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re: 12 Year Old Girl with BPD

Posted on 5/3/24 at 9:39 am to
Posted by BluegrassBelle
RIP Hefty Lefty - 1981-2019
Member since Nov 2010
99898 posts
Posted on 5/3/24 at 9:39 am to
quote:

i think the issue isnt whether or not its an accurate diagnosis, but rather the repercussions that come with a BPD diagnosis later in life. a pre-teen exhibiting BPD behaviors could and should absolutely be treated as if they have the diagnosis, but the minute it gets put pen to paper as a borderline personality diagnosis, there are potential life-long impacts even if it turns out maybe they DONT have BPD. lots of pre-teens and teens have some pretty significant emotional problems that they work through to become very normal adults.

but to your point, yes i think it is appropriate that a doctor at least TREATS them as if they are in fact borderline


And that’s understandable but that diagnosis can be changed as symptoms/presentation change. IMO it’s a similar circumstance as kids being diagnosed with ODD at a younger age when it’s actually a personality disorder later.

I think it’s also worth noting that without the BPD diagnosis, longer care treatment could be more difficult to obtain which can definitely run counter to the concern about the label itself.
This post was edited on 5/3/24 at 9:42 am
Posted by Sam Quint
Member since Sep 2022
4929 posts
Posted on 5/3/24 at 9:47 am to
quote:

but that diagnosis can be changed as symptoms/presentation change

i am basing this totally on my own anecdotal experience, but i know that in order to receive a security clearance for the government, you have to answer "have you ever had a diagnosis of borderline personality disorder". there isnt really any wiggle room for whether or not that diagnosis was changed. again, i understand what you're saying, i just think doctors should be very, very careful with such a diagnosis on a child.
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