Bisexuality and Borderline Personality Disorder

ASHIRT & TIE [small] (final)s I was searching for something intelligent to write about, I revisited the research section on bisexuality. After reading yet another study on whether or not we exist, I asked myself why I was still looking at this stuff.  We know we exist, so where do we go from here? The answer, of course, is that we should be looking at the issues we face, so that we can somehow finally get past our sexual identity crisis and learn how to enjoy the lives we have been given.

Twenty years ago, I was having a mental meltdown, largely because of my bisexual orientation. I loved my wife and was very much attracted to her; we had a great sex life. But I also had developed an obsession and compulsion for engaging in gay sex. During one counselling session, my therapist conducted a survey in the DSM4 on Borderline Personality Disorder (the 5 had not yet come out). First of all, let me explain. Borderline Personality Disorder is not “borderline”; it is a dysfunction involving significant impairment of self-identity, the ability to relate to others, and difficulty with impulse control. When sexual identity issues are involved, self-loathing, feelings of emptiness and worthlessness, and unhealthy impulses are usually centered on our sexuality.  She looked up and said, “Amazing, you have all the symptoms except sexual identity issues.” She stared at me for a few seconds and said, “Oh my god, don’t tell me you are gay too.”  Well, I can now say I no longer have sexual identity issues. I know and understand my sexual orientation. I am not gay. I am bisexual.

Looking back, I think it is important to address the issue or borderline personality disorder.  In an analogue study[1], 141 psychologists evaluated a hypothetical client with problems that resembled borderline symptoms but were also consistent with a sexual identity crisis. In this study, client descriptions varied by sexual orientation and gender. Results revealed that male clients with bisexual attractions were more likely to be diagnosed with borderline personality disorder. Therapists were more confident and willing to work with female bisexual clients and gave them a better prognosis. In other words, the clinical community believes that we bisexual males have severe issues in dealing with our bisexuality resulting in Borderline Personality Disorder. This means that our belief system makes it difficult to make changes through traditional therapy, and difficult to function in our society. Women on the other hand seem to be able to assimilate their bisexual desires into normal life patterns with or without therapy.

If we have indeed overcome our identity issues and we know and understand that we are bisexual, than what comes next? I think the answer may lie is taking a closer look at the borderline personality symptoms. In my case, I may still have a Borderline Personality Disorder, but I now understand it and have learned to live with it. Somewhat like in the movie, The Beautiful Mind, I now know when my disorder is throwing false information at me, and I can simply reject it and function with the truth: I know who I am; I love and care for myself, and I appreciate my mind and body with their bisexual desires. But that was a long and painful journey. The next few blogs will be devoted to the steps we can take to overcome our borderline personality symptoms.

My five suggestions for bisexuals:

  1. We accept the fact that we are psychologically and biologically bisexual. If we are sexually attracted to both males and females, then we are bisexual.
  2. We get comfortable with it. We keep telling ourselves its okay to be bisexual.
  3. We recognize our negative feelings, enter into a state of mindfulness, and allow our higher self to soothe our mind until we begin to see the amazing qualities we possess because of our bisexuality. It is truly a gift.
  4. We deal with negative thoughts. We don’t suppress them, we convert them to positive thoughts. We can do this by simply taking a negative statement and turning it into a positive. For example “I cannot control my sex drive” becomes “I can control my sex drive”.
  5. We look for ways to appreciate our bisexual body and brain. We keep an ever growing list of things we are thankful for. When we have doubts, we simply check out list and recite all the things we like about ourselves.

[1] Eubanks-Carter, Catherine and Goldfried, Marvin  R. . The impact of client sexual orientation and gender on clinical judgments and diagnosis of borderline personality disorder. Journal of Clinical Psychology. March, 2006

Bisexuality, Anxiety, and the Cerebellum

SHIRT & TIE [small] (final)Using national data and the criteria from the DSM 4 to identify people with Anxiety Disorders, a group of researchers[1]  concluded that men who reported lifetime sexual behavior with both male and female partners had the highest rate of every mood and anxiety disorder. This was matched, but by a lesser degree, with women who reported both male and female partners. In some truly significant numbers, 46.5% of bisexual men experienced some mood disorder in their lifetime, compared with 26.8% of men who reported only same-sex sexual partners, 29.3% who reported no sexual partners, and 19.4% who reported exclusively female partners. These numbers are highly significant from two perspectives, first we bisexual men are almost twice as likely as other men to experience clinical anxiety, and secondly, almost half of us have experienced some form of severe anxiety during our lifetime.

So what is happening in our brains? Converging evidence suggests that the culprit may be the cerebellum which was traditionally thought of as the part of the brain responsible for motor control, voluntary movement, and balance. New information based on brain scans suggests that it may be much more than that. One of the surprising areas seems to be associative learning. Remember Pavlov’s dog and conditioned responses? Well it appears our anxiety may be related to conditioning. I read an article once (can’t find the source) that described gay and bisexual lives as death by a thousand cuts. We apparently are subconsciously responding to a lifetime of mini-traumas and now exhibit symptoms of PTSD. It’s like we have been in the trenches waiting for next call to charge the enemy through a mine field. In other words we suffer generalized anxiety because we feel that we are living a life where our sense of security is constantly being threatened.

