Lindsay Lohan -- Victim of Bad Diagnosis
Lindsay Lohan -- Victim of Bad Diagnosis
24 minutes ago by TMZ Staff
TMZ has learned ... the doctors who have evaluated Lindsay Lohan at UCLA have concluded she does not suffer from the drug or psychiatric problems that were previously diagnosed.
Sources familiar with Lindsay's treatment at UCLA tell TMZ ... there's a feeling among doctors that Judge Marsha Revel "overreacted" when she ordered Lindsay to stay at the facility for 90 days.
We're told Lindsay has been "weaned off" all of her meds -- Dilaudid, Ambien, Adderall, Zoloft, Trazodone and Nexium -- and has had no adverse reaction. Likewise, she has had no withdrawal issues in the alcohol department. Bottom line -- the docs don't think Lindsay is an addict.
And, we're told Lindsay was misdiagnosed in the past with Attention Deficit Hyperactivity Disorder (ADHD) -- which is why she started taking Adderall. The UCLA docs say LiLo does not have ADHD.
And finally, as for having psychiatric problems -- again the doctors say it's just not the case. Morningside Recovery -- the rehab facility Judge Revel initially chose for Lindsay -- determined she was bipolar, but the docs at UCLA say she is not. Our sources say Lindsay suffers from a personality disorder, which is all too common in society and sometimes partly the result of difficulties when growing up in Hollywood.
Our sources say the doctors are recommending an early release from UCLA -- we're told they think the maximum amount of time she should spend there is 30 days -- followed by outpatient care.
[hr:1oeckj9z]hr[/hr:1oeckj9z]
Seems like they have an excellent department there at UCLA.
24 minutes ago by TMZ Staff
TMZ has learned ... the doctors who have evaluated Lindsay Lohan at UCLA have concluded she does not suffer from the drug or psychiatric problems that were previously diagnosed.
Sources familiar with Lindsay's treatment at UCLA tell TMZ ... there's a feeling among doctors that Judge Marsha Revel "overreacted" when she ordered Lindsay to stay at the facility for 90 days.
We're told Lindsay has been "weaned off" all of her meds -- Dilaudid, Ambien, Adderall, Zoloft, Trazodone and Nexium -- and has had no adverse reaction. Likewise, she has had no withdrawal issues in the alcohol department. Bottom line -- the docs don't think Lindsay is an addict.
And, we're told Lindsay was misdiagnosed in the past with Attention Deficit Hyperactivity Disorder (ADHD) -- which is why she started taking Adderall. The UCLA docs say LiLo does not have ADHD.
And finally, as for having psychiatric problems -- again the doctors say it's just not the case. Morningside Recovery -- the rehab facility Judge Revel initially chose for Lindsay -- determined she was bipolar, but the docs at UCLA say she is not. Our sources say Lindsay suffers from a personality disorder, which is all too common in society and sometimes partly the result of difficulties when growing up in Hollywood.
Our sources say the doctors are recommending an early release from UCLA -- we're told they think the maximum amount of time she should spend there is 30 days -- followed by outpatient care.
[hr:1oeckj9z]hr[/hr:1oeckj9z]
Seems like they have an excellent department there at UCLA.
"For we wrestle not against flesh and blood, but against principalities, against powers, against the rulers of the darkness of this world, against spiritual wickedness in high places."
Comments
Did anyone watch TMZ live and they said they had a really BIG story to break and Harvey had to go half way through to write it? They said it would be about one of their 'top 3' either Lindsay, Mel or Michael and it turned out to be this!
Personality Disorders
Personality disorders, formerly referred to as character disorders, are a class of personality types and behaviors that the American Psychiatric Association (APA) defines as "an enduring pattern of inner experience and behavior that deviates markedly from the expectations of the culture of the individual who exhibits it".
The DSM-IV lists ten personality disorders, grouped into three clusters in Axis II. The DSM also contains a category for behavioral patterns that do not match these ten disorders, but nevertheless exhibit characteristics of a personality disorder. This category is labeled Personality disorder not otherwise specified.
Cluster A (odd or eccentric disorders)
* Paranoid personality disorder (DSM-IV code 301.0): characterized by irrational suspicions and mistrust of others.
