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Living with Someone with Borderline Personality Disorder

It isn't easy living with someone with a personality or affective disorder.  BPD is a disorder that often presents with a pervasive pattern of instability in interpersonal relationships.   Because of the mood changes in bipolar disorder, it too can cause difficulties over and above the ordinary problems you expect in a relationship.   It can be a sharp learning curve when you first try to learn more about these disorders and how to live with someone with them without having to ride a roller coaster of emotions all the time.

  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.

 

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.

This site is entirely personal and non-profit, and I am not professionally affiliated with any other site or product on the web. I  am not a practicing psychotherapist or physician, and cannot guarantee the accuracy of any material located off-site, nor be responsible for any third-party interpretation of my material. For specifics on your situation, I encourage you to consult your mental health professional.

 
Andrea's World was created March 20th, 2004.  I hope to add to it often.

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