Q. I have recently been diagnosed BPD. Over the past fifteen years I have been diagnosed PTSD, depression, and anxiety disorders. My question refers to splitting. I know that I split when I become enraged but now I am experiencing a different split . I started these new meds about 2 months ago. (Celexa, Wellbutrin, Ativan). These meds make me feel real docile and meek. My personality when not on meds is quite the opposite. This personality when not on meds has made an appearance 2 times this week for only moments. And the thoughts and feelings I have at these moments are ; oh my gosh ... I am married now .... look at what is happening in my life ... oh my gosh, what have I done , what am I doing ...., I 've got to get it together, and I feel like the REAL me is there. Then as fast as it came it is gone. But I remember these thoughts and feelings. I just cannot replicate them. IS this splitting or is it something else?
A. Splitting in BPD is when you play two people off against each other. For example, your therapist against your psychiatrist or social worker against your spouse or children against an estranged spouse. Borderlines do a lot of this.
What you have are thoughts of uncertainty based on your currently described docile self and old self. These are therapy issues, and probably not something you need to worry about medically. They are a worry psychologically and need to be addressed. Family life, marriage, and well-being are very important.
If this is not the point you were trying to get across, write back with more detail and I will try again.