Resolution, Not Conflict

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Borderline Personality Disorder: The Sufferer's Experience

BPD has a bad rep, and understandably so. When a man or woman with a borderline personality disorder erupts in strong emotions, loved ones and even a therapist can feel under fire. At the same time, the person with bpd also suffers. A self-description sent to me by a PT reader diagnosed with bpd has helped me, a therapist, to empathize with the bpd sufferer's plight. Read More

I have read many articles on

I have read many articles on psychology today about bpd, at last one from someone who knows what they are talking about. thank you, fellow bpd sufferer.

Warmest thanks..

Warmest thanks for sharing with us (H.O. and myself) your appreciation of this article. H.O. totally seemed to me to, as you say, "know what she is talking about." I am very pleased to hear validation as well from a "fellow bpd sufferer."

facepalm

You could have just responded, "Actually I don't have BPD, the person corresponding with me does. I'm so glad this article validated your feelings".
Seriously, that would have been so much easier than putting "know what she is talking about" and "fellow bpd sufferer" in quotations as an ineffective atempt at saying the same thing.
Tiptoeing around people and walking on eggshells in this way is offensive, it implies that the hearer is too stupid, too mentally ill, or too personality disordered to have a simple error politely pointed out.

could have, should have,

could have, should have, would have..if only....if only life were perfect!

you sound miserable

BPD

I grew up with a BPD it was a living hell, reading this article just further convinces me that there is no cure. My brother caused pain and suffering to our parents, me, our pets and still to this day feels he was the victim ... much like the writer of this article. Heaven help those who cross or attempt to treat these people ... you will never cure them....Self serving and unable to relate to others they want an audience! I disengaged myself and my family from my bpd brother.. I wish him and his family good luck!

Several points.

1. I am wholly in agreement with you, as I believe is the writer of the emails to me, H.O., that those who live with a BPD sufferer pay a terrible price. This post is not meant in any way to minimize the costs to them.

2. The writer in this article, H.O., is a very special person who, in spite of her bpd, dedicates her life to helping others. And while she does suffer greatly from bpd, she is very clear that she is not the victim of others' actions but rather the victim of a hyper-reactive emotional system. Please, readers, do not engage in wrongful insinuations about her motives or character.

3. In my office suite my colleagues and I have been developing new ways to reduce emotional hyper-reactivity. Our initial results look extremely promising. A cure for bpd may well soon be available. I will be writing more about these new techniques in subsequent articles.

4. When bpd emotional hyper-sensitivity is combined with narcissism, paranoia, Aspergers, sadism, sociopathy, addictions, or other co-morbid disorders, which is common for bpd, you get extremely hurtful people.

In this regard I see the diagnosis of bpd needing to be re-clarified. Right now many people assume that the problems from these additional disorders are part and parcel of bpd. That has not been my experience. Some bpd folks have them, others clearly do not, suffering only from the core bpd disorder of emotional hyper-reactivity.

So in sum, while I totally agree with you that your brother sounds like he was a profoundly negative influence in your family and your growing up, the aspects of his functioning that made him so toxic may have come from multiple co-occuring disorders in addition to bpd.

I hope this response has been helpful. Thank you so much for sharing your important perspective.

Was your brother diagnosed with BPD?

Whenever I hear reports of the abusive behaviour committed by those with BPD I always ask was the person diagnosed with the condition. So often the response is "No because he doesn't think he has a problem but I know he has because I read the 9 criteria and they all apply to him." So many of these anecdotal accounts are not accurate and should not be taken at face value.

Since the birth of DBT there are now numerous treatment methodologies that enable full recovery from BPD. Schema Focussed Therapy is proving the most effective so far but there are many to choose from including Transference Focussed Therapy, Cognitive Anlytical Therapy, Mentalisation Based Therapy and the list goes on.

There is no need for new treatments to be created but there is a dire need for therapists and clincians to overcome their prejudice towards BPD patients and train in techniques that work.

When someone with BPD is treated with an inappropriate therapy it makes them ill and causes terrible problems with counter transference when the therapist becomes frustrated with the patient for not responding well to treatment.

BPD needs to be retrieved from this septic contamination with discussion of other disorders. BPD is BPD is BPD. Many people with NPD are wrongly diagnosed with BPD by prejudiced professionals or simply because they are women.

