Is there a name for this disorder.

[crystalfresh]

This adult has all of these disorders rolled in to one. How does someone have so many disorders? These disorders have been consistent since early childhood developed between 5-10 yrs old. This person is halfway aware of the multiple disorders but refuses to want change or help, even strongly seems to indicate this person admires their disorders because they feel empowered by them.

Can anyone offer suggestions how this happened? No drugs were or are involved.

Only thing that I know is that the persons father may have been angry-aggressive to this persons mother. There is no indication this person was ever touched by family members in any way. I believe this persons father was controlling to the family. Other than that they seem to be a close family with brothers and sisters. This persons identical twin does not show all these disorders. Twin however does suffer from alcohol addiction but does not show any other personality disorders. There is evidence of family alcohol addiction. But I've seen many families with alcohol problems and none that produced so many acute personality disorders. Could there be another reason to explain all these disorders? As a child this person was loved not rejected by parents. Can a difficult child hood do all this?

Personality Disorders:  (% defines how strongly this adult fits each one)

1. 100% Histrionic
2. 100% Delusional
3. 100% Narcissistic  
4. 98% Paranoid  
5. 90% OCD
6. 100% Pathological  
7. 90% Borderline
8. 80% Sadistic  (to those that don't praise this adult)

Thank you for your comments to help me understand this person. I don't want to be angry at them for something that may be a medical condition. Please help me understand.

[ILADVOCATE]

Only a psychiatrist could provide a diagnosis and even within psychiatry personality disorders are hard to differentiate. Any person who has a problem with reality testing and destructive behavior or controlling behavior towards others certainly needs to see a psychologist and probably a psychiatrist but only they could truly understand what criteria applies. People should encourage them to seek help in a supportive manner because it will be helpful for their recovery because it will. You also didn't list anti-social personality disorder which might apply or might not. If you want to know more about personality disorders you might look up the DSM-4 online but only a psychiatrist could see which one would apply or if its another psychiatric disability entirely.

[crystalfresh]

How does someone with out means find and pay for psychiatrist if they want help?

[ILADVOCATE]

If someone has no medical coverage they should be eligible for Medicaid. If they are in need of it immediately they could qualify for emergency Medicaid which could then transition to standard Medicaid.

[crystalfresh]

Anti-social personality disorder seems to sum most of it up. I don't think they are against help, but thought it was unaffordable. This person being somewhat aware tries to avoid people knowing a confrontation will happen as often usually does. I'll see what I can do to help with Medicaid. Thanks... Hope you are well.

[crystalfresh]

Actually, I think lack of caring may be pushing it, I think this person cares, but is blinded by caring about them self so much emotions to other people are ignored. In some cases I've seen random acts of kindness to others seen to be feeling similar emotions. I think while actions are text-book to Anti-social the motivation for actions are driven by feelings of frustration and entitlement. Which sounds like anti-social but given a different environment where this persons life were different I don't think they would be acting so anti-social. I know this person pretty well, and this person is acting out anti-social but there are strong emotions involved. I just hope I'm not looking for the good in someone and mistaking who they really are. This person shows no desire to push criminal activity or at least what they consider to be criminal. Have they stole? Yes. But to hurt someone else, after they felt they were hurt not for profit. More like discarding other peoples property in revenge because these other people did not give them what they felt this person was entitled to. It's really twisted... But it doesn't sound like anti-social lack of emotion I've read on Wiki site.

But I am going to see if I can get them professional help if the states can provide for it. Because all the people this person interacts with are being hurt emotionally... So it's more than just this individual. I'll try and talk them in to agreeing to seek help. Their not so against it, just can't afford it.

