthy enough to reestablish a relationship, but not till you are ready. I think we always wish that things were different, but once you are injured you will always be careful around that kind of danger in the future.

      Like

  13. Pingback: Top counselorssoapbox.com posts for Sept 2013 | counselorssoapbox

  14. Pingback: Top 10 Mental Health Blog posts of 2013 | counselorssoapbox

  15. Pingback: Levels or types of Borderline Personality Disorder | The Borderline Personality Bliss And Mess

  16. I feel like I am between low and medium. I can sustain a relationship (I have a 2 year curse) by the time we hit 1-1.5 years it starts getting rocky and the break up and getting back together begins. Most people would not think I have it. I am hypersensitive but hide it well. I lie to myself. I tell others I am not. I tell people I dont care what others think but really I do a lot. I feel like I dont have abuse issues. I describe myself as a non addictive person but when it comes to the person I love I am obsessed with them. Before being diagnosed I was googling stuff like can you love your partner too much. I was devastated. In my journals I wrote all I ever wanted was to be loved. I feel like more research needs to be done. I am not the fatal attraction type. I have my head on my shoulders but I am neurotic. (hypochondriac). Until being diagnosed I was always trying to figure out what was wrong with me. I knew something was wrong. I am pretty sure I am high functioning mainly because I have this disorder because my mom has it and has been untreated. So being gentically predisposed to it and growing up with a mother who couldn’t control herself raised me in a way where I was never properly taught how to cope with emotions correctly. Also I felt like she had favorites and my parents may have divorced when I was 2 but my step dad has been in my life since I was 4/5. I call him dad. I didnt start to see my real dad until I was 7/8. Either way I never tied these things together. I was a good student and out of fear of being sent away to my dads I was always a good person not a trouble maker. However, I was grounded everyday for arguing with my mother. I put some holes in walls when I was younger too. I was just so angry. I dont really get rage anymore. Maybe 1-2 times a year when I knock stuff of the top of the dresser but I normally internalize the anger and shake/tremble rolling on thr ground because I literally lost control of myself. I care too much of what other people think that I am able to keep a lot of my problems under wraps. I just feel like there are levels for sure because I am not the crazy bitch type. Im the sensitive happy type but I lose myself behind it all.

    Like

    • Thanks fro sharing your experience. As your comment points out there can be degrees of all these problems and they can come and go in episodes. Also adding to life’s difficulties are the things that we all need to cope with in life and some people learn these life lessons different ways and at different times. Stay happy and best wishes. David

      Like

  17. I currently have a BPD Traits label but would identify with Medium BPd as well. It’s interesting that a lot of mental health professionals don’t look at BPD (and probably others) as having potential subtypes. Especially when it comes to accessing services, I have been turned down because I have a Traits label but I still share the same experiences as those with the full BPD label. I guess because I have more good days then bad. But the bad are bad. I’m also aware that adding subtypes can just make it easier for more over-diagnosing to occur which isn’t helpful.

    Good post 🙂

    Like

  18. Pingback: Most read mental health blog posts 2015. | counselorssoapbox

  19. Masterson also wrote about BPD as having a low, mid, and high-level division of functioning. Arguably, these separations are arbitrary and artificial – in reality, these designations must flow into one another as sort of a continuum or spectrum. People at different times and with different resources can move between one level of functioning and another.
    In my opinion, it’s also questionable whether BPD can be reliably or validly separated from other conditions, like “Schizoid” PD; the reliability (i.e. ability of treaters to agree on who has what condition) of this and many other disorders in the DSM is much lower than psychiatrists would like people to know.

    Like

    • Absolutely, trying to categorize human behavior into discreet diagnoses is problematic. Low medium and high traits for anything are judgment calls. As I remember, Matterson’s remarks he felt some of the things we call personality disorders were normal human behaviors. Some amount to Narcissism is good, too much is bad. We tell some clients they need more self-esteem and then when they develop it people tell them they are narcissistic. It takes a lot of high self-opinion to run for office or to do many other things in the public eye. In my experience some clinicians give out personality diagnosis a lot and others almost never use them. Even Anxiety and Depression have so much overlap that they thought about creating a combined category. It is quite possible one of these days the term Borderline will get dropped and some other term substituted. Lots of literature is talking about emotional dysregulation or similar terms. Whatever label we put on these symptoms, people come to therapy wanting help and I continue to believe that they can have a happy life and recovery if they find what they need to create their own wellness plan. Thanks for reading and for the comment. David

      Like

  20. Pingback: Do you have Borderline Personality Disorder? | counselorssoapbox

  21. I’m curious if there are any studies to look at BPD as the root condition
    from which all other behavior disorders spring. Let me suggest OCD,
    PTSD, depression and Bipolar, eating disorders, sleep disorders are
    all based in BPD. The only way this could exist, in my opinion is if
    BPD is 100 percent genetic.

    As someone who has lived or survived BPD over 50 years. Watch other family
    Members deal with depression, OCD. I see it as just different flavors of BPD.
    I believe, I can trace the behavior back to my grandfather on one side.
    It help explain why my grandmother was relieved when he passed.

