TRAGIC AMY WINEHOUSE HAD ‘MENTAL ILLNESS’

TROUBLED Amy Winehouse suffered from an undiagnosed mental illness, a relative has revealed.

The talented soul singer could have been struck down by the little-known Borderline Personality Disorder.

Sufferers have feelings of anger, emptiness, shame and guilt and become emotionally volatile.

And it can also push them into substance abuse and eating disorders, both of which Amy succumbed to.

Yesterday a member of the Back To Black star’s family said: “It was never diagnosed, because unfortunately she would never agree to a proper diagnosis.

“I’m not an expert, but from what I’ve read on Borderline Personality Disorder it kind of fitted with her.”

Meanwhile Amy’s dad Mitch, 61, said he wished his daughter, who died in July aged 27, had sought counselling.

He said: “She never stopped trying.

“She hated the way she was when she was drunk and when she was ill.

“And you know, the way I look at it, she died trying.

“She didn’t give up. She died trying to make her- self better.”

This article, although short, points out several interesting things about people with BPD. Since there’s no guarantee she had it, I’m going to generalize a bit. First of all, it is tragic that BPD is “little known” because it is much more prevalent than bipolar disorder. The article says: “Sufferers have feelings of anger, emptiness, shame and guilt and become emotionally volatile. And it can also push them into substance abuse and eating disorders, both of which Amy succumbed to.” This is very true. A person in extreme emotional pain will do anything to stop the pain. The article ends with “She died trying to make her- self better.” I’d like to amend that statement to “She died trying to make feel her-self better.” That’s the nature of the disorder and that’s what many non-BPDs do not understand. It’s all about his/her feelings (IAAHF) and not about controlling, manipulating or calling for attention.

See larger image Lioness: Hidden Treasures (Audio CD) List Price: $13.98 USD New From: $8.76 In Stock Used from: $8.14 In Stock Release date December 6, 2011.

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The medical borderline: personality characteristics that promote increased risk of opioid misuse

Geralyn Datz, Melissa Bonnell, Toni Merkey, Todd Sitzman
Forrest General Hospital, Hattiesburg, MS, USA,
University of Southern Mississippi, Hattiesburg, MS, USA, Advanced Pain Therapy, PLLC, Hattiesburg, MS, USA

Purpose

Opiate Abuse

Undiagnosed or untreated psychiatric comorbidities may contribute to medication misuse. In particular, personality disorders may place patients at risk for medical nonadherence, via negative coping styles. Patients with Borderline Personality Disorder (BPD) utilize medical services more frequently than those without BPD and are less likely to adhere to medical regimens. Patients with borderline traits have greater incidences of risky behavior, including abuse of prescription medications. We examined a large outpatient sample of chronic pain patients being screened for appropriateness of long-term opioid therapy in order to determine correlations between high-risk behaviors and personality type.

Method

Participants were 96 patients who were assessed in an outpatient pain management program. Participants were administered the Millon Behavioral Medicine Diagnostic (MBMD), which measures psychosocial assets and liabilities that affect treatment response, and the Screener and Opioid Assessment for Patients with Pain – Revised (SOAPP-R), which is a measure designed to predict aberrant medication-related behavior. Hierarchical regression analysis was used to evaluate which psychiatric indicators of the MBMD would predict total SOAPP-R score. Each analysis adjusted for age, gender, duration of pain, and number of pain sites.

Results

Hierarchical regression analysis was used to evaluate which psychiatric indicators of the MBMD would predict total SOAPP-R score. Each analysis adjusted for age, gender, duration of pain, and number of pain sites. Model 1 included demographic variables, duration of pain, and number of pain sites, F(5,91)=5.81, P<.001. Overall, the model explained 24.2% of the variance in SOAPP-R scores. Results indicated that age and number of pain sites significantly predicted SOAPP-R score. Model 2 added the psychiatric indicators of the MBMD. Overall, Model 2 explained 42.7% of the variance in SOAPP-R scores, F(5,91)=6.42, P<.001. Number of pain sites and emotional lability significantly predicted SOAPP-R score over other psychiatric indicators.

Conclusions

Identifying “at-risk” patients for opioid misuse has significant importance in today’s climate of increased scrutiny towards pain medications. These findings suggest personality assessment serves as an effective adjunct to risk stratification. Personality factors such as emotional lability and traits of borderline personality may increase opioid misuse potential. Clinical interview, history taking, and psychological assessment are valid ways pain specialists can assess personality. Prescribing strategies such as prescreening, close monitoring, limit setting, inclusion of psychological support can mitigate risk. Personality traits are key factors that may contribute to aberrant behavior and are of importance to prescribers of opioid regimens.

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Depression and grief can be a trying experience for anyone. You feel pain in every area of your body and mind. Sometimes you will just want to retreat to your bedroom and go to sleep for hours, just to get some relief from the physical and mental anguish you feel. The sleep represents a distraction of both the mind and the body from the experience of complete pain. You might also use alcohol to relieve the pain by “turning off your mind.” Many people “drink themselves into a stupor” and, in doing so, extinguish the pain for a short period. Pain-killers, whether over-the-counter or prescription, can also remove pain by working on the pain at its source (in the brain where pain is actually felt). Once, when I was asked by one of my daughters about how the Tylenol knew to go to her foot (which was in pain), rather than to her head (because she’d taken it for headaches before), I explained that it acts in the brain where she feels the pain, not where the pain actually “is.” In the case of emotional pain, the pain seems to be both in the body and in the mind, but the pain-feeling area of the brain is where these drugs act. See below about substance abuse.

People with BPD are likely to feel emotional pain many times a day every day. Since these emotions are basic (like fear, sadness and anger) the reactions to them are both physical and mental. These emotional pain-states are powerful and have the ability to overpower rational thinking. When you are in pain, regardless of the source, the main reaction of the body and mind is to get out of or to relieve the pain as soon as possible and by whatever means necessary.  I used the example of someone who is literally on fire. This person will try to douse the flames in any way, without thinking about the people around her and what harm may come to others if the flames spread. This situation is analogous to a person in deep emotional pain. The person will do anything to stop the pain, which is why my Internet site and Internet list are called “anything to stop the pain” (ATSTP). This “anything” includes self-destructive and relationship-damaging behaviors.

Self-injury

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 often avoid hospitals to avoid the inevitable judgment and lack of compassion these doctors (and nurses) will exhibit toward her. 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 her body that she has to rid herself 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.

Substance Abuse

As stated above, many people use alcohol and/or drugs to dampen the effects of emotional pain. With BPD, it is likely that alcohol and/or drugs will be used for this purpose. Drugs and alcohol CAN function to reduce pain. However, this pain reduction is temporary. What I have noticed from the ATSTP group is that people with severe BPD are likely to use large quantities of alcohol and/or drugs to deaden their pain. Some estimates of substance abuse by people with BPD are as high as 75%.

Many people with BPD use and abuse alcohol and drugs. Often, they will ingest large quantities (more than someone without BPD could handle) and not overdose or even pass out. They may take both prescription drugs with anti-anxiety medication, such as Xanax, Ativan and Klonopin (and others); painkillers, such as Oxycotin, Vicodin or Codeine (and others); or they may take illicit drugs, such as Marijuana, Cocaine, Heroin, or Methamphetamine (and others). The purpose, again, is to remove emotional pain. Unfortunately, these substances, especially in the quantities consumed, can have several negative effects and consequences, including overdose, driving violations and an increase in impulsivity or dyscontrol.  These periods of impulsivity and dyscontrol and the behaviors that result (such as “risk-taking behavior” below) may cause more shame and self-punishment when the BP sobers up.

Risk-taking Behavior

People with BPD also engage in risk-taking behaviors of various forms. These behaviors include risky sexual behaviors, reckless driving and thrill-seeking behaviors. Many of these activities could be considered life-threatening either in the short term (by having a car accident) or in the long term (by contracting HIV or another fatal sexually transmitted disease). The people with BPD will, at the time of the risk-taking behavior, most likely not consider the consequences to life and limb – either physical or legal. Again, the purpose is to halt and/or deaden the emotional pain. In other words: “it seemed like a good idea at the time.” Sexual activities can provide pleasure, dangerous driving can provide a thrill and other risky behaviors, like hanging out of windows or jumping off cliffs into lakes, can provide a rush of adrenaline that temporarily removes the emotional pain. The point is for you, the loved one, to understand that the motivation of these behaviors, however short-sighted and ill-conceived you think they are, is to remove pain.

One member of the ATSTP group reported that her husband had totaled four cars in a period of eight years. These behaviors are impulsive and therefore not “thought through.” They are another method to “put out the fire” within the person. Certainly, these behaviors can have significant consequences, physical, legal, financial and otherwise.

Eating Disorders

Another behavior that many people with BPD engage in (particularly females) is eating disorders. Whether it is starving oneself or binging-and-purging or overeating (especially secret overeating), the eating disorder is another tool someone with BPD can use to alleviate emotional pain.

Again, eating disorders can have negative consequences including starvation, ill-health, poor self-image and obesity.

Other Binge Behavior

Other binge behaviors (or indulgent/irresponsible behaviors) are binge shopping, obsessive plastic surgery and “running away” through binge travel. These behaviors provide temporary relief from emotional pain as well. And again, they can have negative consequences by damaging a relationship or financial consequences.

On a final note on dangerous behaviors: it is important to prioritize when you are trying to help the BP halt or alter their behavior. You will want to start with the most dangerous first. If your daughter with BPD is having unprotected sex and smoking marijuana, regardless of your feelings about drugs, the unprotected sex will have to come first. Also, you need to be practical about it. Giving her condoms and saying, “I can see how buying these or asking your boyfriend to wear one might be embarrassing to you” rather than insisting she no longer see the boy is probably more effective, again regardless of your feelings about premarital sex. Once the genie is out of the bottle, it is difficult to stuff it back in. You can, however, help make it safer and you do so by being effective. Of course, you also have to be brave in this situation. It can be very difficult for a parent to talk to a child about sex.

