The case of "KFC" (ADHD, BiPolar, Borderline Personality Disorder, Intermittent Explosive Disorder)

Casebook of Biblical Psychiatry © Version 7

Based upon Real Mental Illnesses Real Cases Real People Real Causes Real Solutions

Casebook of Biblical Psychiatry© brings the principles of Biblical Psychiatry to life based upon real-world cases and familiarizes Christians with different types of situations. This practical companion volume to Biblical Psychiatry© includes not only diagnosis, but also in-depth discussions by experienced Christians for Biblical approaches to treatment. This meticulously detailed volume of dynamic real-life case studies is simply a "must read" for all clinical Psychiatrists, mental health care professionals and Christians interested in expert opinion on today's treatment approaches. Psychiatric students, educators, and practitioners—as well as social workers, nurses, medical physicians, and interested laypersons—will find this unique volume of inestimable value in their day-to-day work.

The case of "KFC" (ADHD, BiPolar, Borderline Personality Disorder, and Intermittent Explosive Disorder)
	The case of "KFC"
	Biopsychiatric labels DSM-5	ADHD, BiPolar, Borderline Personality Disorder, and Intermittent Explosive Disorder
	Checklist Behaviours DSM-7	Lazy, violence, uncontrolled anger, rage, lack of self-control, pharmakia
	Insights MMPI-7
	Quick Pick EDS-7.1	Dependency, Disability welfare, Duty shirking, Drugs (psychiatric drugs make people unable to work)
	Self-disablement EDS-7.2	Not working. On psychiatric disability
	Chemical imbalance EDS-7.3	Yes. She ingested psychiatrist prescribed drugs for years. This indicates she likely has brain damage and Tardive Dyskinesia
	Benefits EDS-7.4	Attention seeking, Pride, Praise, Honour, Fame: EDS-7.4.3 Escape duty or life situation: EDS-7.4.4 Sympathy: EDS-7.4.5 Alibi for impending failure as an adult or failure at school, work or home: EDS-7.4.7
	Monetary EDS-7.5	Yes. On psychiatric disability "cash for life"
	Annoyance Scale EDS-7.6	Medium
	Diagnostic Laws EDS-7.7	Law of Narcissistic Behaviour Choice (NBC) EDS-7.7.1.NBC Law of Derivative Personal Benefit (DPB) EDS-7.7.2.DPB Law of Narcissistic Selective Dysfunction (NSD) EDS-7.7.3.NSD Law of Symbiotic Treasury Parasitosis (STP) EDS-7.7.6.STP Self-punishment for personal failures or to ease a guilty conscience: EDS-7.4.12
	Determine the Problem	Lazy, no self-control, duty shirking, pharmakia
	Ask a Child	-
	5 years later EDS-7.7.LPT	On "cash for life" disability welfare

The case of "KFC"

"Living with Mental Illness is not easy, but neither is our life as a Christian. I am ADHD, BiPolar, Borderline Personality Disorder, and Intermittent Explosive Disorder. I was diagnosed with ADHD as a child and put on Ritalin. Later, I had a total nervous breakdown in grade school. I've not been able to hold a job for a long time. Someone suggested I apply for disability. I thought no way would I get that, but I went to the local Social Security Office and the lady told me they needed a list of my jobs. Since 1991 I have had 72 short term and menial jobs in 5 years. I began disability in 2009. My symptoms are I get really happy like I am walking on clouds over the smallest things like finding a good deal on something to someone being Baptized. I also get so depressed that I don't want to get out of bed. I have thoughts of suicide, but, I fight them. I've never tried suicide because I know that would mean losing Heaven. Instead, when I get depressed, I eat and gorge myself with an entire bucket of KFC or 6 Big Mac's in one sitting. I also hit myself. Not just a smack, but I beat my face until I get a migraine. I don't know why. I've always done that. I also am very compulsive and impulsive. I have been on Ritalin, Effexor, Risperdal and Depakote. None of these drugs work much to help." (Michele)

Discussion:

