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Author Topic: How to approach someone with BPD about getting help  (Read 1201 times)
1234friend
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« on: December 26, 2012, 06:38:10 PM »

I suspect my SIL (who is also my very close friend) has BPD, when I read the signs of it she has nearly all of them. My question is how do I approach her to suggest that she has BPD and could benefit from therapy and getting help? (She has been married for 2 years and has a 7 month old darling little boy, both of whom are suffering from her constant mood swings and intense bursts of anger) I understand that those with BPD are very sensitive and that approaching her has to be done very delicately. I would love suggestions on how to do so and what has worked for others. I ask out of concern and love for my SIL, knowing that the ugly side of her is not who she really is and that she deserves just as much as anyone to be happy! Thanks in advance!
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Rose Tiger
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« Reply #1 on: December 26, 2012, 07:56:40 PM »

Hi 1234friend,

Welcome

It's a bit of a contraversial subject, whether to tell someone what you suspect or not.  Unfortunately due to the very nature of the disorder, it can boomarang back onto the person trying to help.  People with BPD are very resistant to change.  It takes a lot of commitment to recovery and many just can't hack it.

Here is a discussion about telling a person that they might have a disorder... .

PERSPECTIVES: Telling someone that you think they have BPD

I can understand your desire to help your SIL and to help the family.  Has your brother spoken with you about the difficulties at home?  How is he coping?

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justnothing
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« Reply #2 on: December 28, 2012, 09:50:13 PM »

How about just suggesting therapy without mentioning that you suspect she might have BPD?

Does she ever complain to you about her life? (Obviously not about how she herself is abusive towards her husband or child but I mean about the things that bother her?) If she does, that could be like an opening to gently suggest that maybe – for her own sake and to ease her own pain – she should try seeking therapy… If it works and she does seek therapy then the rest is up to the therapist (i.e. broaching the subject of the BPD and how it affects her relationship with her husband and child).

If, however, after she's been in therapy for a while, you still want to play therapist, then the time to talk to her about her potentially having BPD or about her relationship with her husband and child (and I think it should be either-or – you can't expect her to deal with two massive blows in one go) that would have to come a long, long time after she's been in therapy and after she's spoken to you at length about it. Although, if she were in therapy at that point I don't think anything other than gentle nudges would be advisable, for a whole number of reasons.

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1234friend
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« Reply #3 on: January 02, 2013, 03:15:19 PM »

Thank you so much for your replies!

Rose Tiger: That article and the comment were so helpful! That was my feeling that telling her wouldn't really help because she is constantly saying how her life and her anxiety and all her problems are so bad because of her husband because he is not perfect. So her thinking is that everyone else is the problem and not her.

justnothing: I did not think to have the therapist tell her though and I think that is the best option. The problem is getting her to see one.

To explain a little more: from the time she and my BIL started dating, they were constantly together after the first date. Rarely did they spend time around us or the rest of the family but when they did she was very clingy and overly affectionate to the point that it made us all uncomfortable. She was always kind and very sweet to us but would not leave his side. Once they got married, she refused to come over to my inlaws or any family function for several months. Since then it has got a little better only in that my BIL put his foot down and said they will come for the first sunday of the month dinner. But unless there is another family function they don't come over. She will not let my BIL text or call his family once he is home from work, he is not allowed to go do anything with the guys (his brothers), or his family except for the first sunday dinner or family things planned in advance. My BIL grew up hunting and every fall his brothers and dad go hunting, she refused to let him go the first year, the second year she was pregnant but let him go and then told me that she had to keep texting and calling him to "make him feel guilty for leaving me". This past fall she let him go but her mom stayed with her because she is terrified to be alone. After about a year we learned she has a severe fear of germs so if anyone has a cough, sniffle, runny nose, or upset stomach, she refuses to come around (that was okay, we understood that).

She has always idolized my BIL, always saying how good and perfect he was (not a bad thing by anymeans  Smiling (click to insert in post)) but recently in talking to her she told me about some major marital problems they are having. To help explain, we are LDS and have specific views about pornography and avoid viewing it. After she had the baby she has been more anxious and for the first few weeks had severe post partum but then just snapped out of it (that's according to her; I think she still has something lingering, having suffered with PP, depression, anxiety myself for years). During that time she refused to let anyone come over and if someone did she refused to come out of her room and see them. Now she is the classical overbearing mom (that too though is not the worst thing in my opinion, how many first time parents don't hover?). So I guess I'm trying to say that in the time since she had the baby their marriage has been more difficult and there had been more fights. She admits to having a bad temper but has said she thinks huge fights in a marriage are completely normal and your marriage is not normal if you don't have huge fights with yelling, screaming, threatening, name calling. The problem is that she gets over it fast but it has left lasting scars and hurts for my BIL.

