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AlphaStarred
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Registered: Jul 2002
Location: Brooklyn, NY
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| quote: | Originally posted by Chimney
Many people don't seem to understand (not referring to you, but generally) that personality disorders are not diseases per se, but traits etched in our personogenesis. |
No, that I understand. What I don't understand, as I mentioned, is how the psychiatrist can concurrently say one has psychotic symptoms and a mood disorder, and a severe personality disorder, when the so-called "normal" personality is missing, as it were, due to the mental illness. So the unstable moods, mood swings, high dudgeon, etc. are not a result of a "personality disorder," but rather a result of the mental illness and the debilitating symptoms themselves, which cause the severe distress.
What' I'm aiming at is that most people who develop mental illness don't feel like "themselves." Like their personality and identity is stripped away from them, as it were. It's fine to say one has a personality disorder when one doesn't present with a mental illness, or when one is in remission, but obviously one who may be having psychotic symptoms can be distressed to the point of presenting with features that one may think is "severe and dangerous."
Last edited by AlphaStarred on Jul-23-2015 at 14:29
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Jul-23-2015 14:22
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Chimney
Low pH

Registered: Oct 2008
Location: Helsingborg
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| quote: | Originally posted by AlphaStarred
No, that I understand. What I don't understand, as I mentioned, is how the psychiatrist can concurrently say one has psychotic symptoms and a mood disorder, and a severe personality disorder, when the so-called "normal" personality is missing, as it were, due to the mental illness. So the unstable moods, mood swings, high dudgeon, etc. are not a result of a "personality disorder," but rather a result of the mental illness and the debilitating symptoms themselves, which cause the severe distress.
What' I'm aiming at is that most people who develop mental illness don't feel like "themselves." Like their personality and identity is stripped away from them, as it were. |
I see your point. First off, it would be a good thing to establish which mental illness we are talking about and under which of its portraits. If we take schizophrenia - which is the leading cause of psychotic episodes - and combine it with a mood disorder, we have something called 'schizoaffective disorder'. A quote from Mayoclinic:
| quote: | | Schizoaffective disorder is a condition in which a person experiences a combination of schizophrenia symptoms — such as hallucinations or delusions — and mood disorder symptoms, such as mania or depression. |
However this is only possible in certain manifestations of schizophrenia, taken as the negative symptoms are beyond mood-disorders. We can take hebephrenic schizophrenia (disorganized) or catatonic schizophrenia which pretty much have a are a zero-sum affective stance:
| quote: | | The most prominent features of disorganized schizophrenia are not delusions and hallucinations, as they are in paranoid schizophrenia [...] a state of neurogenic motor immobility and behavioral abnormality manifested by stupor |
I won't comment any further since I´ve only heard of such cases and never seen one during my student years. However, according to my professor, people that have catatonic form of schizophrenia do not have the ability to eat, speak, dress, move or anything else.
The line beyond personality disorder and mental illness is often a very clear one, supported by the fact that PD kick in around the age of ~25 when the persona-genesis is done while schizophrenia most often has it's start around the age of 15-17 or in early childhood.
The mix between a personality disorder and mental illness is kind of rare - over here anyway.
Treatment is syndrome specific. That's why there's a plethora of neuroleptics out there.
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Jul-23-2015 14:56
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