I thought it was interesting coming from her point of view, however it was extremely self-aggrandizing and showed that she had little insight into herI thought it was interesting coming from her point of view, however it was extremely self-aggrandizing and showed that she had little insight into her own psyche. I would like to read other books about her to get a fuller picture of both the good and bad aspects of her character. The funny thing is, she does present her self as someone so flighty that she would get her scarf caught under the wheel of a car and die....more
Please read this review if you or anyone you know suffers from Borderline Personality Disorder, Bipolar of Major Depressive Disorder. I hope it is helPlease read this review if you or anyone you know suffers from Borderline Personality Disorder, Bipolar of Major Depressive Disorder. I hope it is helpful.
I am giving this book 2 stars not because of the writing but because I feel the book is full of misleading information and is not a truthful portrait of depression. This review is just my opinion based on reading the book. I have included information below which describes Borderline Personality Disorder, Bipolar Disorder, and Major Deprssive Disorder. This is a long review, but I wanted to provide as much information as possible for those who may suffer or feel they may suffer from any of the following mental disorders. have worked as a mental health/substance abuse therapist for several years and have worked with borderline personality disorder, bipolar and chronically depressed clients. I really do not want to be sued so again just my opinion, but I feel that Ms. Wurtzel's book shows a portrait of one suffering from Borderline Personality Disorder( BPD) and or Bipolar Disorder.
Below is the official Diagnostic and Statistical Text Revised -IV's (DSMIV-TR) criteria of both disorders. This manual is used by all mental health provider's (Counselor's, Clinical Social Workers, Psycholigists and Psychiatrists) to diagnose and plan treatment for those suffering from mental health disorders....
Borderline Personality Disorder:
Borderline Personality Disorder is defined as such because it is a Personality Disorder (A part of their personality, thus very resistant to change). Therefore it can not be treated with medication because it is not a chemical disorder of the brain. It most often presents itself in early adolescence. Girls are primarily diagnosed with this disorder. A personality disorder is not diagnosed until the age of 18. Girls suffering from this disorder are often victims of early sexual assault/molestation, trauma and have a high instance of having mothers with the same disorder.
Because the symptoms are long lasting, the idea that symptoms begin to emerge in childhood or at least adolescence is well accepted. The negative consequences of such symptoms, however, may not show themselves until adulthood.
Symptoms are often present in adolescence and almost always by young adulthood. There may be a history of unstable relationships in the person's life and there is a higher than average likelihood of sexual abuse, family violence, and/or neglect in the person's childhood. This disorder is diagnosed much more frequently in females.
The major symptoms of this disorder revolve around unstable relationships, poor or negative sense of self, inconsistent moods, and significant impulsivity. There is an intense fear of abandonment with this disorder that interferes with many aspects if the individual's life. This fear often acts as a self-fulfilling prophecy as they cling to others, are very needy, feel helpless, and become overly involved and immediately attached. When the fear of abandonment becomes overwhelming, they will often push others out of their life as if trying to avoid getting rejected. The cycle most often continues as the individual will then try everything to get people back in his or her life and once again becomes clingy, needy, and helpless. (allpsychnet.com)
The fact that people often do leave someone who exhibits this behavior only proves to support their distorted belief that they are insignificant, worthless, and unloved. At this point in the cycle, the individual may exhibit self-harming behaviors such as suicide attempts, mock suicidal attempts (where the goal is to get rescued and lure others back into the individual's life), cutting (emphasis mine) or other self-mutilating behavior. There is often intense and sudden anger involved, directed both at self and others, as well a difficulty controlling destructive behaviors
Ms. Wurtzel demonstrates this symtomology throughout Prozac Nation. Early cutting and a resistance of relief from medication are the basis for the (unofficial) diagnosis on my part. Again this review is just my opinion based on previous experience with other clients and is in no way to be used to diagnose those I have not met. This can only be done by a competent healthcare provider who has met with the individual in question. These traits (excepting drug and alcohol addiction) are not typically found in those suffering from bipolar or depression alone. Long term psychotherapy is recommended to moderate some of these symptoms which are very reluctant to change. Since this book was written, there has been a treatment that has proved most effective for BPD. It is called Dialectical Behavioral Disorder (DBT) for short This has given sufferers of BPD much relief and has helped many to go on to lead happier and more productive lives so the prognosis of improvement of this disorder has vastly improved since the writing of this book.