    I appreciate the forum you have provided from BPD discussions.

    Like

    • The things we professionals diagnose are groups of symptoms that appear to occur together. Symptoms or syndromes don’t match up well with causes. We see depression as having some common characteristics but lots of possible causes. We could postulate that all mental illnesses have a few common causes, heredity, environments and what you learn from life experiences. There are likely some common experiences in all the disorders you mention. Why one person gets a group of symptoms we call borderline and another develops OCD remains a mystery. I think it is a lot more complicated than just heredity or environment. Some of the newer research on gene expression suggests that an experience can also affect your DNA and be passed on. In the case you cite Grandfather provided some genetics but he also influenced all the family members environment and learning. Thanks for the comment.

      Like

  22. Hello,
    I know this question is silly but I am currently in a relationship with a man who has BPD. I am only just learning about the condition as weve only been together 4 months and have been researching obsessively because I love him and I refused to believe that a relationship can never work with someone of this condition. That seems hopeless and I’ve actually read articles suggesting that the only thing to really do is leave them. It seems to me that everyone deserves love. My question is this. Through all the idealization that someone with BPD can have for you, all of the ” unrealistically intense love” does that mean someone with BPD cannot feel “real” love? Am I basically waiting for the day he flips his switch off and nothing ever meant a thing? I’ve read countless articles on how to cope, how to deal with, how to handle it. But is what someone with BPD feels for someone basically an illusion? I am willing to tough it out for him. I love him dearly. I can learn to change my thought process, alter my communication skills and even grow thicker skin. But not if in the end, most cases end up with them leaving and not if this isn’t real in his eyes and he doesn’t even know it. I don’t know if that makes sense. He seems to have moments of intense emotion and lack of overall understanding of facts sometimes during these episodes but the thing about him is it passes usually within an hour or two. I feel like he might be lower to medium even though these fights come on every week and have driven me into almost insanity. But I love him. Is it real? In reading article after article I am starting unintentionally to view him as a condition rather than a person which I know is dangerous but I feel in finding out about his condition, and through all the things Ive read, that I’ve stepped into the twilight zone and I’m questioning what is real and what isn’t. I have depression and severe anxiety as well, I’ve read that it can be almost self destructive to stay in a relationship with someone who has BPD if you already deal with your own issues. I don’t know, I just love him.

    Like

    • Thanks for writing. Not a silly question. Yes I believe that people with any and all diagnosis can love others. One feature of BPD is the way their emotions can change so quickly. One minute they are saying they love you and can’t live without you and the next they say they hate you. Both may well be true in that moment. They may be back to loving you before long also. The difficult part is the strain this will put on you. It is possible that your partner does not feel good about himself and this makes it hard for him to feel real love for you or anyone else. Since I do not know either of you this is only a guess. Both of you would benefit from talking with a counselor individually and then if you are able to get mentally healthier individually you could do some relationship counseling. He needs to work on himself. You cannot by yourself do enough to make him well.

      Like

  23. This is the first time I’ve seen it written down, but my MHN told me ages ago that BPD is like a continuum, some at the lighter end, some at the worse end but most around the middle.
    I struggled to identify myself with the DSM V criteria, a little more so with ICD 10, but never really found myself fitting enough criteria at the level required to be BPD
    I’ve been married 24 years, hold down a full time responsible job and I’m about to start a PhD, the only thing I really do is the emotional swing, and drive very fast…. but the history, the back ground as a child/teenager fit and I was diagnosed on the back of a C PTSD diagnosis.
    I think it’s hard when you read a lot of information about BPD in the workplace as it always makes us seem difficult to work/deal with and there’s an inbuilt assumption that we’ll screw up. I haven’t yet, I doubt I will I’m in a very responsible position and have lots of junior employees to supervise or line manage, but I happen to have BPD. I wish there was some work into how people successfully live with BPD rather than how to manage us. Maybe having a mild/medium/severe differentiation will help us. I’d also like to see information purely geared at successful workers who sometimes need a boost or a workers guide to working with BPD, rather than a managers guide to managing BPD.

    Like

    • Thanks for this comment. My thinking is that many people who have had BPD learn skills to mange their symptoms and work or have relationships just like anyone else. There may well be people around you who would have no idea about your diagnosis unless you chose to tell them. Mangers should learn to mange all employees as if they all had some struggle going on outside of work. The truth is most people with or without a diagnosis have some life struggles to deal with. Best wishes.

      Like

  24. Pingback: Top Mental Health Blog Posts – counselorssoapbox.com 2015 | counselorssoapbox

    • So many people have recovered from severe mental illnesses. We see it every day. I hope you do not give up hope. If you are out of hope let your therapist hope for you until you are ready to hope. Having some sort of support system is beneficial. That support does not always come in the form of a romantic partner. It may be a professional or a pet. I hope you find someone that can make your journey less difficult.

