How to Care For Your Loved Ones with BPD (2024)

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How to Look After Your Borderline Loved One

First of all, what the heck is Borderline Personality Disorder? People with BPD experience such violent and frightening mood swings that they often fear for their sanity. They can be euphoric one moment and depressed the next. While the disorder affects nearly 20 million people in the US alone, each borderline patient displays different symptoms. Borderline is not to be confused withBipolar Disorder,which is an affective disorder rather than a personality disorder. While the symptoms for BPD are being updated this year, a brief overview of the common symptoms are:

  • Shaky sense of identity
  • Sudden outbursts of anger
  • Oversensitivity to real or imagined rejection
  • Unstable relationships (romantically and otherwise)
  • Intense feelings of emptiness
  • Eating disorders, drug abuse, and other self-destructive tendencies
  • An irrational fear of abandonment and inability to be alone

What should you expect from your loved one with borderline? Well, honestly, I could make a list. Expect outbursts, some of which may not even make any sense to you. Expect anger. A lot of it. Expect their shaken sense of identity to get the better of them some days. They may even need you to remind them of the person they are because they truly have no idea. Expect them to react aggressively to you sometimes, almost as if they are pushing you away; and then expect them to come crawling back to you less than an hour later. Expect accusations. Expect suicide threats (and attempts). Expect skipped meals and sleepless nights and empty promises. Sounds tough, doesn’t it? Try being on the other end of the chaos.

And that’s exactly what it is: chaos. Living with BPD is like constantly seeing a kaleidoscope and that’s your life and your feelings and your identity and everyone around you. Nothing makes sense, everything’s changing, and you don’t know what’s going to come next. What may seem like a good day for your borderline loved one is likely to go south in a matter of seconds, so you should always be prepared for the worst.

  • Respect their need for space.You will reach a point where your loved one seems to be pushing you away. Don’t walk away and leave them, but do respect their need for space. And let them know that. “I understand you need your space right now, but I’ll be over here if you need me.” Don’t leave the room. Just walk to the other side of the room and be there while also giving them their space. This way, they get what they want by pushing you away, but they also aren’t being abandoned.
  • Once they have calmed down a little, they WILL feel like sh*t for being a dick to you. Even if they don’t tell you they don’t feel like they deserve you, I can assure you they’re probably thinking it. Take this time to remind them why they are a good person. “Do you remember that time I was sick at work and you brought me soup during my lunch break? That was so awesome.” Remind them of their talents, their intelligence. Use examples, because they will probably accuse you of just coming up with flattering words to make them feel better, so make sure you can back up your claims. “You’re so smart. Remember when you outwitted your professor?” “You’re such a great writer. Remember when you got published in that magazine?”
  • Don’t tell them they’re over-reacting.
  • Don’t tell them they’re over-reacting.
  • DON’T TELL THEM THEY’RE OVER-REACTING.
  • If your borderline loved one if thinking about self-harm (and I will include eating disorders and drug abuse in this), DO NOT TELL THEM IT’S STUPID. Don’t blatantly tell them not to do it either. Simply ask them questions. “Why do you want to hurt yourself?” “Do you think it will help?” “How will it help?” And don’t act like a little sh*t when you ask either. Genuinely ask them. Find out what’s going through their head. The solution to keeping them from self-harming will come naturally, because you’ll find the root of the problem and probably think of some way of convincing them they’re not complete sh*t.
  • LISTEN. OH MY GOD JUST f*ckING LISTEN.
  • L I S T E N
  • Even if they’re being melodramatic, seriously. Just f*cking hear them out.
  • Don’t make it about you.
  • Pick up a book. Learn something. Whatever you think you already know about the disorder, you’re probably wrong.

Honestly, one of the most important things about dealing with this disorder, I’ve found, is communication. People suffering with borderline constantly feel alone, and communication in any form is good for them, but they are likely not to talk about their problems with you unless they are asked because they have likely convinced themselves you don’t actually care, because that is the mind of a borderline. So ask them questions. Talk about the disorder. Talk about treatment and therapy. ENCOURAGE. Don’t let their disorder be an excuse to misbehave, but don’t let them think it keeps them from being good people either. Just talk about it. And listen. Always listen, even if what you’re hearing doesn’t always make sense. And remember that it is a severe personality disorder, and something is, you know, physically wrong with their brain.

How to Care For Your Loved Ones with BPD (2024)

FAQs

How do people with BPD treat their partners? ›

Their wild mood swings, angry outbursts, chronic abandonment fears, and impulsive and irrational behaviors can leave loved ones feeling helpless, abused, and off balance. Partners and family members of people with BPD often describe the relationship as an emotional roller coaster with no end in sight.

