Bisexuality and BPD – Make a Plan and Stick to It

Borderline Personality Disorder (BPD) – Pathological personality traits in Disinhibition – impulsivity: acting on a momentary basis without a plan or consideration of outcomes (DSM5).

The Problem

                As mentioned in previous blogs, over 2% of the population have some degree of Borderline Personality Disorder (BPD) and roughly a third of those with BPD are also bisexual. There are no stats for the reverse – the number of bisexuals with BPD – but my guess is it would be even higher. We often engage in harmful behaviours to ease distress in the short-term, despite the possible serious negative consequences in the long-term. Of the BPD population 8 to 10% of us eventually commit suicide – this rate is more than 50 times the rate of suicide in the general population and 10 times the rate in people diagnosed with Depression, and that does not even include those of us who depart because of drug overdoses. One of the defining traits that is connected with suicide attempts is impulsivity. In this blog we are going to take a look at how this trait of BPD affects us as bisexuals and we are going to focus on developing plans and strategies with due consideration of outcomes. First let’s take a look at the science to see what we are up against.

The Science

                Cackowski and others[1] used self-reporting to study 31 unmedicated women with BPD and 30 healthy matched women controls using measured response inhibition under resting conditions and after experimental stress induction.  Patients with BPD reported higher impulsivity under both conditions. They concluded that there is a significant impact of stress on self-perceived state impulsivity and on response disinhibition in females with BPD.

                So what is happening in the brain? Leyton and others[2] studied 13 medication-free men and women with borderline personality disorder and 11 healthy controls using positron emission tomography (PET Scans) during a survey of go/no-go commission error activities. In both men and women, negative correlations with impulsivity scores were identified in the medial frontal gyrus, anterior cingulate gyrus, temporal gyrus, and striatum. They concluded thatsynthesis capacity in corticostriatal pathways may contribute to the development of impulsive behaviors in persons with borderline personality disorder. In the male subjects, low trapping was also observed in the medial frontal cortex extending into the orbitofrontal cortex, as well as in the corpus striatum. These sites correspond to regions that seem to be involved in  mediating the planning, initiation, and inhibition of goal-directed behaviors, working memory, and emotional affect.

What it Means

                So what does this mean in plain English? Well friends, we have a problem. Not only do we engage in risky behavior, not only do we seem to intentionally neglect to plan ahead, but under stress we seem to forget all the plans that have been planted in our brains by past experiences and the good intentions of therapists. As bisexuals this is often connected to our sexual behavior. We tend to seek encounters to relieve stress and we tend to avoid safe sex to add a risk factor that adds a level of excitement and pleasure. There is a reason for this. It is the way we are wired. Because of our genetic predisposition to be over sensitive, and the environmental factors that have shaped our behavior patterns, we now have a brain that says run like hell from pain, indulge in pleasure, and to hell with the consequences. The brain scans indicate that both men and women have difficulty reacting to sensory information to controlling emotions (corticostriatal pathway). Women seem to rely more on an emotional response whereas men run into further difficulty when we try to organize that information for decision making (frontal cortex extending into the orbitofrontal cortex). We both end up in the same place with seeking emotional relief usually by avoiding pain and seeking pleasure regardless of the consequences (temporal cortex, limbic areas). This seems to be particularly relevant under stress. As bisexuals we actually seek the pleasure and stress that goes with is rather than try to avoid it. So how do we combat our natural reactions, especially under stress?

Here are my five suggestions for bisexual borderliners:

1. First line of attack is to control your stress and anxiety levels. To do that you have to learn to read your body signals and stop the anxieties in their early stages before they blow up and you lose control. After that – game over until next time.

2. The best way to relieve anxiety is to get out of your emotional mind (corticostriatal pathway). The best way to that is to shut down all thought because at this stage thought leads back to emotion. You can do this by deep breathing. By concentrating on your breathing you interrupt the flow of negative energy into your brain. I recommend the thirty second breathing activity (in the past I said eight for anxiety relief, but science now suggests thirty for healing and building new brain patterns). Take a deep breath and then slowly let it all out (I recommend a stop watch rather than counting). When there is no air left, hold that until the 30 seconds are up. Keep doing this until you feel a sense of peace, calmness and control.