Believe it or not

One can easily be both the victim of a hyper-reactive emotional system and a victim of others' actions at the same time. Often, the two go hand in hand and one is a product of the other. H.O. does not ignore this fact, as she does mention suffering abuse as a child (unless you'd like to argue she brought the abuse on herself?). Often, a childhood environment in which naturally intense emotions are invalidated just makes the emotions bigger and more painful and creates problems later on. I suffered relentless bullying all throughout grade school BECAUSE of my hyper-reactive emotional system--people would intentionally say stuff to flip me out and then stand by and watch the "fireworks" go off, sometimes when I actually had a panic attack and couldn't stop hyperventilating. Imaginary pop quizzes, imaginary cockroach sightings (I'm terrified of them)... one kid actually told me my little sister was injured, just so everyone could watch me "go off" for the sake of entertainment. I remember immediately running to the nurse's office and upon finding out that I had been lied to, sobbing profusely in there for 2 hours and missing the rest of my classes that day. I had no idea, at that time, how over-the-top and sometimes inappropriate (and apparently hilarious for everyone else) my reactions were, just that I couldn't control them. That was my part of it. At the same time, what they did was, frankly, a lot like tripping someone with crutches. And that doesn't even BEGIN to touch onto what was happening at home.

Lots of people who have BPD dedicate their life to helping others--Marsha Linehan and Tami Green (whose materials I'd HIGHLY suggest you look at), for instance--but also countless teachers, nurses, scholars, etc. Speaking of dedicating lives to helping others: anyone suffering from mental illness who has seen multiple therapists and psychiatrists can tell you that, by and large, the most helpful mental health professionals are those who have previously suffered from mental illnesses, or currently suffer from personality disorders, themselves. I largely suspect that the reason DBT is so successful and has helped so many is because Linehan developed it knowing exactly what BPD individuals needed and weren't getting, because of her own experiences.

Understand that in terms of treating this disorder, no matter what amygdala-altering therapy you seem to be working on (obviously I'm not questioning the significance of amygdala size and activity in this disorder), your work will always be inferior to that of mental health professionals like these because you will never truly understand the disorder you aim to treat. The statement is even more true if you refuse to let go of your notion that everyone with BPD is somehow inferior. It's like when rich white girls with superiority complexes go on "voluntourism" trips in Nicaragua and don't speak spanish--those communities need people who speak their language and are willing to understand their experience and, while helping them in their current situation, do not see the Nicaraguans as "less than" themselves. BPD individuals need much the same thing--someone who speaks their language and does not see them as inferior, or "bad" people. We just need to feel like we deserve to live.

I'd love to see what Linehan would have to say regarding your previous articles. I don't imagine she'd be very impressed.

Hurt begets hurt. No matter how much pain someone is in from living with a borderline individual, it is nothing compared to the pain felt by the borderline individual themselves. This is because the non-borderline individual can easily find support and sympathy for their pain, while, conversely, the borderline individual is always "the bad one who needs to go away" and continuously shamed for their pain.

Anyway, that's my two cents. I have to finish writing my dissertation on watershed assessment in urban communities, if I can manage to not ruin any more lives along the way.

HO is "right" and most PT articles and comments pejorative to BPD

I used to suffer from BPD and am now pronounced "cured". H.O> is describing an accurate portrait of BPD and how we are treated by psychology today articles and especially the comments.
It is extremely painful!!

Quite frankly I have shook my head in disbelief in many of your other articles that present BPD in a preparative way. (even calling them Bad seeds and evil others try to portray them as psychopaths and serial killers on PT it is a distorted view of BPD) The commentaries write volumes about how awful it is to be forced to live with a BPD but no one seems to show compassion for the sufferers of BPD and no one acknowledges how incredibly painful it is to suffer from the disorder.

Thank you for reaching out to address this and for helping to show this hyper-reactive emotional system disorder clearer for what it is bot by blaming the victim of the disorder. and if you suffer from BPD you are clearly a victim of the disorder because it is a very painful disorder.
"
I wish there could be more articles like this so that the families and supposed "normal" people could develop a greater understanding and compassion for what it is like to suffer from the disorder.

Forward ho...

Yes, I am hoping that my own forward movement in understanding, thanks to H.O., the ravages of bpd for the sufferer will parallel similar movement in the therapy world toward more understanding, and ultimately to a cure. I am optimistic.... Stay tuned for the rest of the articles in this series!

