Friday, June 9, 2006

L'ability (towards the medical model)

I dont' know where the individual who wrote this on emotional lability got any of her information but it appears to be directed at caregivers of stroke victims. It's the first thing that comes up in response to emotional lability on Google. Wikipedia has it listed as "labile affect" and illucidates other possible organic neurological causes for it.



"Borderline individuals are affectively intense and labile. As noted in Chapter 1, many studies have suggested that borderline and parasuicidal individuals are characterized by anger, intense frustration, depression, and anxiety; as noted in Chapter 2, Dialectical Behavioral Therapy (DBT) postulates that difficulties in regulating painful emotions are central to the behavioral difficulties of the borderline individual," and "Such affective intensity and lability suggest that borderline patients might benefit from help in learning to regulate their affective levels."-- Cognitive Behavioral Treatment of Borderline Personality Disorder, 1993, Marsha M. Linehan


Marsha M. Linehan is on to a real good thing. When most treatment for Borderline Personality Disorder only seems to make things worse, it's pretty amazing that she can come up with something that research seems to support working.

But then what about Bipolar II? Firstly, it's important to understand the difference between a manic episode and an hypomanic episode. Note that a manic episode is reserved for Bipolar I, hypomanic episode for Bipolar II.

And soon to come. . ."not officially in the rule book" is Bipolar III? I'm not kidding, they're working on this stuff.

So, ok, Borderline Personality Disorder is clearly diagnostically (link comes from the medical world's book of diagnosis rather than DSM-IV-TR)different than Bipolar II (or III?).

But did you knowthis anticonvulsant (aka anti-seizure med) Lamictal is working for Bipolar II and no shit, for Borderline Personality Disorder too. I wonder if it works for stroke victims. . .

Of course, it would be illegal to talk as though I have any particular authority on this topic. I don't. And it would be irresponsible to present any of this particularly as fact. It's not. . .

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