Michele narrated all this with a sense of pride whereas we would find admitting to such behaviours as "Intermittent Explosive Disorder" to be humiliating and shameful. The DSM-5 is the atheists moral guide book of behaviours that tries to duplicate the purpose of the Bible The DSM-5 describes "Explosive Personality Disorder" as what the Bible calls, those with outbursts of anger and lacking self-control. The mental health industry coaches the public into removing all responsibility, shame or guilt from the "mentally ill". She believes her behavior problems are like any other medical condition and she takes no moral blame for any of them. While she describes herself as lacking self-control, she is able to muster enough inner-strength when she needs is by not committing suicide. Clearly this is a case that involves huge parental errors of judgement that did not take the corrective action at an early age. People don't hold jobs down for long because they don't want to work. Michele settled into the lifestyle she was comfortable with by finally getting a lifetime pension so she was free to do whatever she wanted. Had Michele been expected to perform up to standard, rather than excusing poor performance and accepting it because a psychiatrist claimed she had a "chemical imbalance" and letting her learn to be selfish and self-discipline, she might have had an alternate destiny. The key to her recovery is identifying the contribution she has made to her own problems and behaviours.

Michele had a long psychiatric history being diagnosed with Bi-polar disorder, Borderline Personality Disorder, Intermittent Explosive Disorder and ADHD. She did not socialize well with other children and was the target of bullying in grade school, which caused her to cry in the basement alone when she came home after school. Her parents put her on Ritalin because the psychiatrist said she had a chemical imbalance which she continued to take into her teens. Her parents withdrew her from public school and sent her to a private Christian school. She said she was compulsive, impulsive, lacking self-control, engaged in gluttony by eating an entire bucket of KFC at a single sitting. She gives herself black eyes from time to time with her own fist then goes to church. She describes a long list of neuroleptic drugs prescribed by various chemical psychiatrists over the 20 years and doubts any of them did any good. She describes the painful withdrawal symptoms when her medications change dose or type. Discontinuing psychiatric drugs must always be done under the supervision of a doctor. She counts over 75 different jobs she has held in the 5 years before she went on psychiatric welfare. Although she has suicidal thoughts, she says she will never actually do it because she doesn't want to lose her salvation. She has now been on psychiatric welfare for years so she is free to do whatever she wants as if she were retired.

Benefits from behaviour: This illustrates the Law of Narcissistic Behaviour Choice (NBC) EDS-7.7.1.NBC

1. Attention seeking, Pride, Praise, Honour, Fame: EDS-7.4.3. There is a clear feeling of pride and attention seeking in the attitude of the way the story is told. This is strange, given the behaviours are so clearly sins listed in the Bible. The self-inflicted beatings are attention seeking because everyone would ask what happened.
2. Escape duty or life situation: EDS-7.4.4. With a string of many "Labour ready" type day jobs, she came to the realization that getting welfare was a much better option.
3. Sympathy: EDS-7.4.5. The self-inflicted beatings would garner sympathy from the church.
4. Alibi for impending failure as an adult or failure at school, work or home: EDS-7.4.7. This is somewhat complex because long term Ritalin use, then other psychiatric drugs, actually disables a person to work. However, the 18-20 year old threshold from youth into independent adulthood was never crossed.
5. Self-punishment for personal failures or to ease a guilty conscience: EDS-7.4.12. She knew deep down that her behaviours were not fitting for a Christian. The hitting oneself in the face and self-inflicted black eyes are self-hatred.

Diagnostic laws that are seen illustrated in the case of "KFC":

1. Michele calculated the cost of being labeled "mentally ill" was lower than the benefits of this label. This illustrates the Law of Derivative Personal Benefit (DPB) EDS-7.7.2.DPB
2. Michele was able to function in many area of her life quite efficiently in the work place when she wanted to work. However the day jobs permitted her to be essentially unemployable on any long term, continuous basis. She is also able to control any suicidal thoughts because it would affect her salvation, but have no self-control over clearly sinful behaviours she believed had no effect on her salvation. This illustrates the Law of Narcissistic Selective Dysfunction (NSD) EDS-7.7.3.NSD
3. Without the diagnosis of the psychiatrist Michele could not collect disability for life. The psychiatrist needed Michele as a long term patient in order to make his living. This illustrates the Law of Symbiotic Treasury Parasitosis (STP) EDS-7.7.6.STP
4. Michele claimed she was mentally ill and even said she believed she had a chemical imbalance. However, she openly admitted that she didn’t think the drugs fix anything or worked. Michele therefore had no real faith that the psychiatrist had any idea what he was talking about, since his only function was to prescribe drugs that didn't work. This illustrates the Law of Diagnostic Anosognosia Relativism (DAR) EDS-7.7.7.DAR

Note: Although these are based upon real case stories, the names and details have been changed to hide the identities of the people. This practice follows the standards of medical case history publication.

By Steve Rudd: Contact the author for comments, input or corrections.

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