* Schizoid personality disorder (DSM-IV code 301.20): lack of interest in social relationships, seeing no point in sharing time with others, anhedonia, introspection.
* Schizotypal personality disorder (DSM-IV code 301.22): characterized by odd behavior or thinking.
Cluster B (dramatic, emotional or erratic disorders)
* Antisocial personality disorder (DSM-IV code 301.7): a pervasive disregard for the law and the rights of others.
* Borderline personality disorder (DSM-IV code 301.83): extreme "black and white" thinking, instability in relationships, self-image, identity and behavior.
* Histrionic personality disorder (DSM-IV code 301.50): pervasive attention-seeking behavior including inappropriate sexual seductiveness and shallow or exaggerated emotions.
* Narcissistic personality disorder (DSM-IV code 301.81): a pervasive pattern of grandiosity, need for admiration, and a lack of empathy.
Cluster C (anxious or fearful disorders)
* Avoidant personality disorder (DSM-IV code 301.82): social inhibition, feelings of inadequacy, extreme sensitivity to negative evaluation and avoidance of social interaction.
* Dependent personality disorder (DSM-IV code 301.6): pervasive psychological dependence on other people.
* Obsessive-compulsive personality disorder (not the same as obsessive-compulsive disorder) (DSM-IV code 301.4): characterized by rigid conformity to rules, moral codes and excessive orderliness.
Appendix B: Criteria Sets and Axes Provided for Further Study
They are still widely considered amongst psychiatrists as being valid disorders, for example by Theodore Millon.
* Depressive personality disorder - is a pervasive pattern of depressive cognitions and behaviors beginning by early adulthood.
* Passive-aggressive personality disorder (negativististic personality disorder) - is a pattern of negative attitudes and passive resistance in interpersonal situations.
Deleted
The following disorders are still considered to be valid disorders by Millon. They were in DSM-III-R but were deleted from DSM-IV. Both appeared in an appendix entitled “Proposed diagnostic categories needing further study”, and so did not have any concrete diagnostic criteria.
* Sadistic personality disorder - is a pervasive pattern of cruel, demeaning and aggressive behavior.
* Self-defeating personality disorder (masochistic personality disorder) - is characterised by behaviour consequently undermining the person's pleasure and goals.
Cause
A study of almost 600 male college students, averaging almost 30 years of age and who were not drawn from a clinical sample, examined the relationship between childhood experiences of sexual and physical abuse and currently reported personality disorder symptoms. Childhood abuse histories were found to be definitively associated with greater levels of symptomatology. Severity of abuse was found to be statistically significant, but clinically negligible, in symptomatology variance spread over Cluster A, B and C scales.
Child abuse and neglect consistently evidence themselves as antecedent risks to the development of personality disorders in adulthood. In the following study, efforts were taken to match retrospective reports of abuse with a clinical population that had demonstrated psychopathology from childhood to adulthood who were later found to have experienced abuse and neglect. The sexually abused group demonstrated the most consistently elevated patterns of psychopathology. Officially verified physical abuse showed an extremely strong role in the development of antisocial and impulsive behavior. On the other hand, cases of abuse of the neglectful type that created childhood pathology were found to be subject to partial remission in adulthood
http://en.wikipedia.org/wiki/Personality_disorder
Treatment options
Several treatments are available for personality disorders. They include
* Psychotherapy
* Medications
* Hospitalization
Psychotherapy
Psychotherapy is the main way to treat personality disorders. Psychotherapy is a general term for the process of treating personality disorders by talking about your condition and related issues with a mental health provider. During psychotherapy, you learn about your condition and your mood, feelings, thoughts and behavior. Using the insights and knowledge you gain in psychotherapy, you can learn healthy ways to manage your symptoms. Psychotherapy may be provided in individual sessions, in group therapy or in sessions that include family or even friends. The type of psychotherapy that's right for you depends on your individual situation.
Medications
There are no medications specifically approved by the Food and Drug Administration to treat personality disorders. However, several types of psychiatric medications may help with various personality disorder symptoms.
* Antidepressant medications. Antidepressants may be useful if you have a depressed mood, anger, impulsivity, irritability or hopelessness, which may be associated with personality disorders.