The cerebellum also forms neural circuits with the thalamus, the hypothalamus and the amygdala. In other words it connects to the limbic and reticular systems which are associated with the two powerful emotions of attraction and fear.  This links whole body involvement with the dopamine pleasure seeking drive and the alert hormones of the sympathetic system.  Therefore, for those of us who have learned to live with generalized anxiety, it is not hard to understand why our whole body seems to be involved in our anxiety and not just our minds or genitals.  I am sure as bisexuals at least half of us have experienced that elephant on the chest, the frequent occurrence of shallow breathing, and mental fatigue that accompanies generalized anxiety.

Generalized anxiety involves the whole body, and therefore the relief has to involve the whole body. In the past the fastest and most effective way to get into my body was through same sex encounters. Unfortunately that was only temporary relief. I would walk away with a hollow feeling akin to depression and a gradual rebuild up of anxiety. The involvement of the cerebellum suggests that these anxieties have passed on beyond mind control and have become a part of my implicit memory and subconscious response systems. In other words I am now stuck with a chemical imbalance that is beyond the scope of psychological therapy. Typically that means medication with all its possible side effects, and that only provides relief for the symptoms and not the cause. It’s like taking a Tylenol for cancer. I have spent the last fifteen years of my life leaning to deal with my anxieties and in the process have found a new way of life that uses my anxiety as nervous energy to accomplish amazing things including this amazing blog.

 

My five suggestions for bisexuals on how to deal with anxiety by controlling our bodies:

  1. We can get in touch and stay in touch with our bodies. It’s simple – meditate. Fifteen minutes a day where we shut down our mind and concentrate of the sensations of our bodies. In the process we will find an inner presence that is interacting with the world around us. It will help us stay grounded.
  2. Practice soothing activities whenever we feel anxious. We simply become aware of our breathing. Deep breath in from the belly, hold, let out slowly and completely.
  3. Practice touch. Touch the area where we are feeling the anxiety and then bring the touch down to the heart and hold it there until the anxiety subsides.
  4. We sooth by talking to ourselves. We acknowledge the fear and its source thus bringing it from the subconscious to the conscious level. It is best done out loud. Then tap your heart and say “There. There, now. It’s all okay. I am here to protect you.”
  5. Whatever our sexual practices, we have a right to experience it without shame and remorse. If you feel that empty feeling, take charge of it and emphatically claim the right to seek pleasure anyway you so choose.
[1] Bostwick, Wendy B.;  Boyd, Carol J.; Hughes, Tonda L, and  McCabe, Sean Esteban. Dimensions of Sexual Orientation and the Prevalence of Mood and Anxiety Disorders in the United States. Am J Public Health, v.100(3); Mar 2010. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2820045/?tool)

 

Bisexuality and the Problem with Statistics

SHIRT & TIE [small] (final)Are you tired of statistics on bisexuality? I am. Yet another survey has shown that bisexuality is on the rise, especially among women[1]. A whopping 17.4% in the current survey have had some bisexual contact compared with 14.2% in the 2006-2010 survey. Higher numbers of both women and men identified as bisexual, 5.5% of women and 2% of men, compared with 3.9% and 1.2% respectively in the last survey. And you can be sure that number is higher for men as most of us to not want to disclose our bisexual tendencies.

So what? Why do we want to know that there are more and more of us? It reminds me of the Matrix Trilogy where Agent Smith keeps reproducing himself by thrusting his hand into someone’s chest. In the case of us bisexuals, we thrust our hand into someone’s pants and avoid the heart. It is time to step back and realize that we are all more than just programs in a worldwide sex-video game. Quite frankly I have no desire to just be another Agent Smith.

It seems that everyone wants to get in on the act. International popular TV series have taken up the torch. Bisexuality needs to be understood, and by god, they are going to show us what it is really like. However, this is not some glamorous Hollywood show where networks are competing with each other to see who can get the most views by depicting yet another example of bisexuality where marriages are broken and people are murdered because of unnatural passion. And quite frankly, I no longer want to compete with other bloggers to see who can get the most views on bisexuality. I do not want my life and my mind and my soul reduced to a statistic or another episode, book, or blog.

Did you know that only one of forty-six chromosomes is dedicated to male or female sexuality, and they cannot even find a half a chromosome, or for that matter, even one of twenty-five thousand genes, that can be nailed down for same seek attraction?  And yet sex, especially bisexual sex, seems to be a preoccupation of our western world, and it seems everyone is now encouraged to experiment with same sex attraction.

