Well, Amy Winehouse is in the news again. This type she supposedly threatened suicide. Some times it makes you wonder if she or Pete Doherty will be the first U.K. celeb with (possible) BPD to burn out completely. Here an article from “Now” (who knows how much truth there is to it though):

Amy Winehouse threatens to kill herself

Singer on 24-hour watch by worried friends

Monday, 6 October 2008

Amy Winehouse is said to be on suicide watch after she allegedly threatened to stab herself.

The singer is thought to have been pushed further downhill after her husband Blake Fielder-Civil rejected an offer of parole last month – because he didn’t want to stay with his mum Georgette Civil or wear an electronic tag.

Amy, 25, apparently held a knife to her chest in front of friends.

‘She said she was “caught up in a nightmare”,’ a source tells the Daily Star. ‘Her friends managed to get the knife away from her but are now holding a 24-hour watch on her.

‘Her emotions are exaggerated. She is either high as a kite or, when she hears something she doesn’t like, she is suicidal.’

Blake, 26, is being held at Edmunds Hill Prison after he was found guilty of GBH and attempting to pervert the course of justice. It is now thought that he has accepted another offer of early release.

Bon Dobbs :: Oct.06.2008 :: Celebrities, Suicide, Self-Injury, Borderline Personality Disorder :: 1 Comment »

From the blog of “Random Thoughts of Self” I found a link to a British Study of Self-Harm called “Truth Hurts.” I also found a nice little image and blurb on the left side of that blog. The blurb said: “I want to be free… an attempt to relieve pain rather than inflict it…” which is IMO right on target when it comes to self-injury (Read “My Take on Self-Injury” to see why).

I recently  I had a member of my email list post a message thatsaid something to the effect of “these people (with BPD) have to punish themselves” (with self-injury).Of cours, I couldn’t disagree more. More often than not, it’s about relieving pain, not causing it.BTW, I don’t self-injure, but my wife’s self-injury was my introduction to BPD.

Bon Dobbs :: Jul.21.2008 :: Shame, Self-Injury, Borderline Personality Disorder :: 4 Comments »

 Here’s an article on mentalization based therapy (MBT). A snip:

The study, “8-Year Follow-Up of Patients Treated for Borderline Personality Disorder: Mentalization-Based Treatment Versus Treatment as Usual,” is the latest analysis of a randomized trial first reported in AJP in October 1999 and titled “Effectiveness of Partial Hospitalization in the Treatment of Borderline Personality Disorder: A Randomized Controlled Trial.”

Joel Paris, M.D., an expert on BPD, explained that mentalization therapy, developed by Bateman and Fonagy in the 1990s, is based on attachment theory and on observations that BPD patients have a failure of “mentalization”—the ability to observe their own emotions and those of other people and to appreciate how their behavior may affect others.

“Mentalization-based therapy can be considered as an amalgam of psychodynamic and cognitive methods,” he told Psychiatric News.

For instance, a case report included in the study describes a 24-year-old woman who was referred from forensic services after her arrest for setting fire to her university dormitory.

She had a history of recent suicide attempts and regularly burned herself with cigarettes and a hot iron. In individual sessions, treatment initially focused on clarifying her own feelings and others’ experience of her; later it progressed to helping her appreciate how her experiences of self-doubt and emotional turbulence led to a sense of fragmentation that was controlled only by experiences of intense physical pain, according to Bateman and Fonagy.

“The individual therapist identified these processes while focusing on the way she represented her own mental states and those of others with whom she interacted,” they wrote. “Gradually this was explored within the relationship with the therapist.”

They report the patient as stating, “It never occurred to me that what I did had an effect on anyone else.”

I have to say the suicide figures are astounding, especially when it comes to attempts. I mean, over 80% in two of the categories!

Bon Dobbs :: May.14.2008 :: Suicide, Resources, Treatment, Self-Injury, Borderline Personality Disorder :: No Comments »

I found this Bill of Rights for People Who Self-Harm on the Internet. Copyright is as follows:

© 1998-2001 Deb Martinson. Reprint permission granted with proper credit to author.