Adapted from When Hope is Not Enough

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Clinicians have long been aware that patients with certain types of psychiatric illnesses — including mood, anxiety and personality disorders — are more likely to become addicts. According to the National Institute of Mental Health’s Epidemiologic Catchment Area Study, patients with mental health problems are nearly three times as likely to have an addictive disorder as those without.

Conversely, 60 percent of people with a substance abuse disorder also suffer from another form of mental illness. Still, it’s unclear whether addiction predisposes someone to mental illness, or vice versa.

Scientists do know that having a mental illness doesn’t just increase the chance of intermittent drug abuse; it also significantly raises the risk of outright dependence and addiction. The conventional wisdom is the link represents a form of “self-medication” — that is, people are using drugs long-term to medicate their own misery.

And of course, I can’t overlook this one:

Certain personality disorders also raise the odds of drug abuse and alcohol abuse. Narcissistic patients, who constantly battle feelings of inadequacy, are frequently drawn to stimulants, like cocaine, that provide a fleeting sense of power and self-confidence. People with borderline personality disorder, who struggle to control their impulses and anger, often resort to drugs and alcohol to soften their intolerable moods.

Maybe that is an interesting factor for understanding the difference between NPD and BPD. In my experience, those with BPD are usually drawn to benzos, alcohol, and opiates. In my poll about substance abuse over 75% of respondents said they have had problems with substance abuse. Because of the u-opioid study by Stanley and Siever (and others), it seem natural for borderlines to seek pain-squelching medications, illicit or not.

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Singer Amy Winehouse Found Dead

London (CNN) — Singer Amy Winehouse was found dead at her apartment in London Saturday, the UK Press Association reported. She was 27.

London police said they were called to a home, which matches Winehouse’s address, Saturday afternoon in response to “a woman found deceased.”

“On arrival officers found the body of a 27-year-old female who was pronounced dead at the scene,” a police statement said.

“At this early stage it is being treated as unexplained,” police said.

The “Rehab” singer had a history of battling drugs and alcohol and recently left a British rehabilitation program that a representative said was intended to prepare her for scheduled European concerts.

But she cut short the European concert tour in Belgrade, Serbia, last month after she staggered around the stage and stumbled through several songs.

Audience members booed Winehouse off the stage that night just a few songs into the first concert of the tour.

Winehouse rep Tracey Miller told CNN at the time that the singer “agreed with management that she cannot perform to the best of her ability and will return home.”

“Everyone involved wishes to do everything they can to help her return to her best and she will be given as long as it takes for this to happen,” representative Chris Goodman said in a statement in May.

Winehouse’s throaty vocals brought the British musician stardom in 2007, but her off-stage life gained her notoriety. The lyrics of her songs, especially the hit “Rehab,” chronicled her troubled life.

The song, in which she sang “They tried to make me go to rehab, I said no, no, no,” helped form the public’s view of Winehouse.

“I don’t care enough about what people think of me to conform to anything,” she said in a CNN interview.

Winehouse, born in London in 1983, became a picture of a tattooed teenage rebel after she was expelled from a prestigious performing arts school.

Her first album, “Frank,” debuted in 2003, when the singer-songwriter was 19.

International success came with her 2007 album “Back To Black,” which in included the single “Rehab.”

 

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That dead-eyed anhedonia is but a remora on the ventral flank of the true predator, the Great White Shark of pain. Authorities term this depression clinical depression or involuntary depression or unipolar dysphoria. Instead of just an incapacity for feeling, a deadening of soul, the predator-grade depression Kate Gompert always feels as she Withdraws from secret marijuana is itself a feeling. It goes by many names — anguish, despair, torment, or q.v. Burton’s melancholia or Yevtuschenko’s more authoritative psychotic depression — but Kate Gompert, down in the trenches with the thing itself, knows it simply as It.

It is a level of psychic pain wholly incompatible with human life as we know it. It is a sense of radical and thoroughgoing evil not just as a feature but as the essence of conscious existence. It is a sense of poisoning that pervades the self at the self’s most elementary levels. It is a nausea of the cells and soul. It is an unnumb intuition in which the world is fully rich and animate and un-map-like and also thoroughly painful and malignant and antagonistic to the self, which depressed self It billows on and coagulates around and wraps in Its black folds and absorbs into Itself, so that an almost mystical unity is achieved with a world every constituent of which means painful harm to the self. Its emotional character, the feeling Gompert describes It as, is probably mostly indescribable except as a sort of double bind in which any/all of the alternatives we associate with human agency — sitting or standing, doing or resting, speaking or keeping silent, living or dying — are not just unpleasant but literally horrible.

It is also lonely on a level that cannot be conveyed. There is no way Kate Gompert could ever even begin to make someone else understand what clinical depression feels like, not even another person who is herself clinically depressed, because a person in such a state is incapable of empathy with any other living thing. This anhedonic Inability To Identify is also an integral part of It. If a person in physical pain has a hard time attending to anything except that pain [(the big reason why people in pain are so self-absorbed and unpleasant to be around)], a clinically depressed person cannot even perceive any other person or thing as independent of the universal pain that is digesting her cell by cell. Everything is part of the problem, and there is no solution. It is a hell for one.

The authoritative term psychotic depression makes Kate Gompert feel especially lonely. Specifically the psychotic part. Think of it this way. Two people are screaming in pain. One of them is being tortured with electric current. The other is not. The screamer who’s being tortured with electric current is not psychotic: her screams are circumstantially appropriate. The screaming person who’s not being tortured, however, is psychotic, since the outside parties making the diagnosis can see no electrodes or measurable amperage. One of the least pleasant things about being psychotically depressed on a ward full of psychotically depressed patients is coming to see that none of them is really psychotic, that their screams are entirely appropriate to certain circumstances part of whose special charm is that they are undetectable by any outside party. Thus the loneliness: it’s a closed circuit: the current is both applied and received from within.

The so-called ‘psychotically depressed’ person who tries to kill herself doesn’t do so out of quote ‘hopelessness’ or any abstract conviction that life’s assets and debits do not square. And surely not because death suddenly seems more appealing. The person in whom Its invisible agony reaches a certain unendurable level will kill herself the same way a trapped person will eventually jump from the window of a burning high-rise. Make no mistake about people who jump from burning windows. Their terror of falling from a great height is still just as great as it would be for you or me standing speculatively at the same window just checking out the view; i.e. the fear of falling remains a constant. The variable here is the other terror, the fire’s flames: when the flames get close enough, falling to death becomes the slightly less terrible of two terrors. It’s not desiring the fall; it’s terror of the flames. And yet nobody down on the sidewalk, looking up and yelling ‘Don’t!’ and ‘Hang on!’, can understand the jump. Not really. You’d have to have personally been trapped and felt flames to really understand a terror way beyond falling.

But and so the idea of a person in the grip of It being bound by a ‘Suicide Contract’ some well-meaning Substance-abuse halfway house makes her sign is simply absurd. Because such a contract will constrain such a person only until the exact psychic circumstances that made the contract necessary in the first place assert themselves, invisibly and indescribably. That the well-meaning halfway house Staff does not understand Its overriding terror will only make the depressed resident feel more alone.

See larger image Infinite Jest (Paperback) By (author) David Foster Wallace List Price: $17.99 USD New From: $8.84 In Stock Used from: $8.70 In Stock

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Diane Schuler’s Story Is One Of Isolation, Denial, And Rage
Anna North

One of the saddest news stories of the summer just got sadder — the husband of Diane Schuler, whose wrong-way drunk-driving crash killed her and seven others, tells New York Magazine he still believes his wife was essentially perfect.

New York’s Steve Fishman tells a depressing tale of denial and rage. On one side is the bereaved Schuler, struggling to go on after the death of his wife and daughter, and on the other is the Bastardi family, two of whose members were killed when Diane Schuler’s Winstar struck their TrailBlazer. Mike Bastardi lost his father, Michael Sr., and his brother Guy, and is angry at the whole Schuler family for what he sees as their role in the accident. He says, “They make like it was not even their fault. I think they knew she was drunk and stoned.” Bastardi’s wife Jeanne is even harsher. She says, “Not even a second have I felt sorry for Danny. This becomes a man you can’t hate enough.”

Part of the reason the Bastardis are so angry with Schuler is that he won’t own up to his wife’s guilt. After the crash, he said at a press conference, “She did not drink. She is not an alcoholic. My heart is rested every night. Something medically had to have happened.” He’s stuck to this story ever since, hiring a private investigator and a lawyer who speculated that a small stroke or abscess might have caused her to suddenly lose judgment and down ten shots of vodka before getting behind the wheel. Not only was his wife not an addict, he says, she was nearly flawless. Though he spoke to the investigator about “ups and downs” in his marriage,” he told Fishman, “There were never any downs. Up for twelve years.” He says they were “perfect” for each other, she was an “outstanding” mom, and, tellingly, “She never complained. I do; she doesn’t.”

Diane Schuler’s friends also portray her as keeping her feelings — especially negative ones — to herself. One says, “I’ve never seen her mad or angry,” another, “she infrequently talked about personal feelings.” She never talked about her parents’ divorce, and refused to speak to her mother — some friends even thought her mother was dead. When Fishman asked Danny “how well he really knew” his wife, Danny answered, “She’d talk to me if things came up.” His examples: “The house needs painting, the gutters need to be cleaned.”

To hear Fishman tell it, the Schulers’ story seemed like a long, drawn-out, and bloody example of the consequences of secrets in a marriage. Did Diane Schuler feel pressured to be the perfect mom — Danny mentions her expertise with birthday cards and holiday decorations — and thus keep her substance problems to herself? Did she feel she couldn’t confide in her husband because their work schedules meant they were rarely home at the same time? Did her parents’ divorce make her feel she couldn’t rock the boat in her own marriage? Why didn’t her friends know more about her troubles? Probably these questions will never be answered, but if there’s a tragic flaw in the whole Schuler saga, it’s isolation.

