Borderline Personality Disorder
Hey everyone! I have Borderline Personality Disorder, and I ironically get a lot of guests and members whom I talk to who also have BPD.
Borderline Personality Disorder is often confused with Bi-polar disorder and Histrionic Personality Disorder.
The criteria for Borderline Personality Disorder, in the DSM - 4 (Diagnostic and Statistical Manual of Mental Disorders 2004 edition) is:
The essential feature of Borderline Personality Disorder is a pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity that begins by early adulthood and is present in a variety of contexts. Individuals with Borderline Personality Disorder make frantic efforts to avoid real or imagined abandonment (Criterion 1). The perception of impending separation or rejection, or the loss of external structure, can lead to profound changes in self-image, affect, cognition, and behavior. These individuals are very sensitive to environmental circumstances. They experience intense abandonment fears and inappropriate anger even when faced with a realistic time-limited separation or when there are unavoidable changes in plans (e.g., sudden despair in reaction to a clinician's announcing the end of the hour; panic or fury when someone important to them is just a few minutes late or must cancel an appointment). They may believe that this "abandonment" implies they are "bad." These abandonment fears are related to an intolerance of being alone and a need to have other people with them. Their frantic efforts to avoid abandonment may include impulsive actions such as self-mutilating or suicidal behaviors, which are described separately in Criterion 5.
BPD is manifested by a pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:
Frantic efforts to avoid real or imagined abandonment. Note: Do not include suicidal or self-mutilating behavior covered in (5).
A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation. This is called "splitting."
Identity disturbance: markedly and persistently unstable self-image or sense of self.
Impulsivity in at least two areas that are potentially self-damaging (e.g., spending, sex, substance abuse, reckless driving, binge eating). Note: Do not include suicidal or self-mutilating behavior covered in (5).
Recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior.
Affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days).
Chronic feelings of emptiness.
Inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights).
Transient, stress-related paranoid ideation or severe dissociative symptoms.
As a Borderline, I feel it is best to educate others in the disorder.
How to cope ? For the Borderline Personality
Dialectical behavior therapy (DBT)
What is DBT?
Dialectical behavior therapy (DBT) treatment is a cognitive-behavioral approach that emphasizes the psychosocial aspects of treatment. The theory behind the approach is that some people are prone to react in a more intense and out-of-the-ordinary manner toward certain emotional situations, primarily those found in romantic, family and friend relationships. DBT theory suggests that some people?s arousal levels in such situations can increase far more quickly than the average person?s, attain a higher level of emotional stimulation, and take a significant amount of time to return to baseline arousal levels.
People who are sometimes diagnosed with borderline personality disorder experience extreme swings in their emotions, see the world in black-and-white shades, and seem to always be jumping from one crisis to another. Because few people understand such reactions ? most of all their own family and a childhood that emphasized invalidation ? they don?t have any methods for coping with these sudden, intense surges of emotion. DBT is a method for teaching skills that will help in this task.
How to Cope? For the Non Borderline Personality
For people who are not borderlines but have someone they care about that is, I have come up with the following links to help research for you!
Living With and Loving Someone With BPD
~The Getting Better BPD Articles~
The following articles were written for people who are non-borderlines, but borderlines should also real these articles to help better understand themselves.
AND THE OSCAR GOES TO . . . ? Borderlines in Film and Television
BLACKMAILED INTO FATHERHOOD; Borderline women, and men who love them.
AT ANY COST: Saving your Life after Loving a Borderline.
THE BORDERLINE PARENT - Surviving Childhood
THE BORDERLINE PERSONALITY CLIENT
*NEW* LOVING A BORDERLINE - Inside the BPD Odyssey
*THE MALE BORDERLINE - Surviving the Crash after your Crush
BORDERLINE PERFECT - Splitting, Splicing and Projection in BPD Personalities
BREAKING UP WITH A BORDERLINE: There must be 50 Ways to leave your Lover.
IF LOOKS COULD KILL - Anatomy of a Borderline
HOW TO TRAIN YOUR BORDERLINE - Crucial Strategies for Living with a BPD Partner
COULD MY BPD LOVER BE RIGHT ABOUT ME?? The Borderline and You
THERE MUST BE A PONY IN HERE, SOMEWHERE - Sorting Your Way Through the BPD Madness!