So, it is rather old, but I think it still applies…

Bill of Rights for People Who Self-Harm

Preamble

An estimated one percent of Americans use physical self-harm as a way of coping with stress; the rate of self-injury in other industrial nations is probably similar. Still, self-injury remains a taboo subject, a behavior that is considered freakish or outlandish and is highly stigmatized by medical professionals and the lay public alike. Self-harm, also called self-injury, self-inflicted violence, or self-mutilation, can be defined as self-inflicted physical harm severe enough to cause tissue damage or leave visible marks that do not fade within a few hours. Acts done for purposes of suicide or for ritual, sexual, or ornamentation purposes are not considered self-injury. This document refers to what is commonly known as moderate or superficial self-injury, particularly repetitive SI; these guidelines do not hold for cases of major self-mutilation (i.e., castration, eye enucleation, or amputation).

Because of the stigma and lack of readily available information about self-harm, people who resort to this method of coping often receive treatment from physicians (particularly in emergency rooms) and mental-health professionals that can actually make their lives worse instead of better. Based on hundreds of negative experiences reported by people who self-harm, the following Bill of Rights is an attempt to provide information to medical and mental-health personnel. The goal of this project is to enable them to more clearly understand the emotions that underlie self-injury and to respond to self-injurious behavior in a way that protects the patient as well as the practitioner.

The Bill of Rights for Those who Self-Harm

1. The right to caring, humane medical treatment.
   Self-injurers should receive the same level and quality of care that a person presenting with an identical but accidental injury would receive. Procedures should be done as gently as they would be for others. If stitches are required, local anesthesia should be used. Treatment of accidental injury and self-inflicted injury should be identical.
2. The right to participate fully in decisions about emergency psychiatric treatment (so long as no one’s life is in immediate danger).
   When a person presents at the emergency room with a self-inflicted injury, his or her opinion about the need for a psychological assessment should be considered. If the person is not in obvious distress and is not suicidal, he or she should not be subjected to an arduous psych evaluation. Doctors should be trained to assess suicidality/homicidality and should realize that although referral for outpatient follow-up may be advisable, hospitalization for self-injurious behavior alone is rarely warranted.
3. The right to body privacy.
   Visual examinations to determine the extent and frequency of self-inflicted injury should be performed only when absolutely necessary and done in a way that maintains the patient’s dignity. Many who SI have been abused; the humiliation of a strip-search is likely to increase the amount and intensity of future self-injury while making the person subject to the searches look for better ways to hide the marks.
4. The right to have the feelings behind the SI validated.
   Self-injury doesn’t occur in a vacuum. The person who self-injures usually does so in response to distressing feelings, and those feelings should be recognized and validated. Although the care provider might not understand why a particular situation is extremely upsetting, she or he can at least understand that it *is* distressing and respect the self-injurer’s right to be upset about it.
5. The right to disclose to whom they choose only what they choose.
   No care provider should disclose to others that injuries are self-inflicted without obtaining the permission of the person involved. Exceptions can be made in the case of team-based hospital treatment or other medical care providers when the information that the injuries were self-inflicted is essential knowledge for proper medical care. Patients should be notified when others are told about their SI and as always, gossiping about any patient is unprofessional.
6. The right to choose what coping mechanisms they will use.
   No person should be forced to choose between self-injury and treatment. Outpatient therapists should never demand that clients sign a no-harm contract; instead, client and provider should develop a plan for dealing with self-injurious impulses and acts during the treatment. No client should feel they must lie about SI or be kicked out of outpatient therapy. Exceptions to this may be made in hospital or ER treatment, when a contract may be required by hospital legal policies.
7. The right to have care providers who do not allow their feelings about SI to distort the therapy.
   Those who work with clients who self-injure should keep their own fear, revulsion, anger, and anxiety out of the therapeutic setting. This is crucial for basic medical care of self-inflicted wounds but holds for therapists as well. A person who is struggling with self-injury has enough baggage without taking on the prejudices and biases of their care providers.
8. The right to have the role SI has played as a coping mechanism validated.
   No one should be shamed, admonished, or chastised for having self-injured. Self-injury works as a coping mechanism, sometimes for people who have no other way to cope. They may use SI as a last-ditch effort to avoid suicide. The self-injurer should be taught to honor the positive things that self-injury has done for him/her as well as to recognize that the negatives of SI far outweigh those positives and that it is possible to learn methods of coping that aren’t as destructive and life-interfering.
9. The right not to be automatically considered a dangerous person simply because of self-inflicted injury.
   No one should be put in restraints or locked in a treatment room in an emergency room solely because his or her injuries are self-inflicted. No one should ever be involuntarily committed simply because of SI; physicians should make the decision to commit based on the presence of psychosis, suicidality, or homicidality.
10. The right to have self-injury regarded as an attempt to communicate, not manipulate.
    Most people who hurt themselves are trying to express things they can say in no other way. Although sometimes these attempts to communicate seem manipulative, treating them as manipulation only makes the situation worse. Providers should respect the communicative function of SI and assume it is not manipulative behavior until there is clear evidence to the contrary.