[crystalfresh]

This person rejected the offer of psyc help with a cold chill. Maybe I'm looking too deep in to this. This person could simply be suffering from a mild case of paranoid schizophrenia which is getting worst in adulthood with signs of anti-social behavior resulting from twisted logic. With such extreme OCD as I saw today, this is not emotionally driven. I've never seen anyone get violent in order to be able to complete an OCD action. I confronted this action and they clearly stated it needed to be completed. This person can't touch their own belongings they told me because what every they do they can't stop until someone stops them or they fall a sleep, ect... Mix this with schizophrenia and you have a brewing cocktail of personality disorders I guess. The biggest problem is this persons logic. They compute things really differently in their head and see it as realistic or reasonable which no one else would. Today they got rid of their cel phone because they thought they were being tracked by police who were coming for them. Still with the phone powered off and battery removed they were absolutely sure they were still being tracked. So this person had to get rid of the cel phone so they can't track the signal. Completely unaware the police could just easily locate them another way if this were real. The reason why police were tracking them was way out of reality on this planet anyway. This was the first time I saw this... I'm pretty sure this goes above personality disorders and I don't believe drugs are involved. Satisfied with my conclusion. This person is not a danger to society so let them be I guess. I can't offer any more help as they refuse. This person seems not to be aware of the schizophrenia but was "not at all surprised" when I brought it up. Maybe this person already knows. There is a lot more supporting evidence that I saw today. This persons mental problems seem to be coming out more under stress.

I've also concluded just because this person has these issues going on it doesn't dismiss negative actions they are responsible for that they are aware of and know are wrong.

[ILADVOCATE]

If a person is psychotic their perception of the world is completely distorted. Whether they are responsible for their actions in a legal sense is a complex question. Whether they are fully aware of the consequences of their actions would probably be not. Psychosis can worsen over time if untreated. It is true under the law that a person cannot be involuntarily hospitalized unless they are a danger to themselves or others or completely unable to take care of themselves but you don't know if the person may some day reach that point. Its best for people to keep watch on them. I have through an experimental medication in Phase II FDA study made a full recovery from schizoaffective disorder but before I took medication I was completely psychotic so treatment is essential. Personality disorders have a further set of psychosis that is still under study in psychiatry. Their manipulation of people or lack of understanding of how they are in relation to people and their self definition can be deprived or completely lacking. You don't have to accept any self destructive or destructive behavior from them. Just understand that like all psychosis it is brained based and potentially treatable.

[crystalfresh]

Thanks. I'll keep checking on this person.

[Jaquta]

My two options for a primary diagnosis would be either bpd or schizophrenia.
ocd could be related to the anxiety that is part of bpd.  People with bpd can become psychotic when severely stressed.
Sometimes people with these disorders lack insight.

People don't like to be confronted by things that they don't want to see.
I don't think this person has anti-social pd.

I think this person needs help.  You're not asking on behalf of yourself are you?

[crystalfresh]

hehe no, not discussing myself. Their condition is very consistent no ups or downs of BPD.

[Jaquta]

bpd doesn't always present as ups and downs.
Something doesn't quite feel right and maybe the appropriate diagnosis hasn't even been considered.
I was going to suggest trying a physician first and not a psychiatrist but that would probably be a waste of time.  The person may feel safer there though (but the doctor isn't a specialist in mental health issues).
Your call.  You do what you feel needs to be done.

[doctora]

I have bi-polar 1, schizoaffective disorder, depression, +++++

If this person is anything like me, I can change my persona in a flash.

My Dr. often asks me if she is talking to me1 or me2 or the other one. I always thought I just had great acting abilities.

I found getting on medication helped a lot, but I dont want to blank out my personality, I like to be different, but only in a good way.

This person you are speaking of really needs to see a dr. and get an evaluation.

And yes it is possible to have multi disfunctions, I am living proof.

Let me know if you need further info., I would be more than happy to help.

[crystalfresh]

Thanks for the advice. There is never anything other than constant 100% of the time. HOWEVER.... The moment this person has a chance to be in a manic state they grab it until it runs out then back to original state of grumpy depressed. Example.Money comes in. Happy state, over excitement, no anger, blows all of it nearly in 4-5 hours. Then back to depressed state. I just assumed that was the actions of depression. That is consistent like clockwork. It seems that it was only a distraction not really a manic state. The person seem generally unhappy.

I'm still trying to work with this person. Now this person is "claiming" to be pathological by choice and are acting this way trying to make people believe they have mental problems to help them achieve goals they can't achieve on their own. But that's pretty silly. Example. This person will be mean to everyone because this person is thirsty, even to strangers. Their theory is if people see they are in a grumpy mood and someone is walking past a drink fountain they would naturally know to bring this person a cup of water, ect. So for the next hour this person will turn in to a very hard person to be around becomeong more angry at everyone for not bringing them a drink.