3. Once you have achieved this sense of peace, you are now free to confront your emotions. Self-talk your way through the process. I recommend doing this out loud as this will engage more of your brain and bring some organization processes to the emotional center. Tell yourself why you are seeking sex. If it is for pain relief or to alleviate stress, don’t do it. Find a better way to deal with the pain. If it is for pleasure and you have considered the consequences (besides just pleasure) than go ahead and enjoy. Bisexual women are naturally good at this. They are usually more emotionally intelligent than men and allow themselves the freedom to explore their emotions with their sex partners resulting in an emotionally and physically pleasing experience (sorry for the sexism but there is some truth in it). Bisexual men tend to shut down their emotions all together and just focus on the physical pleasure and may miss out on the broader pleasures that come with intimacy.  

4. Now that your emotions are under control, you are ready to tackle the problem that caused the emotional reaction. This is where your orbitofrontal cortex comes in. You can do this in two parts. First see where the event fits into your life story. You may gain insight into what has happened in the past to cause you to react this way. You can then decide what it is you wish to build into your life in the present and future through your sexuality. By looking at the whole picture, the top down approach, you can see where individual decisions fit into the greater good for yourself. You can then bring your sexuality and the emotions connected with it into your bigger life picture thus adding meaning and purpose into your sexuality.

5. You can then go on to making a plan and putting gates and strategies in place for when these kinds of situation occur in the future. Men are good at this; it’s the emotions that they cannot handle. Both men and women bisexuals with BPD need to build new thinking and behavior patterns. If your plan does not seem to be working, and if you seem to be sabotaging your own goals and happiness, you may need to seek professional help. Whatever strategies you put in place don’t give up on them. It took me sixty years to develop my self-defeating thought and behavior patterns and it took me two years of constant vigilance to change them. Just keep believing in yourself, learn to say you are sorry (including to yourself), learn from the experience, reset your goals and strategies if needed, and remember that you can do this. You are a beautiful and powerful spirit being. Your sexuality is there to bring pleasure, intimacy, and love into your life. Keep the goal in mind and work towards that goal one step at a time.  


[1] Cackowski, S.; Reitz, A.; Ende, G.; Kleindienst, N.; Bohus, M.; Schmahl, C.; and Krause-Utz, A.. Impact of stress on different components of impulsivity in borderline personality disorder. Cambridge University Press.  March, 2014.

https://www.cambridge.org/core/journals/psychological-medicine/article/abs/impact-of-stress-on-different-components-of-impulsivity-in-borderline-personality-disorder/E8AF2E2CB9606F30E1F3AA9EF7F12679

[2] Leyton, Marco; Okazawa, Hidehiko; Diksic, Mirko; Paris, Joel; Rosa, Pedro; Mzengeza, Simon N.; Blier, Pierre; Benkelfat, Chawki.  Brain Regional α-[11C]Methyl-L-Tryptophan Trapping in Impulsive Subjects With Borderline Personality Disorder. The American Journal of Psychiatry. Vol 158, Issue 5, 2001

Published Online:1 May 2001 https://doi.org/10.1176/appi.ajp.158.5.775

 

Bisexuality, Borderline Personality Disorder, and Impulsivity

Pathological personality traits in Disinhibition – Impulsivity: acting on the spur of the moment in response to immediate stimuli. (DSM5)

                Joel Nigg [1] in a comprehensive study on impulsivity defined it as “a rash response in situations where considerate response is more appropriate”. Nigg identified three factors contributing to impulsivity: not planning and thinking carefully (non-planning), not focusing on the task at hand (inattentiveness), and acting on the spur of moment (motor activation). In another review of the literature by Turner and others[2], they discovered that BPD patients demonstrated delays in discounting the dangers, an inability to make proactive adjustments, and evidence of altered brain activation patterns. However, according to Turner and others, there was less difficulty with motor activation, unless influenced by high levels of stress.