Bon Dobbs :: May.13.2008 :: Odds and Ends, Pain, Self-Injury :: No Comments »

Self-injury can come in many forms and includes cutting oneself with razors or knives, burning oneself with cigarettes or matches, pulling out clumps of hair and picking at oneself (especially the nails and/or cheek) until blood is produced. Self-injury is one of the most difficult behaviors for the loved one to understand. In the case of BPD, self-injury is done for the purpose of pain relief, not to “get attention” or to manipulate the loved one. Most self-injury is done in private and done without the knowledge of the loved one. Occasionally, the self-injury cannot be covered-up (i.e. the blood and/or scars are apparent or the hair is missing in large area of the head) and others notice the activities. The actions themselves are fraught with shame and may lead to even more shame for the person.

In the hospital, ER doctors take a dim view of those who injure themselves, and a person who engages in self-injury will often avoid hospitals to avoid the inevitable judgment and lack of compassion these doctors (and nurses) will exhibit toward them. Most people in the medical community – doctors and nurses included – have little or no training in dealing with people who self-injure and, for the most part, feel that they want to deal with other patients first, since the patient caused their own issue. Also, they will likely send the person to the psyche ward, which is usually not effective because the person was using a tool for pain reduction. They’re not crazy, just engaging in a practice that has significant negative consequences.

What is important for a loved one to understand is that self-injury has a purpose and that purpose is usually pain relief, not self-punishment or attention-getting. The person who engages in this behavior may feel and describe a deep “itch” inside their body that they have to rid themselves of immediately.

While self-injury can provide relief from pain (through the release of endorphins, or natural, pain-killing substances within the brain), it can have risks and negative consequences. These include embarrassment, scars, infection and, in some cases, death. For the loved one,  focus on the negative consequences of the behavior, rather than focusing on whether cutting is bad or wrong. Judging the behavior as bad or wrong will just create more shame.

Bon Dobbs :: May.13.2008 :: Shame, Self-Injury, Borderline Personality Disorder :: 5 Comments »

An article about self-harm increasing in Britain:

Self harm by children on increase

The number of children admitted to hospital due to self harm has risen by a third in five years, according to National Health Service figures.

There were 11,891 in 2002/3, and 15,955 in 2006/7. In both periods, there were more than three times as many admissions of girls than boys.

Liberal Democrat health spokesman Norman Lamb, who requested the figures, said they were “shocking”.

He blamed a lack of specialist mental health treatment for children.

Gender differences

Admissions of children aged 10 to 18 following some kind of self harm rose by 34% between 2002 and 2007.

There was also an increase in children under 10 hurting themselves deliberately, from 157 to 169 admissions in the same period.

Triggers can be exam stress, bullying and feeling isolated and alone Sue Minto, ChildLine

Among under 10s committing self harm, boys outnumbered girls, unlike in older age groups.

In the 10 to 18-year-old category, there were 12,346 admissions of girls in 2006/7, compared with 3,440 boys.

In total, there were more than 70,000 admissions of young people to hospital for self-harm in the five year period.

Mr Lamb also requested NHS figures on the number of children admitted to hospital suffering from eating disorders.

The total figure was nearly 4,000, with cases having risen by nearly 10% in the five-year period.

‘Relieving distress’

Sue Minto, from ChildLine, said: “The rise in numbers of children and young people who have eating disorders or are self-harming is deeply worrying.

“Young people with eating problems or those who are self-harming are often trying to cope with other problems. Triggers can be exam stress, bullying and feeling isolated and alone with no one to talk to.

“Self-harm can be an attempt to relieve distress.”

Many children are languishing on long waiting lists or not getting treatment that meets their specific needs Norman Lamb Lib Dem health spokesman

The forms of self harm recorded by hospitals included drugs overdoses, attempted hanging and deliberate injury with a sharp object such as a knife.