.... Later this person will say to me, can you believe this. Why didn't anyone bring me a cup of water. Can't they see I'm thirsty, it pisses me off they will say. No one bothered to get me water. They just walked passed me and looked at me and could have seen I was thirsty. Then this person will treat other people like dirt the rest of the day arguing with them over nothing. Finally after 2 hours this person will break down and walk over to the water fountain them selves 15 feet away and get their own water. Then sulk for 2 more hours after that to me how everyone should have known that this person was thirsty. Honestly no one could have known. Besides walking 15 feet to the water dispenser isn't hard. This person expected someone to walk 20 to the water dispenser get water and walk back saying, oh you looked thirsty here ya go. BTY this person has a KING complex where they believe the world is here to serve them. They've never been able to explain that to me. Usually the answer is "just because" and the word entitlement comes up often from them.

This is pretty constant thinking all the time. This person would be next to water all the time why would anyone suspect this person was thirsty??? This person won't say anything about being thirsty to anyone. Thinks other people already know what this person is thinking in their head. Like what ever this person is thinking that thought is also being heard by everyone around them.

This person is incapable of understanding that no one else can hear mental thoughts. But doesn't even seem to understand that. That's responsible for 50% of communication problems. I've tried to explain that someone can not know what you are thinking just by looking at you when you don't even look back at someone. This persons response would be... YES THEY KNOW, I was thirsty how could they not know. And this person really seems to think this is logical.

This of course will start confrontations with pretty much everyone that comes in verbal distance of this person after that since this person feels they need to express their anger because everyone ignored their need for a drink of water, ect..

It grows... Now it's a plot where everyone is trying to hurt this person and depriving them of water was the first clue. It then triggers the paranoia with hearing them talk about this person behind this persons back, even though no one is saying anything in this persons head they are hearing other people talk about them....

"" or I should say the MEMORY of other people talking about them ""

I don't think they hear voices at the moment, but later can go over the whole conversation they heard when it never happened. Then the next day they will confront these people and rant in anger how could they say all these things when this person over heard everything, telling them what was overheard and just yelling, ect... Yes everyone knows this person has issues. But the usual response is someone else can't take it anymore, threatens harm if they don't stop.. The yelling stops there and this person walks away.

As I write this I realize how more deeply troubled this person is. This person got a new celphone thinks they found how to track with new phone now. Thinks being tracked all over again and fearing to use the new phone.

The more I talk with this person the more this person is trying to prove they are sane and why can't I understand their thinking when it is so clear to them, they don't understand how I and anyone else can't relate.

So I even tried to get a group of people together to confirm the same to this person. This person confronted with this just replied, don't understand, gets real quiet, not angry. Said sorry, had a moment and walked away. So they would go off and think about what happened and come back that we all had problems because we don't make sense when they can go over this and prove they are sane and then will try to prove to us they are right until they get to angry and start yelling. We all drop it after that.

This person has nearly a part of every disorder in the book maybe has some BPD too I wouldn't doubt it, but haven't noticed BPD it. I just seen consistent personality and predictable actions based on a logic that doesn't compute properly. But living with this grew personality disorders, and imagine living your live where nothing makes sense but to you it all does. Explains a lot and why I don't get angry at this person.

Maybe with all the anger and it seems that blood pressure goes up with all this anger, possibly years ago in childhood or many times over the years little strokes or popped blood vessels happened in the brain from getting so angry.

I don't know just a possible guess? Trying to get this person help but when I get close they start in that they are making the whole thing up to trick people in to feeling sorry for them to give them things like money, help, ect... Maybe this is true, and they are really trying to make other people do things for them. But that's has nothing to do with the mental problem.

In any case I've failed to help them so far. I've even played the game of pretending to understand them, trying to work out all the problems they believed they were facing (hard to fix a problem not in reality) but I tried to help them the way they asked for help. It only left them confused why everything they do never works out. I was only trying to show them their thinking was impossible. But they can't understand.