'TILL DEATH DO US PART - BPD and The Marriage Crucible
THE LESBIAN BORDERLINE - For the Love of Mother
THE GOOD WIFE - Who's helping You, when his Ex is a Borderline?
HAVEN'T WE MET BEFORE? The Borderline/Narcissist Couple
WHEN LOVE IS JUST A FOUR LETTER WORD - Understanding the Borderline Personality
OBSESSED WITH A BORDERLINE - A Matter of Attraction and Revulsion
BORDERLINE WAIFS AND UNSUNG HEROES; Rescuing The Woman Who Doesn't Want To Be Saved.
SHELL-SHOCKED! Clearing the Fallout from a Borderline Break-up
TOO CLOSE FOR COMFORT - The Neurology of Love and Loss in Borderline Personalities
SALT TO THE WOUND - Moving Beyond Your Borderline Break-up
THE GIFT OF THE BORDERLINE; Going on Feeling & Getting to Healing.
If any of you have anything to add, please do!!!!
Impressive work ScarletMcCarrell, thank you for starting this conversation. I love the list of resources you give, very thorough. It's important for all us to know where we can get resources on this topic and how to best support someone we love who may be struggling with BPD.
How would you suggest working through BPD related topics in a member chat? How can we best support people who are struggling with this?
This is such good thought out information, and such great resources! thank you!
I've been getting a feeling that I might have BPD after the last couple of sessions with my psychiatrist, but I'm just worried about the additional stigma on top of what I already have.
Thankyou for all of those resources~ They've helped a lot ^_^
To add to this - DBT overall is about the dialectic of acceptance and change. Too often we approach life in "but" terms, not "and." For instance, "I am a good person but I'm too often angry" instead of "I'm a good person and I'm too often angry." DBT is meant to teach us to bridge that gap. In the true form of DBTthe client would attend both individual therapy to address this dialectic in their personal life, but would also attend a skills group meant to teach strategies to use in situations that could be handled more skillfully. The group is actually broken up into four modules - mindfulness, emotion regulation, interpersonal functioning, and distress tolerance. All of these skills are taught to be used to bring us closer to understand and work with the acceptance and change dialectic instead of fighting against it.
@ScarletMcCarell
As a listener here on 7 Cups of Tea with a diagnosis of Borderline Personality Disorder, I was nothing short of appalled to stumple across this post. Living with Borderline Personality Disorder means the never-ending frustration of coming across literature that caters more to the "struggles" of BPD oved ones than to the suffering of people living with BPD themselves. There are countless books advising people without BPD (or "non-borderlines") as to how they should "handle," "deal with," and "take [their] life back" from loved ones with BPD. These books, blogs, and sites often continue the myth / stigma that people with Borderline Personality Disorder are manipulative, abusive, caclulating, etc. - but some of the links in this post are among the worst I have ever seen.
A small sampling:
From "BLACKMAILED..."
"The diagnostic term, Borderline derives from the expression 'borderline crazy,' and describes someone who's dangerously near the edge of psychosis."
From "AT ANY COST..."
"The dangerous, diabolical hook with Borderlines, is they initially come across as genuine, and completely without pretense, guile or disguise. This helps you drop your guard, and makes it easy to trust that their statements to you are real--and they're authentic, integrous individuals."
From "BREAKING UP..."
"Another one of my articles reveals sixteen myths about Borderlines, that will effectively help you navigate your way back to stability and sanity. And yes dear, rest assured that this insanity you're presently experiencing, is only temporary! It's in direct proportion to hanging-out with someone who's dangerously unstable, dysfunctional and living on the border of crazy--that's why we developed the clinical term, Borderline."
"Borderlines are bullies. Reasoning with them is an utterly useless exercise that digs you deeper into chaos and drama."
"The Borderline is much like a tornado that rips through your world, leaving only destruction and chaos in its wake. You can easily lose your home and family, your job or business, your health, your reputation, your friends, etc. Is he/she really worth it?"
From "IF LOOKS COULD KILL"
"Borderline Personality Disorder is not a mental illness or disease! BPD is spawned by arrested emotional growth, which renders a person incapable of impulse control, adult reasoning, capacity for empathy or ability to self-soothe."
