¿Cómo podemos detectar los síntomas de algunos trastornos de personalidad y así enfrentarlos? Sofia, quien sufre del trastorno límite de la personalidad, cuenta su experiencia.
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00:00It is a problem that is very necessary to be treated,
00:04especially because there are many people who have probably not been diagnosed
00:08or those who have been diagnosed have not received treatment.
00:11And that affects their environment, affects the social,
00:15work environment and definitely that also affects their life.
00:19We have a witness who is with Matías Vera.
00:21How are you Matías? Hello?
00:25Hello Priscila, a hug for you.
00:27I'm super good because I'm also getting to know a story here off camera
00:30that has been very interesting because this personality disorder
00:33can show us all a little bit.
00:35Who is in front of me is Sofía, she is 21 years old
00:38and by recommendation, eye of her psychiatrist,
00:40we have decided to hide and protect her identity.
00:43But she has a lot to tell us about Sofía.
00:45Thank you for being with us, thank you for your courage.
00:47Tell me what your problem is and how we can help you.
00:49Hello everyone, my name is Sofía and I have a personality disorder,
00:55which has made it difficult for me in many areas of my life,
01:00especially in the social, academic and obviously in my environment,
01:05since this is accompanied by many crises,
01:10a fairly large emotional deregulation.
01:12It happens to me that I am very extreme with my emotions,
01:16with a little I am happy and with a little I am sad.
01:18Let's land a little on all those ideas that may seem a bit ambiguous
01:21for people who do not know very well a particular fact.
01:24An experience or an anecdote that can graph us very well,
01:27something that has triggered this type of crisis.
01:30It happens to me that, for example, in March, more or less,
01:33I was giving a test in which I had not studied
01:36and I had a crisis, I started to cry, I had a lot of anguish,
01:42just like on another occasion that for mental health I had to throw two branches.
01:46I felt super frustrated with myself
01:52and that was very sad because I judged myself a lot,
01:55I was not compassionate with myself.
01:57That happens to you every time, for example,
01:59you do not get something for what you plan.
02:01I don't know, if for example you had to throw a branch,
02:03what does it cause in you?
02:05It causes a lot of sadness, a lot of anger,
02:08because I feel insufficient.
02:11I am also super self-demanding,
02:13so the truth is that it is like the feeling of
02:16oh, I couldn't do it, or for example,
02:19because they do and I don't, with respect to my colleagues.
02:23What happens after that, when you get home?
02:25Or does that happen later when you get home?
02:27Is it the immediate reaction?
02:28Does it have other consequences?
02:30In general, the reaction is immediate,
02:32and well, there I have my super active support networks,
02:35so the first thing I do is call my parents
02:37and they contain me, if they are far away,
02:39through a telephone line, I call my doctors
02:43and with that they basically contain me.
02:47And when you get home, for example,
02:49there are attitudes that are suddenly self-destructive,
02:51what do they have to do?
02:52I don't know, you told me a little about smoking, for example.
02:54Do you fall into that kind of thing?
02:55Yes, totally.
02:56Those who know me know that I smoke a lot
02:59and with that I somatize a little what I feel.
03:02I smoke, smoke, smoke, smoke,
03:03or I eat, eat, eat, eat sometimes.
03:05So, through those self-destructive attitudes,
03:09and not only that, but also
03:11impulsive decisions that put my own integrity at risk.
03:18It has suddenly led me to hospitalizations.
03:23So much so?
03:24Yes, I was hospitalized twice
03:27and well, I received a lot of support, a lot of help,
03:31and I think that the addition to therapy
03:33is essential to be able to recover from these episodes.
03:36Today I understand that you are in your second year of university.
03:38What degree?
03:39Geology.
03:40How is your day-to-day in that scenario?
03:42Because, for example, I imagine that you demand yourself a lot,
03:45according to what you tell me with your words, let's say,
03:47to fulfill.
03:48I don't know, let's imagine, for example,
03:49the scenario of doing a job in a group.
03:51Is that very complex?
03:52Yes, in general I try to do the job myself
03:55because, as I am very self-demanding,
03:56I have the thought that if I don't do it, it won't go well.
