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How to deal with people with borderline personality disorder

Dealing with someone suffering from BPD takes good personal boundaries and more patience than you ever thought you had in you. There are days when you feel their need is a bottomless pit. People with Borderline Personality Disorder usually have a very poor sense of who they are and what they're worth, and they look to other people to give them these things.

The first thing to learn is that you cannot give anyone a sense of self-worth. All of us have to find that for ourselves. People with BPD have to learn to know and love themselves through professional therapy and hard work. Your job is to support and encourage their efforts as they go through this process. It may take them a long time to overcome their disorder, and may take a long time even to seek professional help. This is where the patience comes in. Here are a four types of behavior to expect and how to handle them.

Your loved one will probably have sudden and violent mood swings. If she's hurting herself or threatening to hurt herself, call a professional-her therapist or doctor, or even the police if she's in serious danger. If there's no immediate danger it's best to be calm and soothing and let the mood run its course. Remember that it's not about you, and it's not up to you to fix it. It's about all the pain behind her illness.

Your loved one will also probably hate you sometimes. People with BPD are prone to "splitting." They don't think of people as good but imperfect, they think of them as alternately perfect or awful according to what you've done last. Something as simple as being late home from work can seem to them like total abandonment. Your loved one may yell and scream and say you hate him, that you've never loved him, or insult you. Resist the temptation to yell back; it won't help either of you. Be as calm and reassuring as you can manage and remember that it's not really about you. You might try redirecting the conversation and saying something positive. "I'm sorry my meeting ran late but we can still go out to dinner" might appease him, and if it doesn't you may have to let the anger work itself out. Leave the room if you have to, but try not to leave mad.

These next two are where good personal boundaries are especially important. It's hard to find a balance between helping your loved one and enabling unhealthy behavior. You may want to seek advice from a professional or support group as you try to maintain that balance.

Your loved one will probably do things that seem strange, rude


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How to deal with people with borderline personality disorder

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How to deal with people with borderline personality disorder

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