* Mood-stabilizing medications. As their name suggests, mood stabilizers can help even out mood swings or reduce irritability, impulsivity and aggression.
* Anti-anxiety medications. These may help if you have anxiety, agitation or insomnia. But in some cases, they can increase impulsive behavior.
* Antipsychotic medications. Also called neuroleptics, these may be helpful if your symptoms include losing touch with reality (psychosis) or in some cases if you have anxiety or anger problems.
Hospitalization
Hospitalization and residential treatment programs. In some cases, a personality disorder may be so severe that you require psychiatric hospitalization. Psychiatric hospitalization is generally recommended only when you aren't able to care for yourself properly or when you're in immediate danger of harming yourself or someone else. Psychiatric hospitalization options include 24-hour inpatient care, partial or day hospitalization, or residential treatment, which offers a supportive place to live.
Depression and self destruction are often a result of child stars prgrammed under the MK-Ultra project. Their minds are split into cores, so the victim developes Dissociative Identity Disorder. I think the doctors at UCLA diagnosed her very well.
"For we wrestle not against flesh and blood, but against principalities, against powers, against the rulers of the darkness of this world, against spiritual wickedness in high places."Everybody comes to Hollywood
They wanna make it in the neighborhood
They like the smell of it in Hollywood
How could it hurt you when it looks so good (it only looks good that's the problem, the reality hurts)
Chorus:
Shine your light now (What light ? To be Illuminated I presume)
This time it's got to be good
You get it right now, yea
'Cause you're in Hollywood
There's something in the air in Hollywood (Chemtrails ?)
The sun is shinin' like you knew it would
You're ridin' in your car in Hollywood
You got the top down and it feels so good <!-- s:?: -->:?:<!-- s:?: -->
Everybody comes to Hollywood
They wanna make it in the neighborhood
They like the smell of it in Hollywood
How could it hurt you when it looks so good
I lost my memory in Hollywood (Brainwashed ?)
I've had a million visions, bad and good (MKUltra programming ?)
There's something in the air in Hollywood
I tried to leave it but I never could
(chorus)
There's something in the air in Hollywood
I lost my reputation, bad and good
You're ridin in your car in Hollywood
You got the top down and it feels so good
Music stations always play the same songs (yes true yours included)
I'm bored with the concept of right and wrong (why ? If we don't make the difference = total chaos)
Everybody comes to Hollywood
They wanna make it in the neighborhood
They like the smell of it in Hollywood
How could it hurt you when it looks so good
...
8/20/2010 12:30 AM PDT by TMZ Staff
Lindsay Lohan's Adderall dependence -- the result of a medical misdiagnosis -- may have been the reason she went off the rails.
As we first reported, the docs at the UCLA rehab facility believe Lindsay was misdiagnosed with Attention Deficit Hyperactivity Disorder ... and then prescribed Adderall to treat the phantom affliction.
Dr. Joe Haraszti -- a prominent L.A. addiction specialist -- tells TMZ ... people who take Adderall when they don't need it can experience similar effects as people who use cocaine or methamphetamine.
Dr. Haraszti tells us ... people who unnecessarily take Adderall can display manic symptoms ... and often do things like "driving around until all hours of the morning ... smoking heavily ... tweeting ... and texting all night long." The doc adds, "They can become very impulsive."
The doc also notes that people in that situation "might then complain of insomnia and then take Ambien or other sleep aids to help fall asleep ... it's a vicious cycle"
Dr. Marc Kern -- another addiction expert -- tells us alcohol abuse is also very common among patients who take Adderall.
Dr. Kern tells us, "The Adderall counteracts the sedative side effects of alcohol use … making these people often drink more than someone who does not take the drug."
Bottom line -- a bad medical diagnosis may have set the ball rolling that unhinged Lindsay's life.
I'm proud of you uncle Harve <!-- s;) -->;)<!-- s;) -->
Child stars who grew up in Hollywood and for 'some reason' developed a personality disorder, are often 'accidentally misdiagnosed' so they get prescription drugs of which they think it will make them better, while in fact it will make them go over the edge. These people are trashed by the media and the public while in fact it is not their fault, but that of the Hollywood doctors. Lindsay is definitely not the only one, I am happy TMZ brings this up. Thanks TMZ!