03:59So I'm working on being able to trust others
04:03and being able to, what's it called?
04:07How to derive, how to delegate.
04:09Delegate, delegate.
04:10I'm working on delegating the tasks, right?
04:14But it's hard for me to trust the knowledge of others.
04:17Have you generated problems, conflicts, clashes, fights?
04:19Yes, a lot.
04:20Especially with my own friends,
04:23which is sad because it seems that I don't trust them,
04:27but it's not like that.
04:28It's just my mind that suddenly demands itself.
04:31It says, no, if I don't do it, it's not right.
04:33So that's complex.
04:34And on a family level, has that affected you?
04:36Totally.
04:37I mean, I think we've grown as a family a lot
04:41because we started from a very young age in therapy.
04:44I started at 12 in therapy.
04:46So all these years we have grown through her.
04:49And well, in the same way, it is difficult for a family
04:55to contain so many times and in the emotional way that I had.
05:01How important it is to be able to transmit this information, Pri.
05:03For me it is a pleasure to introduce you to Sofia,
05:05who has also very bravely wanted to make her story known,
05:08despite the recommendation to hide her face.
05:10She and I are listening to you attentively from here.
05:12Yes, Sofia, thank you very much.
05:14Your testimony is really so brave
05:16and because you can help many people.
05:18Fortunately, you have a family that contains you,
05:21but they are exhausting for them, just as you relate it,
05:24because they have to contain you many times.
05:27And above all, because you also received a diagnosis
05:29and you are in treatment,
05:31so you can be the best example.
05:34Before asking the panel,
05:37and especially our specialist, Alexandra Vidal,
05:40I want to ask you if you have had a partner.
05:46A partner? Yes.
05:48Yes, I have had several partners,
05:51which has generated that it is very difficult for me
05:54to establish permanent ties.
05:57My relationships have been very short-lived.
05:59Because it is based on trust.
06:01Because, well, that impulsiveness, suddenly.
06:04It is based on trust.
06:06Yes, that's right.
06:08So, I have had many relationships, but very short-lived.
06:11And the truth is that some are quite destructive.
06:13And you feel that...
06:15Not very healthy, and that's because...
06:17Yes, you feel that it is precisely because of what happens to you,
06:20because of this personality disorder,
06:22that they may have ended badly in those relationships?
06:26The truth is that before I was in therapy, yes.
06:29Yes, because I did not know how to regulate.
06:32I had super, as we have already mentioned, self-destructive attitudes.
06:36But once I returned to therapy and regulated myself,
06:39the truth is that my relationships have improved,
06:42especially in terms of how to be healthy.
06:46Yes, yes, how important that is.
06:49Because imagine, beyond having to face the day to day,
06:53with yourself, but also with the relationships,
06:56with your family, with the love relationships you may have,
07:00or with your own friends, it becomes much more complex.
07:03And how good that at least you are aware of this.
07:06I want to ask Jairo, Alamaca, who are not so specialists,
07:10but it is definitely something that we have to learn,
07:14also understanding of so many people who can suffer from this type of disorder.
07:18That's right. I was thinking the same thing you are saying.
07:21How many people do we have and we don't know?
07:24We have no idea.
07:25But I was listening to Sofía, like the pattern of what she said,
07:30and many I feel I have too.
07:32So, what a wonderful idea to be able to learn,
07:35especially from Alexandra, who can give me some tips,
07:37and how to know if maybe we, who are here, have it.
07:40Yes, before Alexandra gives us all that information,
07:44I want to ask Alamaca, especially Alamaca,
07:47because clearly there are many people who are not diagnosed,
07:51or us too, and we say, hey, you are so bipolar,
07:54or what's wrong with you, that you are so aggressive,
07:57how did you wake up today?
07:58And maybe we don't realize that it's actually a disorder.
08:01Yes, the truth is that what you say is very true, Pri,
08:04because there are so many diseases, right?
08:06The emotional world, that one says, no, suddenly I woke up,
08:09I don't know, up to here, suddenly I'm depressed.
08:12And sometimes you don't even know the causes very well.
