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CC43
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« Reply #2 on: April 17, 2026, 01:44:50 PM » |
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Hi there,
Only a professional can diagnose BPD, but it's not uncommon here to suspect possible BPD in a loved one. The thing is, with BPD, a typical behavior is to blame other people for causing all sorts of problems. That might hinder some self-reflection and prevent them from seeking therapy; or if they do get therapy, the focus might be on rehashing grievances, not necessarily on learning some better coping mechanisms and moving forward.
You can find the key criteria for a BPD diagnosis on this site. As for your question, is BPD real, the answer is affirmative. The thing is, human behavior and emotions are, after all, human. We all can have strong emotions like anger, distrust, sadness, hopelessness, shame, emptiness, anxiety and love. We all can exhibit behaviors like blaming, avoidance, impulsivity, lashing out, moodiness, infatuation, creating drama and self-sabotage sometimes. I think the key difference is in degrees--the frequency, intensity and duration of negative thinking and behaviors. With BPD, the consensus is that emotions are intense, often disproportionate to the situation. I think that pwBPD feel constantly traumatized by ordinary life. And the corresponding reactional behaviors--e.g. lashing out, impulsivity, blaming, self-harm, running away, attention-seeking or self-sabotage--can lead to dysfunction in many relationships. The dysfunction tends to span across multiple dimensions as well as over time, for example romantic relationships, school, friendships, extended family, the workplace, etc. Signs of dysfunction wouldn't be limited to just one "toxic" relationship, but would exhibit an overall pattern of volatile relationships and dysfunction in my opinion.
The good news is that BPD is treatable, provided that there's a firm commitment to change in the pwBPD. Typically this would happen after the pwBPD "hit bottom" and had no other viable alternative but to get therapy and take it seriously. In practice though, many pwBPD rely on others to take care of their needs, like housing, insurance, transportation, etc., and so though they're not exactly happy, they're content enough with the status quo. It's just easier to blame others for all their problems, because to take responsibility would induce intense shame, which is painful.
The pwBPD in my life was diagnosed a few years ago. Since then she's turned her life around. Though she still has troubling emotions and distorted thinking, I'd say she's got them under better control right now. Though she stumbles sometimes, she's much better at getting back "on track" again. My guess is that she wouldn't strictly qualify for a BPD diagnosis anymore. Maybe now she's someone who exhibits BPD traits from time to time, when she's really stressed.
I guess I'll close with one more idea. There are some excellent tips on this site about how to relate to someone with BPD. I think these skills are really valuable in all sorts of situations, and especially for dealing with high-conflict, "difficult" people and situations. I've learned a lot here.
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