About 5 months ago she caught my BIL viewing pornography and lost it, she smashed the lap top, trashed their house, sold nearly all their furniture, including the table set my inlaws bought them as a wedding gift. When she was talking to me all she could say was how awful of a person he was, how he was so terrible to her, did it to hurt her, that she wished he was an alcoholic, that she wished he had had an affair instead, that he never puts her first (which is not true, in my opinion he is the most attentive, selfless husband i've ever seen. Once he is home he takes complete care of the baby, gets up with the baby EVERY night and morning, has nearly cut off all contact with his family for her,etc.). Of course I understand that there is going to be hurt and anger from her discovery but she seems to have taken it very hard. To make a long story short, she constantly threatens to leave then the next minute is saying how much she loves him and being very intimate and affectionate in front of us. She bounces back and forth so fast. My brother in law has since said he feels he has no freedom and has no self worth left. She treats him like a child, not letting him watch any tv or use a computer, he can't go anywhere with out her or be left alone. She also has some very major insecurity and self esteem issues and I think they have gotten worse since the baby. In my opinion I believe that to her, finding out he was viewing pornography was a personal blow to her, saying she was not pretty enough, did not have a good enough body, that he has always hated her and wanted to hurt her, that he has always lied to her. I think that it just validated all her fears and insecurities (in her mind) and she can't get past that. Since that time she has blown up in front of my inlaws, accusing them of making my BIL so awful, telling them to get rid of their tvs, computers, etc. That they are awful people. Then she apologizes and acts fine. I really believe that she does get over it and really does feel bad but doesn't realize that treating people like that hurts and they don't get over it as fast.

My brother in law is at the end of his rope, nothing he does is ever good enough for her yet they have really good times. And then they have ugly times that he doesn't even understand. Like they will be fine and happy and just talking and driving around and pass a tattoo parlor or bar and she will suddenly get very angry with him and accuse him of all sorts of wild and irrational untrue things. I hurt for him because he loves her and wants to make the marriage work but it is also tearing him apart. He has lost nearly 20 pounds because of the stress. I want to share the info on BPD with him but she gets jealous if anyone else talks to him and I don't want to ruin my friendship with her. I love her and I truly believe that she is a beautiful, sweet, and kind person that is struggling with something very difficult but either doesn't realize it or doesn't want to believe it or both. I know she loves my BIL and wants the marriage to work and I know she would be devastated if my BIL left but at the same time I don't think he should have to live like that if things aren't going to change because it hurts him. I think him knowing about BPD might help him understand her actions though and understand her and that she really does love him and really doesn't mean to hurt him.

While they were working through the porn deal, she saw several counselors, therapist, and support groups but she has said they know nothing and do not realize that she is the victim and he is the cause. So, I have my doubts that she would even go see a therapist. She has opened up to me about her fears and anxiety and possible depression and I have suggested all the things that have helped me but she always comes back saying that no, she doesn't have a problem. My BIL is the problem, drs don't know anything, and taking pills is bad. The only thing I know what to do at this point is to be her friend and just listen and hope that helps. But I don't think it will save her marriage and I hurt seeing her and my BIL and nephew hurting when I think they could find help. Thanks for your responses and I appreciate and would love any more advice or guidance. Thanks!
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Rose Tiger
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« Reply #4 on: January 03, 2013, 01:58:21 AM »

Excerpt
About 5 months ago she caught my BIL viewing pornography and lost it, she smashed the lap top, trashed their house, sold nearly all their furniture, including the table set my inlaws bought them as a wedding gift.

Wow!   

I see your thread has moved to the Family board, this is a good spot for you and your situation.  Over to the right, you'll see a section labelled "Lessons".  Check out the Understanding BPD Behaviors and Managing Your Relationships.  Doing the right thing (click to insert in post) 

This link is helpful too, it links to the top questions about BPD:

https://bpdfamily.com/message_board/index.php?board=45.0;sort=views;desc

If there is someway your BIL could join the forum, lots of partners post here to work on improving the relationship.  Could he possibly log in at work?  I suppose after the porn incident, his home computing is probably scrutinized.

The situation reminds me of my Ex's brother and his wife.  She does not allow him to do much of anything.  He told my Ex that he is hanging in there for the kids.  I didn't have insight into their details other than he isn't allowed to speak to his parents or visit them. 

There are some great books if you are interested.  I found the book Get Me Out of Here really insightful for how it feels to be borderline.  The Walking on Eggshells is a good resource, too.
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BiancaRose

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« Reply #5 on: January 05, 2013, 02:10:17 PM »

How much support do you have from other people in your/her family for your suspicions? Do they agree with you? Are they willing to back you up if you try to intervene?

There was a time when I wanted to try to get my mother into therapy by introducing my family to the idea that she might be mentally ill, but I found that they were highly resistant to accepting the notion and wanted to protect her from having to face up to the effects of her actions. I knew I couldn't do it alone and would earn me an avalanche of rage from all my family members, so I decided to give up on the idea of her getting help. I don't know, though - I might have persisted more if it was somebody else who I knew would be bringing up a child, because of my background having my own personal borderline abusing me. I would be frightened to take the chance that the child would grow up in an abusive environment.

However, if your family members aren't going to support you and you don't think you'll be able to convince her on your own, it might be a more prudent alternative to throw your effort into being a present and loving aunt for the child, so if things do get hairy for him later in life, he knows he's got somebody looking out for him.
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