Can someone with BPD have a healthy relationship? ›

Despite its many challenges, the prognosis for BPD is good. This means that while most people with BPD do experience residual symptoms even after time and treatment, in the long term, recovery and healthy relationships are possible.

Why do borderlines hurt the ones they love? ›

Often, the borderline person is unaware of how they feel when their feelings surface, so they displace their feelings onto others as causing them. They may not realise that their feelings belong within them, so they think that their partner is responsible for hurting them and causing them to feel this way.

How long do relationships with borderlines last? ›

Results found in a 2014 study found the average length of a BPD relationship between those who either married or living together as partners was 7.3 years. However, there are cases where couples can stay together for 20+ years.

Who are people with BPD attracted to? ›

Those who have BPD tend to be very intense, dramatic, and exciting. This means they tend to attract others who are depressed and/or suffering low self-esteem. People who take their power from being a victim, or seek excitement in others because their own life is not where they want it to be.

What someone with BPD needs in a relationship? ›

Offer emotional support.

Someone with BPD may feel very isolated because of their past. Offer your partner understanding and patience. It is possible for them to learn and have better behaviors.

Are people with BPD loyal? ›

Passionate and emotional – When a person with BPD loves, the love is deep, highly committed and loyal to the relationship. Even though there may be struggles with attachment and fears of abandonment, these are ultimately manifestations of love.

How do I stop my BPD partner from splitting? ›

Knowing your loved one's triggers, alerting them, and helping them avoid or cope with those triggers may prevent a splitting cycle. Understand your own limits. If you feel unequipped to help your loved one cope with their BPD splitting episodes, be honest. Tell them when they should seek professional help.

Do borderlines ever forgive? ›

These results suggest that patients with BPD report becoming more accepting and forgiving over time. Additionally, recovery status is significantly associated with increasing time in these states.

How do you tell if a borderline loves you? ›

If you suspect you're someone with BPD's favorite person, they may exhibit the following signs toward you:
  • Consistent need for reassurance.
  • Intense declarations of their love or appreciation for you.
  • Reaching out more frequently when you don't respond.
  • Fear that you will leave them or no longer love them.

Is relationship with BPD toxic? ›

Codependency in a relationship usually occurs when one of the partners has a Borderline Personality Disorder (BPD) or Narcissistic Personality Disorder (NPD). If your partner has either one of these personality disorders, you might find yourself stuck in a toxic codependent relationship.

Are BPD relationships always toxic? ›

You and your partner seeking guidance from a mental health professional can help support the possibility of positive change in your relationship. BPD isn't a determinant for lack of love or toxic relationships. It just may offer challenges to some people.

Why is it hard to maintain relationships with BPD? ›

People with borderline personality disorder usually have a hypersensitive reaction to rejection. This means that they may not react to rejection as well as someone who does not have this condition. This can lead to unstable relationships, self-image, and behaviors.

Should you give up on someone with BPD? ›

If you are friend or a loved one with a mental health condition reading this now, please do not give up on them. People who have a condition such as Borderline Personality Disorder (BPD) will most certainly have issues maintaining relationships which can make it hard to stay with them at times.

Do borderlines feel remorse? ›

Only remorse leads to a real apology and change. One of the hallmarks of people with Borderline Personality Disorder or Narcissistic Personality Disorder (BP/NP) is that they often do not feel truly sorry. Even though a BP/NP may say he or she is sorry, there is often something lacking.

Do borderlines choose their favorite person? ›

MD. People with borderline personality disorder (BPD) often rotate between idolizing and devaluing others. In the case of the “favorite person,” the individual with BPD prefers one person and wants to spend all their time with them.

Do borderlines get worse with age? ›

Borderline personality disorder usually begins by early adulthood. The condition seems to be worse in young adulthood and may gradually get better with age. If you have borderline personality disorder, don't get discouraged.

Can a borderline be loved? ›

Borderline personality disorder (BPD) isn't a personal choice. It's a mental health condition, and it can be managed. Can a person with borderline personality disorder feel love? Absolutely!

Why do borderlines attract narcissists? ›

The Attraction

They're amazed by their confidence, as they recognise its absence in their own life. They find being involved with them validates their character, boosting their self-esteem. It provides a sense of completeness they have never experienced before in the initial stages of the relationship.

Is it hard to date someone with BPD? ›

Dating someone with borderline personality disorder can be challenging. Your partner may have major difficulties with strong emotions, drastic mood swings, chronic fear of abandonment, and impulsive behaviors that can strain your relationship with chaos and instability.

What is BPD mirroring? ›

“One of the biggest and most challenging aspects of Borderline Personality Disorder (BPD) is often 'The Chameleon Effect' – or 'mirroring'. This is the constant, unconscious change in the person's 'self', as they struggle to fit in with their environment, or the people around them.