"For we wrestle not against flesh and blood, but against principalities, against powers, against the rulers of the darkness of this world, against spiritual wickedness in high places."In a way that's true Paula, but please don't forget that the general population LOVES to read celebrity gossip. The more misery they read about someone else, the better the general populations feels as it tells them that there's someone else out there who has an even more miserable life than they have The worse the gossip is, the better they will remember it, regardless if it's true or not.
I can't think of a better website than TMZ to publish these articles as since 06/25/2009 the general population takes everything TMZ publishes for granted. Even those who don't visit TMZ will eventually read these articles as other news outlets blindly copy & paste them. There is no escaping from TMZ's news.
When Mike's time has come he only has to refer to these kind of articles, explain the real meaning of hem and people will realize what he's talking about.
Thank You Harvey & Co!
When they say that Lindsay Lohan is suffering from a Personality Disorder, this has nothing to do with Dissociative Identity Disorder at all. Personality Disorders and Dissociative Identity Disorder are not the same thing. They fall into separate categories within the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
Dissociative Disorders, which there are five different ones, have there own distinct category and are uncommon disorders compared to Personality Disorders.
Dissociative disorders are defined as conditions that involve disruptions or breakdowns of memory, awareness, identity and/or perception. The hypothesis is that symptoms can result, to the extent of interfering with a person's general functioning, when one or more of these functions is disrupted.
The five dissociative disorders listed in the DSM IV are as follows:
* Depersonalization disorder - periods of detachment from self or surrounding which may be experienced as "unreal" (lacking in control of or "outside of" self) while retaining awareness that this is only a feeling and not a reality.
* Dissociative amnesia - noticeable impairment of recall resulting from emotional trauma
* Dissociative fugue - physical desertion of familiar surroundings and experience of impaired recall of the past. This may lead to confusion about actual identity and the assumption of a new identity.
* Dissociative identity disorder - the alternation of two or more distinct personality states with impaired recall, among personality states, of important information.
* Dissociative disorder not otherwise specified - which can be used for forms of pathological dissociation not covered by any of the specified dissociative disorders.
http://en.wikipedia.org/wiki/Dissociative_disorders
Personality Disorders consist of 20 different disorders and are completely different from Dissociative Disorders such as Dissociative Identity Disorder.
* Antisocial personality disorder
* Avoidant personality disorder
* Borderline personality disorder
* Dependent personality disorder
* Depressive personality disorder
* Histrionic personality disorder
* Management of borderline personality disorder
* Narcissistic personality disorder
* Neurotypical
* Obsessive–compulsive personality disorder
* Paranoid personality disorder
* Passive–aggressive behavior
* Personality disorder not otherwise specified
* Psychopathy
* Sadistic personality disorder
* Schizoid personality disorder
* Schizotypal personality disorder
* Self-defeating personality disorder
http://en.wikipedia.org/wiki/List_of_Personality_disorders
My room mate is Passive–aggressive, it is part of his personality, very annoying but not a major disorder.
A friend's boyfriend has mild Obsessive–compulsive disorder, he washes his hands quite a bit and a few other things but again not major. Dissociative Identity Disorder is a major disorder, there are TWO or more distinct and separate personalities within one body therefore this is definitely not the same as a personality disorder.
No, if it was DID they would have said that. These are two completely different disorders and DID is not common. Did requires extensive, in-depth, therapy, she wouldn't be getting released so quickly from the hospital if she was suffering from DID and displaying "dangerous" behaviour because of this disorder.
Okay, thanks. I understand completely what you are saying. All I meant is that I wouldn't have known the difference had you not told me and perhaps others wouldn't either.
Please do not forget that dissociation is a symptom of some of the Personality Disorders you listed. Dissociation is most certainly associated with Personality Disorders.
Of the 20 listed Personality Disorders TWO feature a form of dissociation specific to that disorder.