Mr Lamb said: “These shocking figures are just the tip of the iceberg as most young people suffering from these illnesses will never make it to hospital.

“The underlying problem is the lack of specialist mental health treatment.

“The government has allowed child and adolescent mental health services to suffer drastic cuts over recent years. This means that many children are languishing on long waiting lists or not getting treatment that meets their specific needs.”

Mr Lamb requested the figures in a written parliamentary question.

A spokesman for the Department of Health denied that the government was not doing enough.

He said: “We are fully committed to improving Child and Adolescent Mental Health Services (CAMHS) and the actual reported spend on CAMHS has increased from £322m in 2003/4 to £461m in 2005/6.”

The spokesman also said that the majority of children did not have to wait more than four weeks for mental health care.

“As a matter of fact, services in some Special Health Authorities were able to respond to demand for hospital care quickly and lengthy waits of over six months were very rare.”

Story from BBC NEWS:
http://news.bbc.co.uk/go/pr/fr/-/2/hi/uk_news/7379901.stm

Bon Dobbs :: May.13.2008 :: Pain, Self-Injury :: No Comments »

I have created a new version of my book, which fixes some typos and clarifies some points. I also was able to drop the price! It’s now $19.95, instead of $20.95. Since it got 3 pages shorter, I will be able to make a decent profit at the lower price. That price anticipates the cost it will have to be when I get it on Amazon (shortly).

Anyway, I suggest you check out the preview, and pick up a copy (shameless self-promotion). You can see the preview or buy the printed or downloadable version of When Love is Not Enough at Lulu.com.

If you are one of my readers with BPD, I would suggest getting a copy for anyone with whom you’d like to have an on-going relationship. Why? Because this book teaches a “Non-BP” the attitudes and tools to be more effective and more validating toward someone with BPD. The purpose is to rebuild the lines of communication. Like I said in a previous post (or comment), if I can quote myself here:

The BP/Non-BP relationship seems to me to be one of misunderstanding and miscommunication. I hope that I can help each learn the language of the other. And I agree most public awareness is important - BUT it has to be the right kind of awareness - not the “stay away from these people” or “these people are evil” kind.

Enjoy!

Bon Dobbs :: May.13.2008 :: Pain, Treatment, Boundaries, DBT-FST, Resources, Impulsiveness, Suicide, Shame, Mindfulness, Validation, Lying, Manipulation, Self-Injury, Emotions, Substance Abuse, Parenting, DBT :: No Comments »

At long last (about six months of work and 2 1/2 years of research, experimentation and practice), my first book When Love is Not Enough (WLINE) has been published!

This book is a quick-start, how-to guide for Non-BPs. It spells out step-by-step WHAT to do in your relationship with someone with Borderline Personality Disorder (or BPD traits) and HOW to do it. Unlike other books on this subject (you guys probably know which ones I’m talking about), WLINE tells EXACTLY what to do. Through the use of attitudes and tools, WLINE can help you build mastery over your relationship, regain control of your life and develop a deeper understanding of your BP loved one. I highly recommend it (if I do say so myself).

Although WLINE is fairly short (about 185 pages), it is packed full insights, advice and practical skills to help you understand your BP and to reestablish the lines of communication. If you are a Non-BP, WLINE is an essential resource. If you have BPD, I would recommend that you recommend WLINE to your family members, partners and friends (that is, if they are aware of your disorder). WLINE helps to build the bridge of understanding, serenity and effective communication between Nons and BPs.

It could be the most effective $20.95 you’ve ever spent.

If you’d like to buy a printed or eBook copy of WLINE, I am selling the book through Lulu:

Buy the Book!

A note on the title… I kicked around a number of titles before settling on this one. It is my feeling that most Nons don’t understand that, in addition to love, they have to develop ATTITUDES and SKILLS to be effective in their relationship with a BP. WLINE actually innumerates these attitudes and skills and provides detailed examples of how to apply them. With a commitment to the relationship, application of the concepts in the book and PRACTICE, a Non can learn what IS enough in their relationship with a BP.