08:14And also this obsessive behavior.
08:16Suddenly we get obsessed with something,
08:18and we want to get something done, a project.
08:20And what is the limit to that?
08:22I think it's super useful, deep down, to open this conversation,
08:24and to be able to know when you are maybe within a range of disease
08:28that you may have to consult a psychologist, a psychiatrist,
08:31or when it's actually maybe a hobby that we have,
08:35like, for example, they criticize me so much because I study a lot.
08:38Then suddenly they tell me, no, you are obsessed with studying.
08:41Well, maybe yes, but deep down I can control it,
08:44and I think it has to do with control, right, Ale?
08:47Yes, it can be Ale, or there are different types of personality disorders.
08:50Well, there is a personality disorder,
08:52she has a limitrophic personality disorder,
08:54but there are about ten personality disorders,
08:56which are paranoia, schizoidism, narcissism, etc.
09:00But basically, from what Jairo was asking,
09:02from what Maca was talking about,
09:04and from what Sofia said, from ten people,
09:06because there are many people who are very attentive,
09:08and above all, I have asked myself,
09:10what is happening today in the current world,
09:12that this pathology is in the foreground,
09:15in young people, in young people who have grown up, who are already adults,
09:18and that basically, and Sofia, we can make a joke,
09:21and the people who are listening,
09:23it is about very fast mood swings,
09:26and that basically, as you said, Frie,
09:28it is confused with bipolarity.
09:30The patient, the serious problem here affects
09:33the thought, which is cognition,
09:36the thought, the emotion, and the behavior.
09:39And what is the problem of this,
09:41so that it is softer, so that people listen,
09:43because the word is super powerful,
09:45limitrophic personality disorder.
09:47They have a tremendous emotional dysregulation,
09:49they don't know how to regulate their emotions.
09:52Because at some point she said,
09:54I am so happy with little, and so sad too,
09:58because I am sad with very little too.
10:00Very well, because it is called limitrophic,
10:02or borderline, from what she said.
10:04They are, they go to the edge, or they love, or they hate.
10:09Or it is the law of everything, or the law of nothing.
10:11And they can never get to the middle way.
10:13And there, when they have problems,
10:15because they don't have tolerance to frustration,
10:17because basically they have problems like,
10:19they don't know how to channel emotional discomfort,
10:22they don't know how to self-regulate,
10:24and then they start to have behavior of irritability,
10:27they are self-demanding, as Sofia said,
10:29they don't have tolerance to frustration,
10:32and basically they can't adhere to anything.
10:35In love relationships, in studies,
10:38they change careers, they leave their jobs,
10:40they are super unstable.
10:41Look, something Sofia wants to say.
10:43Sofia, can we hear you?
10:45Yes, precisely she raised her hand from here.
10:48Hello, hello everyone in the panel.
10:50I would like to ask, for example,
10:53tools to be able to regulate emotions
10:57in a moment of crisis.
10:59After the episode happens.
11:00No, during the episode.
11:01Yes.
11:02Like when you are about to explode.
11:04Exactly.
11:05Good.
11:06Thank you Sofia for the question,
11:08because it will be useful for many people.
11:10First, I imagine that you are,
11:12in cases that are more powerful,
11:14you have to have a therapy with a psychiatrist,
11:16which generally gives you a stabilizer of the soul,
11:18and an antidepressant.
11:19You can't self-medicate.
11:21And then the cognitive behavioral therapy.
11:24So, Sofia, basically what you have to do as a tool,
11:27and the people who are listening,
11:29is to have a self-registration,
11:31because you are very reactive,
11:33and you react badly with your parents,
11:35you react badly with your partners,
11:37with the bosses, because you feel attacked.
11:39So, what you have to do is to have a self-registration book,
11:42to write down, for example, the situation,
11:44the thought, the emotion, and the behavior.
11:47With that, you will understand how you are acting.
11:50I would like if you could lower the lights a little bit,
11:55put me next to you, Bree,
11:57and teach a technique to Sofia,
11:59and to other people who are listening to us.