                So what do these studies tell us in plain English for us bisexuals with BPD? As Nigg suggests, there appears to be little preplanning to avoid high risk behavior, and there seems to be an inability to attend to the potential danger factors. As a result, we go ahead and engage regardless of the dangers involved. This is typical in our tendencies to engage in unsafe sex with strangers. Turner and others provided a direct link between BPD and impulsivity which included the tendency to not just ignore, but to actually discount dangers. Again, for us bisexuals, we focus on our same sex behavior to alleviate the stresses of   living a so-called normal life with our opposite sex partners. These studies suggest that if there is any thought involved it is used to rationalize and discount the risks. We give ourselves all the old excuses including that these are natural tendencies and that our behaviors will not affect our partners, that what they do not know cannot hurt them, and we ignore the mental and emotional damage it is doing to ourselves. These studies also indicate that there seems to be a mental buffer to actually engaging in the high risk activity itself. As a result, we may tend to live our normal lives and try to control our other life behaviors, usually attempting to control or eliminate our same sex encounters.

                Apparently under stress we may have an actual alteration in brain patterns, almost like something inside our BPD mind snaps and bypasses the control mechanisms of the frontal cortex and responds directly through the amygdala and the pleasure centers of our brain. It’s as if we actually gain a heightened sense of pleasure by shutting down our rational mind and setting fire to our nervous system through the engagement of our sympathetic system. This usually involves leaving behind our normal life to engage in the other life resulting in a heightened sense of sensory awareness and heightened sexual pleasure with same sex partners. In addition, we may actually seek out and create our own stresses so we can release our built up tensions. In other words, we use our same sex encounters as a way to relieve all the stresses in our lives that come from our BPD traits. We will trigger our heightened sense of pleasure perhaps to demonstrate to ourselves that we are in control of ourselves in spite of all the emotional downers we face that lead to feelings of hopelessness and helplessness.

                This appears to result in some kind of fatalistic desire to engage in the activity knowing full well the dangers involved. It may be a means of escape from our relationship knowing that our partner will eventually find out and release us from the life we find so stressful. It would appear that there may also be a latent death wish. We seem to act upon a desire to experience the added rush from knowing that this activity may lead to STDs and possible HIV. It seems as though we may be nurturing a desire for suicide by risk.

My Five Suggests For Borderliners

1. Be proactive. Realize that you have these tendencies and make a commitment to change them.

2. Practice sound mental and spiritual wellness. Meditate every day. During these times focus of love for yourself. Let the feeling of love, well-being, and gratitude, flood your mind and soul. Keep telling yourself that you love yourself and you love the life you have been given. You can use these statements as a mantra during the day. When you feel one of your downers you can simply say “I love myself. I love my life”.

3. Do an assessment and make a list of the risk factors in your life. Then make plans on how to deal with each stress. When you find yourself involved with these stress circumstances and the feelings that go with them, activate your plan until you sense a change in your feelings.

4. Change your life patterns. Instead of being dishonest with yourself and your partner, make a commitment to being honest and working out the issues if and when they arise. Be sure you understand all the consequences and that you are prepared to live with them no matter what that may mean.

5. Instead of trying to fix your old life, plan to build a new one. This includes creating a low stress life style and finding new friends who will support you in your positive choices.

En”joy” the day


[1] Nigg, Joel T.. Annual Research Review: On the relations among self‐regulation, self‐control, executive functioning, effortful control, cognitive control, impulsivity, risk‐taking, and inhibition for developmental psychopathology. The Journal of Psychology and Psychiatry. 2016. https://doi.org/10.1111/jcpp.12675.

[2] Turner, Daniel; Sebastian, Alexander; and Tuscher, Oliver. Impulsivity and Cluster B Personality Disorders. Springer Link; Current Psychiatry Reports volume 19, Article number: 15.  2017.

Borderline Personality Disorder – Fear of Dependency

              In this article we will continue to explore the relationship between borderline personality disorder and bisexuality. As mentioned in a previous article, about one third of patients with BPD are bisexual. We do not have the data on the reverse of that; we do no know how many of us bisexuals also have BPD, but I guess it would be much higher. Today we will look at fears of dependency and loss of autonomy.

