Stop Walking on Eggshells

When someone in your life has borderline or narcissistic personality disorder.

A Fresh Look at the Many Faces of Borderline Disorder

Psychiatrist John V. Wylie, M.D says, "Psychiatry's struggle to define borderline personality disorder is similar to that of the Supreme Court justice with the definition of pornography: ‘I know it when I see it.'" Today, though, there's a much better way to define this heterogeneous group: the "conventionals," the "invisibles," and those with the characteristics of both. Read More

Seeing It

I would describe Bipolar's as ''enthusiastically Depressed''.

I would also add-'' if even psychotics can smile then smiles should be interpreted''.

Original thoughts by: David Petropoulos

Living in a secret

Growing up i always thought that my mom was this angry and selfish person. Her love for us has always been conditional, only when we met her needs did i feel like she loved us. I always lived trying to meet up to her expectations but they were never attainable. My siblings and have this fake relationship with her because we are always afraid of her angry outbursts. I guess its just easier, but im realizing now that by keeping secrets i am only contributing.I am so glad relieved to find out that my mom has this disorder because it allows me to be more compassionate and patient.

Randi! LOVE the distinctions

Randi!

LOVE the distinctions made in this article. It helps me to make more sense of the BP I have recently ended a relationship with. She was an "invisible" BP. Highly functioning...

Thanks for all you do.

Thank you!

Randi, I want to thank you for your wonderful insights and the distinctions you make between higher functioning and lower functioning people with BPD. As the mother of a high functioning daughter who has BPD, I have been the target of her splitting for 2 years and have questioned my own sanity in all of this. She appears so in control and successful in her life from the outside and yet her difficult relationships and inability to have empathy or reason fractionalize her life on so many levels. So much of what I read seems to describe the lower functioning BP it is refreshing to be able to distinguish between the 2. I feel like I have been screaming underwater for so many years trying to get someone to understand that this is not just a teenager going through a "phase", but a child screaming for help. I believe that the lack of concern by family members and some professionals has much to do with how high functioning and academically successful she is. Thanks again for your wonderful work

Awesome article

I loved the distinctions made in this article too – it's a keeper!

When you have a high functioning adult sibling with this disorder - and relatives claim she's always such a nice person (to them of course)...and if she had a "problem" she wouldn't be able to hold a job... well, I can now give them the link to this article.

For me the article is a sanity saver – thanks for clarifying the range and different expressions of bpd.

Thank You Randi!!

This blog post is wonderful! I have read just about everything out there on BPD and this is the best I have seen yet. Keep up the good work!!

Great info!

As both the daughter of a fairly high functioning BP mother and not so high functioning BP son this information really took my breath away. My siblings and I have known for years the situation with my mother but it has just been more recent that I have made the connection with my 25 y/o son. I had thought for years that he was just depressed, anxious, overly sensitive, impulsive, selfish, histrionic etc... but as a mother it is just so hard to see the whole picture. I had realized about a year ago that my son's behavior makes me feel exactly the way my mother's behavior always has. (trapped, sad, angry, scared, anxious). I now know why. As a teen he was seen by therapists and a psychologist who had differing opinions. Everything makes better sense now. I have been in counseling myself and have learned coping stradegies and boundary setting. The sadness is the hardest part.

I love your categories

In a sense your distinctions suggest that the same disorder can can present rather differently in different socio-economic groups. That's a brilliant idea that helps me a lot as a clinician. I wonder how many other diagnostic types would benefit from understanding how socio-economic or cultural factors impact how the disorder looks? Narcissism especially probably merits a fresh look with this idea.

Thanks Randi for your novel thinking in this article.

The Many Faces of BPD

It's refreshing to finally see a clinician who is able to identify that socio-economic and cultural factors greatly impact how you assess for BPD and other diagnoses. I am a Borderline, middle-aged, minority woman who is quite successful and ((conversely?))not very histrionic or animated. After having seen a clinician, whom I contracted with in the very first visit to support me with my BPD traits and dealing with a BPD partner, I recognized that he consistently evaded the issue/dynamics of BPD altogether in session. After many months and a few attempts to revisit the issue, he acknowledged that he thought BPs were wonderful and better to date than nons where it related to my boyfriend. Huh??? I won't go on, but I will say that I have found zero culturally-competent clinicians who are able to treat this disorder in my state. Unfortunately, I believe my symptoms and trauma were exacerbated by this clinician's lack of candor surrounding his lack of experience with and knowledge of BPD as well as his lack of cultural competence. I feel I was inherently harmed by his methods..