Despite her supposedly close-knit family, Diane Schuler apparently kept herself hidden from everyone. This led not only to her death and the deaths of seven others — it also plunged her husband into denial and the surviving Bastardi’s into fruitless anger. They won’t be satisfied until he admits guilt; he won’t be satisfied until he proves his wife was blameless. It’s hard to know how much of this cycle of despair was caused by Diane Schuler’s own particular pathology, and how much by an American idea of marriage that often positions the spouse as sole confidant even when, as was the case with the Schulers, that spouse may be physically unavailable. Only one thing is clear: if Schuler had felt able to open up about her own life, she might have avoided destroying countless others.

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In my group recently, a non-BPD was questioning his own “sanity” (I put it in quotes because I don’t believe that people with BPD are insane) and speculating that he was the one with BPD. One of our longer-time posters replied:

If you’re not throwing full-blown temper tantrums, freaking out because EVERYONE is out to get you, threatening to hurt or kill yourself, running away from those who love you because you’re afraid they’re going to leave you first, complaining that NOBODY loves or respects you AND popping pills and guzzling alcohol all at the same time… then, I think, you can go ahead and disqualify yourself.

Based on the polls that I have conducted over the past few months, I believe that she is right on the money. Here are the poll results from the last few polls about borderline behavior:

Borderline Behavior Poll Results

As you can see by these polls results, more than 73% responded that their borderlines (or themselves if they have the disorder) indicated that they have engaged in self-injury, suicide attempts and/or substance abuse. While these polls are certainly not scientific and it’s pretty much impossible for me to understand the profile of a person that responded, they results are, for me, striking. If 7 out of 10 (or more) individuals engage in these “low functioning” or ineffective borderline behaviors at some point in their lives, what should that tell us?

I believe that it tells us that the “typical” profile of someone with BPD is the “low functioning” or “classic” borderline. While I am sure there are others out there that operate in pretend mode (and pretend everything is ok while they “white-knuckle” their way through life), the vast majority of people with BPD seem to be caught in a spiral of ineffective and often dangerous behavior. They seem to me to be sending the message that they are in a great deal of emotional pain and are suffering greatly – that they will do anything to stop the pain that they feel. It also indicates to me that it is vital for parents of child with borderline-like traits and feelings do their best to get the child into appropriate treatment before their teenage years.

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Sautner disagreed with the recommendation Wednesday, saying she didn’t think Lohan had a substance abuse problem.

“She has other problems, which she self-medicates,” the judge said.

I wonder what those “other problems” are? Perhaps you can check here for more information on the behavior of Lindsay Lohan.

Here’s the full text of the article:

Lindsay Lohan says she’s glad theft case resolved

LOS ANGELES – A lawyer entered a no contest plea Wednesday for Lindsay Lohan in the theft of a necklace, setting the stage for a summer of confinement, counseling and community service.

Defense attorney Shawn Holley made the plea for the actress, who did not appear in court in the misdemeanor case involving a $2,500 necklace taken from an upscale shop in the Venice area of Los Angeles.

Lohan, 24, did not acknowledge guilt through the plea, but the court will log the case as a conviction.

She said later in the day in a written statement that she was glad to put the case behind her and has already started her 300 hours of community service at a shelter for women.

“I hope to be able to fulfill my obligation without any press attention,” Lohan said. “I think the media spotlight should be on issues such as homelessness and domestic violence instead of on me.”

Lohan did not have to attend the hearing because she was facing a misdemeanor charge.

Superior Court Judge Stephanie Sautner ordered Lohan to serve a 120-day jail sentence and remain on probation in a 2007 drunken driving case while she completes a total of 480 hours of community service and undergoes psychological counseling.

Along with the women’s shelter, she will do 120 hours of community service at the coroner’s office, with the remainder to be decided.

The judge ordered the additional counseling after reviewing a probation report that showed Lohan tested positive for alcohol in February, a little more than a month after she was released from rehab.

The report also said authorities found evidence the actress had been drinking in December while receiving treatment at the Betty Ford Center.

Lohan had been sent to Betty Ford for three months of treatment last year after failing a drug screen. The report indicated she had tested positive for cocaine and amphetamines during the court-mandated drug test in September.

A rehab worker at the center accused Lohan of pushing her during a confrontation over curfew in December. Lohan was not charged in the case, but police investigated claims she and some companions from rehab were drinking.

“The police report also noted that interviews with restaurant employees, hotel employees, and nightclub employees support the statements that (Lohan) drank alcohol on the night of the disturbance,” the probation report states.

Holley did not return an email message seeking comment on the probation report.

A probation officer stated in the report that despite the tests, Lohan appeared to be making progress with her treatment and should receive continued substance abuse counseling.

Sautner disagreed with the recommendation Wednesday, saying she didn’t think Lohan had a substance abuse problem.

“She has other problems, which she self-medicates,” the judge said.

In addition to counseling, community service and jail sentence, Lohan will have to complete an anti-shoplifting class.

The “Mean Girls” star was expected to serve only a fraction of the jail time due to jail overcrowding. She might be eligible for house arrest, but that decision won’t be made until Lohan reports for jail on or before June 17.

If she is given house arrest, the judge said she cannot work on her community service at the same time.

“She is neither requesting nor receiving special treatment,” Holley said after the hearing.

Sheriff’s spokesman Steve Whitmore agreed, saying Lohan has been treated the same as other nonviolent offenders.

Lohan has been cast to play the wife of John Gotti Jr. in a biopic of the infamous mob family titled “Gotti: Three Generations.” The film is scheduled to film later this year in New York, and several factors could keep Lohan’s case from interfering with work on the film.

Lohan’s lack of a serious criminal record, and the misdemeanor status of her other cases, have resulted in three jails stints that ranged from 84 minutes to a few hours.

Her longest stay was 14 days after another judge sentenced her to three months in jail. The reduced time behind bars was due to jail overcrowding and state-mandated credits for time-served.

Lohan was released after a few hours on April 22 because her attorney indicated she would appeal the four-month jail sentence for her probation violation. She dropped the appeal as part of Wednesday’s plea.

The theft of the necklace came roughly three weeks after Lohan was released from Betty Ford, and while she was still on probation for the drunken driving case.

Despite living nearby, authorities said Lohan never tried to return the necklace until it was reported stolen and police obtained a search warrant. Her assistant delivered the necklace to detectives before the warrant could be served.

—

Anthony McCartney can be reached at http://twitter.com/celebritydocket

By ANTHONY McCARTNEY AP Entertainment Writer
2011-05-11T21:16:39+0000 GMT

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Does Charlie Sheen have BPD?

Alright, I have to admit it, I’m fascinated – as I’m sure many of you are - watching Charlie Sheen and his “meltdown”. I’m fascinated, yet sickened because he seems to be having a mental health crisis right before our collective eyes. The question is: what are the mental health issues? Since I am not a doctor, nor have I ever met Charlie Sheen, I’m not qualified to diagnose him with anything. I have meet a lot of people with Borderline Personality Disorder (BPD) and their families and friends. I have watched first-hand what BPD can do to a person and a family.

Yet, I’m not at all convinced that Charlie Sheen has BPD. Some online analyses have pointed to BPD for Charlie, but thus far his behavior doesn’t seem to support that. Sure, he’s impulsive and seemingly either manic or hypo-manic. Hypo-mania can certainly be a feature of BPD. In my experience, this hypo-mania usually comes along with drug abuse (active) when the person with BPD takes medications or drugs that interferes with their impulse control. They think of something and do it without thinking about the consequences. Certainly, Charlie Sheen’s doing that right now. Except with BPD, the “mania” (or hypo-mania) typically only lasts a few hours or (at most) a couple of days. Charlie Sheen seems to be in an extended manic episode and it is not drug-fueled (if we are to believe his drug tests). This type of mania is more common in Biploar Disorder (either bipolar I or II).

He also seems to have lost touch with reality at some level. This disassociating can also be a feature of BPD, as well as other disorders. See his “Charlie’s Korner” episode 4 for that seeming losing touch with reality.

One thing I did notice about Charlie Sheen and his current rantings is that he seems fixated on judgment of him from others. This feature is one that is very common with BPD, although it’s probably common with other disorders as well. He seems to have set up an “us (or me, the warlock) versus them (the trolls)” mentality which is also very common (black and white thinking) in BPD. Yet, the shame and self-image issues seem to not be there (at least as far as we can see at this point).

Anyway, I guess the jury’s still out on Charlie Sheen. I hope that he will goes to get a professional mental health evaluation and take care of whatever mental or behavioral problems he’s experiencing.

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Teens with eating disorders more likely to harbor thoughts of suicide, study finds

By Amina Khan, Los Angeles Times

7:21 AM PST, March 8, 2011

Teens suffering from anorexia, bulimia and other eating disorders are more likely to suffer from suicidal thoughts, anxiety disorders and substance abuse — but how much they suffer may depend on the type of eating disorder they have.

That’s according to an analysis published online Monday in the Archives of General Psychiatry that, with 10,123 adolescents surveyed, is the largest and most comprehensive study of eating disorders in teens in the United States.

About 0.3% of the teens surveyed reported suffering from anorexia nervosa, and 0.9% from bulimia nervosa. A full 1.6% suffered from binge-eating disorder. Ethnic minorities were more likely to report binge-eating disorder, and white teens tended more toward anorexia.

Those who had one of these three eating disorders often suffered from other issues as well. For example, those who were anorexic were 1.6 times more likely to have problems with alcohol – but bulimics were 3.1 times as likely, the study found.

As for phobias, people with anorexia were 1.8 times more likely to suffer from a social phobia. Those with bulimia were at 3.9 times the risk, but even that jump was dwarfed by those with binge-eating issues, who were 5.9 times as likely to suffer a social phobia.

Sound scary? It could be worse than we think: The researchers write in the paper that some of these numbers may actually be “a lower bound of the true prevalence of eating disorders.”

Follow me on Twitter @LAT_aminakhan.

Copyright © 2011, Los Angeles Times

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Lindsay Lohan and BPD?

