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Please help me understand BPD

8 replies

BPDsSister · 23/11/2013 06:26

My sister has been diagnosed with borderline personality disorder. I have read up a lot about it but what I can't seem to find is advice on how to interact with her, especially when she is being challenging.

She started to go off the rails a couple of years ago when our mother who supported my sister a lot had a series of strokes and had to move into supported housing. My sister has always had issues with alcohol but when mum wasn't there to help she hit the bottle hard, got a series of convictions for drink driving, assaults etc., lost her job and had her children taken away. She also alienated nearly all family and friends with just sheer nasty behaviour - making up stories about people, bombarding people with phone calls and texts attacking them etc. She also took a lot of my mum's money (tens of thousands) which left her with reduced choices about her care. I've been on the receiving end of a lot of this too, but I have always understood that she is unwell and now she has this diagnosis it's like a feeling of relief that finally someone is making sense of why someone who is intelligent, charming and beautiful can be such an utter shit to the people closest to her.

The thing is I don't know how to respond when she starts the attacking behaviour. Most people have just cut her out of their lives and that is tempting, I know DH would prefer if I did. When it comes down to it though she's my little sister, she's unwell and I don't want to walk away. I find it hard to get past three things from the past - taking my mum's money, ruining my wedding my trying to get off with my teenage stepson, and telling various family members that my late miscarriage was caused by DH hitting me. These seem pretty much unforgivable to me, though if she at least acknowledged that she had done wrong that might help. I have tried to be supportive but our most recent interaction was a long text where she accused me of causing her illness by bullying her, and then tried to stop her ex H from letting me see her children (he told her that their relationship with me is separate and she can't use them as weapons, but I really care about them, they have suffered a lot from their mum being ill and a drunk and I am hurt and angry that she won't put their needs first).

Can anyone with experience with personality disorders advise me how to move forward with this? I should explain that she isn't currently drinking as far as I know, she did residential detox and is on a medication for recovering drinkers which makes her sick if she has any drink at all (forgot the name of it) so I'm pretty sure she's staying dry. I just want practical advice if possible on how to manage to have any boundaries in my relationship with my sister and how to support her without having to absorb a lot of crap. Thank you for reading this.

OP posts:
selfdestructivelady · 23/11/2013 15:55

Just to say I have bpd and I've never done aanything like the things you describe so it may not be a bpd symptoms at all. Hopefully others with more experience will be along shortly. Just wanted you to know I read your post and cared.

BPDsSister · 23/11/2013 17:10

Thank you for answering. Maybe it's too easy to blame mental health when she's just done some awful things Sad

OP posts:
KeemaNaanAndCurryOn · 23/11/2013 18:12

She's behaved appallingly. BPD isn't an excuse for such appalling behaviour.

How you can help her is by encouraging her to get some therapy like DBT Mind Info Here that is designed specifically to help people with BPD.

But protect yourself. She sounds pretty vile and she's going to have to want to change to make any progress and you can't guarantee that she'll do it.

BPDsSister · 23/11/2013 22:00

She is having CBT, I don't know if this will change now she has her diagnosis. That link is very useful thank you, I will discuss DBT with her when she seems receptive. She has told me that her therapist agrees that I have caused her illness but she's said that to other people, and tends to say whatever will hurt when she's angry so I don't give it much credence.

It's interesting for me to read about people like selfdestructivelady who have the same diagnosis but different behaviour. I suppose I struggle with what she can't help because of the way her brain works iyswim, and what's just her choosing to be unpleasant to other people. Maybe I want it to be the first, I know she uses it as an excuse.

OP posts:
crimsonwitch · 25/11/2013 08:57

Hi, I have bpd and as an above poster said, I have never behaved this way. However, people with this disorder act out when they feel distressed, usually due to feeling rejected or abandoned in some way (even if that perception is wrong). My psychiatrist explained bpd like this. Imagine your finger has been cut deeply and never quite heals. Every slight touch that other people wouldn't even feel would be agony on the scarred finger. This is like the emotions of someone with bpd, we are hyper sensitive to our feeling and the way other people react to us, and can't regulate our emotions easily. That being said, she is an adult and needs to realise that it is her responsibility to get the right help. Make it clear to her that you live her and will be there for her, but you will not put up with that kind of behaviour any more. You can only help her when she really wants it.

Preciousbane · 25/11/2013 09:09

This reply has been deleted

Message withdrawn at poster's request.

BPDsSister · 25/11/2013 19:59

Thank you for your comments, I appreciate it. crimsonwitch yes that hyper sensitivity is exactly it! and acting out when she feels rejected (when I disagree with her about what she wants to do, however gently). It does help to know that this is something she can't control. Do you think it would help if I was always very clear that I care about you, I just don't agree with what you're doing?

preciousbane yes the alcohol has been so much of the issue it's hard to separate out. I do know I didn't cause her illness and I am really not a bully in any way - she chooses to perceive me disagreeing with her, for example about taking mum's money, as bullying. It's not, but she can't seem to see other people's needs as important like her own. It is hard and I do love her, not sure I like her much right now though. Is there hope that she will get better, maybe with the right therapy?

OP posts:
crimsonwitch · 25/11/2013 22:28

I think your idea of see standing by your opinions while still letting her know you love her is good, but she still may throw it back in your face unfortunately. I suspect she is very symptomatic at the moment and can't see the woods for the trees, so everyone is an enemy. Impulsiveness is a main problem with this condition, which leads to possible alcohol or drug abuse. As a previous poster said DBT would be beneficial and could help her long term. A high percentage of people with bpd no longer meet the criteria for diagnosis after a number of years, so there is hope. You are a good sister and having you will help. I doubt she means to cause hurt to anyone, but sees it (wrongly) as protecting or defending herself. Just make sure you dont lose yourself. While helping her, find a good balance. Thanks

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