      Like

    • So many people have recovered from severe mental illnesses. We see it every day. I hope you do not give up hope. If you are out of hope let your therapist hope for you until you are ready to hope. Having some sort of support system is beneficial. That support does not always come in the form of a romantic partner. It may be a professional or a pet. I hope you find someone that can make your journey less difficult.

      Like

  25. What about quite bpd? I doubt I might be suffering from that. I also have fear of intimacy(more like uncomfortable with intimacy). But my dad used to have high temper with in the end made him suicide. I’m unclear about my symptoms, some times they seem to bother me a lot later I feel it’s normal.
    But looking at my father and a very intense relationship I had earlier I feel I may be suffering from quite BPD.

    Like

    • I have not heard the term “quiet borderline” before. I suspect this is very similar to what I call mild borderline personality disorder. Some people would call it “borderline traits” if it was not severe enough to interfere with your functioning. If it is bothering you, affecting your ability to work, or your relationships you might want to seek help
      Thanks for contacting me. I’ve had the blog set to auto pilot, publishing prescheduled posts while I’m away, so it’s taken me a while to get back responding to some comments and questions.

      Like

  26. This is not me I’m talking about but its my character on a story I’m writing. What if she has tried to kill herself, gets fights, has anger issues, has self harmed before, and has been abused as a kid. She has suffered with depression since she was 12 but her anger issues calmed down once she was 26 years old. What mental illness would that be if she also has anxiety and ADD

    Like

    • Hi, Halle. Thanks for contacting me.
      You have asked an excellent question. I don’t believe I have ever written about the challenges of including a character with a mental illness in a fictional story. This topic deserves a fair size blog post, possibly even a longer article. Let me share some personal experiences with you; then I’ll try to answer your question.
      It is hard to do a good job of including a character in the story with a diagnosable mental illness, particularly so if that character is your protagonist. It is very easy to fall into stereotyping traps. Because of my own writing projects, I have looked for authors who do a good job of portraying characters with a mental illness. If you have any suggestions, I’d love to hear them, and if you’re looking for a beta reader for your manuscript, I would be interested in taking a look.
      During NaNoWriMo, I completed a novel about a man with PTSD. This novel, currently with the working title “Casino Robbery” is in its fourth draft, has been to an editor, and is now in the hands of beta readers. I hope to publish it later this year followed by several other novels about protagonists with various mental illnesses or emotional problem. Here is a little bit about my book “Casino Robbery.”

      The robbers wanted more than money; they planned to kill Arthur’s fiancé and her boss.

      Arthur Mitchell was trying to start his life over with a fiancé and a new job. That all ends when the casino robbers shoot Arthur, kill his fiancée and her boss. Arthur would like to forget that horrible day, but the traumatic nightmares and constant reminders won’t let him, and someone is still out to get him. When he tries to start over by running a rural thrift store, someone knocks him unconscious, vandalize the store, and finally tries to kill him. His only chance to find peace is to figure out what the killers want from him and why.
      Now for the part about your story.
      Watch your time period. Diagnoses are about current symptoms not what happened in the past. If you had the flu last year, you are not a “fluer.” Avoid giving your character a whole laundry list of illnesses. Pick one and show how it is affecting them during your story. Some anger, sadness or anxiety is normal. You need to show how this character has excesses one or more of these in the present. The only one were sure about right now is that you tell me she has ADD. ADD by the way no longer exists the newer term would be ADHD predominantly inattentive. Even here we don’t know if she’s taking medication and if so are her symptoms controlled by those meds.
      Your best options are probably:
      1. Major depressive disorder – if you tell us she is currently having symptoms of depression that interfere with her ability to work, have good relationships, or the depression bothers her.
      2. If you use borderline personality disorder will need to give her a very chaotic life. A history of self-harm, as in Nonsuicidal self-injury suggests borderline personality disorder, but only if she is continuing to self-harm.
      3. If you use anxiety, you will need to develop this. Does everything scare her? Generalized anxiety disorder. Is she afraid of elevators – specific phobia? Did she end up in the hospital because of panic attacks? Panic disorder.
      4. It is quite possible despite all these past problems; this character is in sustained recovery and may be seeing a therapist or attending a support group in order to avoid a recurrence of her symptoms.
      Hope that helps.
      David Joel Miller.

      Like

  27. Do you think that the behavior of a mild borderline is actually manipulating or is it just a figure of speech?
    Also, what do you think is the best pharmaceutical treatment?
    My girlfriend has OCD and BPD and takes 2mg Zoloft but when we have a serious fight or breakup she has selfinjured herself or have major crisis which in many cases didn’t even remember afterwards.Not seriously like a suicide attempt but more like a cry for help or “a way to reduce the pain” as she has said. What do you think would be the best treatment to keep away from these events? Would it be something different from Zoloft or something additional?

    Thanks in advace.

    Like

    • I can’t tell you which medication might be best, that’s a question for a psychiatrist or medical Dr. I think of manipulation as one way of getting your needs met. Hopefully your partner will learn other ways.Your girlfriend would really benefit from therapy in addition to the medication. Thanks for commenting.

      Like

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s