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Things I couldn't have known
Supporting a Child in Therapy for Borderline Personality Disorder
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Emotional Blackmail: Fear, Obligation and Guilt (FOG)
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Author Topic: Looking for Su put on therapies other than DBT  (Read 262 times)
GingerPhD
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What is your sexual orientation: Straight
Who in your life has "personality" issues: Child
Relationship status: Married
Posts: 2


« on: September 03, 2025, 08:50:01 PM »

Hello,

My 20 yo daughter was diagnosed a little over 6 months ago. At first she was relieved to learn that her combination of symptoms have a name & that she is not the only person who struggles with feelings of abandonment, severe emotional dysregulation, etc. She has previous diagnosed of sensory processing disorder (age 3); ADHD (age 7); and anxiety & depression (age 8). She has always been resistant to therapy (other than occupational therapy for her sensory issues)and this summer she inconsistently went to a partial hospitalization program (9:30 am to 2:30 pm daily). She was the one who asked to be enrolled and every day it was a chore to get her to go, she said everything there was “bullPLEASE READ” (combo of CBT, ACT & DBT) and acts out by increased self-harm (cutting) when we held the boundary that she had to go to the program each day. Now she is back at college out-of-state (we did not think she was ready to return) and dragging her feet on setting up a meeting to get the accommodations she is entitled to (for ADHD) and cancelled her appointment with a new therapist today because “she’s not going to tell me anything I don’t already know and nothing works”. She is also followed by a vet good psychiatric nurse practitioner who is treating her depression, anxiety & ADHD. She also started on Abilify as a mood stabilizer a few months ago. I have read so many books and scientific papers, spoken with numerous colleagues, have been learning DBT skills myself, am in therapy myself and I am exhausted. I could really use some advice from other parents who have danced this dance. My daughter is not violent or destructive, doesn’t use drugs, is not a danger to me, her Dad or younger brother, but we all feel like hostages to her BPD. How do you help someone who won’t help themselves? I know self-sabotage is a characteristic of the illness, but it’s so difficult to watch my child struggle.
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Our objective is to better understand the struggles our child faces and to learn the skills to improve our relationship and provide a supportive environment and also improve on our own emotional responses, attitudes and effectiveness as a family leaders
Pook075
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Gender: Male
What is your sexual orientation: Straight
Who in your life has "personality" issues: Ex-romantic partner
Relationship status: Divorced
Posts: 1739


« Reply #1 on: September 04, 2025, 01:26:07 AM »

How do you help someone who won’t help themselves? I know self-sabotage is a characteristic of the illness, but it’s so difficult to watch my child struggle.

Hello and welcome to the family.  I'm so sorry we're meeting under these circumstances and I went through the same ordeal with my 26 year old BPD daughter.  Things were at their worst between 16-20 and it sounds like your kid is right there in that range.

For your direct question- how do we help someone who won't help themselves?  I think you already know the answer since you're asking an illogical question.  It's the same as, "How do I turn iron into gold?" or "How do I convince a ravaging lion to be my friend?"

The answer to all three of those questions is, "You don't."

Your daughter processes thoughts differently from most people and sometimes, her way of thinking can lead her astray.  Something seemingly small can feel like a world-changing event to your child and your actual question is, "How do I stop making her think like that?"  Because that's the whole problem here, the root of everything.  It's disordered thinking.

Only, we can't convince anyone of anything if they're not willing to listen.

In other words, the only person who can help your daughter is your daughter.  You can't save her, and neither can the best physicians and psychiatrists in the world.  If your kid doesn't want the help and isn't willing to actually work through the process of self-discovery, then there isn't a thing in this world (other than God) that can change her thinking.  She has to want it and has to be willing to work for it.

So what do you do?  As a parent, I know this feeling of helplessness all too well.  A fantastic psychiatrist could not save my kid when her entire world was crumbling at 18.  But he also focused on my ex-wife and I to explain how we could make an actual difference in helping my daughter.  And the advice seemed so "out there" we couldn't even hear it at first, but it's ultimately what saved my daughter.  I'll share that with you now.

The doctor simply said that we were trying to work so much harder than our kid to improve her health, and what we were trying to accomplish was impossible.  By trying to do the work ourselves, all we were doing was enabling our kid to blame everything on us, and our efforts were only making things worse.

Then he added that we had one job as parents- to teach right from wrong, and to punish accordingly.  If our kid did something stupid, then punish her.  If she rebelled and made our lives hell (which was a given), then kick her out.  If she was ungrateful and demanding, then stop helping her financially. 

