I'm wondering if anyone else's loved one with BPD suffers from gender dysphoria. I know a fragile sense of self is one of the BPD symptoms, and for my sibling this seems to manifest itself partially as gender dysphoria. My born-male sibling goes back and forth between presenting as male and as female.
This has been on my mind because I read something online recently that gender affirmation surgery (formerly known as gender reassignment surgery) can cost loads of money, but respecting a person who has not physically transitioned is free. This was a good

reminder for me that I can be respectful of my sibling even when the gender back-and-forth drives me wild. I have done a lot of reading about transgender issues, so it's not really more literature I need - just wondering if anyone else is experiencing something similar.
My sibling is taking female hormones. However, s/he hasn't shaved his/her beard in several weeks. I guess that's the dysphoria... .
I guess the frustrating thing for me is that I feel like I can't say anything, and I WANT TO. Earlier this summer, a month or so into taking female hormones, my sibling was doing yardwork without a shirt on. I said "as an information item, females wear shirts or at least a sportsbra outside while doing yardwork." This was before my mom told me about the BPD as a possible diagnosis. My sibling had asked me 6 months before that to use female pronouns, call her A. (gender neutral name), etc. I had been treating her like I would any other female, and if my mom were outside without a shirt on... .I would say "put on a shirt!" so I treated my sibling the same.
You can probably imagine what happened: sibling completely blew up.
I guess this is linked to some other issues with our situation about abuse of medication, manipulating doctors to get drugs, etc ... .and so I think perhaps my frustration with the whole experience of having a sibling with BPD gets "hit" when I see my sibling walking around with facial hair, yet getting mad at me when I accidentally say "his".
I guess I feel that by just keeping quiet (e.g., not saying anything about the incongruence between facial hair and pronouns) I am contributing to the dysphoria - like lying by omission. Shouldn't part of the goal be to help a BPD sufferer develop a sense of self? Is that possible?
Thanks for letting me vent.