Anosagnosia and Abnegation

[Santy]

I am new to this arena having a previously high level functioning adult daughter who under tremendous stress if not real malfeasance, had an intense psychotic break about 6-7 months ago, a 1st ever psychiatric episode at the age of 35 not appreciated by her given prominent anosagnosia and abnegation thinking it was rather some complex plot and hence no need to even consider seeking care as there is no problem despite mounting losses...a threatened relationship, loss of a  job, estrangement of many friends, etc... Some breakthroughs are apparent as now communicating regularly and willingly with family and accepting for her loved ones sake to accept family therapy.  She is also tolerating more open and honest communication recognizing the importance of family and our love for each other. 

I am curious, when a sophisticated highly intellectual person starts to read about anosognosia and abnegation, does this ever trigger some moment of enlightenment, or by gradually expanding the 'island of sanity' as we have, and gradually pointing out some of the prominent incongruities in her beliefs with unusual if not illogical mystical conclusions, can or does someone with this diagnosis ever develop true incite with some 'ah-ha' moment when wanting to seek care to help them again function at a high level which she is already aware of as having vanished? ...or is this just my magical thinking? 

Santy

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

[Swimmy55]

Welcome and very interesting question!
 Here is some suggested reading on the topic from this forum:

https://bpdfamily.com/content/how-to-get-borderline-into-therapy
 Please let us know what you think.

[Naughty Nibbler]

Hi Santy:
Sorry about what you have gone through with your daughter. 

I am new to this arena having a previously high level functioning adult daughter who under tremendous stress if not real malfeasance, had an intense psychotic break about 6-7 months ago, a 1st ever psychiatric episode at the age of 35     

What's the nature of the malfeasance?  An extremely stressful event, or a chain of stressful events commonly proceed BPD behaviors.  Had your daughter exhibited BPD behaviors in the past?

If you check out the link below, how many of the 9 BPD traits has your daughter exhibited to some degree, prior to her psychotic break?
https://bpdfamily.com/content/borderline-personality-disorder

Some breakthroughs are apparent as now communicating regularly and willingly with family and accepting for her loved ones sake to accept family therapy.  She is also tolerating more open and honest communication recognizing the importance of family and our love for each other.      

Sounds encouraging that she is participating in family therapy.  At some point, it would be good for her to have her own solo therapy, but it's of little value unless she can recognize that she has issues to work on.  That can involve a degree of shame.  I don't think there is a way to predict if she will embrace reality.  There is a tendency for them to put the blame on others.