I read an article today about Lindsay Lohan from Fox News’ Dr. Keith Albow entitled “What Lindsay Lohan’s Parents Stole From Her”. While I can certainly understand Dr. Albow’s point at some level (although mostly I believe it was to attract readers to Fox with a catchy title about Lindsay Lohan’s situation), I have a problem with Dr. Albow’s analysis of Ms. Lohan’s parents. My problem has several facets to it, so you’ll have to bear with me as I go through them. The first part of my problem has to do with the “blaming the parents” aspect of mental health care and the attitude of mental health care professionals. When you take a child with possible BPD or with behavioral issues like Ms. Lohan has reportedly experienced (those include possible theft, substance abuse, sexual orientation confusion, impulsive actions, self-injury, depression, anxiety and the like), the first thing that is assumed about you is that the child has experienced trauma, neglect or abuse by the parents (that is, YOU). Oftentimes this is NOT the case. I have two daughters (fraternal twins) and one of them has emotional regulation issues, the other does not. The environment in which they were raised was essential the same. The thing is, the children are not the same. I know of another individual who has two daughters, two years apart in age, one of which is a drug addict who never attended college and the other has a ph. d. They were also seemingly raised in the same environment. Granted, neither my children nor the daughters of my friend are child stars as Ms. Lohan was. Yet, my problem #1 is blaming the parents. It doesn’t do anything to help Ms. Lohan. In DBT there’s a couple of rules that you learn at the beginning. One of these “rules” (or guidelines) goes something like this: Even though I didn’t cause some of my problems, I still have to be responsible for solving those problems. In other words, even if you lay the cause and responsibly solely at the feet of Ms. Lohan’s parents and what they “stole” from her, it doesn’t function to make Ms. Lohan behave more effectively or feel any better. Instead, now that she is an adult, she will be required to take responsibility for her behavior and learn the skills necessary to function in a more effective manner, regardless of who caused her problems. I want you all to understand though, if she DOES indeed have a mental illness, these problems might be more difficult for her to overcome. That is because IMO (and in the recent opinions of many scientists) there is a biological component to most mental illnesses (including BPD) and, whereas many people with BPD also have comorbid PTSD from trauma and/or abuse/neglect, many do not. I believe that in order to have BPD the biological component must be present. Dr. Marsha Linehan’s bio-social model seems to reflect this. In other words, in the case of my twins and my friend’s daughters, what is different about each of them is their biological system, not the environment. The kids are different biologically. In the case of Ms. Lohan, perhaps she also has a biological feature that would increase the likelihood of impulsive behavior (among other features).

Now this brings me to point #2 which has to do with boundaries and the fuzzy understanding of what boundaries are. Dr. Albow says:

If she’s guilty, she did it for the same reason she illegally used drugs and drove under the influence and—maybe—assaulted an employee at The Betty Ford Center: She had so much stolen from her as a young person, had her boundaries violated so feloniously, that she considers the boundaries of others irrelevant.

Ahh, boundaries! Anytime I mention BPD to anyone who is not steeped in the world of BPD/non-BPD, including and especially therapists, one of the first things out of their mouths is boundaries (after trauma/abuse). This doctor doesn’t understand boundaries and the way that they function. A person like Lindsay Lohan doesn’t have a boundary problem, she has an emotional problem. You could rewrite the first sentence like this:

If she’s guilty, she did it for the same reason she illegally used drugs and drove under the influence and—maybe—assaulted an employee at The Betty Ford Center: she is in a great deal of emotional pain, has issues regulating her emotions, is impulsive and will behave in an “anything to stop the pain” manner. She acts on her emotions and action impulses before she thinks of the consequences.

Her problem is dysphoria and a poor sense of well-being, which in turn leads to impulsive behavior like shoplifting a necklace when you could just afford to buy one.

I don’t want to go into a long discussion of boundaries here. I‘ve talk about boundaries so many times, it gets old. If you understand my view of boundaries and rules and consequences and intent and the differentiation between these important behavioral and mental concepts, you’ll immediately see why I object to the “boundary violation” explanation of  Ms. Lohan’s make-up and behavior. No, the problem with Lindsay Lohan is (IMO) dysphoria, poor impulse control, emotional dysregulation and a large amount of emotional pain. That is why she does the drugs, steals things (allegedly), engages in risky behavior, cuts herself, etc. It’s not because she “considers the boundaries of others irrelevant”. That statement just shows me that you, doctor, don’t understand boundaries, despite your status as a mental health professional and a Fox News guy. In fact, it has NOTHING to do with the other’s boundaries or feelings at all. It’s all about her feelings.

My last problem with the article has to do with this statement:

Assault and theft. Lindsay Lohan, I would venture, knows all about those things, very deep inside. And not just because of what she did. No, no. Don’t believe that for a moment. Mostly, this is a story about what was done to her.

No, it’s not a story about what was done to her. I’m sorry, but the problem for Ms. Lohan is two-fold. Firstly, if she does indeed have mental health issues, emotional issues, substance abuse issues, and behavioral issues, it is her responsibility as an adult to address those effectively. The question is not “what was done to her by whom?” – it’s “what does she do about it now?” She’s no longer a child. She must address her behavioral issues with the help of a mental health, substance abuse and/or behavioral health specialist. If she continues to play out the approach that Dr. Albow espouses here – the “I had a f*cked up childhood” approach, she’s going to continue to behave ineffectively. What she’s doing is anything to stop the pain, yet, ironically, it is causing MORE pain for her because she’s behaving in an ineffective manner.

Secondly, like everyone in society, Ms. Lohan has to learn that her behavior has consequences, even unintended ones. Sure, she might have a disorder like BPD in which she would find it difficult NOT to behave impulsively and in a pain-killing way, yet when all that is done, she has to face the consequences of her behavior like everyone else. As I have said in the past, just because you didn’t mean to burn down the house while playing with matches, doesn’t mean the house magically comes back from the ashes. No, the house is still in ashes whether your parents abused/neglected you or you were just trying to stop the pain inside your head. Ms. Lohan’s behavior has consequences and sometimes those consequences are going to jail. The judge is not going to accept the argument, “my parents made me do this by taking away my childhood.”

And all of that brings me back to the serenity prayer, which (as I have said in “When Hope is Not Enough”) I always thought was a stupid cliche, yet, Lindsay Lohan is an excellent example of those words at work. (And BTW, I am not a support of A.A., despite my reference to the prayer). Ms. Lohan has no ability to change what her parents did to her. That is something she must accept. Trying to change those things will  cause frustration and, in her case, maybe incarceration. What she CAN change is her future by learning to behave more effectively and manage her emotions more effectively. If she doesn’t do that, she’s going to end up helpless (“my parents made me this way and there’s nothing I can do about it”), in jail or on the wrong side of the grass.

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Q. Dear Dr. Heller

Do a large percentage of BPD individuals have difficulty with impulsiveness which involves shoplifting? Can you comment on this form of self-injurious behavior.

Also I understand Klonopin is not to be given to individuals who have difficulty with impulsiveness, Please advise on this medication.

Someone in deep legal trouble that has just learned there is a name for the cause of all this pain.

A. Shoplifting has long been known to be one of the self-destructive, impulsive behaviors borderlines do to make dysphoria – anxiety, rage, depression, despair – go away. It’s similar to reckless driving, binge eating, binge shopping, etc. It’s not common, but it does happen.

Xanax – alprazolam – has been shown to worsen behavioral dyscontrol, which means there may be an increased risk of self-destructive behaviors. Klonopin is a very similar medication, and while I haven’t seen studies on it in this regard, it is logical to assume it will make BPD self destructive symptoms worse.

As you can see, Dr. Heller does indicate that shoplifting is an impulsive behavior and can be used to make the dysphoria of BPD go away. In addition, he goes on to indicate that benzos (particularly Xanax) can worsen self-destructive and impulsive behaviors. I have seen that effect with my own eyes. Xanax definitely decreases impulse control and increases behavioral dyscontrol. When mixed with alcohol, the effects can be even more dramatic. So, I thought I’d go out and try to discern if Lindsay Lohan is taking Xanax or other medications that would have these effects. Sure enough, there have been reports that Ms. Lohan is taking Xanax (along with Paxil and Adderall). The combination of poor impulse control (which is a feature of BPD, although it is also a feature of other disorders) and the Xanax could indeed lead to a self-control issue such as shoplifting. Here is a CNN report about Lindsay’s latest legal troubles regarding the alleged shoplifting of a $2,500 necklace. The question that immediately arises (at least for most people) is why? Why would she shoplift when she can afford to buy the product? Again, see above for possible explanation (Xanax + poor impulse control = try to make dysphoria go away). This whole incident reminded me of Winoa Ryder’s shoplifting case. In addition to her shoplifting, she also has apparently been taking Xanax.

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Substance Abuse and BPD Poll Results

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Doctor: Anna Nicole Smith medication ‘overkill’

By LINDA DEUTSCH (AP) – 3 days ago

LOS ANGELES — A hospital psychiatrist testified Friday that medication given to Anna Nicole Smith by a doctor now on trial was “overkill” for the kind of pain she was describing.

Dr. Nathalie Maullin said she believed Smith had “a borderline personality disorder” and was addicted to prescription medications.

Maullin said she was on staff at Cedars-Sinai Medical Center in April 2006 when Smith was brought in pregnant and in withdrawal from anti-anxiety drug Xanax and the pain killer Methadone. The celebrity model told her she had gone “cold turkey,” discontinuing her medications all at once because she was concerned for the welfare of her expected baby.

By doing that, Maullin said, she had actually endangered the baby and herself. The doctor said she quickly resumed her medication with Methadone and began weaning her off Xanax, both of which had been prescribed by Dr. Sandeep Kapoor, a defendant in the drug conspiracy case.

“My thoughts were these were very hard core medications to be giving for the kind of pain she was demonstrating,” said Maullin. “She was on medication that seemed like overkill for the type of pain she was in.”

She said it was difficult to get a medical history from Smith because she was “putting on a show” and was deferring questions to her lawyer-boyfriend, Howard K. Stern, who was with her at all times.