Bon Dobbs :: May.09.2008 :: Pain, Treatment, Boundaries, Shame, DBT-FST, Blame, Best of, Impulsiveness, Suicide, Resources, Mindfulness, Biology, Validation, Lying, Manipulation, DBT, Self-Injury, Anger, Substance Abuse, Parenting, Emotions, Borderline Personality Disorder :: No Comments »

OK, well, the other day I posted on how Pete Doherty has jumped to the top of my Celebrities with Borderline Personality Disorder (possibly, but not for sure) list. Why? Well, he just released a series of paintings done in his own blood. Let’s examine the other “evidence” of possible BPD….

(For those of you who don’t know who Pete Doherty is: he’s the lead singer of two British bands: Babyshambles and the Libertines. He dated Kate Moss and he is a regular in the tabloids in London for his erratic and criminal behavior.)

Self-Harm

Painting in one’s own blood seems to indicate self-harm. Here’s another article about Doherty’s self-harm.

Quotes from the self-harm article:

Graphic footage of rock star Pete Doherty deliberately harming himself will not appear in a forthcoming fly-on-the-wall documentary about the former Libertines’ singer, as had been feared by mental health charities.

The scenes of Doherty cutting himself with a broken bottle feature in a rough edit of the documentary, to be shown on BBC3 on Sunday 28 August. The images of Doherty slashing his chest, taken from the edit, were leaked to the national press last week, raising concerns about his mental health.

Substance Abuse

Well, duh… He’s been put in jail numerous times for drug offenses, including heroin and cocaine abuse.

Quotes:

He appeared at Ealing Magistrates’ Court to face charges of possessing heroin and cocaine.

The 26-year-old was arrested by police after he was spotted driving a speeding car in west London on 30 November.

The former Libertines singer has continually been in the headlines over his drug abuse and his relationship with model Kate Moss.

He is due to reappear at Ealing Magistrates Court on 8 February.

The prosecution said police pulled Mr Doherty over after he was spotted speeding and officers said he had a glazed look.

He was found to have three packets of heroin, with a weight of 0.875gm (0.03oz), and one packet containing 0.234gm (0.008oz) cocaine.

Inappropriate Anger

More quotes:

Babyshambles singer Pete Doherty has been fined £750 after he admitted assaulting a BBC reporter in March.

The star pleaded guilty at Thames Magistrates’ Court to kicking a microphone out of her hand outside the same court after a separate appearance.

In a statement, the 27-year-old said: “If I hurt this lady I’m sorry.”

The star, who is currently being treated for drug addiction, was also ordered to pay £250 compensation and another £200 in court costs.

Painful hand

He had previously pleaded not guilty to a charge of assault by beating after he kicked out at Radio 1 Newsbeat’s Trudi Barber.

His defence lawyer, Sean Curran, said Doherty changed his plea after watching television footage of the attack.

Indentity Issues

He’s turning to Islam? I wonder how long that will last.

Quotes:

One of Doherty’s friends said: “He’s been reading the Quran since he went into segregation. He’s got a lot of Muslim friends and they’ve been on at him for ages to study it. Now he’s on his own and he’s got time on his hands to study it.

“I’m surprised how much it has calmed him down as he was very on the edge inside. He definitely seems more chilled. He’s lapping it up and really interested in it. I think it’s helping him in there.”

Doherty has been having a difficult time since his 14-week sentence began for violating probation by taking drugs.

Volatile Relationships

The UK hottest couple, Pete Doherty and Kate Moss, split up, after the beautiful supermodel dumped Pete, arguing she cannot stand his way of life anymore, always worrying about him.

On July 22, 2005, Pete Doherty was involved into
a street fight. British newspapers The Sun and Daily Mirror reports that Pete and musician friend Alan Wass fought with a group of Somali youths after they shouted “crackhead” at him.

Farid Khan of Supersave store in Camden Town, said: “The singer ran in pursed by six man. There was a big fight. We got them out but they hurled a brick at the door.”

Kate reportedly told friends: “I can’t go on spending day and night worrying about Pete. He would disappear without a word and I would not hear from him for days. He has to change his lifestyle. Until that happens we are finished.”

Sexual Confusion

DOHERTY: ‘I WAS A GAY RENT BOY AND DRUG DEALER’

Troubled rocker PETE DOHERTY has shocked fans by boasting he worked as a homosexual prostitute and drug dealer to fuel his drug addictions, before he shot to fame in his former band THE LIBERTINES.

The wild singer confesses he was so desperate for money to fund his cocaine and heroin habits, he worked as a rent boy and once robbed a gay client after tying him up at his home.

