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Hi Resilient Mama,
Your name says a lot. You've been through a lot. And you've come to the right place.
I went through a similar situation, dealing with years of disfunctional behavior, multiple suicide attempts, multiple hospital stays, unstable living situations, varying diagnoses. But finally a reputable psychiatric hospital gave a diagnosis of BPD with avoidant narcissistic traits, plus substance abuse disorder. There were bouts of anxiety and depression, too, which were treated with medications to help stabilize her, but medications didn't "fix" the underlying issue of BPD. Only by working hard at therapy could the pwBPD in my life start to feel better. She's about your daughter's age, and being so young, she really turned things around in a relatively short timeframe, just a couple of years. Though she still struggles and is alienated from her family right now, her life looks a whole lot better than it did just a few short years ago. We keep tabs on her through her therapist.
Pook is another parent on these boards who had to see his dear daughter hit bottom before she decided to take therapy seriously and turn her life around, too. I'm just saying that to underscore that BPD is treatable! Maybe your daughter's emotional sensitivity and proclivity for negative/disordered thinking will always be inside her, but she can learn better coping mechanisms to improve her day-to-day functioning, and hopefully her relationships, too. I really like Pook's realization that he's not responsible for his daughter and he can't fix her, even if he'd like to. Dr. Happy is right, most of the time it feels like we the parents are trying harder than the kids with BPD, and that just doesn't work.
I bet you're feeling overwhelmed and a mix of fear, obligation and guilt--we call that the FOG here. The FOG can prevent you from thinking clearly, and it can predispose you to overreact to your daughter's crisis du jour. That's why you need to focus on your own wellbeing, especially when you are stressed out with worry. Your daughter needs Resilient, Balanced, Healthy Mama, not Distressed, Guilt-ridden, Fearful, Mournful and Exhausted Mama. You can think of it as being a role model for daughter about what a healthy adult's life looks like.
Anyway, I think the worst part of BPD is the victim mindset. A pwBPD blames everyone else for her problems, and in the process she abdicates responsibility for her life. She always seems to give up on herself, way too easily. I think that's why she probably has to hit bottom before she decides to get some professional help. You can't "force" her to get therapy; she has to want to get it. Curiously, the pwBPD in my life actually warmed to the notion of getting professional help, because it validated her view of feeling traumatized by life, and needing extra support to get past it. Plus, professional doctors and therapists don't come with all the emotional baggage that the family carries.
I guess my advice for you would be to not enable the status quo for your daughter. Sure, she might threaten to leave or actually leave the program. But you don't have to make it easy for her to quit by giving her a bed to crash on. I think it's natural for her to want to quit, because quitting is her usual response to distress, and therapy is WORK, which feels distressing to your daughter.
Now I imagine you've come here worried sick and at the brink of despair, even if you are incredibly resilient. But I see some good things here. First, your daughter has a diagnosis--that's something. It probably explains a lot of her difficulties. Second, BPD is treatable. That's the first thing I read when I learned of a diagnosis and Googled BPD, and it gave me some hope. Third, your daughter is still young; she has most of her adult life ahead of her. She can turn things around without having BPD derail her entire life. Fourth, she has YOU, Resilient Mama. I think you're her best ally on the road to recovery, provided that you're in a calm and healthy place. And finally, your daughter is in a program now, after having struggled a long time. She has moments of positivity when she feels she has an opportunity to turn her life around. I'm really hoping this is an inflection point for her, that she realizes that she's worth fighting for, and that she doesn't give up, even when she wants to. It can be done.
When I reached that inflection point with my adult BPD stepdaughter, I said to my dear husband, My darling, your job isn't to fix your daughter, because nothing we've tried so far has seemed to work. Your job right now is to ensure she follows doctors' orders. By that I mean, don't enable her to do other things, such as hide out in her bedroom all day, go on a fun trip, or otherwise revert to the unhealthy status quo. In other words, to continue to enjoy parental support (housing, health insurance, etc.), she has to follow doctor's orders, whatever they are. She absolutely could choose to go her own way, and we'd respect that, but then she wouldn't get any parental financial support. Fortunately, the choice was clear for her.
All my best to you.
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