Women seem to be more attracted to same sex experimentation. When women engage in sex, their brains lights up like a Christmas tree as the pleasure center, the Nucleus Accumbens, is immediately activated, connecting with the sensory processing lobes, particularly the somatic processor which is associated with touch. Women are lucky, they immediately experience the pleasure. They take a little longer to get wound up which allows for more pleasure and more time for intimacy or attunement with their sex partner. This also allows for a second level of appraisal, and therefore,they are more likely to say “no” even after arousal.  Why do almost one in five women give up on sex with  men as their main source of sexual pleasure? Could it be that they are looking for more than sharing the “rush” provide by men? Could they be looking for something “deeper” (pardon the puns)? Could they be looking for the kind of intimate attunement that is much easier to get with another woman?

For us bisexual men, the pleasure sensation is delayed as the sexual rush is connected with the dopamine drive and the powerful emotions from the Limbic System. We get our pleasure by reaching our goal through orgasm, and only then does the Nucleus Accumbens suddenly connect with all the sensory processors to create a powerful pleasure surge similar to a hit of heroine. There is very little desire for intimacy as it merely delays the rush we so desire, but we do play along with our female partners hoping for the additional rush of mutual orgasm. When we are with men, it is all about the drive. And quite frankly, once another man touches our penis, we are literally driven to seek that hit.  We have our own built in addiction center. Sex is so simple with men. There are no mind games. There is no desire to delay orgasm because our pleasure is not in the play but in the outcome. We can just close our eyes and enjoy the anticipation of the oncoming rush with no thoughts of anyone else. There is no waiting for a partner. No guilt if the partner does not orgasm. It is so reassuring to know that once the game is on  our male sex partners have no intention of saying “wait” or  ”no”.

For many of us bisexual men, especially if we are married or in a relationship with a woman, gay sex becomes guilt and is compounded by addiction withdrawal. Our addiction demands that we do it again. However, our tortured minds are trying desperately to control our drives. The only thing that can stop our addiction is the prefrontal cortex, particularly the orbitofrontal cortex, but quite frankly, once the drive is on, it is very ineffective.  But it is our source of second evaluation, or as Freud would say, our super ego or our conscious. It attempts to employ checks and balances to prevent same-sex arousal, halt addiction, and regain control over our sexual impulses. It employs cultural and religious beliefs that come in the form of layer upon layer of mind sets shaped by past negative experiences that involve shame and guilt. In order to gain control, it has to compartmentalize; it has to put sex back into its Pandora’s Box.  As bisexuals, we have to willingly choose to place our sexual drives in a nice safe compartment that we can access when appropriate so that we are not raping and pillaging or spending all our waking hours in bathhouses.

If we choose to fight the addiction, we may eventually arrive at the conclusion that we are much more than the oxytocin and hormonal impulses coming from our genitals. This realization has the power to bring us to our higher self, our soul, to a deeper level of living. Our spiritual desire and spiritual energy can then be put in control of our impulses so we can generate ideas and thoughts and beliefs to make this world a better place, something a bit more than a worldwide video game where the winner is the one who can screw the most people during a life span.

Sorry for the rant. But for us bisexuals who were born with our bisexual impulses, this is not a game or something to experiment with. This a very powerful part of our mental and physical anatomy. We really do need to control it or it will destroy us. Personally it has literally screwed up my life. I wanted to be a good husband and a good father and, in fact, I was a great husband and a great father for 33 years before everyone I cared about suddenly knew I enjoyed having sex with other men. I lost my marriage and respect from my children which, quite frankly, were more important to me than another same sex orgasm. So let’s not glamorize this thing. Let’s not encourage more and more young people to experiment with bisexuality. If they are bisexual, they will know it because it is so powerful that it will eventually come out into the open. For us, sex is not just another source of pleasure that we can experiment with. So there is no rejoicing here to learn that other men and women are experimenting with bisexuality. Getting involved with bisexual men and women is like playing with fire. We have to take the box of matches away from the juveniles.

Here are my five suggestions for bisexuals:

  1. For those of you who are thinking about experimenting with bisexuality – you don’t have to experiment. If you are gay, lesbian, or bisexual, you will know it without experimenting. Even if you are seriously considering it, it probably means you are bisexual. You still have a choice. The question is do you really want to start a bisexual lifestyle with all the issues it will bring into your life? Think it through. Done the right way, it can be a very powerful and satisfying life choice.; done poorly can lead to a great deal of pain.
  2. For those of us who are truly bisexual my advice is TO BE CAREFUL, and that does not just mean having safe sex.
  3. Care for yourself and have the courage to make the right decisions that will lead to a more conscious and more joyful way of life.
  4. Beware of the addictive powers of casual sex. Avoid porn, sex shops and other places that you can get a quick fix.
  5. Listen to the voice of your higher self. Seek relationship. It can be a man or a woman or both, but it has to involve relationship. Look for love.

[1]. Copen, Casey E Chandra; Anjani; and Febo-Vazquez, Isaedmarie. Sexual Behavior, Sexual Attraction, and Sexual Orientation Among Adults Aged 18–44 in the United States: Data From the 2011–2013 National Survey of Family Growth Division of Vital Statistics. National Health Statistics Reports Number 88, January 7, 2016