12:01And pay attention, because sometimes we think
12:05that they are such insignificant and simple things,
12:08but they are the basis of the solution to this problem.
12:12It is to identify the emotion,
12:14but Sofia, you can never go against the emotion,
12:18to try to get that emotion out,
12:20because that is going to get entangled,
12:22and it is going to be more difficult,
12:24and it is going to turn into an obsessive thought.
12:27So, what do you have to do?
12:29There is a super simple exercise,
12:31which is to inhale and exhale slowly.
12:34Inhale, Bree, through the nose.
12:36I'm not going to make you dizzy,
12:37because if you do, you'll tell me,
12:38you made me dizzy.
12:39Inhale deeply,
12:42and now exhale all the air through the mouth.
12:45Very good.
12:47Inhale again intensely through the nose,
12:50and now exhale.
12:52So, with your eyes closed,
12:54you can identify the emotion that you have now,
12:56that causes you discomfort,
12:58which is, for example, anger.
13:00And imagine that a wave of the sea is coming towards you,
13:05because the wave arrives,
13:06inhale it,
13:07and release it on a surfboard,
13:10or simply place it on top of the wave
13:12and exhale it.
13:13Let it go.
13:14And so on, Sofia...
13:16I can even make the gesture.
13:17That's good.
13:18And so on, you go and come back,
13:20like the wave of the sea.
13:22And so, Sofia,
13:23by not going against it,
13:25by inhaling and exhaling that emotion,
13:29you'll soon realize that it's gone.
13:32And, after that exercise,
13:34change the focus of attention.
13:36How relaxing.
13:37Well, one day you would have come out not feeling alive.
13:40You were good with the music.
13:41Very good with the music.
13:42Very good.
13:43That's called, Sofia,
13:45full consciousness.
13:47The patient who has a personality disorder
13:51or a limited personality,
13:53the only thing they have to do
13:55is to be fully conscious,
13:57because these patients go to the past,
14:00which causes anxiety,
14:01and they go to the future,
14:03which generates uncertainty.
14:05They're never here,
14:06and they're...
14:07It's a permanent anguish.
14:08It's a permanent anguish,
14:09because obsessive and intrusive thoughts come in,
14:13and they don't know how to handle them.
14:15But, if a person is in a moment of maximum anger,
14:19do you think they'll be able to say,
14:22in that moment of so much anger,
14:24I'm going to close my eyes and breathe?
14:26No.
14:27You asked me a very good question.
14:28I congratulate you.
14:30Because this is how it is.
14:32No, but what you did is very good,
14:35and Sofia will understand.
14:37In this case,
14:38when a patient has a problem
14:40and goes where an endocrinologist tells him
14:42that he has a thyroid problem,
14:44the patient quickly becomes conscious,
14:46takes the pill every day,
14:48and goes to treatment,
14:49because he's scared.
14:50In this case,
14:51when you're diagnosed with a personality disorder
14:55or a borderline personality disorder,
14:58you already know that you have to take the pill
15:00for the thyroid problem,
15:02in this case, for this.
15:03So, I already know.
15:04You know you're borderline.
15:06Imaginatively.
15:07Let's hope.
15:08And then,
15:09by being conscious,
15:10we know that we can never act emotionally,
15:15because since we don't have impulse control,
15:17since we don't know how to channel emotions,
15:20we have to be conscious,
15:22because Sofia said something very important.
15:24She sublimates with alcohol,
15:26not in her case,
15:27with cigarettes,
15:28others with alcohol,
15:29with food,
15:30with sex,
15:31and a series of external objects,
15:33and they can never be completed,
15:35because the big problem they have
15:37is a deep internal void.
15:39Does it make sense to you, Sofia?
15:46Yes, totally.
15:48They've told me several times, too.
15:50Yes, the important thing is to know how to apply it,
15:53how to apply it,
15:54and to maintain it.
15:55It's a tool that's so easy to use, imagine.
15:57But it's going to change,
15:58it can change,
15:59and there's treatment
16:00if the person knows they have this pathology
16:02and that there's a series of techniques,
16:05that even today,
16:06there's a new trend called MyFullness,
16:09and there are millions of exercises
16:11that are through breathing,
16:13meditation,
16:14that can be used
16:16to channel that emotional discomfort.