I'm starting to believe there are people in this world that can't be helped. Maybe the only people that can be helped are those that are able to be aware they have a problem? This person is CLEARLY UNAWARE. :-( It saddens me. It's taking me down so much hurting my life to keep helping. I'm not making any progress. And I'm sure they are using me for this attention.

What can anyone do in this situation? Until they become a danger to them selves or anyone else or become "self aware" there is a problem I don't think I can do any more. I consider people with conditions like this that are self aware to be the lucky ones. While no one wants to have anything like this, being aware means you are sane. Imagine those like this person that have no idea any of this going on in their head and thinks all of it is reality. I think anyone that is aware they have a problem can fix or work around it. But how do you fix what you don't know about?

I'll still keep trying to get them to talk to a MD but believe I will be unsuccessful in further helping this person.

[Jaquta]

I think there is a cluster b personality disorder there (either bpd or npd) plus maybe another major mental illness (thecell phone stuff is concerning and maybe present outside of the pd).

I think this person could be helped.  I think you could be making the situation worse.
I think if you tackle seeing the doctor in such a manner it would be difficult for the person to refuse it could work.  Be honest but I probably wouldn't be too concerned about manipulating the situation to get the outcome you want.
The person wants attention, let them get it from a doctor, etc.  They want their issues solved.  Let a therapist do that.  Use what you know will motivate them to get them help.  Not is a drastically negative way though.  Use your common sense.

[crystalfresh]

I can try. I'm learning as I go along. Most of the delusional thinking is still earth bound while more than improbable more like impossible they could be seen as a very extreme Delusional Disorder. Because the logic is not working as it should the delusions may be more based on a reality conceived to be normal by this person. Or that's still the original problem. I know I'm not the one to be helping as I don't understand what's going on. I can put more pressure to seek help, maybe even try to set something up, make it much easier. This person is quitting their job again today over a delusion that is totally impossible that they believe is hopeful. I'm worried one day their going to get the delusion they can fly although not that bad.

I need to make them see the problem in order to get them to accept help. They move on each time I push the issue. Eventually maybe I'll be successful. I doubt this person will be able to function without help indefinitely. I'll be there to help when that time comes.

[doctora]

Strange the way you describe this person is similar to the way my father was, and some of my bosses. LOL.
Some of the jobs I had working for VP's was because no one would work for them, but since I grew up with a parent with this problem, it was no problem to me.
I am surprised that they are still employed. Most companies would have the HR Dept. on it right away, and at the very least have them out the door ASAP with security. How does this person hold down a job?
Personally it sounds like they are very sadistic and craving attention, which I hate to say because with my BPD, you often here that you are craving attention, but in this case it seems valid.
Why are you putting yourself through hell if they dont want help? It may take them time to hit bottom to realize they need help, and that may mean you have to turn your back, or do what Jaquta said. Its the old story..you can take a horse to water but you cant force them to drink, so maybe its time you told them you just cant handle this persons issues and you have enough on your own plate right now, sorry, and leave it at that.

[crystalfresh]

You wrote:
"How does this person hold down a job?"

They hop from job to job until people think their crazy and send them out the door. This repeats all over again and so on. At first this person is shy so the first week goes ok. The second week they start talking and well that's usually the week they either quit over a false delusion or get fired. 8 weeks is the longest record so far for longest job held in the past 4 years. Usually they last only 2-3 weeks at most. Each year it seems to get worst.

I'm helping because I could, and they have been asking for help.

[Jaquta]

If they truly want help then take them to a psychiatrist.
It seems that that help is conditional.  It could also be a bpd trait where they feel powerful by making you feel helpless.