"These people are damaged and developmentally arrested, which drives a lot of acting-out behaviors. The following traits are typical of someone who could be considered to have borderline pathology: [here follows a 60 item list, including the likes of 'pregnancy entrapment,' 'lacking in common sense,' 'highly manipulating and controlling,' 'infantile behavior,' 'lack of remorse or empathy,' etc.]"
From "HOW TO TRAIN..."
"Borderlines are emotionally underdeveloped, and you must literally think of them like little kids in adult bodies. Just as you'd discipline a young child by teaching them acceptable versus unacceptable behaviors and setting firm boundaries and limits, you have to be willing to do this with your Borderline; it's your only hope of gaining any harmony or peace in this relationship!"
From "WHEN LOVE..."
"Love is an abstract concept for somebody with BPD--and it's associated with pain. The Borderline's yearning for love is experienced as dramatic, painful emotions that were confused with affection for an unresponsive/unavailable parent during childhood, that constituted unrequited (or un-returned) love. Could this have also been true for you?"
From "SHELL SHOCKED"
"A borderline disordered individual is like a computer virus that starts out as benign or innocuous, and then damages your entire system. Internet worms can show up in a harmless email, but when you open it, you're infected. This malicious virus screws with your PC's functions and programs, to where you can barely navigate--and ultimately crashes your hard drive. This is literally what happens to your mind, body and spirit when you've had exposure to the Borderline's toxicity for any length of time; you risk a system melt-down."
I think that's probably more than enough, but I did save my favorite for last: "If you're a female who has been diagnosed with BPD, or believe you're living with borderline personality features, please exit this page immediately, as it is not intended for your consumption. In truth, the BPD materials on this site have been written solely for people trying to recover from tormenting, toxic relationships, and are not meant to be a support resource for Borderlines." Quite frankly, it reads almost like satire.
These links are clearly not appropriate for a site like 7 Cups, and reinforcement of misinformation,derogatory claims, and perpetuation of stigma that they present can do nothing but harm Listeners and Members alike. At the end of the first post, the OP opened it up for additions, so here are mine:
The National Education Alliance for Borderline Personality Disorder (NEABPD) Site
Recovery Resources from NEABPD
Out of the Fog: Comprehensive Personality Disorder Information & Resources
BPD Overview from the National Alliance on Mental Illness (NAMI)
A Breakdown of Myths and Misoconceptions Surrounding BPD
Free, Self-Help Dialectical Behavior Therapy (DBT) Resources
I'm a listener and mental health worker with BPD, and I've found that parts of my own disorder have actually helped me in a lot of aspects of my job. I pick up on tiny cues, and am able to relate with a lot of member's struggles.
@Laura Thank you for all of this detailed and helpful information. I need your expertise please. I suspect my wife has BPD. About 9 Years ago she was diagnosed with ADHD and she takes Adderall only when she needs intense focus (at work each day). Otherwise takes no other meds. Below is a detailed description of our relationship and her behaviors. Please let me know your thoughts when you have time. Thank you
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I'll preface this thread by saying my wife is very well educated, smart and very successful at her career, however our marriage/relationship has been very rocky at times. I am a pretty chill person, educated, smart, driven, lively but not up for drama--I also have controllable anxiety which I take meds for. We also have two kids who are 6 and 8 years old. My wife of 12 years has ADHD. Her ADHD causes challenges in our relationship and I need advice/help/thoughts navigating them. The reoccurring issues surrounding our marriage/relationship and my wifes ADHD are:
- She says literally whatever is on her mind in the moment, which is good and bad. If what she says comes across as degrading to me I usually can shake it off, but sometimes I cannot and respond back verbally saying I didn't appreciate something she said, etc--which can create issues. Also, because she says whatever is on her mind/her opinion she can come across as a "know it all" or even aggressive to people outside of our marriage.
- She has gotten to the point where I cannot verbally share with her my feelings with her regarding if I feel slighted by something she said or did to me. If I do share, she often gets upset, won't hear me out, doesn't say sorry or even threatens for us to get a divorce, live in separate homes, etc.
- The day after making verbal threats like we should get a divorce, live in separate homes, etc--she doesn't address the threats, it's like she never said it. She has made these divorce/separate home threats about 3-4 times a year for the last 5 years--yet in that 5 years we have continued to buy/sell homes, go on family vacations, celebrate anniversaries etc. I usually don't bring up her threats again because in the past when I do, she gets upset our doubles down on the threats again.