Dangerous Driving

Babyshambles singer Pete Doherty has been fined £300 and disqualified from driving for two months.

The 27-year-old admitted two charges of driving without insurance or a licence at Thames Magistrates Court in London.

District Judge Jane McIvor warned the singer that he faces jail if he drives without a licence again.

The rock star was arrested in November 2006 by officers who spotted him driving his Jaguar erratically near his east London home.

Shame

So you’ve got this support act, some posh bloke with a discomfited smile, slowly eating himself from the inside out from pure embarrassment. One guy with a guitar strumming idle fancies like ‘The Blue Ridge Mountains Of Dakota’, incapable of holding a note or playing a tune, and, what’s worse, he clearly hates himself for it. Pretty soon, he’ll be dead. And then he’s joined by a nonchalant Doherty in trenchcoat and hat. The place breaks out into hysteria. I’m blinded by about twenty camera phones flashing, then I’m nearly sucked under by the wave surging forward. Even Doherty, the boy in the bubble, advises everyone to move back because there’s a girl in the front whose eyes are bulging.

Suicide Attempts

Pete Doherty tried to kill himself in rehab after discovering that Kate Moss was dating a new man. British tabloids tattled that the ‘Babyshambles’ singer downed an entire bottle of pills-he just ended up making himself ill.

“He saw an opportunity to take an overdose and took it. He told me he didn’t know what the pills were but thought ‘fuck it’ and took them all,” says a NOW insider.

“He doesn’t care what drugs do to him—in fact, he likes finding out.”

“To begin with Kate was ringing him up all the time, concerned for his well-being.”

“But when Pete started to quiz her about the new guy, she was evasive and it got to him. She messed with his head.”

Impulsive Behavior

Anthony Thornton, the reviews editor of NME and an authority on The Libertines, said: ‘Pete is at a lower point than he was a year ago. He’s hit depths he didn’t even know existed. He’s not aware of how bad a state he’s in, and the drugs make it worse. He’s incredibly impulsive, he doesn’t take on responsibilities, he’s unreliable and likely to do himself harm.

Unsafe Sexual Behavior

I think anyone who was a male prostitute qualifies in this regard.

So, ole’ Pete hit just about all the categories that I applied to other celebrites. While I am not a doctor and can’t officially diagnose anyone… Pete Doherty looks suspiciously like he may have Borderline Personality Disorder (or something very close to it). And everyone, you will notice that I used mainly news articles in this analysis (with a bit of blogging, didn’t have time to look up interviews for shame - although I’ve been told he says he hates himself and he is a bad person).

Here’s his Wikipedia entry.

Bon Dobbs :: Apr.28.2008 :: Suicide, Impulsiveness, Celebrities, Shame, Substance Abuse, Self-Injury, Anger, Borderline Personality Disorder :: 3 Comments »

Two Amy Winehouse stories came to light over the past two days. Remember, readers, Amy Winehouse is top on my list of of “Celebrities with Borderline Personality Disorder (possibly, not for sure)” - although it is likely that I will have to re-examine the list in light of Pete Doherty’s weirdness.

Here are the Amy Wino stories:

Her father wants her committed. Quotes from this article:

[her father]: “I’ve told them (medical authorities) she is a danger to herself. There is evidence of self-harming and she’s a danger to other people because she’s attacked someone.

“Obviously as her dad I will try and do what’s best for her. Unfortunately, what I think is best for her and what she thinks is best for her are two different things.”

It’s not the first time Mitch has expressed his desire to have Winehouse committed - he previously revealed his intentions in January, but hospital officials couldn’t help, because she wasn’t considered a danger to herself.

She got off the assault charge with a “caution.” Here are some quotes from that article:

A police spokesperson said on Saturday: “She has left the police station. She has been cautioned for common assault.”

Winehouse went voluntarily to the police station on Friday afternoon.

Her spokesman, Chris Goodman, said in a statement that the singer had “admitted to a common assault by slapping a man with an open hand and accepted a caution”.

The statement added: “Amy was fully cooperative with inquiries and apologized for the incident.”

The caution means that the matter will remain on her record and could count against her should she be charged with a similar offence.

Bon Dobbs :: Apr.28.2008 :: Celebrities, Anger, Self-Injury, Borderline Personality Disorder :: No Comments »