Borderline personality disorder
Borderline personality disorder (BPD) is a personality disorder described as a prolonged disturbance of personality function in a person, characterized by depth and variability of moods. The disorder typically involves unusual levels of instability in mood; black and white thinking, or splitting; the disorder often manifests itself in idealization and devaluation episodes, as well as chaotic and unstable interpersonal relationships, self-image, identity, and behavior; as well as a disturbance in the individual's sense of self. In extreme cases, this disturbance in the sense of self can lead to periods of dissociation. BPD splitting includes a switch between idealizing and demonizing others. This, combined with mood disturbances, can undermine relationships with family, friends, and co-workers. BPD disturbances also include self-harm. Without treatment, symptoms may worsen, leading (in extreme cases) to suicide attempts.
http://en.wikipedia.org/wiki/Borderline_personality_disorder
This is not the same as having two or more distinct personalities.
Schizoid personality disorder
Schizoid personality disorder (SPD) is a personality disorder characterized by a lack of interest in social relationships, a tendency towards a solitary lifestyle, secretiveness, and emotional coldness. There is increased prevalence of the disorder in families with schizophrenia. SPD is not the same as schizophrenia, although they share some similar characteristics such as detachment or blunted affect.
From the criteria list of this disorder
Depersonalization
Depersonalization is described as a loss of a sense of identity and individuality. Depersonalization is a dissociative defense. Depersonalization is often described by the schizoid patient as a tuning out or a turning off, or as the experience of a separation between the observing and the participating ego. It is experienced by those with schizoid personality disorder when anxieties seem overwhelming. It is a more extreme form of loss of affect than that described earlier. Whereas the loss of affect is a more chronic state in schizoid personality disorder, depersonalization is an acute defense against more immediate experiences of overwhelming anxiety or danger.
http://en.wikipedia.org/wiki/Schizoid_personality_disorder
This is shutting down, withdrawing, it is not that a separate personality emerges. DID displays a form of this, as well as a part of the disorder, but with a significantly different experience in the symptoms.
Personality Disorders
Personality is the combination of thoughts, emotions and behaviors that makes you unique. It's the way you view, understand and relate to the outside world, as well as how you see yourself. Personality forms during childhood, shaped through an interaction of two factors:
* Inherited tendencies, or your genes.
These are aspects of your personality passed on to you by your parents, such as shyness or having a happy outlook. This is sometimes called your temperament. It's the "nature" part of the nature vs. nurture debate.
* Environment, or your life situations.
This is the surroundings you grew up in, events that occurred, and relationships with family members and others. It includes such things as the type of parenting you had, whether loving or abusive. This is the "nurture" part of the nature vs. nurture debate.
Personality disorders are thought to be caused by a combination of these genetic and environmental influences. Some research suggests that you may have a genetic vulnerability to developing a personality disorder and that your life situation may trigger the actual development of a personality disorder.
General symptoms of a personality disorder
* Frequent mood swings
* Stormy relationships
* Social isolation
* Angry outbursts
* Suspicion and mistrust of others
* Difficulty making friends
* A need for instant gratification
* Poor impulse control
* Alcohol or substance abuse
http://www.mayoclinic.com/health/personality-disorders/DS00562
Dissociative Identity Disorder
People with DID tend to have other severe disorders as well, such as depression, substance abuse, borderline personality disorder and eating disorders, among others. The degree of impairment ranges from mild to severe, and complications may include suicide attempts, self-mutilation, violence, or drug abuse.
Causes
The severe dissociation that characterizes patients with DID is currently understood to result from a set of causes:
* an innate ability to dissociate easily
* repeated episodes of severe physical or sexual abuse in childhood
* lack of a supportive or comforting person to counteract abusive relative(s)
* influence of other relatives with dissociative symptoms or disorders
The primary cause of DID appears to be severe and prolonged trauma experienced during childhood. This trauma can be associated with emotional, physical or sexual abuse, or some combination. One theory is that young children, faced with a routine of torture, sexual abuse or neglect, dissociate themselves from their trauma by creating separate identities or personality states. A manufactured alter may suffer while the primary identity "escapes" the unbearable experience. Dissociation, which is easy for a young child to achieve, thus becomes a useful defense. This strategy displaces the suffering onto another identity. Over time, the child, who on average is around six years old at the time of the appearance of the first alter, may create many more.