16:18But,
16:19no,
16:20nevertheless,
16:21the solution is to be conscious.
16:22Well, we're going to develop more tips later, but...
16:24Yes, there's more, there's more.
16:25We want to continue talking to you, Sofia.
16:27Attention, Matías,
16:28because,
16:29from Sofia,
16:30and before we go to the break,
16:32Matías Vera,
16:33Dr. Francisco Marino,
16:35who is an emergency doctor at the Las Condes Clinic,
16:37has something to say,
16:39and this is very important.
16:40He told me something very commercial.
16:42Yes,
16:43more than anything,
16:44first of all,
16:45the important thing is this topic.
16:46I mean,
16:47I want to thank you for this topic,
16:48because I think it's part of what we talked about
16:49in the previous episode
16:50about this other pandemic.
16:51How, after these two years of pandemic,
16:54these two years of quarantine,
16:56how do you see that, perhaps,
16:57they increased,
16:58and there's also the question, Alexandra,
16:59if, indeed,
17:00these pathologies increased,
17:01because even in pediatric patients,
17:03we see them in the emergency room.
17:04Yes.
17:0510-year-old children,
17:0610-year-old girls, too,
17:08with loss of impulse control,
17:10or the same, perhaps,
17:11events, episodes,
17:12that are victims of bullying.
17:14So, the importance of the family,
17:16the importance of the sick consciousness,
17:19as Alexandra said,
17:20knowing and recognizing that there is this pathology,
17:22and that it affects the entire family group,
17:24and not forgetting that it also affects our children.
17:26But the question there,
17:27if, indeed,
17:28she, too,
17:29in her day-to-day,
17:30has seen,
17:31as we have seen in the emergency,
17:32that this pandemic,
17:33it seems to me,
17:34that it increased the mental pathologies.
17:36Yes.
17:37Very good question, too, doctor,
17:38because I said at the beginning
17:39that something was happening,
17:41that it is very exacerbated,
17:43and it is assumed that children
17:44begin to have certain behaviors
17:46when they are small,
17:47through certain behaviors
17:49that are dysfunctional,
17:51and that, finally,
17:52this pathology will exacerbate more
17:54when it comes to the minute of adolescence.
17:57But what the doctor says,
17:58children who, surely,
17:59were already coming,
18:00the self-demand,
18:01they were in a house,
18:02many times,
18:03in a small home,
18:04maybe with a father,
18:05with a mother,
18:06with a lack of impulse control,
18:08in a dysfunctional home,
18:09the self-demand,
18:10the little patience and tolerance,
18:12everything that happened,
18:13the fear,
18:14everything,
18:15all the negative variables
18:16that occurred in the pandemic,
18:17confinement,
18:18not socializing with their peers,
18:19they were rushing,
18:21maturing,
18:22and exacerbating
18:23this pathology
18:24that is presenting itself,
18:25as the doctor says,
18:26at 12 years old.
18:27Yes.
18:28And that, finally,
18:29the people who are listening to us
18:30should take their children
18:31to psychological therapy,
18:32cognitive,
18:33behavioral,
18:34or DBT,
18:35which is a dialectic,
18:36because what is going to happen
18:37with them?
18:38Beyond receiving them
18:39in an assistive center,
18:40giving them a sedative,
18:41these children are so small
18:42to start taking drugs
18:43as antidepressants,
18:44it is as if they start,
18:45already,
18:46to dimension
18:47and channel
18:48emotions
18:49and work with techniques
18:50to be able
18:51to reach adolescence
18:52and not fall into drugs,
18:53alcohol,
18:54impulsivity.
18:55Yes,
18:56I'm going to ask you
18:57about more techniques
18:58because,
18:59you can help me,
19:00Sofía,
19:01Matías,
19:02stay very aware
19:03of the program
19:04and, of course,
19:05thank Sofía
19:06for her courage
19:07and generosity
19:08to share her experience
19:09because it can help
19:10so many people.
19:11Have a great day.