How Family and Friends Can Help
The Depressed Person
The most important thing anyone can do for the depressed person is to help him or
her get an appropriate diagnosis and treatment for depression. This may involve encouraging the individual to stay with
treatment until the symptoms of depression begin to abate (several weeks), or to seek different treatment if no improvement
occurs.
On occasion, it may require making an appointment and accompanying the depressed person to the doctor.
It may also mean monitoring whether the depressed person is taking medication. The depressed person should be encouraged
to obey the doctor's orders about the use of alcoholic products while on medication.
The second most important
thing is to offer emotional support. This involves understanding, patience, affection, and encouragement. Engage the
depressed person in conversation and listen carefully. Do not disparage feelings expressed, but point out realities and
offer hope. Do not ignore remarks about suicide. Report them to the depressed person's therapist. Invite the depressed
person for walks, outings, to the movies, and other activities. Be gently insistent if your invitation is refused.
Encourage participation in some activities that once gave pleasure, such as hobbies, sports, religious or cultural
activities, but do not push the depressed person to undertake too much too soon. The depressed person needs diversion
and company, but too many demands can increase feelings of failure.
Do not accuse the depressed person of faking
illness or of laziness, or expect him or her "to snap out of it." Eventually, with treatment, most depressed people
do get better. Keep that in mind, and keep reassuring the depressed person that, with time and help, he or she will
feel better.
Depressed People May Need Help to Get Help
The very nature of depression can interfere with a
person's ability to get help. Depression saps energy and self-esteem and makes a person feel tired, worthless, helpless,
and hopeless. Therefore,
Seriously depressed people need encouragement from family and friends to seek treatment
to ease their pain.
Some people need even more help, becoming so depressed, they must be taken for treatment.
Don't ignore suicidal thoughts, words or acts. Seek professional help immediately.
Where to Get Help
A
complete psychological diagnostic evaluation will help decide what is the type of treatment that might be best for the
depression person. You can contact the Psychological Association or Medical Society (for psychiatrists) in your county
or state to receive a referral, your family doctor, county mental health association or local psychiatric hospitals.
(more on where to get help and how to find a therapist who's right for you)
Source: National Institute of Mental
Health
Validation
in a Supporter-Borderline Relationship
Validation
is really just acknowledging that the other person has value and recognizing that the other person's point of view nearly
always has some truth and that it has some importance and/or value to the other person based on their own experience of the
current situation, or based on prior situations. Validating allows you to experience and understand the other person’s
perception of reality from their point of view. It also follows the “Golden Rule” of treating others with value
and respect in order to receive the same in return.
When
responding to a borderline person in a rage, validation techniques not only help to defuse the situation, but also can actually
help to get to the root of the issue. Most rages are not because of the specific
thing that you are being raged at but are more of an emotional release with you as the unfortunate recipient. In the case
of someone with borderline personality disorder often they learned or developed poor communication skills growing up. They often lack validating skills and have developed the habit of seeing things through
negative filters at times. And they have often learned primitive defenses that
can make effective communication problematic.
One part
of my philosophy of how to create an environment conducive to recovery is to be a good role model. Part of recovery for the borderline person involves learning to observe situations more rationally and
objectively. Borderlines tend to see black and white and often lack the ability
to take a neutral point of view - to see shades of gray. By understanding and
using proper validating methods you are providing a better environment for recovery and giving the other person a chance to
learn those skills through your good example.
There
were times in my relationship where the ability to validate wasn’t there because the emotions were too high. If I knew that I was not going to be able to control myself I would just walk away for a while and let
the emotions defuse. I would often write a letter expressing my feelings to Andrea
and give it to her. I would tell her my point of view while acknowledging to
her the right to have hers. I always ended it with a compliment about her and
the good things I saw in her future and that I loved her. Later we almost always
were able to put the issue aside; often without even needing further discussion.
A situation
where neither person has these skills is truly a dysfunctional relationship that’s destined to be a roller coaster ride
of emotional destruction. Only professional help through therapy or clergy is likely to bring such a relationship to functionality. Without that the chances are that the relationship will end with the borderline person
going on to another dysfunctional relationship and the partner being added to the list of the BPD-biased, oftentimes failing
to ever understand their part in the dysfunctional relationship.
How to
validate:
1) When you first start out using validation techniques let the other person know that
you are trying to find a better way to communicate and understand their point of view.
This could even encourage more openness.
2) Be an active listener and show interest in what the other person has to say.
3) Don’t be closed-minded to the message because of the way it’s being expressed.
4) Make sure that the other person understands that you are thankful that they are expressing
their thoughts and feelings and that you care about what they think and feel and about them.
5) Compliment where appropriate. Often Andrea
would show exceptional perception in her observations. I would compliment that
perception.
6) Don’t kill the messenger just because you don’t like the message. Take advantage of the chance to gain the information, whether you like what you hear
or not.
7) It's not necessary to agree with the other person.
But, once you have validated their feelings and thoughts he/she is likely to be more open to hearing yours. In the end you can agree to disagree, each knowing more about the other.
Always
remember that you can only change yourself; you cannot change someone else. You
can use all these techniques and do everything in your power to make the relationship work.
You can create the best environment possible using validating techniques and better communicating skills, avoiding
triggers, implementing necessary boundaries, etc. But none of this will likely matter if the borderline person doesn’t
acknowledge his/her disorder and do their part to get better.
Below is a list of links to articles in the Help Blog specifically picked to
help the supporter.