Kapoor, Stern and Dr. Khristine Eroshevich have pleaded not guilty to conspiring to provide excessive opiates and sedatives to Smith. They are also charged with prescribing drugs to an addict, but are not charged with causing her 2007 overdose death.

Maullin said Stern told her Smith had been suffering from back pain for five years. She said the former Playboy model also complained of pain in her upper back and arm.

Another doctor who testified earlier this week said Smith suffered from chronic pain syndrome all over her body.

Maullin said she conferred with Kapoor by phone, gave him her plan for weaning Smith off Xanax and any drugs known as benzodiazopines which can be addictive. She said he agreed and told her he would leave the prescribing of Methadone to her.

“Did you see any pain that needed treatment with opiates?” asked the prosecutor.

“No,” Maullin said.

The problem was that Smith showed no enthusiasm for the plan, the doctor said.

“It was like pulling teeth to get some response from her,” she said. “She was compliant but not really interested. She was not wholehearted.”

Five days after Smith checked in to the hospital, Maullin said she received a page at midnight from a nurse that said Smith’s eyes had rolled back in her head.

That sounded like a drug reaction and a one-time dose of Benadryl was prescribed, Maullin said. However, the next day, she received another call saying Smith was having hallucinations.

“The nurse said that she was flossing her teeth with no floss and was out of it,” Maullin said. “This was a radical change.”

Under questioning by Deputy District Attorney David Barkhurst, Maullin said she did not consider this an emergency and she tended to other patients before going to see Smith five hours later.

“In psychiatry, we are used to seeing patients do strange things,” she said.

Upon her arrival, Stern told Maullin that Smith “was generally acting goofy.” Smith was angry and made no eye contact but seemed lucid, Maullin said.

The psychiatrist said she suggested that Smith go into an inpatient facility that deals with addicts. But Smith wasn’t interested and told Stern she wanted to leave the hospital.

Maullin said she informed Kapoor and he said he would go to her house.

“I thought that was unusual,” she said. “Physicians generally see patients in the office or the hospital. There was no reason she could not leave her home to come to see him. Just in terms of proper boundaries with patients, you see them in your office.

“She needed to participate in her care,” Maullin said. “It’s not a home delivery service.”

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Lindsay Lohan Breaks Down in Court

Well, it’s been some time since I have written anything about celebrities with possible borderline personality disorder. Personally, I wish some celeb would just come out and admit that they have the disorder and help others by showing that there’s effective evidence-based treatments for BPD. I guess the stigma is too great and they feel that it would hurt their careers. Of course, for some, their behavior is what is hurting their careers. Today, I am turning again to Lindsay Lohan (click here to see all posts about LiLo). Lately I have been receiving a ton of alerts with news stories that contain LiLo’s name and reference BPD. These are usually in the user comments. I can’t find a single legit magazine or news article that has speculated on BPD and LiLo. Recently, her behavior has accelerated, even as she is facing jail. Here are some recent articles that could indicate that (in combo) LiLo has BPD (remember, this is just speculation at this point):

Lindsay Lohan goes Doctor Shopping
http://entertainment.oneindia.in/hollywood/top-stories/scoop/2010/lilodoes-doctor-shopping-for-prescriptionmeds.html

Washington, July 12 (ANI): Lindsay Lohan apparently obtains her dangerous combination of prescription drugs through “doctor shopping” across the country.

According to a source, Lohan goes to six different doctors for prescriptions.

“When one doctor says no to refilling a prescription, she will go to the next. It’s a whole process to get what she needed, ” TMZ quoted the source as saying.

Lindsay who has prescriptions for- Zoloft (antidepressant), Trazodone (antidepressant), Adderall (stimulant to control ADHD), Nexium (acid reflux) and the extremely powerful painkiller Dilaudid, have doctors both in Los Angeles and New York.

In fact, one of her past rehab facilities still prescribes her meds.

The source even added that, Lohan “would get a large supply every time” she visited a doctor.

Lindsay Lohan and Suicidal Ideation
http://www.hollywoodlife.com/2010/07/14/lindsay-lohan-suicide-watch-kill-herself-jail-90-days/

Lindsay Lohan would rather kill herself than be locked away in jail. The 24-year-old actress is reportedly so upset over the 90 day jail sentence looming over her since July 6, that she’s threatening to take her own life.

“She just kept repeating, ‘I can’t go to jail,’ and, ‘I’ll kill myself first,’” a source tells Star magazine. “She’s mentally unstable and getting worse.”

After Lindsay’s discovered she’d be serving time at the Century Regional Detention Facility in Lynwood, Calif., Star reports she went home and broke everything in sight.

“She ran around breaking mirrors, cutting herself and rambling like a lunatic. She tore her house apart before she finally just broke down,” reveals a source. “Lindsay’s on a 24/7 suicide watch, it’s so bad. She isn’t doing well with this.”

Not only is Lindsay going around saying she wants to kill herself but she’s taking a lethal dose of prescription drugs.

“She has been doctor shopping across the country,” she says. “She is utterly unable to control her use of any mind-altering substance.”

Lindsay Lohan and Self-Injury
http://www.radaronline.com/exclusives/2009/11/exclusive-self-harm-sign-%E2%80%9Cseverely-disturbed-behavior%E2%80%9D

In shocking phone conversations exclusively obtained by RadarOnline.com Lindsay Lohan’s mom, Dina, is heard expressing her concern over her daughter’s self mutilation. And with good reason, as experts in the field tell RadarOnline.com that self harm is often just one factor of greater, underlying emotional issues.

Renown psychotherapist, and author of Cutting: Understanding and Overcoming Self-Mutilation, Dr. Steven Levenkron tells RadarOnline.com that Lindsay’s behavior is a sign of disturbed psychiatric behavior and that it will take time and energy to help her heal. “Whether (a given patient’s) condition is termed being ‘out of touch with reality,’ ‘psychotic,’ or ‘in a diagnosed state,’ the scene constitutes severely disturbed psychiatric behavior,” Levenkron says. “ This is the element that must be present in order to meet the criteria for self-injury. ‘Severely disturbed behavior’ does not mean hopeless, but it does mean that it will take a long time, lots of focused attention, and an intense emotional bond between helper and sufferer in order to repair the damage.”

And Dr. Wendy Lader, PHD, President and Clinical Director of the S.A.F.E ALTERNATIVES program, a nationally recognized treatment approach, professional network and resource base, and an international speaker on self-injury elaborates, telling RadarOnline.com, “The main reason for self injury is to deal with emotional regulation. For whatever reason it helps them to calm down.

“People who self harm have the inability to communicate the depth of  their feelings.

“They can’t talk about their emotions. And they want to do something quick to deal with their frustration or anger. Cutting works immediately. As soon as they split the skin there is a release.

“The problem is that most people don’t just self harm by cutting. Many have eating disorders too.

“Its all about control. They have non over the way they are feeling but they can control their body image. It’s a dangerous combination.

“Some people describe the feeling as euphoric. But I think they are confusing that for release of tension.

“The way to help these people is to make them recognize that when they have an impulse to hurt themselves, it’s a clue that they don’t want to feel something.

“They need to focus on what it is they don’t want to deal with and try to attack it in a different way.

“Some people do manage to stop by themselves but others go their whole lives cutting or harming themselves.

“I encourage anyone going through this to be assessed.”

Lindsay Lohan and Emotional Regulation
http://www.torontosun.com/entertainment/celebrities/2010/07/13/14694551.html

Defence attorney Stuart V. Goldberg has spoken of his worries for Lindsay Lohan, insisting the jailbound actress lacks “awareness” of the “urgency” of her dire situation.

Goldberg was contacted by the Mean Girls star after her lawyer Shawn Chapman Holley attempted to resign last week, and held a six-hour meeting with Lohan, her mom and teen sister Ali in Hollywood to discuss her case.

The legal eagle, who ultimately turned down the case, admits the Lohans “didn’t seem to understand the urgency and gravity” of the situation, prompting Goldberg’s fears for the actress.

He tells People.com, “My impression of Lindsay is that she’s a fragile lost child – a sleeping beauty with her head in the sand. I found her not fully forewarned of the consequence of her actions.

“I’m concerned that she’s not disciplined or tethered enough to the reality of adult consequences. She doesn’t seem to have the awareness of what’s going to befall her.”

Goldberg asked Lohan if she might hurt herself, which moved the star to begin “sobbing quietly.” He adds: “She was genuinely in pain.”

He advised Lohan to move out of the “toxic environment” of Los Angeles but she seemed to refute the suggestion: “She was like Teflon to that comment. It just slid right off her. She seemed to have some inner deep sadness that that was her fate.

“My real worry for her is not just the jail time but my fear is that she’s overly susceptible to a probation system that’s set up for her to fail.”

The 24 year old was sentenced to 90 days in jail last week after Judge Marsha Revel ruled she had broken the terms of her probation from a 2007 DUI arrest by failing to attend court-ordered alcohol education classes.

Lohan’s lawyer Holley has been banned from quitting until papers for a replacement are filed in court.

Lindsay Lohan and Substance Abuse
http://www.mtv.com/news/articles/1643621/20100714/lohan_lindsay.jhtml

http://www.latimes.com/entertainment/news/la-ca-lindsay-lohan-20100704,0,4835943.story

Lindsay Lohan and Blaming Others
http://today.msnbc.msn.com/id/38127652/ns/today-entertainment/

LOS ANGELES — Lindsay Lohan had a message written on her middle fingernails while in court on Tuesday — and it was far from a note of contrition.

The 24-year-old actress — who was sentenced to 90 days in jail for violating her probation — had “f— u” written across her middle fingernail on both of her hands.

As previously reported on AccessHollywood.com, Lohan must turn herself into the court by July 20. She will then be held in Century Regional Detention Facility in Lynwood, Calif., where she will be in seclusion.

Steve Whitmore, a spokesperson for the Sheriff’s Department, told Access Hollywood on Tuesday that general, non-violent females are eligible to serve just 25 percent of their sentence — which in Lohan’s case would amount to around 22 days.

