The majority of patients with personality disorders begin therapy with another issue, such as depression, anxiety, substance misuse, job loss, a love break-up, and so on. The problem is to get your buddy "through the door," so to speak, without committing to long-term therapy right away. Borderline personality disorder has been identified in my brother. He has had several jobs over the years but can't keep a job for more than a few months. He has been in several relationships but almost every relationship ends in disaster. What do I tell him?
First, recognize that he needs help. Many friends try to handle problems by themselves or ask others to handle them for them. This does not work well with someone who has a personality disorder. It may feel like you are being responsible and caring by trying to protect him from himself but actually you are just making things worse.
Next, be willing to go with him or her through the process of changing behavior. Some people with personality disorders refuse to change even when it is clear that this will harm them only. They may say they want to change but actually they don't. Help them see how changing will benefit them by explaining what benefits will come from changing.
If he or she agrees to seek help, next decide how to best help him. For example, if your brother is interested in counseling, find out which type of counselor he or she likes and then make sure he or she gets there.
While you cannot compel someone to get therapy, you can enhance communication, establish appropriate boundaries, and stabilize your relationship. People with borderline personality disorder (BPD) frequently struggle in relationships, particularly with those closest to them. However...
People with BPD may not see themselves as having a problem that needs fixing. They may not understand why they need help either. It's important for the person who loves them the most to communicate their fears and concerns about BPD and ask for assistance when needed. This can be done by listening without judgment, offering support in an understanding way, and exercising self-care.
If you are in a relationship with a person with BPD, try not to take it personally if they don't show interest in you. It's normal for people with BPD to have unstable relationships. This is because they are unable to meet the emotional needs of others so they tend to move on quickly if they aren't getting what they need from someone else.
Try not to expect too much from the person with BPD or put yourself in dangerous situations to make them happy. Sometimes people with BPD need time apart to figure out what they want out of life and relationships. Let them come to you instead of trying to push them into a role that isn't right for them.
Here are some general guidelines for speaking with someone who has borderline personality disorder in a healthy and effective manner:
What is one of the difficulties in treating people suffering from personality disorders? To enjoy pleasure or avoid distress A panel of psychiatrists is debating the various medication treatment choices at a meeting on the treatment of borderline personality disorder. These options include medications such as lithium, carbamazepine (Tegretol), and sodium valproate (Depakote). Other treatments include cognitive behavior therapy and electroconvulsive therapy (ECT).
Personality disorders are difficult to treat for several reasons. First, there are a limited number of effective treatments. Second, the symptoms of these disorders can be linked to many other mental health conditions, which make diagnosis challenging. Third, the need for long-term treatment means that multiple visits are required.
How do you treat someone with a personality disorder? First, it's important to accurately diagnose the problem. Only then can appropriate treatment be selected. If possible, try to identify whether the patient has a single disorder or multiple disorders. Also consider cultural factors when selecting treatment. For example, some people with bipolar disorder prefer religious practices or herbs to pharmaceuticals; others may not want anyone else using their medicine or asking them to stop drinking alcohol. Finally, select a treatment plan that fits with the lifestyle of your patient. Some people may benefit from counseling alone while others may require medical intervention.
Borderline personality disorder is distinguished by a chronic pattern of instability in relationships, self-image, emotions, and behavior, as well as hypersensitivity to rejection and abandonment. Borderline personality disorder sufferers are afraid of rejection and abandonment, in part because they do not want to be alone. They may try to avoid situations that could lead to rejection or abandonment by withdrawing from social interactions or changing their habits in an attempt to not upset others.
People with borderline personality disorder often have intense feelings of anger and rage that they fail to control. As a result, those close to them sometimes feel threatened by these people's moods and behaviors. It is common for those with this disorder to experience periods of depression. However, unlike those with normal mood swings, those with borderline personality disorder are less likely to respond to antidepressants.
In addition to being angry and irritable, some people with borderline personality disorder experience changes in their perception of reality that cause them to believe strange things about themselves and others. For example, they may believe that they are responsible for the death of someone they did not kill, such as when a person with this disorder believes that they were responsible for a car accident that killed another driver. These beliefs are called "false beliefs."
People with borderline personality disorder may also have problems controlling their eating habits. They may eat too much or too little to satisfy their emotional needs.