Supporting Success
The Power of Personal Boundaries By Judy Saltarelli, M.A.
http://www.soulselfhelp.on.ca/pboundaries.html
How
Andrea Changed My Life
http://jim_kendrick.tripod.com/blog/index.blog?entry_id=468369
Healing
Stages in the Cycle of Grief
http://jim_kendrick.tripod.com/blog/index.blog?entry_id=435050
Isolation: For Partners of Someone with BPD
Communicating Your Point of View
http://jim_kendrick.tripod.com/blog/index.blog?entry_id=456201
Supporting Someone with OCD (applies pretty well to BPD also)
http://jim_kendrick.tripod.com/blog/index.blog?entry_id=439075
Controlling the Control Freak
http://jim_kendrick.tripod.com/blog/index.blog?entry_id=439025
Shopping Carts and Anger
http://jim_kendrick.tripod.com/blog/index.blog?entry_id=419406
Self-injury Support Article
http://jim_kendrick.tripod.com/blog/index.blog?entry_id=415765
More
Supporter Advice
http://jim_kendrick.tripod.com/blog/index.blog?entry_id=402741
Boundaries
http://jim_kendrick.tripod.com/blog/index.blog?entry_id=397145
How Do I Respond to a Rage By a Loved One With BPD?
http://jim_kendrick.tripod.com/blog/index.blog?entry_id=375803
Relapes,
Acting In, Acting Out, and Distorted Thinking
http://jim_kendrick.tripod.com/blog/index.blog?entry_id=344277
Some
Comments on Boundaries
http://jim_kendrick.tripod.com/blog/index.blog?entry_id=343759
How
Do I Respond When My Loved One Cuts Herself?
http://jim_kendrick.tripod.com/blog/index.blog?entry_id=306943
How Do I React to Suicidal Gestures in a Loved One?
http://jim_kendrick.tripod.com/blog/index.blog?entry_id=304110
Caring, Helping and Changing
http://jim_kendrick.tripod.com/blog/index.blog?entry_id=269501
Books
These are some books written to help the supporter learn
to live with someone with a personality or affective disorder and/or recover from a dysfunctional relationship.
"Stop Walking on Eggshells - Taking Your Life Back When Someone You Care About Has Borderline Personality Disorder"
The book "Stop Walking on Eggshells: Taking Your Life Back When Someone You Care About
Has Borderline Personality Disorder" By Randi Kreger and Paul Mason is an excellent self-help book for those
in a relationship with a person who has BPD. The book is geared towards understanding the disorder, the other
person, and yourself. It explains about boundaries, coping skills, and communicating skills that you will need whether
you want to stay in the relationship, or get out.
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Tears and Healing, The journey to the light after an abusive relationship is a self-help guide that helps people in
relationships with an abusive partner to understand their situation, take greater self-care, and break free of the abuse.
A reflection of the author's own trail from confusion to freedom, it outlines step-by-step the issues to be faced and teaches
healthier ways to approach the situation. The steps include: contacting reality; understanding the abusers disease; dealing
with love; finding yourself; dealing with obligation; healing from abusive treatment; and choosing how to move on with life. | |
Links to websites primarily devote to supporters
I have rated the sites according to which ones have a positive attitude
towards advocacy for the mentally ill and which ones are negative in their support of recovery. This is just my personal opinion.
GREEN Positive Site
– Recommended for someone in a committed relationship with someone in
recovery or committed to someone in an unchosen relationship.
YELLOW Neutral
Site – Not yet rated or you’ll find a mixed bag.
RED Negative
Site – Recommended for someone who wants out of a relationship, is already out,
or is stuck in a relationship that is unchosen. I would generally call these BPD-bashing-us-
against-them
sites, although there can be some for all here, too.
GREEN Sites
B4C Helpers Mailing List
http://b4c.jvb.ca/public/mailinglists/helpers/
B4C Helpers is a Christian mailing list for ministers,
health care professions and loved ones who seek to discuss Borderline Personality Disorder (BPD). The focus of the mailing
list is on providing its members with information about the disorder and support through difficult interactions with their
BPD significant other or client. Additionally, we aim for a shared effort among list members to collaborate on developing
gracious Christian approaches for effectively loving and treating people with BPD. This mailing list is a service intended
to bring together those in helping positions who share a vision for awareness and advocacy about BPD and a hope and faith
that people with this disorder can and will be healed, set free and delivered by faith in the Lord.
NUTS
http://www.parent2parentbpd.org/What_We_Do/what_we_do.htm
NUTS is composed of parents whose children (adult
or minor) have Borderline Personality Disorder, with or without an official diagnosis. We provide encouragement, friendship,
compassion, perspective, and advice for one another through online support groups.
Child & Adolescent Bipolar Foundation
http://www.bpkids.org/
The
Child & Adolescent Bipolar Foundation educates families, professionals, and the public about pediatric bipolar
disorder; connects families with resources and support; advocates for and empowers affected families;
and supports research on pediatric bipolar disorder and its cure.
Bipolar Significant Others
http://www.bpso.org/
The material presented on this site is intended
to provide information and support to the families, friends and loved ones of those who suffer from bipolar disorder (manic-depression).
These resources have helped many of us inform ourselves, cope with behaviors that sometimes arise from the illness, better
understand our own reactions, and determine how we may best support our loved ones in their efforts to understand and live
with this often terrible disease.
YELLOW
Sites
RED
Sites
BPDCentral
http://www.bpdcentral.com
An internet
support site for those who are in or have been in a chosen or unchosen relationship with someone with BPD. This
site can be somewhat troubling if you are in a chosen, committed relationship as there are many here who are
die-hard always-say-never posters.
BPD411
http://www.bpd411.org/
BPD411.org is
an Internet -based information service and support group. Our purpose is to provide a safe environment for the education, healing and recovery of persons who are in a relationship with someone who
exhibits traits of Borderline Personality Disorder (BPD). Being involved with someone with
BPD traits is disorienting, painful and often damaging. I found a lot of bias
and prejudicial generalizations at this site, but it might be what you need.
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