Clearly, the woman is in a lot of emotional pain, unable to regulate her feelings and behaviors and in need of someone to help her. Unfortunately, first, she has to admit she has an issue and seek help.

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Anti-depressants and Depression

I believe that it has. Why? Well, there are a number of reasons that depression is a catch-all diagnosis. One certainly is the influence of the pharmaceutical industry given that billions of dollars are spent on anti-depressants each year. Also, doctors who are not mental health professionals (like GP’s) are prescribing anti-depressants if their patients are “depressed”.

Unfortunately, sometimes depression is not accurate. Many times when people say “I’m feeling depressed” they are really expressing that they are feeling emotional pain. Sometimes emotional pain is normal, sometimes a great deal of emotional pain is not normal and becomes problematic. When someone is feeling too much emotionally, it is not depression.

Depression is usually a problem when someone is feeling a strong lack of emotions – causing a lack of interest in the usual activities (including sex) that once gave us pleasure. Although many configurations of “depression” exist (because it is a non-specific term nowadays), the configuration in which one lacks emotions is alexythimia, although if one lives without pleasure it’s called anhedonia. I suspect that most people, when they describe being “depressed” are really describing a combination of anhedonia (where they can’t enjoy anything anymore) and social anxiety.

As I said above, another configuration that is referred to as “depression” is when the emotional pain becomes too overwhelming. In this case the person is feeling too much and would possibly beg for anhedonia because, while the pleasure would not be present, at least the pain would go away. I think that BPD probably involves more of this kind of “depression” than other disorders. The constant emotional pain leads people to doing anything to stop it (thus, this site’s name), including substance abuse, sexual promiscuity, risk-taking, self-injury and other seemingly self-defeating behaviors.

How can this be explained? How can someone be in such emotional pain all the time? One explanation comes from the study of u-opiods in the brain. A recent study by Stanley and Siever showed that people with BPD have too few u-opiods (the precursor for natural pain-killing neuro-chemicals) AND have over-active u-opiod receptors. This combination provides a baseline of pain and, when opiods are added, the brain feasts on these pain-killing substances with the over-active receptors. This is why some people with BPD can ingest large quantities of pain killers to seemingly little effect (or less effect than those without the disorder). I have heard people with BPD say they only feel “normal” while taking pain killers.

So, the question here is two-fold: First, are anti-depressants an appropriate treatment for emotional pain that is not really “depression”? And secondly, if not, what is? Low-dose pain-killers?

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Prevalence, correlates, disability, and comorbidity of DSM-IV borderline personality disorder: results from the Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions.

Full Abstract

OBJECTIVES: To present nationally representative findings on prevalence, sociodemographic correlates, disability, and comorbidity of borderline personality disorder (BPD) among men and women. METHOD: Face-to-face interviews were conducted with 34,653 adults participating in the 2004-2005 Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions. Personality disorder diagnoses were made using the Wave 2 Alcohol Use Disorder and Associated Disabilities Interview Schedule-DSM-IV Version. RESULTS: Prevalence of lifetime BPD was 5.9% (99% CI = 5.4 to 6.4). There were no differences in the rates of BPD among men (5.6%, 99% CI = 5.0 to 6.2) and women (6.2%, 99% CI = 5.6 to 6.9). BPD was more prevalent among Native American men, younger and separated/divorced/widowed adults, and those with lower incomes and education and was less prevalent among Hispanic men and women and Asian women. BPD was associated with substantial mental and physical disability, especially among women. High co-occurrence rates of mood and anxiety disorders with BPD were similar. With additional comorbidity controlled for, associations with bipolar disorder and schizotypal and narcissistic personality disorders remained strong and significant (odds ratios > or = 4.3). Associations of BPD with other specific disorders were no longer significant or were considerably weakened. CONCLUSIONS: BPD is much more prevalent in the general population than previously recognized, is equally prevalent among men and women, and is associated with considerable mental and physical disability, especially among women. Unique and common factors may differentially contribute to disorder-specific comorbidity with BPD, and some of these associations appear to be sex-specific. There is a need for future epidemiologic, clinical, and genetically informed studies to identify unique and common factors that underlie disorder-specific comorbidity with BPD. Important sex differences observed in rates of BPD and associations with BPD can inform more focused, hypothesis-driven investigations of these factors.

Author information

Author/s: Grant, Bridget F (BF); Chou, S Patricia (SP); Goldstein, Risë B (RB); Huang, Boji (B); Stinson, Frederick S (FS); Saha, Tulshi D (TD); Smith, Sharon M (SM); Dawson, Deborah A (DA); Pulay, Attila J (AJ); Pickering, Roger P (RP); Ruan, W June (WJ);

Affiliation: Laboratory of Epidemiology and Biometry, Division of Intramural Clinical and Biological Research, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, MD 20892-9304, USA. bgrant(-atsign-)willco.niaaa.nih.gov

Grants: NIH0010171221 (Agency:PHS HHS) ; Z01 AA000449-04 (Agency:NIAAA NIH HHS)
Journal and publication information

Publication Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, N.I.H., Intramural

Journal: The Journal of clinical psychiatry (J Clin Psychiatry), published in United States. (Language: eng)

Reference: 2008-Apr; vol 69 (issue 4) : pp 533-45

Dates: Created 2008/05/29; Completed 2008/06/16; Revised 2009/05/06;

PMID: 18426259, status: MEDLINE (last retrieved date: 5/7/2009)

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Newsday.com

Mindy McCready in hospital after another suicide try

BY ROBERT KAHN

December 18, 2008

Anguished country crooner Mindy McCready has been hospitalized after what appears to be her second suicide attempt this year.

McCready, who was treated at a Texas rehab center this summer after an attempt to kill herself, was taken to a Nashville hospital yesterday morning with wounds to her wrists, according to local police officials.

The attempt comes at the end of a tumultuous year for the 33-year-old singer, who went public in April with claims that she was the other woman in an adulterous affair with superstar pitcher Roger Clemens. Clemens has never acknowledged such a relationship took place.

-Click here to see photos of Mindy McCready through the years

Nashville police last night said that McCready, whose legal first name is Malinda, called her assistant, Brent Young, at 7:50 a.m. to say she needed him to come over, because “she had done something bad.” Young arrived at 10:15 a.m. “and discovered that she had cut her wrists and taken several pills.” McCready was taken to Centennial Hospital, according to the report.

McCready’s attorney, Lee Offman, told Newsday last night that he was “still trying to gather details.” A call to Clemens’ agent, Randy Hendricks, was not immediately returned.

As recently as last month, McCready was publicly discussing the alleged affair with Clemens. “Carrying on a relationship with him is not something I’m proud of,” McCready said on the syndicated program “Inside Edition.”

McCready met Clemens at a Florida karaoke bar when she was 15 and he was 28. She has said her attraction to the athlete was instant.

“He treated me like a princess,” she said. McCready says the relationship did not become intimate until several years later. Her mother has said she believes the pair shared a “platonic” friendship.

Clemens has only apologized for “mistakes” in his personal life. Congress this year held hearings on the baseball pitcher’s alleged use of performance-enhancing drugs. Even as she attempted to refocus on her music career, McCready was interviewed by FBI agents for Clemens’ perjury investigation.

McCready suffered what she called a “nervous breakdown” in July and entered into rehab. After her release in September, she told reporters she was excited about recording a new CD.

The singer, who was once engaged to ” Superman” actor Dean Cain, has written a song about the tumultuous past few years in her life, “I’m Still Here.”

A prescription drug problem has landed her in jail twice. She most recently served time for violating probation after a drug arrest. Last month, she told “Inside Edition” she was optimistic about her future. “Redemption is out there for everybody to get, and just watch me. I’m gonna show you how to do it.”

-Click here to see photos of Mindy McCready through the years

Copyright © 2008, Newsday Inc.

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Suicidal Tendencies

In May 2005, McCready’s ex-boyfriend, Billy McKnight, was arrested and charged with attempted murder after beating and choking McCready. The following July, McCready was found unconscious in a hotel lobby in Indian Rocks Beach, Florida after attempting suicide. She was hospitalized for a drug overdose after washing down a large amount of undisclosed drugs with alcohol. That September, McCready, who was then pregnant with McKnight’s child, attempted suicide for a second time by overdosing on antidepressants.

Substance Abuse

In August 2004, McCready was arrested in Tennessee for using a fake prescription to buy the painkiller OxyContin. Although she initially denied the charge, she pleaded guilty and was fined $4,000, sentenced to three years probation, and ordered to perform 200 hours of community service.
In May 2005, she was stopped by Nashville police for speeding and then arrested and charged with driving under the influence and driving with a suspended license. A jury later found her not guilty on the charges of DUI, but guilty of driving with a suspended license. That July, she was charged in Arizona with identity theft, unlawful use of transportation, unlawful imprisonment, and hindering prosecution.

Difficult Relationships

In May 2005, McCready’s ex-boyfriend, Billy McKnight, was arrested and charged with attempted murder after beating and choking McCready.

Inappropriate Sexual Behavior

In April 2008, the New York Daily News reported on a possible long-term relationship between McCready and baseball star Roger Clemens that began when she was 15 years old.

Clemens’ attorney Rusty Hardin denied the affair and also stated that Clemens would be bringing a defamation suit regarding this false allegation. Clemens’ attorney admitted that a relationship existed, but described McCready as a “close family friend”. He also stated that McCready had traveled on Clemens’ personal jet and that Clemens’ wife was aware of the relationship. However, McCready confirmed the relationship as being sexual in nature.

On November 17, 2008, McCready spoke in more detail to Inside Edition about her affair with Clemens. She stated that their relationship lasted for more than a decade, and that it ended when Clemens refused to leave his wife to marry McCready. However, she denied that she was fifteen years old when it began, saying that they met when she was sixteen and the affair only became sexual “several years later”.

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May 30, 2006

Behavior

A Case in Point for the Maxim ‘Do No Harm’

By RICHARD A. FRIEDMAN, M.D.