The only trick was, every time we made one of these steps, to let our daughter know that it wasn't our wishes to cut her off....we were respecting her wishes to remain toxic.  If she was kind, we were kind.  If she was mean, we walked away, all in a very predictable pattern.  We made it very well known that each of our decisions was based on her decisions...she was the one choosing everything that happened through her behavior.

Long story short, we kicked our kid out at 19, and she was homeless for almost a year.  She bounced from couch to couch, only to be kicked out for her toxic behavior, until she literally had nowhere left to go.  We invited her home if she chose to be civil...the door was always open...and she refused.  She ended up in a halfway house instead with drug addicts and criminals.

As much as it hurt, we let her choose her own path because she was in control.  She had to see the world through her own eyes to actually appreciate having a family that loved her.

At 22, my kid finally found rock bottom and asked me to take her to a mental health treatment center.  I gladly helped.  She was in-house for a few weeks and then attended daily therapy sessions for around six months.  From there, she worked one on one with a counselor for another year.

Now, this was all the same stuff she rejected from 16 to 22.  It was nothing new and she had most of it memorized already.  But this time around she was actually letting it sink in and applying it to her life.  She finally made the correct choice.

At 26, my kid is far from perfect, but we have a very healthy, normal relationship.  She has bad days at times and every now and then, she has a bad week.  But at the same time, she calls mom or dad to discuss it productively.  There's no more anger or blame coming our way, and she genuinely appreciates all we do for her.

I know that is an impossible lesson to take in because I once sat where you are today.  I thought I was doing the right thing by trying to put in all the work.  But with mental illness, we're only making things worse and fueling the fire, so to speak.  We literally have a better chance of turning iron into gold or calming a raging lion than we do saving someone from mental health.

I hope that helps!
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GingerPhD
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What is your sexual orientation: Straight
Who in your life has "personality" issues: Child
Relationship status: Married
Posts: 2


« Reply #2 on: September 04, 2025, 08:57:50 AM »

Pook075, thank you for your thoughtful response. We (especially me) have been working so hard to help our daughter for the past 2 years. Even before she was diagnosed with BPD she was still dealing with the anxiety, depression, etc. We are still learning how to set limits & boundaries and as you know it is terrifying to watch your child make poor, potentially life-altering choices. I am working with my therapist to change from “rescue” to “support” mode. This situation is further complicated because my daughter is a transgender woman. Needless to say,  her anxiety has gone through the roof since January 2025 for obvious reasons.

I would love to hear from any other parents in a similar situation now, or who have come out “on the other side” with with a child who has made progress toward self-sufficiency and doing the work to live well with BPD. I also welcome information about what didn’t work for you/your child.

Thank you
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Pook075
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Gender: Male
What is your sexual orientation: Straight
Who in your life has "personality" issues: Ex-romantic partner
Relationship status: Divorced
Posts: 1739


« Reply #3 on: September 06, 2025, 01:37:28 AM »

Pook075, thank you for your thoughtful response. We (especially me) have been working so hard to help our daughter for the past 2 years. Even before she was diagnosed with BPD she was still dealing with the anxiety, depression, etc. We are still learning how to set limits & boundaries and as you know it is terrifying to watch your child make poor, potentially life-altering choices. I am working with my therapist to change from “rescue” to “support” mode. This situation is further complicated because my daughter is a transgender woman. Needless to say,  her anxiety has gone through the roof since January 2025 for obvious reasons.

I would love to hear from any other parents in a similar situation now, or who have come out “on the other side” with with a child who has made progress toward self-sufficiency and doing the work to live well with BPD. I also welcome information about what didn’t work for you/your child.

Thank you

My biologically born daughter also identifies as a man, and she lives with her girlfriend and her girlfriend's daughter (who calls my kid "dad").  It does add a layer of complications but at the same time, I love my kid regardless and I go right back to my boundaries.  As a Christian, I don't believe God makes mistakes by making us the wrong sex. 

So I stand firm on that and make it well known, if my kid goes there, I'll share my religious views.  Don't step on my toes unless you want me to step on yours as well.  But it works between us and she's realized that's not a conversation we can have without "my truth" being brought out.

At the same time though, I treat her partner well and I don't judge them.  We have a very good relationship despite them knowing where I stand.  So while it does complicate things at times, it doesn't have to be a long-term problem.  You should simply state what you believe in a loving way and make it known that everyone is entitled to their own opinions.

At first, like any boundary, your child will push back.  That's fine though, let them push while you withdraw.  Just let them know that you love them, you're there for them, but they must respect your beliefs since you're trying to be respectful as well. 

That's sort of a generational thing right now anyway that we can't believe two different things and still get along.  Our generations did it just fine...it doesn't have to be impossible now.
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