There is already a cure for BPD

If fact there are several! Many people have now fully recovered from the condition. Why are you still looking for a treatment when there are plenty out there? Train to deliver Schema Focussed Therapy and you can cure people with BPD. We want the treatment despite what people say about us, the problem is in finding therapists who are willing to train.

Plenty of treatments already!

H.O. says that most of the treatments out there now help people with bpd to cope more effectively with their hyper-responsive amygdala. We are looking to calm the amygdala so it functions more normally.

I'm usually highly skeptical

I'm usually highly skeptical of apologies that are framed "I apologize if..." and "not my intent." You can't apologize for things you didn't do or for someone's perception of your actions. You can apologize THAT you did something, regardless of intent, that caused offense. I find the "I'm sorry if" phrasing is passive-agressive and very common among therapists as away to try to seem apologetic but limit liability and take little ownership. I do however appreciate your willingness to learn and change in regards to your email exchange.

If versus that

I like your idea that "I'm sorry that..." is more potent in apologies than "I'm sorry if..." I'm not sure if you are right, but I think so.

For me the main thing I listen for in an apology is whether it is going to lead to learning and change. I very much appreciate your having noted that aspect of my response to the initial critical email. Thanks for commenting on that!

Here's hoping for more effective treatment for bpd

I truly hope that you and your colleagues can develop more effective therapies for treating borderline pd, as an adjunct to dialectical behavioral therapy which currently seems to have the best track record with improved outcome for bpd patients. A lot of the research papers I've been finding seem to agree that multiple areas of the brain are not functioning properly in those with bpd, particularly the amygdala area and the executive function area of the brain, so a multi-disciplinary approach to treatment of a disorder which is at least partly organic and genetic in nature would seem to be the logical course of action.

And I'm glad that H.O. wrote what it feels like to have bpd, and that you shared your correspondence with us here. The emotional pain she has experienced is all too heartbreakingly real and severe and seems to be all too freqent in those with borderline pd, although from what I've read, there also seems to be a spectrum of severity of the disorder.

I have to say that H.O.'s description of what it feels like to have bpd corroborates my experiences RE having been raised by a mother with borderline pd. I frequently witnessed my mother's emotional pain and experienced the dysfunctional ways she dealt with it.

If a person is feeling frequent and intense mood swings causing severe levels of emotional pain; if a person is engaging in self-harming or suicidal behaviors often, or is often engaging in blaming, or is helplessly triggered into raging behaviors as the result of or in an attempt to cope with the emotional pain, then clearly that individual is not healthy enough to be raising children alone and/or unsupervised.

A child is highly vulnerable to being traumatized by such behaviors coming from their mother or father, and highly vulnerable to having their own normal emotional development derailed by an emotionally dysregulated, unstable, highly impulsive, erratic, unpredictable primary caregiver.

No child is able to cope in a healthy way with a mother who may act loving towards her child one moment, then become hysterical or enraged at the child the next moment, may perhaps leave her small child alone for half a day to impulsively go to an entertainment event with friends, or perhaps drive erratically (rage driving) with her child in the car, or may begin cutting herself in front of her child, or threaten to shoot herself, or other impulsive, self-destructive or other-destructive behaviors in the presence of her terrified, bewildered child.

This is my main point:

Yes, those with borderline pd need help, and empathy and support, and intensive therapy, but their children also need help, empathy and support to the same degree of urgency, if not moreso.

Empathy is, or should be, a two-way street.

My best wishes to you and everyone who is determined to develop more effective treatments for bpd; here's hoping you succeed sooner rather than later.

-Annie

As always when you post, you crystallized something for me...

@Annie, your comment crystallized for me that treatment for bpd needs to combine therapies that that eliminate the biological dysfunctions and that build the skills for healthy day-to-functioning. As you wrote, bpd needs "a multi-disciplinary approach to treatment of a disorder which is at least partly organic and genetic in nature."

I am delighted to report that we (Dale Petterson, the energy therapist in my office) and I seem to be closing in on a multi-disciplinary cure.

Biologically, we repair the amygdala so it reacts like a normal amygdala to end the emotional hyper-reactivity and raging. We rearrange energy distribution in the two pre-frontal lobes so that the distribution is characteristic of folks who are happy and not of people who are depressed. Believe it or not, these treatments together take less than an hour and require no medication or invasive procedures.