Everyone knows that talking about your feelings is supposed to be good for you. In part, that’s probably why psychotherapy is widely viewed as a healthy pursuit. Conventional wisdom has it that self-knowledge is always a boon, and, like wealth, you can never have too much of it.

That’s what I thought until I met Helen.

Helen was a successful 52-year-old professional who had been married for 30 years. After watching “The Celebration,” a movie in which the family patriarch is publicly unmasked as a sexual predator by his children, Helen recovered what she believed were memories of sexual abuse by her father.

Over the course of several months, she felt depressed and angry and decided to start psychotherapy for the first time. Her therapist recommended twice-weekly sessions and encouraged her to discuss her childhood and memories of sexual abuse.

She became more depressed and anxious during the initial treatment, hardly unexpected given the traumatic material she had to deal with. But then something alarming began to happen.

Helen began to abuse alcohol, something she had never done before, and to cut her wrists superficially, an old behavior that she had stopped in her 20′s.

Helen was confused. If therapy was supposed to help her, why did she feel so much worse? What could explain the fact that this previously high-performing professional woman had become a serious alcohol abuser who was cutting her wrists several times a week with a razor?

The problem was that Helen had what psychiatrists call borderline personality disorder, and therapy had encouraged a process of self-exploration that proved toxic to her.

She did not have the psychological resources to deal with the intense emotions that this kind of therapy unleashed.

Borderline patients frequently use alcohol or drugs to try to stabilize their overly reactive moods, and they often injure themselves to relieve unbearable psychic pain.

In hindsight, it’s easy to see that this was just the wrong treatment for this particular patient. Yet even when she was given a more supportive treatment, aimed at helping her cope rather than delve into her feelings, she still floundered and didn’t function nearly as well as she did before having any therapy.

It will sound heretical coming from a psychiatrist, but there are some patients who feel worse and get worse when they are in psychotherapy. For some, the problem is getting the wrong type of treatment; for others, it may be the relationship with the therapist that is problematic, regardless of the specific treatment.

In an analysis of psychotherapy studies, Dr. Michael Lambert, a professor of psychology at Brigham Young University and a well-known expert in psychotherapy research, found that about 5 percent to 10 percent of patients deteriorated with psychotherapy.

This is not a trivial problem considering that 3.5 percent of all Americans were in psychotherapy each year from 1987 to 1997, according to a 2002 study published in The American Journal of Psychiatry by Dr. Mark Olfson of the College of Physicians and Surgeons of Columbia.

Although we are not very good at predicting which patients are likely to get worse with treatment, it’s not that hard to spot them once they are in therapy and things aren’t going well.

A few years back, one of my residents was treating a young man in psychotherapy who had great difficulty deciding what he wanted to do with his life.

He wasn’t depressed, but he was a very passive person.

It became clear that the patient was using the treatment not to understand his passivity, but to indulge it; he enjoyed talking about what he should do, but made no steps outside of therapy despite many attempts to address his behavior. We stopped his psychotherapy and referred him for vocational counseling.

The possible benefits of no treatment go beyond just patients who get worse in therapy. Some patients have been in psychotherapy for so long that it isn’t clear what the advantage of treatment is; in some of these cases, stopping therapy gives patients a chance to discover that they might do fine without it.

Others might seek treatment during a crisis or when they are grief-stricken. As painful as these situations can be, if people are generally healthy and have good social supports, they are likely just to feel better with time and probably don’t need any treatment at all.

At first blush, it might sound paradoxical — even uncaring — but sometimes the best treatment is no treatment at all.

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When Hope is Not Enough
Get the Non-BPD book that is designed for
staying and working on the relationship

Substance Abuse

I don’t think I have to cite any references on this one. The bio I read makes it clear that Cobain was a junkie and used consistently. Also, despite his slim frame (5’7″, 130 pounds), he used far more heroin than others in his final days and his body was, for the most part, able to take it. He did overdose numerous times. Abuse of pain killers (of which heroin is one), is not uncommon with BPD (sometimes called “Bellman’s Syndrome”).

His heroin use eventually began affecting the band’s support of Nevermind, with Cobain passing out during photo shoots. One memorable example came the day of the band’s 1992 performance on Saturday Night Live, where Nirvana had a shoot with photographer Michael Levine. Having shot up beforehand, Cobain nodded off several times during the shoot. Regarding the shoot, Cobain related to biographer Michael Azerrad, “I mean, what are they supposed to do? They’re not going to be able to tell me to stop. So I really didn’t care. Obviously to them it was like practicing witchcraft or something. They didn’t know anything about it so they thought that any second, I was going to die.”

Eating Disorder (or chronic pain leading to one)

Kurt Cobain had a chronic, undiagnosed stomach disorder from which he developed an eating disorder, being unable to keep down food.

Throughout most of his life, Cobain battled chronic bronchitis and intense physical pain due to an undiagnosed chronic stomach condition. This last condition was especially debilitating to him emotionally, and he spent years trying to find its cause. However, none of the doctors he consulted were able to pinpoint the specific cause, guessing that it was either a result of Cobain’s childhood scoliosis or related to the stresses of performing.

Volatile Relationships

His relationship with Courtney Love was volatile. He also had volatile relationships with others in his band and with managers and ex-girlfriends.

Love arranged an intervention concerning Cobain’s drug use that took place on March 25. The ten people involved included musician friends, record company executives, and one of Cobain’s closest friends, Dylan Carlson. But Bassist Krist Novoselic tipped him off as he considered the idea to be “stupid”. However, by the end of the day, Cobain had agreed to undergo a detox program. Krist Novoselic drove him to the airport to catch his flight, but Cobain was far from wanting to go, in a fit of panic, Cobain drew violence and the two fought at the airport, eventually Cobain freed himself and ran through the airport lobby screaming “fuck you”, this would be the last time Krist would see Kurt alive.

Shame and Unstable Self Image

His lyrics probably do the best for this…

All Apologies:
I wish I was like you
Easily amused
Find my nest of salt
Everything is my fault
I’ll take all the blame
Aqua seafoam shame
Sunburn, freezeburn
Choking on the ashes of her enemy

Dumb:
I’m not like them
But I can pretend
The sun is gone
But I have a light
The day is done
But I’m having funI think I’m dumb
Or maybe just happy

Radio Friendly Unit Shifter:
What is wrong with me?
What is what I need
What do I think I think?

This had nothing to do with what you think
If you ever think at all
Bi-polar opposites attract
All of a sudden my water broke
I love you for what I am not
Did not want what I have got
Blanket acne’d with cigarette burns
Speak at once while taking turns

And of course, there are probably twenty more examples in his various lyrics. The only other musician that I can think of off the top of my head who consistently used the words “shame” and “I’ll take the blame” is Ian Curtis (Joy Division’s lead singer who also committed suicide).

Suicide Attempts

I think these go without saying, considering his eventual actual suicide. But we know of at least one other:

Following a tour stop at Terminal Eins in Munich, Germany, on March 1, 1994, Cobain was diagnosed with bronchitis and severe laryngitis. He flew to Rome the next day for medical treatment, and was joined there by his wife on March 3. The next morning, Love awoke to find that Cobain had overdosed on a combination of champagne and Rohypnol (Love had a prescription for Rohypnol filled after arriving in Rome). Cobain was immediately rushed to the hospital, and spent the rest of the day unconscious. After five days in the hospital, Cobain was released and returned to Seattle. Love later stated that the incident was Cobain’s first suicide attempt.

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Cocaine ‘damaged Winehouse’s lungs’

Amy Winehouse could struggle to catch her breath and hit high notes as a result of suffering emphysema, a lung expert has said.

The singer’s father spoke out at the weekend about his worries that Winehouse could lose her life unless she kicks her drug habit.

In an interview with the Sunday Mirror, Mitch Winehouse said his daughter – who was rushed to hospital recently after collapsing – had developed the chronic lung disease emphysema, possibly brought on by smoking crack cocaine.

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Last November, she launched a campaign with vegetarian group Viva – which is also involved with her new book – encouraging people to drink rats’ and dogs’ milk to help save the planet.

Arguing that livestock creates more carbon emissions than transport, Heather suggested drinking the different milk could help cut global warming.

She said: “There are many other kinds of milk available. Why don’t we try drinking rats’ milk and dogs’ milk?”

Rats’ milk? Maybe she can show us how it’s done and drink it directly from the momma rat.

I wonder if her next book will be “Mental Health with Heather”? She needs some serious treatement for whatever condition she has. I find it sad that she is such a publicity hound. I guess her goody-goody reputation was impugned with all that nastiness with Paul. Maybe I need to do a long analysis of news stories to see where she lands on the celeb BPD-o-meter (hey, come to think of it, the celeb BPD-o-meter ain’t such a bad idea, hmmm…..). I know, I know, I’m pandering to the “celebrities with borderline personality disorder” crowd out there, but when 60% of my searches are about that subject, I guess I gotta feed the audience what they want (unless it’s rats’ milk – yuck!) – at least some of the time.

I do wish that some celeb would come out and be the face of BPD, maybe Sean Young? Her career needs a boost and some attention right now. And given that May IS BPD Awareness month, this would be a perfect opportunity for her (‘course I don’t KNOW she has BPD, but her behavior begs the question).

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Magistrate Tells Man to Kill Himself

(WXYZ) – Court officials in Novi say a magistrate “could have chosen better words” when she told a man convicted of drunk driving and other offenses that he should commit suicide by jumping to his death or slitting his wrists in a bathtub.

52nd District Court Magistrate Judith Holtz made the shocking statements during a hearing on April 10 as she was sentencing 20-year-old Michael Robert Dickey on a charge of Minor in Possession of alcohol. Dickey had two prior convictions for drunk driving and, according to the court, “had failed to comply with his bond conditions to remain drug and alcohol free.”

According to court transcripts obtained by WXYZ, Dickey admitted to Holtz that he’d “made a lot of mistakes” — and that’s when she unleashed from the bench.

“I don’t mean to be offensive, but you have two Operating While Intoxicated convictions and then you blow a .223 and you’re still not twenty one?, Holtz said.