Trait Eight – Pathological personality traits in negative affectivity – Separation insecurity: Fears of excessive dependency and complete loss of autonomy. (DSM5)

            In my search of the literature, I found one article that indirectly dealt with fear of dependency and loss of autonomy by alluding to it as part a subtype associated with dependent personality disorder[1]. According to this article, discouraged borderline is marked by noticeable clinginess and a passive follower type of mentality. While on the outside this person might just seem indecisive or weak-willed; they normally experience internal turmoil about their lack of leadership and bitterness toward those whom they feel are controlling them. This type of borderline disorder in a person often leads to self-harm in the form of self-mutilation or even suicide.

            This diagnosis is seen more in women than in men, perhaps due to possible disturbed estrogen levels or part of systematic sexism. However, some research suggests that this tendency affects men and women equally, but women are more likely to seek treatment or to be officially diagnosed as BPD.        

            Descriptors of discouraged borderline includes excessive dependence upon others. They are often compliant and easily swayed by others, even when it goes against their own desires. They have low self-esteem, feel continuously insecurity, and appear to be vulnerable. They may feel hopeless, helpless, powerless, and depressed. There may be a reliance on fantasy or substance abuse as a means to escape.

            The cause is thought to involve many different life factors. These include PTSD, childhood trauma or neglect, a smaller hippocampus or amygdala, genetic predispositions involving genes DRD4 and DAT and chromosome 9, neurobiological factors like estrogen levels, family and social stability levels, and negative social experiences as a child. People with the disorder often have other illnesses including major depression, anxiety disorders, eating disorders, substance abuse, or antisocial personality disorder. People suffering from this BPD trait make up a large chunk of suicides on an annual basis. So if you or someone you know is at risk for suicide because of this trait, it is important that you get help as soon as possible.

            Psychotherapy is the primary method used for managing and treating discouragement BPD. Depression and anxiety are among the two most common conditions that can be treated with medicine while the patient is treated for general BPD with psychotherapy. Antipsychotics might be used to reduce anger or suicidal tendencies as well as impulsivity, psychotic paranoid symptoms, anxiety, and depression. It is important to understand that these medications cannot treat BPD, but that the treatment of concurring conditions can help clear the way for a more successful treatment of BPD through psychotherapy.

            So how does this apply to those of us who are also bisexuals? I do not see it as a direct correlation; however, we can make some interesting comparisons. We usually do not fear losing our autonomy in our heterosexual relationship; in fact, we want to wallow in it. We often depend on them for our sense of security and sanity. In fact, we are afraid of losing it. On the other hand, when it comes to our same-sex relationships, we mostly avoid dependency at all cost. We do not want to become dependent and do not want anyone to become dependent on us. We prefer casual. We mainly want to relate just for the physical pleasures we can get. In other words we seek dependency with our life partner and avoid dependency with same sex friends. What we do fear is dependency of the fix and we fight it because we fear it will ruin our lives.

MY Suggestions

1. Come to terms with your sexuality. It is what it is so you may as well relax and enjoy it. You can realize that your impulses are natural urges of your body and your mind. You are not sick because of your bisexuality. You do not need therapy for your sexual impulses but you may need therapy for your BPD.

2. Be honest with yourself and deal with your fears. Discover the worst case scenario and come to terms with it.

3. If your love relationship with our life-partner is essential to your sense of well-being, try to develop the will and power to do without your same sex experiences (this may be near impossible to some of us).

4. If you wish to continue with a secret life, accept it as it is and go on with our secret life,  but you need to be able to do this without anxiety or fear. You have to be willing to accept and live with the consequences.

5. Most of us cannot live with the stress that comes from feeling that we are being dishonest with our life-partner. If that is the case, we have to be honest with them and tell them about our bisexual desires and needs. Once again, we have to be willing to accept the consequences. If our fears and shame are causing us anxiety and pain, we have to be willing to give up our life-partner in order to live lives free of shame, regret and chronic anxiety. If we continue living with these stresses, they will eventually kill us.


