Hi there,
My pwBPD would do the same thing. Typically, she'd not pick up the phone because she didn't want to talk to anyone. In her case, it was because a question as simple as, "How are you?" was triggering, a reminder that she's NOT in a good mood. Her general response to stress is avoidance, so avoiding talking to people, especially family, is a go-to strategy. Frankly it's not a bad strategy in my opinion, better than having a complete telephonic meltdown. In addition, it was as if she was purposely punishing her family with her absence / estrangement. Yes, we were worried, and we had reason to worry, especially when her life was looking dysfunctional (no friends, no activities, messy living quarters, erratic sleep habits, etc.) and she was making suicidal threats and gestures. But in my opinion, calling multiple times seemed like "harassment" to her. Checking in probably felt like surveillance. It's the classic "You don't love me / Leave me alone" routine. A couple of times there were welfare checks, and let me tell you, those did not go well.
I know this is hard, and it's hard not to worry, but I think, if your mom isn't answering the phone, it's because she doesn't want to answer the phone. You respect that choice. Just know that if she has an emergency, she can call you or dial 911. If you are concerned about her physical frailty, you might consider getting her a LifeAlert wearable, just in case. And if she's actively threatening suicide, my advice is to believe her and call for help. You're not equipped to deal with suicidal talk, and if you don't call for help and something were to happen, you'd probably regret it.
By the way, after my dad died, I taught my mom how to call for help using Siri on her phone. Whenever I see her, I say something like, "Mom, let's check that your phone mic is still on; will you ask Siri to call me, to test it?" That's my way of getting her to practice calling for help, just in case she slips or something. She knows she can call 911 too. She worries about phone coverage (which is spotty in her area), but I reassure her that there's a separate satellite system just for emergency calls. I'm just saying, we have this conversation repeatedly, and I make her practice, to keep it fresh in her mind that she can make a voice-activated call for help, as long as she has her phone nearby, which is usually the case. We've even talked about taking the phone into the bathroom when she's bathing, for her own peace of mind (and mine). She's not ready for LifeAlert yet.
Anyway, I think you're right, this is a game. Since you can't win, I'd say, don't play it. You just let her play it and respect her choice. Make sense?


