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Figuring Out Diagnosis

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I was diagnosed at the age of 16 with Borderline personality disorder and PTSD. I have always struggled with addiction and self injury. I am all over the map and have two doctors telling me different things and I’m not sure where to go. one believes I have depression on top of my other disorders and has put me on medication since I was about 14 years old. I started a DBT program for people with BPD in April and my doctor there doesn’t agree with my other doctor who has known me for years. I suffer from hallucinations, flashbacks, nightmares, anxiety, suicidal thoughts/attempts and mood swings. is medication right for me? I am currently on 3 medications but they do not work anymore causing me to over use. two weeks ago I was in the hospital and taken off all my medication and had an even harder time coping. how do I know what is really going on with me? I’ve been trying for over a year to get clean and mentally stable but am unable to get well. my thoughts are always racing and I’m not sure what to do anymore. I need help but feel as though my doctors don’t understand and I am being miss diagnosed. I feel I am falling further down and am scared. What would be the best step for me? how can I best deal with my negative thoughts? I have been unable to work since March of this year due to my mental health.

Figuring Out Diagnosis

Answered by on -


First let me say how much I admire your courage and resilience in dealing with this condition and process of treatment. I wish I had an easy answer to all of what you are experiencing, but what I do have is a thought about how to approach this. With so much going on and so many conflicting opinions I would talk to each of your providers about finding a residential treatment facility for a period of time to get everything sorted out. Good facilities with experienced professional exist and you can involve your healthcare professionals in determining if a facility could be helpful, and if so for how long.

Wishing you patience and peace,
Dr. Dan
Proof Positive Blog @ PsychCentral

Figuring Out Diagnosis

Daniel J. Tomasulo, PhD, TEP, MFA, MAPP

Dan Tomasulo Ph.D., TEP, MFA, MAPP teaches Positive Psychology in the graduate program of Counseling and Clinical Psychology at Columbia University, Teachers College and works with Martin Seligman, the Father of Positive Psychology in the Masters of Applied Positive Psychology (MAPP) program at the University of Pennsylvania. He is Director of the New York Certification in Positive Psychology for the Open Center in New York City and on faculty at New Jersey City University. Sharecare has honored him as one of the top 10 online influencers on the topic of depression. For more information go to: He also writes for Psych Central's Ask the Therapist column and the Proof Positive blog.

APA Reference
Tomasulo, D. (2018). Figuring Out Diagnosis. Psych Central. Retrieved on April 25, 2019, from
Scientifically Reviewed
Last updated: 8 May 2018
Last reviewed: By a member of our scientific advisory board on 8 May 2018
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