[crystalfresh]

I had to give up today. The more I push for help seems to bring out the worst in this person towards me. They don't want help, just want me to keep trying to help them to suck out what ever goodness is left inside me. I'm personally going to need help soon from fighting the mental abuse. I'm not going to force help on them. If they want help they can come to me anytime. But it's like fighting a storm head on and the storm is bigger than I am and will leave me ripped to shreds emotionally. This person is already affecting my emotional state with other people. I can admit failure, not everyone can be saved when in order to save them I need to destroy my self and even then I don't think it would be more than temporary help for them. I didn't do anything to deserve this treatment from this individual. I feel horrible but I can't allow this person to destroy my life. This person might be trying to destroy me just to feel better about them selves. I feel terrible about it, but if they want help they need to show it rather than become more abusive. For now, they are on their own. This was a hard decision to make and I realized they are not aware of the problems, but the way they treat me and other around me is something they have control over. The rest I understand and accept as a medical condition. But the abuse I'm holding them responsible for. I have spent enough time and feel with out a doubt they can control this and need to learn more respect before they can be helped. Sorry :(

[crystalfresh]

I can ignore all of it but not the intentional acts of mental abuse they dish out. It's not acceptable.

[doctora]

I am glad to see your last comment. Your right, you have done enough from what you have told us. It gets to the point where you start to hurt yourself, but you are too busy worrying about someone else, you neglect yourself.
Obviously you are a very caring person, but dont let that be your downfall, there comes a point, and it sounds like you have gotten to that poing.
I think you are doing the right thing, so if you are feeling bad, dont.

[crystalfresh]

Thank you. I've learned so much, and have been trying to help for a long period of time. I tried so hard to understand why and how someone can be hurtful and abusive. After examining as much educational information available to me maybe it's possible some people feel rewarded by hurting other people? Like how I feel today is better day now because I made someone smile. Maybe they say today is better because they made someone cry?

I've been ignoring all this thinking well they have mental health problems and that's the excuse for their harmful actions. Like it's not their fault they do hurtful things becayse its the mental disorder not them.

I've seen lots of people with these mental disorders that are wonderful people to others. And have seen even more people with no known disorders be hurtful, abuse and harmful to others for enjoyment.

It is more likely this person is both someone with serious mental disorders and also is a bad person which the bad part is unrelated to the mental disorder. While it's possible the disorder makes it more difficult to understand being bad is well bad, that doesn't change their underlying desire to want to act abusive, ect..

I believe they would still act this way with out the mental disorder they were born with. I've been telling my self it's the illness doing it. I've finally accepted it's their personality not any disorders.

We may all have different urges to act on, but we all have a "choice" to act on them. I don't feel bad anymore. I needed to learn. I don't regret trying either because I had to try to know. That's still rewarding for me because I know I tried and it means something to me. :)

Thank you for your kind words.

[Jaquta]

My impression is that it is the persons mental health issues that are the problem and not the person per se.
If the person has behavioral issues then you should be asking why.  What is missing?  Why is this individual behaving this way?  What need is not being met?

No, making someone feel vulnerable or helpless will give them a sense of power or a sense of control.  They will still be hurting, perhaps moreso now that they have hurt someone else too.

Got to go.
J

[doctora]

I agree with Jaquta if its a family member. If it is a co-worker, I believe you have done the best you could, but now it is effecting you, and no co-worker is worth loosing your mind over.
You tried, now its time to take care of yourself.

[crystalfresh]

Maybe it is the disorder affecting the personality, or maybe it's the personality coping with the disorder. I've let it go and moved away from this person.

Their last words were, "if you won't do what I want then what good are you to me". Nice thing they said to me but I guess it could have been worst. Actually I didn't leave them, I just stopped letting them take control of the conversations about help and this was their response to loosing control over the subject. Just normal talking, out they came with what good am I to them, and they just tossed me away with out a second thought.... Like used toilet paper. Lucky me! I'll take being tossed away in this case any day of the week. I felt bad walking away after all the help I tried to give. I didn't want to make the person feel abandoned so I kept trying. The last thing I want to do is build someones trust and then break it.

I didn't provoke this response from them it happened after I took control of the conversation. As this person has to be in control over everything and everyone they discarded me because I lead the conversation.

This person can't be helped until their in a situation where help is the only way out. Even then it looks dim.

Thank you for your help with this person.

[doctora]

You did the right thing, and now you realize it by this persons reaction.
Wash your hands of the situation and move on.
I am glad to know a person like you, who goes out of their way to help another person, people like you are few and far between, just dont let their "blues" get to you.