Not a clinician

Randi Kreger is not a clinician. She's a journalist, and one that should frankly stop acting like a clinician. There is no new information here.

The main responsibility of

The main responsibility of journalists is to do research with credible sources and report on what they find in an interesting, clear way while telling both sides of the story fairly. It takes talent and hard work to establish a reputation. I do not mind being called a journalist.

Thank You, Randi

I want to thank you for providing this very useful information. I was in a very dark and painful place when I discovered your books and online resources. Ultimately, your book SWOE was refreshing, very articulate and insightful. As a BPD, it's difficult to accept & internalize the reality, shame and consequences of this disease. I can imagine that it's even more difficult for Nons to truly understand all the dynamics and conflicting features of the illness. Thus the criticism. As someone who has received substandard and very harmful clinical "support" surrounding this, it's my belief that creditials are absolutely irrelevant when isolating and making sense of the complex features of this thing called BPD. I have also dated a BPD and have insight into both aspects of BPD relationships. However, I will say that the shame surrounding internalizing the impact of your own behaviors, while being acutely affected by another BPDs behaviors is overwhelming and requires connecting with a clinical provider or other resource that possesses a distinct sense of observation and the intellect needed to pull it all together. Again, thank you for continuing to provide much-needed support and insight.

So Every Teen Has It?

According to the "symptoms" and behaviors here, this is true. Every teen in modern society has BDP. Or would, if that disorder existed. Which it doesn't.
.
Funny how just a few years ago all of these same behaviors were symptoms either of ADD/ADHD (another make believe, money-making scheme) or bipolar disorder. Seems people have become less accepting of these 'major' disorders and less willing to simply medicate themselves into zombies in order to "treat" a little mood shift or some extra energy.
.
So we go and make up something else. Something a little less dramatic. Something no one has heard of. And we give these people a label and call it a disorder. So now we can medicate this less intensive disorder without the stigma of the others. Still keeps the money pouring in, just without the bias attached to "major" disorders such as ADD.
.
The trouble with these things is highlighted in the second post here. 'Anonymous' speaks of a mother who did not seem to love children, who exploded in angry outbursts. They struggled to deal with this.
.
But now...oh now she has this conveniently discovered disorder and these things are suddenly alright? Now we accept her moody behavior, her instability and her poor relationships with her children? Because she has a label?
.
Wake up America. The modern psychologist does not care about you; they do not care about the genuine roots of your problems, the causes of your issues. They care about the labels they can make you wear and the cost of the corresponding medications associated with eliminating the feelings related to those labels.
.
You are not a patient. You are a disorder. Disorders can be categorized and medicated and can make doctors large sums of money. People cannot do this. People need hours per week of attention, concern, conversation and exploration to fix the root causes of problems.
.
Disorders just need a pill.

Are we the only ones who see this?

Once we admit that every individual is different and unique, then it becomes difficult to say that there is a typical or normal individual. Consequently, every person is, in some sense, a behavioural deviation from every other person, by definition. Thus, if we were to continue the "discovery" trend of many psychologists ad absurdum, we would eventually end up with a "disorder" that described each individual person in the population, because every person is not of exactly the same mental "order" as anyone else.

Where do we draw the line between normal (whatever that means) and disorder? Take one look at the size of the DSM-IV and you will know that we should not be giving any crayons to a large number of psychiatrists and psychologists.

We must keep in mind that academics in any field gain credit and notoriety for inventing or discovering new phenomena. In clinical psychology, these "new" phenomena are often just characterizations of widespread--relatively speaking--behaviours. (And often very loose characterizations at that.)

There is no problem with psychologists inventing all the names they want for different types of behaviours. However, the public perceives these declarations as scientifically valid when they are far from it. Many of these disorders may, unfortunately, only exist in the minds of their creators. Don't believe me? Open the DSM-IV and read through. Please, read through.