Symptoms
The major dissociative symptoms experienced by DID patients are amnesia, depersonalization, derealization, and identity disturbances.
AMNESIA
Amnesia in DID is marked by gaps in the patient's memory for long periods of their past, and, in some cases, their entire childhood. Most DID patients have amnesia, or "lose time," for periods when another personality is "out." They may report finding items in their house that they can't remember having purchased, finding notes written in different handwriting, or other evidence of unexplained activity.
DEPERSONALIZATION
Depersonalization is a dissociative symptom in which the patient feels that his or her body is unreal, is changing, or is dissolving. Some DID patients experience depersonalization as feeling to be outside of their body, or as watching a movie of themselves.
DEREALIZATION
Derealization is a dissociative symptom in which the patient perceives the external environment as unreal. Patients may see walls, buildings, or other objects as changing in shape, size, or color. DID patients may fail to recognize relatives or close friends.
IDENTITY DISTURBANCES
Persons suffering from DID usually have a main personality that psychiatrists refer to as the "host." This is generally not the person's original personality, but is rather one developed in response to childhood trauma. It is usually this personality that seeks psychiatric help. DID patients are often frightened by their dissociative experiences, which can include losing awareness of hours or even days, meeting people who claim to know them by another name, or feeling "out of body."
Psychiatrists refer to the phase of transition between alters as the "switch." After a switch, people assume whole new physical postures, voices, and vocabularies. Specific circumstances or stressful situations may bring out particular identities. Some patients have histories of erratic performance in school or in their jobs caused by the emergence of alternate personalities during examinations or other stressful situations. Each alternate identity takes control one at a time, denying control to the others. Patients vary with regard to their alters' awareness of one another. One alter may not acknowledge the existence of others or it may criticize other alters. At times during therapy, one alter may allow another to take control.
http://www.minddisorders.com/Del-Fi/Dissociative-identity-disorder.html
It could be suggested that Personality Disorders are a reflection of the breakdowns in our society such as how we treat children, the disintegration of the family unit, social isolation, stressful environments, genetic predisposition, less caring and nuturing etc.
DID is a result of severe abuse suffered in childhood be it physical, sexual, emotional or neglect. They key words here though are "severe", "traumatic" and "prolonged".
Serenitys_Dream, all I want to say is: Wikipedia is not almighty. In certain cases it can be very enlightening to listen to people who themselves suffer from a personality disorder or to those who share their live with a person who is suffering from a personality disorder.
There is MUCH MUCH more to BPD and SPD than these two Wikipedia pages can EVER tell you. Researching certain things requires searching beyond the internet.
I tend to agree with this. That goes for any "textbook" definition, for that matter. When it comes to all diseases and disorders, it's never black and white which is why so many things are misdiagnosed or never diagnosed at all. I would assume this is ESPECIALLY true for any disorders involving the complex human personality/mind.
No, I don't think it is irrelevant but you can not make something fit an existing theory on DID just because you want it to fit.
This story is addressing many issues including some that Michael spoke about himself. Family disintegration, the lack of caring in our society, the perceptions of people and believing what is written without further investigation, the over prescribing of prescription medications, misdiagnosis of patients, the sensationalizing of behaviour by the media etc. I think it is very relevant and that all of that shouldn't be overlooked even though it doesn't fit the DID theory.
Yep. UCLA has some specialists.
http://www.whale.to/b/constantine6.html
I just wished we would not have to witness so many existing "changelings".
Thanks for your answer. I agree with the issues the article addresses, that is what I got out of it as well. I don't think anyone was trying to make anything fit with one particular theory. Well, I wasn't anyway. I think the personality disorder part just stood out to many since we've discussed it so much here.
Excuse me, but where did you see something posted by me that made you think that I wanted to fit this into my DID theory..? I only replied to you when you wrote:
My answer was:
Nowhere in this thread I used the word DID, or did I refer to it. I only objected to your statement that Personality Disorders consist of 20 different disorders and are completely different from Dissociative Disorders such as Dissociative Identity Disorder.
I'd appreciate it if you would stick to what I posted, and not go in a direction I for sure never went in this thread.