• Tolerance, as defined by either of the following: o A need for markedly increased amounts of opioids to achieve intoxication or desired effect. o A markedly diminished effect with continued use of the same amount of an opioid. • Withdrawal, as manifested by either of the following: o The characteristic opioid withdrawal syndrome. o Opioids (or a closely related substance) are taken to relieve or avoid withdrawal symptoms Some questions to consider after reviewing these diagnoses: • As you look at these diagnostic criteria, how do any of these criteria fit with your lived experience? How do they not fit with your lived experience? • The borderline personality disorder description incorporates language such as, ‘inappropriate,’ ‘paranoid,’ ‘self-mutilating,’ ‘imagined abandonment,’ ‘unstable,’ and so on. How do you think having such language used to describe a person might impact their self-perception and ability to identify personal strengths or empower self-determination? • How can we as certified peer specialists foster connection with a peer who finds value or helpfulness in diagnosis language? • In what ways do you think certified peer specialists can offer support to discovering strengths and making meaning of one's experiences? • What were some of the questions that came up for you while reviewing these descriptions?
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