[1] Discouraged Borderline Personality Disorder, Optimum Performance Institute. https://www.optimumperformanceinstitute.com/

Wives of Bisexual Men – Part 2

The following is an except from the book my dear wife has written called When Life Has Other Plans. In it she describes her feelings when I told her I was bisexual:

 

Lawrence and I emailed regularly and he lamented about his situation. We also occasionally talked on the phone when he was out of the house. Because the reception was so poor where he lived, it was more stressful than helpful. The decision to start a new life was his. I had decided I was going to be fine one way or another. No more screaming at the Universe in my hallway…

Then Lawrence announced he would come back for the month of September and live with his daughter while we would clarify things. I was delighted because his efforts told me that he was getting serious about moving forward. After I had picked him up from the airport, we went for a walk along a beautiful beach. In this romantic ambiance he announced that he had a gift for me and pulled a little white box out of his pocket. I started to panic because I wasn’t yet ready for the big question. To my relief I found a beautiful little necklace with a shiny blue glass heart. “The colour reminded me of your eyes!”, he told me. I was touched.

On our walks I found out more about bisexuality which is the most secretive of gender issues. Bisexuals often live a normal life on the outside to satisfy their need to fit into society, yet have to hide their same-sex tendencies. When Lawrence’s guilt feelings created a deep depression and he confessed to his wife on the suggestion of his therapist, she immediately divorced him. It broke up his ‘perfect’ family life and, at the time, cost him the love of his children.

His life was in shambles, and after trying to continue working in his career, he gave up his teaching job and went to Costa Rica for a few years to find inner peace. This stay was the beginning of his ‘pruning’ stage, of letting go of the past and making room for new experiences to show up.

It seems that many of us have to go through some drastic shakeups first (from chaos to order), so we can reach a higher level of consciousness. When I was able to see the parallels between his and my life, my heart really understood. I, too, had had to break up my family to become free to follow my path.

 

For more information about how my wife handled the situation I recommend you read her book:

 

 

You can check out her website at

Home

 

Wives of Bisexual Men

The following is an except from the book my dear wife has written called When Life Has Other Plans. In it she describes her feelings when I told her I was bisexual:

 

Unexpected Circumstances

Then one day Lawrence disappeared without saying good-bye. I received an email stating that he was on his journey back home to the East coast. Crossing Canada by car, in March, seemed a bit crazy to me and thoughts of having been conned, again, started to creep into my mind. Didn’t I know our connection had been too good to be true? I had a precognition about some kind of trauma coming my way.

Sure enough, when Lawrence was back home, he sent me an email with the first chapter of a book he was planning to write. The contents hit me like a ton of bricks: Lawrence indicated that he was bisexual and living in a platonic relationship with another man. Just my luck! I had fallen in love with gay men before, but they had all been honest about it. Lawrence claimed he had been afraid to bring it up during our wonderful time together and that I would have rejected him for it. A thought he couldn’t bear because he cared so deeply for me!

I was left to struggle with all this information and no opportunity to clarify many of the questions I had, such as how come he had been married to a woman for 33 years, had two children with her – when he was gay. (In those days I didn’t know anything about bisexuality.) He asked me not to phone the house, so as not to make his partner suspicious, therefore we could only email. 

Feeling inconsolable and bereft I didn’t know where to turn with this delicate information. I called some friends who were a lesbian married couple. I wanted their input, but they could only recommend to keep calm and encouraged me to see what would develop. I was shaken to the core to have found someone so compatible and now out of my reach again. 

That’s when my spiritual practices and personal growth work started to pay off. I noticed that I could no longer sink as low as I had in the past, since I now had solid ground under my feet and contact with my Higher Consciousness. I wasn’t going to give my hard-earned power away again.  

***

As a bisexual man I still have gay desires from time to time but I have learned to control them for the sake of the love I now share with this woman. Honesty is at the core of our relationship. I can share all my thoughts and feelings with the woman I love. My advice to other bisexual men and women is to first be honest with yourself and then with all the important people in your life.

For more information about how my wife handled the situation I recommend you read her book:

Dorothea L. Gordon B.A. M.Ed.

    

Bisexuality and Separation Insecurity

Due to the high positive correlation between bisexuality and Borderline Personality Disorder, we are attempting to get a better understanding of the pathological traits listed in the DSM 5 and how they affect our lives as bisexuals.

