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melancholic personality disorder with borderline features

User Profile: anonyLemon4233
anonyLemon4233 January 7th, 2022

I could not find this type in listing.

Anyone here had similar diagnosis? as I was revisiting my report from a year ago and I still cannot understand what this means in practise.

I cannot find much info and cannot recall what the psychologist said about it. I only saw her for the evaluation.

(This diagnosis aside from mdd and ptsd)

4
User Profile: QuietMagic
QuietMagic January 8th, 2022

@anonyLemon4233

Hi there! 💜 It looks like melancholic personality disorder (or depressive personality disorder) was removed from the DSM-III in 1980, so that might be why there isn't much info on it and why it isn't mentioned in many lists of personality disorders. It's listed in an appendix in the DSM-V though.

It seems like the way it's conceptualized is that it involves a gloomy/pessimistic/critical outlook on life, relationships, and oneself over a long period of time.

Sources:
https://en.wikipedia.org/wiki/Depressive_personality_disorder
https://www.psychologytoday.com/us/blog/and-running/202101/depression-or-depressive-personality

3 replies
User Profile: anonyLemon4233
anonyLemon4233 OP January 8th, 2022

Thanks @quietmagic!

Very kind of you. Also thnx for links.

I cannot understand why it was important or useful to list this outdated term as its already understood that I have major depressive disorder so sounds like a repetition. I had my psych assessment done last year at age 45 after some 20yrs of battling through recurrent depressive episodes but I m not sure it has been a useful exercise as reading report just makes me confused and sounds like a worse person than I already feel I am!

It feels like a very cruel way of describing my life as these reports only focus on the sick aspects and nothing gives hope in it.

I almost start to doubt if such assessments many school children are currently undergoing will be of help to them or confuse them further in their lives...

2 replies
User Profile: QuietMagic
QuietMagic January 8th, 2022

@anonyLemon4233

Yeah, definitely understand what you're saying with the diagnostic labels! Sometimes they just read as a list of like, "Here's all of the ways that you're bad and not good enough" and it's a bit like, "Thanks, I already knew that. How is that supposed to help me?" 😊 Especially if for you in particular, it's like, "I already know I have depression. You don't need to give me additional outdated diagnoses just to add more emphasis."

There are some mental health professionals out there that agree with this sort of perspective that diagnoses sometimes do more harm than good in a lot of ways (i.e. causes people to feel worse about themselves, exacerbates mental health stigma, causes clinicians to view people as bundles of symptoms or take an overly narrow view of people that results in delivering worse treatment).

https://medicalxpress.com/news/2015-08-mental-health-good.html

1 reply
User Profile: anonyLemon4233
anonyLemon4233 OP January 8th, 2022

True. Well said. Thanks for sharing your thoughts about it. Will have a look at this link. 🙏🏽

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