We clean out negative energies from prior hurtful experiences via a speeded-up version of psychodynamic work called Emotion Code (created by Bradley Nelson).

Third, we expand practical living skills with dbf-type skills for individual functioning and with teaching collaborative dialogue and win-win-conflict resolution skills so both intra-psychic and interpersonal interactions both flow more smoothly.

And then, voila, bpd essentially disappears. No more raging, no more depression, normal functioning, relaxed loving relationships.

Sound unbelievable? We are working now on video-taping what we do. Our research team, which also includes H.O. who is a physician and another bpd sufferer who is a nurse, is making the videos and preparing them to put up on YouTube over the next few months.

I'm hoping someone with research capacity will then take these methods to the next step which would be large-scale double-blind or equivalently scientific testing.

I share you concerns for the children who suffer from bpd parents. That's part of what gives me a strong sense of urgency to get our new treatment methods consolidated and tested, train professionals who can do them, and get the word out, all asap.

That is such exciting and hopeful news!

If your multidisciplinary theraputic approach to BPD works and demonstrates valid and reliable positive results across multiple clinical trials (and the results hold; you'll need followup studies as well) you will have done a great service for humankind.

My best wishes and emotional support go to you! I look forward to seeing your YouTube documentaries.

-Annie

amygdala repair

I am very interested to hear more about your work repairing the amygdala. I have been studying the way the amygdala handles fear and how this effects attachment disorders. Very interested for any more information you might have on this.

a you-tube video

I have been preparing a youtube video of the work of Dale Petterson, an energy therapist. My plan is to post a PT article with a link to it once it's ready. The goal of the video is to interest researchers in following up.

Are you associated with a lab that can study the amygdala changes that seem to occur with this treatment? That's what I'd love to find.

Another of my associates uses Body Talk, an Australian technique, to quiet the amygdala. She's been getting outstanding results. You can google Body Talk for more information on these techniques.

Thanks Tracy for writing in.

Relationship Help

Thank you for helping people to understand Borderline Personality Disorder.Borderline Personality Disorder requires patience and an educated understanding since it's not a choice that one can make on whether to have it or not. Recovery from Borderline Personality Disorder requires rebuilding trust. Borderline patients must trust the people who are helping them. Their sense of security must return so that they can feel safe and the people who can really help them overcome these outcomes are there family members who love them enough to help them in their healing. The family members should be tolerant of their vulnerabilities. They must have the willingness to take care of them.

So true.

Both the person with bpd and the family have key roles in recovery.

In addition, it takes a very knowledgable and firm therapist to help. Kindness plus clarity about the need for new habits from everyone in the family system.

A video of new energy therapy methods

This video is of energy therapy treatment techniques for depression.

https://www.youtube.com/watch?v=EVN4Lkfhpgo

To adjust the amygdala we use similar techniques, asking first at what level, from 0 to 10, the responsivity of the amygdala is currently set, and then resetting it to a more optimal level. Most borderline folks reset from 8, 9 or 10 to about a 4, which is typical for "normal" people as well.

This reset is temporary. To teach the amygdala to stay at this calmer level, we teach temporal tapping (there's videos of this on youtube). As they tap people say "My amygdala is set at 4." They repeat the tapping 3 to 4 times a day until it seems to stay without the repeated tapping reprograming.

Who is/are the real victims?

I am currently in a relationship with a man with BPD. I am so angered by what I am reading here that the person with the BPD only needs love, love and more love! This personality type is the most unlovable personality I have ever known. My father was a BPD, alcoholic; beat his wife and children and ruined the lives of his children. I will never forgive him. Maybe I need therapy for this, maybe if his family had just given him more "love and understanding.
Give me a fuckin break.

The reason bpd people need love...

The reason that bpd people feel so love-starved is that they act in ways that are incompatible with people loving them. Would you pet a gnarling dog? Hopefully not. And if the dog bites people, you would, hopefully, remove the dog from your life-space.

The point of this article is to understand more compassionately what people with bpd experience. At the same time both H.O. and I would advise that self-protection has to be a first consideration. Compassion from afar is one thing. Staying close to someone who acts in a manner that is emotionally or physically harmful to others is a big mistake.

Also, I/we agree that bpd is not just a matter of a family not having given enough "love and understanding." It results, we think, from a mix of genetic predisposition and childhood trauma, plus insufficient anger management strategies. Toss in additional bad habits such as alcoholism and abusive behavior and you have someone like your father.