DSM5 – Pathological personality traits in negative affectivity – separation insecurity: fears of rejection by – and/or separation from – significant others

We have already looked at fear of abandonment as a pathological impairment. In other words, the fear of being abandoned impairs our ability to function normally in society or may lead to mental disorders. When we look at this as a trait, we are still functioning but we have a tendency to consider abandonment or rejection in our decision making; that is, we have a neurological pathway or mind state or belief that we automatically pass through as part of our decision making. So let’s take a closer look at this as a trait.

Zanarini (2009)[1] obtained data from 77 female subjects with acute BPD, 15 with remitted BPD, and 75 healthy controls. They were assessed using the Rejection Sensitivity Questionnaire, the short version of the Borderline Symptom List, the Childhood Trauma Questionnaire, and the Rosenberg Self-Esteem Scale. Zanarina discovered that all the BPD patients, including those in recession, had higher scores on rejection sensitivity, which correlated with lower self-esteem. Childhood maltreatment did not appear to be a factor. She concluded that rejection sensitivity is an important component in BPD, even for remitted BPD patients, and that the level of self-esteem appears to be a relevant factor in the relationship between rejection sensitivity and BPD symptom severity.

So what does this mean in plain English? First, we must realize that this study equates “real or imagined abandonment” with “rejection sensitivity”.  In other words, we are hypersensitive to any indication of possible rejection from significant others. Secondly, we can conclude that these fears are related to our low self-esteem. Thirdly, stepping outside the boundaries of this study, we can conjecture that these negative thinking patterns are possibly connected to some genetic predisposition coupled with early childhood social-emotional experiences, rather than physical maltreatment. We can further conjecture, based on past studies of the human brain (Michl and others, 2014)[2], that these feelings are possibly related to mechanisms of shame located in the anterior cingulate cortex and the parahippocampal gyrus both found in the temporal lobes. Again, with further conjecture, we see that the temporal lobes are responsible for the processing of language and the emotions attached to the delivery of words.

Sorry, that was not plain English, was it? Let’s try again. In other words we are wired to be sensitive to signs of rejection. We particularly look for body language and verbal tones to see how things are going. If our partners show any sign of disapproval we immediately experience levels of anxiety. It is important to us that significant others continuously demonstrate approval. We aim to please. This is not necessarily a bad thing. It all depends on the levels of latent shame and anxiety. At this point, it is still a trait but if we do not deal with this trait it can become an impairment and lead to a warped relationship. It becomes a self-fulfilling prophesy. We create a situation where our worst fears become a reality. We may behave is a way that will result in being  abandoned so that we can bring closure and an end our anxieties.

Now let’s apply this to our bisexuality. As bisexuals, especially us male bisexuals, there is an obvious problem here. We hide our gay and lesbian tendencies because we fear rejection and separation from those who are important in our lives. This begins with a low self-esteem; we are basically insecure. We need the affirmation of others to provide us with a sense of security. This begins with our parents. If they show any sign of disapproval for gay or lesbian activities, we then have to hide our same-sex impulses. That means we seek what appears to be “normal” friendships with same-sex friends, and pursue heterosexual relationships to hide our gay and lesbian tendencies. We usually end up married in what appears to be a ‘normal” heterosexual relationship. Because we are bisexual, there are no problems having sexual relationships with our spouses and we end up as mothers or fathers and a complicated life style. We cannot risk being rejected by those we love so we continue to hide our tendencies. If we cannot control our same-sex desires, we are a tragedy just waiting to happen.

The obvious solution is to get rid of the anxieties related to our sexual desires and our need for security.

My Suggestion for Bisexuals

  1. Be honest with yourself and your loved ones. Dishonesty is a major source of anxiety. Living with constant anxiety and negative energy from your emotions will literally kill you.
  2. Do an inventory of your impulses. Do your same sex desires come from an unhealthy need or are they based on honest and healthy expression of your heart and body?
  3. Above all stop living with constant fear and anxiety. Get rid of the need to please others. In order to live a healthy life, you have to learn that you are the most important person in your life. You are the only one you really have to please. You may have to make some difficult decisions about your sexuality. Whatever you decide, make sure it is for you and not to please others.
  4. Remember you are bisexual. You can go either way. If your joy truly comes from your family situation, make a deal with yourself. Recognize that you have both desires. Give yourself permission to have both desires and make a conscious decision to choose your heterosexual situation.
  5. If your same sex desires are so powerful that you do not want to live without them you will have to make a deal with your life-partner. If they cannot live with your bisexuality you have to be prepared to separate.

