I understand your point about "diagnosis"... what I mean is that in order to undertake the right therapeutic path, it is also important for a therapist to identify the range of dysfunction that a person has. Specifically, my girlfriend has a clear emotional dysregulation, but in a year of individual therapy she has never addressed this problem regardless of what name to give to the "diagnosis". I read with interest the part of the message about "your job as a partner is like being a detective"... this part leaves me a little confused because from what I read on the forum it is very important not to act based on what your partner needs to avoid putting yourself in the role of savior... am I wrong?
I completely understand that a proper diagnosis and the right therapy plan can work wonders...but that's only if your girlfriend actually wants to make changes in her life. If she's not ready, then not even the best psychiatrists and therapists in the world can make a bit of difference. Therapy requires real work over time and actually being open and vulnerable...two things BPDs struggle with a lot.
The only person who can make a difference in your girlfriend's mental health challenges is her. She has to want it and be so tired of her current life that she's willing to do whatever it takes to make real change. I don't want to discourage you here but very few BPDs put in the work, and never until they're personally ready.
For the detective part, I'm not asking you to solve her problems. Because here's the thing- the stuff she complains about is not her actual problems. The real stuff comes from mental illness and it's emotional, so she says and does things to avoid dealing with the destructive thoughts she's having.
For example, if you hit your finger while hammering a nail, there's no telling what you might say in that moment. Are you speaking pure truth right then? Probably not, you're cussing at the hammer or the house, whatever. And that release of energy, as dumb as it is, actually helps you feel a tiny bit better at that instant. This is how BPDs feel when they think about being abandoned, betrayed, lied to, not valued, etc. It's an emotional energy burst that feels good in the moment, yet they might regret it a few seconds later.
The detective part I mentioned wouldn't be catering to her every need, it would be recognizing when her mood suddenly shifts and realizing that a "mental hammer" might have just struck down. So you focus on her feelings, her emotions, and you try to help her level out the disordered thinking. Now, you have no idea what she's thinking or dealing with...but you can recognize things like angry, sad, or depressed. So you soothe those emotions until the moment passes.
Why does this work? She's sad and you help her out of her funk, which validates her feelings and let's her get back to her baseline thinking. When she's stable and balanced, she thinks just like you or me. When she's unstable, emotions take over and it's a rollercoaster of toxic thoughts. Your job is to pay closer attention to the feelings and how your words, body language, and other things effect her in the moment.
This is true whether she goes through the proper therapy or not, she will always have tough moments and she will always be unstable in hard times. For instance, my BPD daughter takes funerals really, really badly and we have to keep a closer eye on her when someone passes or their passing anniversary comes around. My BPD ex wife would start to shut down whenever there was other people arguing...even if it was a couple at a restaurant we didn't even know.
For my kid, you can say, "Okay, I see the problem and understand the touchy subject." But for my ex, it was seemingly out of nowhere and our day would eventually collapse into chaos. We rarely know the "facts" so we pay close attention to the feelings and understand where they can lead unchecked.
Does that make sense?