Can borderline be manipulative? ›

One of the most common ways of characterizing patients diagnosed with borderline personality disorder is that they are manipulative. Clinical usage of the term varies widely but clearly carries a pejorative meaning.

Do borderline personality have empathy? ›

People with BPD score low on cognitive empathy but high on emotional empathy. This suggests that they do not easily understand other peoples' perspectives, but their own emotions are very sensitive. This is important because it could align BPD with other neurodiverse conditions.

Do borderlines get jealous? ›

These individuals often report feeling that emotions control their lives or even that they feel things more intensely than other people. In close relationships, a person with BPD may appear jealous, possessive, or hyper-reactive. These individuals often fear being left alone and have deep feelings of worthlessness.

What triggers BPD episodes? ›

Separations, disagreements, and rejections—real or perceived—are the most common triggers for symptoms. A person with BPD is highly sensitive to abandonment and being alone, which brings about intense feelings of anger, fear, suicidal thoughts and self-harm, and very impulsive decisions.

How long does a BPD split last? ›

Sometimes it only lasts a couple hours, but one time it lasted two months.” — Raylene C. If you “split” because of your BPD, or even your childhood trauma, know that you're not alone and your thoughts do not define you. Splitting is a very real and common part of living with BPD for many people.

What do BPD episodes look like? ›

Impulsive and often dangerous behaviors, such as spending sprees, unsafe sex, substance abuse, reckless driving and binge eating. Recurring suicidal behaviors or threats or self-harming behavior, such as cutting. Intense and highly changeable moods, with each episode lasting from a few hours to a few days.

Do borderlines sabotage? ›

Borderline personality disorder causes a broad range of reactions that can be considered self-destructive or self-sabotaging. It influences thoughts, emotions, behavior, and communication, adding a degree of volatility and unpredictability to daily living that can be unsettling for BPD sufferers and their loved ones.

Can borderlines turn off emotions? ›

Many people with borderline personality disorder (BPD) will report that they spend a lot of time and energy suppressing emotions. If you have ever had an intense thought or feeling that you couldn't handle in the moment and tried to push away, you have experienced emotional suppression.

Are borderlines in pain? ›

Background. Individuals with Borderline Personality Disorder (BPD) may experience a qualitatively distinct depression which includes “mental pain.” Mental pain includes chronic, aversive emotions, negative self-concept, and a sense of pervasive helplessness.

At what age does borderline personality show up? ›

According to the DSM-5, BPD can be diagnosed as early as at 12 years old if symptoms persist for at least one year. However, most diagnoses are made during late adolescence or early adulthood.

What is a BPD split? ›

Splitting is a common behavior among people with borderline personality disorder (BPD). It means that a person has difficulty accurately assessing another individual or situation. Instead, they see something as completely good or completely bad, and their assessment may switch back and forth rapidly.

Can people with BPD be abusive? ›

Those diagnosed with Borderline Personality Disorder (BPD) or those with BPD who may not even know they have it, are more likely than the general population to be verbally, emotionally/psychologically, physically abusive.

What is it like to live with someone who has borderline personality disorder? ›

Living with Someone with Borderline Personality: Challenges and Coping. Living with someone with borderline personality may involve being falsely accused, dealing with changes in mood, and facing love and rejection cycles. Understanding these behaviors aren't personal may help.

How do BPD react to rejection? ›

Participants with BPD had more frequent, intense, and sudden experiences of aversive tension than did control participants; moreover, rejection, being alone, and failure were identified as triggering events for nearly 40% of the BPD group's increases in aversive tension.

Are borderlines aware of their behavior? ›

People with borderline personality disorders are aware of their behaviors and the consequences of them and often act in increasingly erratic ways as a self-fulfilling prophecy to their abandonment fears.

Can you live with someone with BPD? ›

Can you have a healthy relationship with someone with BPD? Yes, it is possible. Living with BPD doesn't mean you can't establish stable and healthy relationships. Still, relationships are a significant challenge to most people with BPD.

Can borderlines show empathy? ›

People with BPD score low on cognitive empathy but high on emotional empathy. This suggests that they do not easily understand other peoples' perspectives, but their own emotions are very sensitive. This is important because it could align BPD with other neurodiverse conditions.

What are triggers for BPD? ›

Separations, disagreements, and rejections—real or perceived—are the most common triggers for symptoms. A person with BPD is highly sensitive to abandonment and being alone, which brings about intense feelings of anger, fear, suicidal thoughts and self-harm, and very impulsive decisions.

How hard is life with BPD? ›

Living with borderline personality disorder (BPD) poses some challenges. Intense emotional pain and feelings of emptiness, desperation, anger, hopelessness, and loneliness are common. These symptoms can affect every part of your life.

Should you marry someone with BPD? ›

“Clinicians should know that people with BPD can successfully marry or live with a partner in a stable relationship and become parents.

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