[1] Zanarini, Mary C. Reasons for Change in Borderline Personality Disorder (and Other Axis II Disorders). HHS Author Manuscripts. Psychiatry Clinic North Am. 2008

[2] Michl, Petra; Meindl, Thomas; Meister, Franziska; Born, Christine; Engel, Rolf, R; Reiser, Maximilian; and Henning-Fast, Kristine. Neurobiological underpinnings of shame and guilt: a pilot fMRI study. Social Cognitive and Affective Neuroscience, 2014,

 

Fears of Falling Apart

Due to the high positive correlation between bisexuality and Borderline Personality Disorder, we are attempting to get a better understanding of the pathological traits listed in the DSM 5 and how they affect our lives as bisexuals.

DSM5 – Trait Seven – Fears of falling apart or losing control

What We Know

I haven’t been able to find any research data on this trait so I am just going to wing it using the case study of one – myself. Losing control can mean many things to people with BPD. The obvious one for those of us who have anger issues is, of course, losing control of our anger and hurting someone. To others, it may be going over the edge of sanity and never coming back.  Mine is much simpler than that. It was fear of losing control of my life.

In order to survive in this world, I had to cross all the ‘t’s and dot all the ‘i’s. As a child, I had no father and my mother was emotionally absent. That meant I had to nurture and take care of myself. I was a perfectionist, not so others would admire and love me, but so that I could have a plan and work to the plan. I was taking care of myself. During childhood, I compartmentalized myself. In my sports activities the goal was to be better than everyone else. Same applied to academics. Same applied to love. Whatever I did I had to master it, to control it.

The fear behind it was not specifically losing control, it was falling apart. Because I did not have a firm foundation of being loved and therefore loving myself, I was always on shaky ground. That meant conforming to not only the expectations of others but also to the god I had created.  There was no room for error. I not only could not commit adultery but I could not even think about committing adultery. I could not just get a 90% on a paper; it had to be 100 %. If I could not live up to my own impossible expectations then that meant I had failed, and failure meant I was no longer in control. Not being in control meant my world would fall apart.

And what does falling apart exactly MEAN. It meant never being able to complete those circuits in my brain. Never feeling the serotonin soothing after the dopamine rush. It meant never being able to experience the feeling of my accomplishments, activities, and relationships going through the pleasure center of my brain. No endorphins, no healing from that pain that was deep inside my soul. Falling apart meant giving up. It meant that suicide was always there as a possibility. It was the ultimate solution if I could not eventually break through to the other side.

So how did this affect my bisexuality? Well that’s a long sad story.  Because of my feeling that the person I had created needed to survive, that meant I could not risk exposing my sexuality to the people in my life. That meant I had to keep it all secret. If anyone found out, then my whole world would fall apart, the world that I had built as a straight successful human being. That meant that I had to hide in a heterosexual world with a heterosexual wife and heterosexual children. This life was the only life I knew. I felt it was the closest I would ever get to that place of contentment and safety. I had determined in my mind that if this secret would ever come out, that would be the end of life as I knew it, that I would end the miserable life once and for all.

The good news is that when my life did crash, I did not have the courage to kill myself. That meant my old life was dead but I was still alive and free to build a new one, the one I have now. Yes, there is a good life just waiting to be discovered after this old life comes to an end. When we become conscious healthy human beings, sexuality is just there for pleasure. Coming out or being thrown out is not the end of the world. It is the beginning of truly being alive. It is the end of the fears of falling apart.

 

Stay tuned to the next blog for lessons I have learned and my suggestions to cope with this pathological trait.

Highs and Lows

Due to the high positive correlation between bisexuality and Borderline Personality Disorder, we are attempting to get a better understanding of the pathological traits listed in the DSM 5. 