You are correct in many of

You are correct in many of your assertions - many people are being misdiagnosed with BPD as was the case with ADHD, ADD and Bipolar disease. Further, it's clear that the medical community has been irresponsible at best in hyper-pharmacology, once again. However, a specific subset of people (including me) are truly suffering with this disease. The dynamics in combination and subsequent pain and contradicting features are unlike any other diagnosis. I don't expect someone who has not truly experienced this disease to be able to fully internalize the features, but please keep an open mind. I believe that Randi is providing a much-needed service. I believe that education and insight from non-clinical supports is far superior to conventional clinical/psychiatric support and psychopharmacological solutions. "Down with meds, up with information and support", is my motto...

You're right in that

You're right in that adolescents have many of these behaviors at this age. That is why until very recently, a PD couldn't be diagnosed to people under age 18. For more information, see B..P..D.. in Adolescents by Blaise Aguirre.

BPD

I was diagnosed with BPD when I was eighteen. I don't feel that I have it anymore or maybe I have just become very good at controlling my emotion's and behaviors.
I went through a really bad stage in my life around that age. I didn't care what other's thought of me or even acknowledged they cared at all. I couldn't "organize" my thought's which is something I still struggle with. I would sometime's feel like everyone hated me or was mad at me, even people I didn't know. Whenever I would get mad I felt as though there was a fuse inside that would just blow and I would have black out's of rage but could still remember most of my tantrum. Also, I would take action's that I knew would have bad consequence's but I just didn't care.
It was extremely difficult for me. I also suffered from extreme anxiety and manic depression, both I still struggle with. I asume anxiety will be a lifelong problem for me, but my depression is not as much of a problem as it used to be.
I feel bad for my parent's the most because they really had to deal with my behavoir on a daily basis. Luckily I have mentally helped myself by analyzing my thought's, behavoir, and consequence's and I feel I have recovered.

I just ended a relationship

I just ended a relationship with a bpd..after readng this article though(along with many others on bpd) i cnt help but feel bad. Like maybe i should help? oris that the bpd charm? I fal under npd and have many similarities with bpd so i can empathize with some of tose emotions and they are extremely painful and i wish someone was there for me as i was growing up. That being said i am concidering reaching out to my ex...not necessarily pursue a sexual relationship but maybe hep in some way? Or sould i just be glad i got away and pursue som healthy rlationships? I guess i am so conflicted w/this decision because like i said i do struggle from npd and i wouldntwant someone to just leave me....... anyone can advise??

Ending a Relationship

Your story is almost identical to the dilemma I am currently facing. I too struggle with BPD and recently ended a relationship with a BPD male. I have consistently struggled with feelings of empathy because I, too, would have wanted someone to be there for me when I was experiencing the ACUTE EMOTIONAL AND PHYSICAL PAIN and other consequences of this disease. When you peruse articles & books such as Randi's, you ultimately begin to feel a lot of empathy and a desire to help. But, when viewing other online sites such as "gettinbetter.com" with Shari Shriebner, you start to believe that BPs are throw-aways and ultimately not worth the effort, almost like lepers who are worthless and somehow will contaminate your emotional space. So, it's very difficult to distinguish how YOU truly feel about them, having been in their shoes, but also having fallen victim to the dynamics of their BPD traits. I truly wish that I could start a support group in my area for people who have experienced this as the effects are so DISTINCTLY DIFFERENT from any other disease - only someone who's dated a BPD and, in my opinion, is a BPD or NPD can truly understand the dynamics, the confusion, the anxiety, abdominal/emotional pain, the shame, embarassment, loss of love & friendships, career disruptions and other consequences of this disease. The only advice or caution I would give you is to try very hard to assess how YOU truly feel - take the helpful information Randi provides and utilize the tools to heal yourself. Conversely, while I don't agree with the material on the "gettinbetter" site, I do believe that Shari is right in cautioning you to protect yourself from the emotional harm you will ultimately experience when dating a BPD person. Right now I'm feeling better and healing, but interestingly enough, the better I feel, the more empathetic I feel toward him and the more I want to share my new-found tools & understanding with him. So far, I've refrained from doing so, but we'll see where it goes from here... Hope that was helpful.