“Here is my suggestion to you, Mr. Dickey, climb up on the roof of your house and jump off; either that or get in a bathtub filled with hot water and slash your wrists; then you will be dead; it will be cheaper; it will be faster and in the long run it will be less painful to anybody who cares about you, because that’s where you’re headed now, and the best part of it is you won’t take somebody else with you.

“Who do you think you are? You don’t have the right to go out there and endanger innocent people and you know it. And you have had two convictions for drunk driving and you’re not twenty one and you still drink.”

Holtz is a veteran magistrate who joined the court in 1992 after practicing law for 18 years. She declined to talk with WXYZ about the tirade, but 52nd District Court officials offered an explanation late Monday.

“The words chosen by the Court’s magistrate to convey the seriousness and severity of the defendant’s actions and crime could have been better chosen,” the court said in a statement. “The magistrate was attempting to convey, through an analogy, that the defendant’s actions and past behavior has continually put the community at risk.”

The court’s statement to WXYZ also sought to prove Dickey remains a risk to the community. “It should also be noted that Mr. Dickey, at a probation appointment on May 12, 2008, tested positive for cocaine, marijuana and amphetamines in a urine screen.” Dickey has been sent to a rehab program.

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Xanax has to be the absolute worst drug to treat BPD. Why?See the results of these (rather old) studies:

Alprazolam (benzodiazepine)

Gardner, D.L. & Cowdry, R.W.
Am. J. Psychiatry. 1985 – Alprazolam-induced dyscontrol in borderline personality disorder.
The short-acting benzodiazepine alprazolam has been associated with precipitating serious dyscontrol in one placebo-controlled crossover study of patients with BPD
The authors suggest that caution be used in prescribing alprazolam to patients with similar histories.

Alprazolam (benzodiazepine) / carbamazepine and trifluoperazine and tranylcypromine.

Cowdry RW, Gardner DL. – Intramural Research Program, National Institute of Mental Health, Bethesda
Arch Gen Psychiatry. 1988 – Pharmacotherapy of borderline personality disorder. Alprazolam, carbamazepine, trifluoperazine, and tranylcypromine.
Physicians rated patients as significantly improved relative to placebo while receiving tranylcypromine and carbamazepine. Patients rated themselves as significantly improved relative to placebo only while receiving tranylcypromine. Patients who tolerated a full trial of trifluoperazine showed improvement, those receiving carbamazepine demonstrated a marked decrease in the severity of behavioral dyscontrol, and those receiving alprazolam had an increase in the severity of the episodes of serious dyscontrol

My wife has gotten much better since I started on this quest of learning about BPD and what, as a loved one, I can do about it (and what I can’t). Yet, she still over-medicates on benzos. So, my list member basically issued me a challenge to see if there is anything I can figure out to do to reduce the pill taking. One member of the list locks up his wife’s pills and doles them out when she needs them. I hesitate to follow his example because I don’t want to be in the position of being my wife’s keeper. Plus, in the past when I have held her pills for her (usually at her request), I have been raged at for “hiding” or “stealing” them (neither of which I do).

Here is my question/challenge: Have any of you been able to come up with an effective way to reduce over-medicating on benzos? That question goes out to the people with BPD (if you have found a way yourself) and to the family members (if you have found a workable solution). This area is one where I have made little head-way and would like some help.

Thanks.

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Amy Winehouse arrested on suspicion of drugs possession

13 hours ago

LONDON (AP) — Amy Winehouse was arrested Wednesday in connection with a January video that allegedly shows her doing drugs at a party at her north London home.

London’s Metropolitan Police said the Grammy winner was released on so-called police bail following several hours of questioning at a police station in the city.

Winehouse’s spokesman, Chris Goodman, confirmed that his client had been arrested Wednesday and held in police custody to answer police questions.

“Amy Winehouse voluntarily attended a London police station today by appointment. She was arrested in order to be interviewed and is cooperating fully with inquiries,” Goodman said in a statement.

“The interview relates to a video handed to police earlier this year,” he said.

Britain’s The Sun tabloid in January published still images from a video that it claimed showed Winehouse inhaling fumes from a small pipe. The images were said to have been filmed during a party at her home.

Winehouse, famous for her hit “Rehab,” has had a turbulent private life. Last month she was cautioned by police for assault after she slapped a man during a night out. That means no charges were filed, but the incident was placed on her record.

Shortly after The Sun published the photographs, Winehouse entered a London rehabilitation center.

Her release on police bail means she has not been charged with an offense, but that officers can recall her for more questioning at any time.

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Lindsay Lohan is not exactly toasting her latest public appearance.

A mug shot of the 21-year-old actress, who has been in and out of rehab after two arrests last year on drunken driving and cocaine charges, was prominently featured Friday in an advertisement attacking legislation for devices that measure a driver’s blood alcohol level before their vehicle can start.

The full-page black-and-white ad appeared in USA Today on Friday and was paid for by the American Beverage Institute, a trade group that supports the interests of the alcohol industry. The ad reads “Ignition interlocks are a good idea for” above Lohan’s mug shot from her July 24, 2007, arrest and “But a bad idea for us” above smaller photos of people drinking.

“The reason that we used Lindsay Lohan is because she’s had multiple DUIs that have been high profile,” American Beverage Institute managing director Sarah Longwell told The Associated Press. “We needed to create the distinction for the public what someone with multiple DUIs looked like versus a low blood-alcohol-level first-time offender.”

Lawmakers in several states have passed bills that would require drunken driving offenders to pay for and install an ignition interlock system. Under many such laws, the interlock requirement extends to first-time offenders driving while “highly intoxicated” — or with a blood alcohol level of 0.15 percent or higher.

The ad suggested that ignition interlocks were fine for “hard-core” drunk drivers, but suggested they would bring an end to champagne toasts at weddings, wine at dinner and ballgame beers.

“USA Today is idiotic to run such an irresponsible advertisement suggesting that drinking and driving is some kind of American ‘tradition’ we should protect,” Lohan’s lawyer, Blair Berk, said in a statement. “Not identifying that this ad was paid for by the liquor and restaurant industries is profoundly reckless.

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“Drunk, white businessmen, drunk housewives out for girls night out and drunk wedding parties should be kept off the roads of America,” Berk continued. “Lindsay Lohan fully endorses ignition interlock devices, which have been well-proven to save lives.”

The American Beverage Institute stood by its use of Lohan’s image.

“People magazine, Smoking Gun and a lot of people have republished this mug shot,” said Longwell. “It was publicly accessible. We’re not using it for any kind of commercial gain. So we’re well within our rights to use it.”

Reached for comment about Berk’s statement, USA Today spokesman Ed Cassidy issued the following statement: “Advocacy advertising is a big part of what we do. Our pages function as forum for competing views.”

Frankly, I think she looks pretty good (bad Bon!). The last thing I need is another BPDish woman in my life (yeah, like I’d have a chance with her – she’s half my age – almost). She’s on my top five list of possible BPD celebs – which I need to update soon. After giving Pete Doherty the royal research treatment, I think it behooves me to give the rest of the bunch the same. Soon to come!

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(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.

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5. Angelina Jolie (if you want a more detailed analysis of Angeline Jolie go here)

• Self-Injury.
• Volatile Relationships.
• Sexual Confusion.
• Eating Disorder.

4. Courtney Love (to see all of the posts on Courtney Love go here)

• Substance Abuse.
• Possible Eating Disorder.
• Inappropriate Anger.
• Shame.
• Self-Injury.

New! An eBook that can help you in your relationship with someone with Borderline Personality Disorder. Beyond Boundaries is the next step in the evolution of the Non-BPD/BPD relationship.

3. Lindsey Lohan (Here is some more info on Lindsay Lohan go here)

• Dangerous driving.
• Substance abuse.
• Eating disorder.
• Unsafe sexual behavior.
• Possible Self-Injury.

2. Britney Spears (more on Britney try this link)

• Dangerous driving.
• Substance Abuse.
• “Bipolar”.
• Eating Disorder.
• Inappropriate anger.

1. Amy Winehouse (for more on Amy Winehouse try this)

• Self-Injury.
• Substance Abuse.
• Volatile relationships.
• Sexual Confusion.
• Eating Disorder.
• Implusive Behavior.
• Shame.
• Suicidal.

Think someone in your life that has Borderline Personality Disorder? Buy the book that has helped hundreds of people like yourself. When Hope is Not Enough: a how-to guide for living with and loving someone with Borderline Personality Disorder really is a how-to, step-by-step for loved ones of people with BPD to communicate more effectively.

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Get the Non-BPD book that is designed for
staying and working on the relationship

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Our goal is to help facilitate adoption of DBT in the “recovery” community by providing resources, community features and detailed information and lessons. We based our content on Dialectic Behavior Therapy (DBT) techniques and skills, addressed to people with impulse problems such as compulsive gambling, alcoholism, overeating, compulsive shopping and others.

DBT, a psychological approach, based on Cognitive Behavior Therapy and Mindfulness. It’s been used quite successfully for over a decade to treat serious Personality Disorders. In recent years, therapists and clinics have been adapting DBT to treat a wide range of issues, including addictions and impulse disorders.

<a href=”http://www.truerecovery.org/”>http://www.truerecovery.org/</a>

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Millon (1996, p. 200) notes that individuals with BPD are characterized by drug-seeking behavior. Individuals with BPD will be particularly vulnerable to the escape offered by drugs and alcohol. Real world interaction triggers multiple interpersonal crises and overwhelming negative affect. Drugs can, ostensibly, offer relief from BPD turmoil and emptiness.

And for me, this one struck home:

Individuals with BPD often use alcohol and other drugs in a chaotic and unpredictable pattern; they may engage in a polydrug pattern involving alcohol and other sedative-hypnotics for self-medication. Clients with BPD often abuse benzodiazepines that have been prescribed for anxiety — which can lead to a relapse to their actual primary drug of choice (Ries, TIP #9, 1994, p. 55).

UPDATE: link to article no longer works.

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