DSM5 – Pathological personality traits in negative affectivity  – Anxiousness: worry about the negative effects of past unpleasant experiences and future negative possibilities;

A study by Coffman and others[1],  examined  within –person reports from BPD individuals and controls over a twenty-one day period using multilevel modeling techniques. People with BPD had significantly greater polarity heightened by interpersonal stress. They also noted that this polarity led to impulsive behaviors such as self-injury and substance abuse.

When we look deeper into the concept of polarity, it simply means going to extremes from everything is great, to everything sucks. But this is not like bipolar where depression is followed by a manic state. There is no chemical component leading to depression with a yoyo effect to manic; it is a constant state of mind where the two extremes co-exist and surface based on the circumstances. There is always the underlying fear that the situation or relationship will turn from positive to negative.

When we look closer, this may be due to a mind set that is always present in the back of the mind so to speak that says this is too good to be true. So we enjoy, squeezing as much pleasure as we can out of the situation before it crumbles on us. This is a kind of predisposition that always prevents us from any lasting feelings of joy and acceptance. Again, these are usually based on past experiences, usually from early childhood. This is what leads to impulsive and at risk behavior. Enjoy it while you can and to hell with tomorrow.

So how does this apply to us bisexuals. It would appear that we tend to soothe our anxieties through same sex encounters. This tends to send our circuits through the pleasure centers of our brain. This is a great motivation; and it seems that once we engage in the fantasies, they trigger our drive system almost like an addiction. This brings on the high risk behavior knowing that this tryst could bring an end to our other relationships, the ones we depend on for nurturing, friendship, and love. It seems that we are willing to sacrifice these relationships for the sake of the pleasure with a feeling that we may as well get it over with because they will find out sooner or later and leave us anyway.

My suggestions

  1. We make a conscious decision on what life style we really want. It can be either gay or heterosexual or perhaps even have an open relationships where same sex encounters are permitted by our life partner.We want to take the high risk sensations and the subsequent addictions out of the equation.
  2. If we choose a gay life style, there is more likelihood that our partner will see it as normal if we wish to seek other encounters.
  3. If we wish to maintain our present relationship, we have some choices, all of them potentially disastrous.
  4. If we are choosing to try to live a straight life, we do not have to divulge. Sometimes the truth does more harm than good. We simply decide to live a straight life. However. we have probably been trying to do this and have probably failed miserably.
  5. That means we have to be honest with our partner and explain the nature of our bisexuality and see if they can live with an occasional encounter. Most likely they will not. In that case we have to let them go. We can then seek a new partner who may be okay with our dual sexuality.

 

 

[1] Coffman, karen K.G.; Berenson, K. R.; Rafaeli, E.; and Downey, G.. From negative to positive and back again: Polarized affective and relational experience in borderline personality disorder. Journal of Abnormal Psychology. 2012. https://doi.org/10.1037/a0028502

 

When I Get Angry, I Get Really Angry – Part 2

Due to the high positive correlation between bisexuality and Borderline Personality Disorder, we are attempting to get a better understanding

DXM5 – Pathological personality traits in negative affectivity – Emotional liability  – Emotions that are easily aroused, intense, and/or out of proportion to events and circumstances.

So a trait does not have to develop into pathological thought and behavioral patterns. We can control it. The key then is to focus our powers of belief to take steps to create these new neural circuitries. To read more:

When I Get Angry, I Get Really Angry – Part 2

 

 

Yesterday I Was Angry, Today I am Sad – Part 2

Due to the high positive correlation between bisexuality and Borderline Personality Disorder, we are attempting to get a better understanding of the pathological traits listed in the DSM 5. 

DSM 5 – BPD – Pathological personality traits in negative affectivity – Emotional liability –  Unstable emotional experiences and frequent mood changes.

The common emotional yoyo effect for those of us with BPD is between anger and regret. There is a tendency to lose control and blurt out extreme reactions in perceived verbal conflicts (we may be the only one that perceives it as a conflict) with loved ones. This is usually followed by shame and regret leading to sulking and moping that sometimes can last for days. However….  (read more at:)

Yesterday I Was Angry, Today I am Sad – Part 2