Thanks for the advice. Yes I

Thanks for the advice. Yes I am just now struggling with this. Coincidently, I am now over him(we are a gay couple) and now I want to help him or atleast just be there for him. We have broken up before and it is,now that I am over the crazyness do these articles make me want to reach out. This such a difficult thing for me. Specially since I am npd and in helping him im sure his,dependency me will make me fall for him again. My desire to support him are both selfless and selfish at the same time. Not only do I know the pain of being alone and how,psysicly painful it is but Ive seen him have bpd breakdowns before and theyre soo hard to watch let alone endure...

Good luck

Good luck with your healing process. It's good to see that you are on the right path. I would just caution you to take care of yourself, no matter what you decide as far as continuing or ending your connection with him. Other great resources for support with BPD are Tammi Green, who encourages Mindfulness as a technique for coping, and AJ Mahari, a life coach. Both are on You Tube and have written material on the subject of BPD. However, I think Tami's e-books, which I downloaded, were very helpful. Check them both out when you have time. Hopefully, you'll find them helpful. :-)

Go to BPDCentral.com and join

Go to BPDCentral.com and join WTOTransition. People there can help.

Borderline Personality Disorder

My wife was diagnosed with BPD after carrying around childhood traumas and molestation by her brother, and carrying them around for decades. They always ate away at her somewhere under the surface, and the first time I saw her being wheeled out of our house on a gurney after attempting suicide, my first reaction was akin to "it's about damned time". She was going to have to finally confront her demons.
She was actually diagnosed after several attempts and several hospitalizations. She had been seeing a psychiatrist through Kaiser Permanente who looked no farther than a diagnosis of depression. Her therapist was too inexperienced to see anything other than what the psychiatrist told her to see.
Over the years I have seen significant improvement in her thought patterns, her emotions and her behaviors, but it was only after she was accurately diagnosed.
The "pornography" analogy is perfect. I have heard that the DSM-V is actually going to rename the illness which will lift quite a load from the shoulders of those already carrying the illness. The term "borderline" has too frightening a connotation to it, and I believe it miight scare as many therapists as it does the lay population.
Even while her suffering was peaking, my wife was still an active, compassionate, dedicated teacher who was able to put her children's needs in front of her own, whose classroom was full of love and acceptance and nurturing.
The pain she inflicted was upon herself, ultimately, but I did spend years feeling the backlash and fallout.
Thanks in great part to Randi for helping me understand and fight with my wife instead of against her.

Thanks

Stories like this one are so critical to exposing the many contradictory features of this disease. I, too, was functioning, loving and suffering all at the same time. Your wife is so lucky to have your support & love. I love that you're able to "understand and fight with (your) wife instead of against her". Wish more people could take that approach. You're an awesome support to her.

Some things to remember

I've acknowledged these things about myself and feel it's only fair to be able to apply them to other folks:
1) my diagnosis is Chronic Depression, Anxiety and ADD. These illnesses do not define me, they only help to explain me;
2) hard as it is to even consider, I might be just two or three strands of DNA away from Charlie Manson.
And I'll tell you what: I've spent sixty years getting this batcrap crazy to give it up without a fight. I can't expect someone else to just "get over it".

First steps

I've only just learned of this a week ago and it's already radically changed the way I see my world. My mother is an overwhelming match for almost everything I read on this topic. I'm in the process of gathering info and making sense of what to do next. The relief of giving my torture a name and validating what I always suspected was immeasurable. My thanks to anyone who spreads awareness of this as I think it may be the most valuable knowledge I've ever gained. It took me 30+ years to figure this out, but I now have real hope for the next 30. Thanks.

Re: First Steps

The first step is always the longest, the highest, the hardest. It makes you stronger.
And once you've given a name to your "torture", it can be incredibly liberating to give yourself a name. Even just your first name. A childhood nickname. Maybe the name you always wish you had. "Anonymous" is just another way to say "statistic".
It's not like anyone will be able to pick you out of a line-up or recognize you on the street from the insights you share here, but it is one giant step in telling the world "This is who I am, this is how I am. You got a problem with that?"
There's a lot more of us wingnuts out here than you might think that don't have a problem with it.

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Randi Kreger is the co-author of Stop Walking on Eggshells.

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