I have read many of your reviews and I am disturbed that the misinformation (I feel) is in the book is causing distress and concern. If you are suffering from symptoms of BPD, Bipolar or Major Depression please seek help. Remember, there are effective treatments which can vastly improve your relationships and outlook on life. I feel that the stigma of mental illness is beginning to lessen over time. Just as you can have disorders of the body, the brain is a complex organ which is also vulnerable to illness. There really is no "crazy" just a disorder that can be allievated through proper treatment.
Below is criteria for both Bipolar II depessive) disorder and Major Depressive Disorder. I have not included critera for other forms of bipolar or depressive disorder due to a lack of space and time. There is much information on all mental health disorders and the website I have cited is a credible source and a good place to start.
Bipolar Disorder has been broken down into two types: Bipolar I: For a diagnosis of Bipolar I disorder, a person must have at least one manic episode. Mania is sometimes referred to as the other extreme to depression. Mania is an intense high where the person feels euphoric, almost indestructible in areas such as personal finances, business dealings, or relationships. They may have an elevated self-esteem, be more talkative than usual, have flight of ideas, a reduced need for sleep, and be easily distracted. The high, although it may sound appealing, will often lead to severe difficulties in these areas, such as spending much more money than intended, making extremely rash business and personal decisions, involvement in dangerous sexual behavior, and/or the use of drugs or alcohol. Depression is often experienced as the high quickly fades and as the consequences of their activities becomes apparent, the depressive episode can be exacerbated. Bipolar II: Similar to Bipolar I Disorder, there are periods of highs as described above and often followed by periods of depression. Bipolar II Disorder, however is different in that the highs are hypo manic, rather than manic. In other words, they have similar symptoms but they are not severe enough to cause marked impairment in social or occupational functioning and typically do not require hospitalization in order to assure the safety of the person.
Major Depressive Disorder (Unipolar Depression)
Etiology Research has shown that depression is influenced by both biological and environmental factors. Studies show that first degree relatives of people with depression have a higher incidence of the illness, whether they are raised with this relative or not, supporting the influence of biological factors. Situational factors, if nothing else, can exacerbate a depressive disorder in significant ways. Examples of these factors would include lack of a support system, stress, illness in self or loved one, legal difficulties, financial struggles, and job problems. These factors can be cyclical in that they can worsen the symptoms and act as symptoms themselves(psychonline. com).
Symptoms of depression include the following: depressed mood (such as feelings of sadness or emptiness) reduced interest in activities that used to be enjoyed, sleep disturbances (either not being able to sleep well or sleeping to much) loss of energy or a significant reduction in energy level difficulty concentrating, holding a conversation, paying attention, or making decisions that used to be made fairly easily suicidal thoughts or intentions (psychonline. com).
Treatment can either combine both pharmacotherapy and psychotherapy or utilize one or the other individually. Medications used to treat this disorder include Prozac, Paxil, Wellbutrin, and Zoloft. Other medications can be found, along with their descriptions can be found in the Medications page. Psychotherapy is useful in helping the patient understand the factors involved in either creating or exacerbating the depressive symptomotology. Personal factors may include a history of abuse (physical, emotional, and/or sexual), maladaptive coping skills/ Environmental factors involved in this disorder include, among others, a poor social support system and difficulties related to finances or employment(psychonline. com).
Major Depressive Disorder has a better prognosis than other mood disorders in that medication and therapy have been very successful in alleviating symptomotology. However, many people with this disorder find that it can be episodic, in that periodic stressors can bring back symptoms. In this case, it is often helpful to have an ongoing relationship with a mental health professional just as you would a physician if you had diabetes or high blood pressure(psychonline. com).
I hope this review is helpful in providing information to readers of this book on the various mental disorders. Again it is my opinion based on reading the book and is in no way to act as a professional diagnosis of Ms. Wurtzel herself.
Please feel free to comment (either positive or negative) with this review. ...more