Ignorance

Your response is typical of someone who does not at all understand the disorder and shows serious ignorance.

This is a brilliant illustrative example of the stigma people with BPD face--essentially for feeling an amount of pain every minute of every day that feels like cancer. That very notion of being "unlovable" makes the pain ten times worse. Seriously, imagine if you woke up one morning and literally everyone you passed that day punched you in the stomach. Then, right before you went to sleep, someone leaned over your bed and said,"You should probably just die. We'd all appreciate it". That's what BPD feels like. Many people with BPD are NOT abusive. Yet, the actions of a few allow the general public to assume anyone with a substance abuse or anger problem is automatically BPD, which is not only inaccurate but exacerbates the stigma problem.

Was your father/boyfriend ever officially diagnosed? My guess is not. Men who abuse and are alcoholics can have any number of personality disoders besides BPD--depresssion, antisocial PD, bipolar PD, etc. The likelihood of you knowing two different MEN with BPD is extremely unlikely, as 75% of cases are women. Unless you're a psychiatrist, I'm guessing you just sort of decided anyone difficult in your life has the disorder, like so many other ignorant people.

Many of those diagnosed with the disorder have histories of parents abusing or neglecting them as children. Their emotional needs are not met during childhood so they are overly emotional as adults. As a survivor of child abuse, you show a shocking lack of compassion. If your current boyfriend actually does have BPD, you guys should break up. No one deserves to be in a relationship with someone who believes they are "unlovable".

Recovery

Thanks for this article - it's always good to see a therapist gain a more empathic view toward those with early trauma.

As I have noted in other articles on this site, I'm a former borderline who has recovered to live a very functional and good life. After once having all 9 borderline symptoms, I have been free of all of them for the last few years. My account of how I made this progress is on my site at bpdtransformation (dot) wordpress (dot) com .
If you are interested in an unconventional perspective on BPD and how to recover from it, I encourage you to take a look.

Excellent resource

Thank you Edward for recommending your website. I checked it out, and found it to be highly informative. Bravo.

Finally!

I am SHOCKED you'd actually post this. The articles you've written about BPD are misinformed at best. I read one article you wrote and you actually stated you could tell the moment a little girl walked into the room you could tell she had BPD! You have NO business discussing this topic as it is not your specialty and YOU are part of the problem in keeping people in the dark regarding mental health. Your articles regarding BPD aid in securing the "Us vs. Them" attitudes between BP's and non-BP's.

An example of emotional hyper-reactivity

I am on the side of helping people with bpd. This kind of quick-to-make-unfounded-acusations reads like a bpd reaction.

Emotional hyper-reactivity gets people with bpd in trouble because
it typically is based on inaccurate understandings of what has been said and because it antagonizes recipients instead of launching cooperative dialogue.

I noticed something.. here is your example you asked for

You seem to have nothing but empathy for the posters here who leave scathing angry posts about how awful their life is living with a bpd. (and yet you have no real idea if their views are accurate or delusional in any way).

But when a poster here who has BPD tries to tell you you aren't accurately portraying their pathology and they feel misunderstood. You criticize how they tell you their feelings ... example above you accuse the BPD writer of "quick-to-make-unfounded-acusations" i.e. you are passively aggressively putting her down and not validating her. This actually is like rubbing salt on a wound of a BPD.

Yet you didn't feel the need to question the integrity of the person that wrote : "I am so angered by what I am reading here that the person with the BPD only needs love, love and more love! This personality type is the most unlovable personality I have ever known. My father was a BPD, alcoholic; beat his wife and children and ruined the lives of his children. I will never forgive him. "

That writer clearly has some over generalizations and pathological ideas that don't hold true i.e. they have no empathy at all yet you don't feel the need to chastise them like you do the BPD posters.

This is an example that you asked for about why BPDs think you are preparative to them. You are able to have unlimited empathy for the pathos of the angry family member of BPD but not have empathy for the actual BPD sufferer unless they write or word their feelings in a way that doesn't offend you. You don't seem to care that the family member comments are incredibly offensive to BPD Sufferers.

Does this make sense? I am not trying to put you down, I am trying to show you why BPD's don't feel you truly understand BPD.

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Susan Heitler, Ph.D., is the author of many books, including From Conflict to Resolution and The Power of Two. She is a graduate of Harvard University and New York University.

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