Borderline Personality Disorder

by Jill Harmon, LCSW-R, CCTP-II

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Borderline Personality Disorder: Understanding, Supporting and Setting Limits

Borderline Personality Disorder, or BPD, is a mental health condition characterized by intense emotional reactions, unstable interpersonal relationships, and a deep fear of abandonment. For those interacting with adults who have BPD—whether as friends, family members or significant others—the relationship can be emotionally challenging. However, with empathy, healthy boundaries, and clear communication strategies, you can maintain your peace while also fostering a supportive relationship.

Understanding BPD

People with BPD often experience mood swings, emotional intensity, and may have difficulty regulating their emotions. This can lead to impulsive behaviors, rapid shifts in how they perceive others, and feelings of emptiness or insecurity. Recognizing that these behaviors are rooted in the disorder, rather than personal attacks, is crucial for anyone navigating a relationship with someone who has BPD.

1: Maintaining Your Own Peace

• Set and Maintain Boundaries
Establishing clear, consistent boundaries is essential when dealing with someone who has BPD. Individuals with BPD may sometimes push limits in relationships, seeking constant reassurance or reacting strongly to perceived slights. Boundaries ensure that you do not become overwhelmed or overextended in your efforts to help.

• Be Firm but Compassionate:
You can gently but assertively communicate your limits. For example, if the person contacts you constantly during work hours, it’s okay to set a rule that you will respond later when you’re available.

• Follow Through:
Once a boundary is set, stick to it. Consistency is key, as any bending or breaking of boundaries can send mixed signals, causing anger outbursts.

2: Practice Self-Care

Caring for your own emotional and mental health is vital. Relationships with individuals who have BPD can be intense, so it’s important to engage in activities that help you recharge.
• Engage in Relaxation Techniques:
Yoga, meditation, deep breathing exercises, or spending time in nature can help restore your sense of balance and reduce stress.

• Seek Support:
Speaking to a therapist or joining support groups for family members or loved ones of those with BPD can offer a valuable space to process your experiences and gain guidance from others who have been where you are.

3: Be Realistic About Your Role

It’s important to recognize that you cannot “fix” someone with BPD. While you can offer support, their healing and management of symptoms should be led by a professional. Having realistic expectations about what you can contribute to the relationship will prevent burnout and emotional exhaustion.

Effective Communication Strategies

Communicating with someone who has BPD requires patience, clarity, and empathy. Here are some tips for healthy communication:

• Validate Their Feelings
People with BPD often feel misunderstood or invalidated, which can lead to frustration or emotional outbursts. A key to maintaining a peaceful dynamic is showing that you acknowledge their feelings, even if you don’t agree with their behavior.
Example: “I see that you’re really upset right now, and it makes sense that this situation would be frustrating.”
This shows that you recognize their emotions without necessarily condoning any problematic actions that might arise from those feelings.

• Use “I” Statements
When discussing your own feelings or setting boundaries, using “I” statements helps prevent the person from feeling attacked or blamed, which can lead to defensive reactions.
Example: Instead of saying, “You’re being too demanding,” try, “I feel overwhelmed when there are too many requests at once. Can we prioritize what’s most important?”

• Stay Calm and Neutral
Individuals with BPD may be prone to emotional highs and lows, and their mood can sometimes shift quickly. During moments of emotional intensity, try to remain calm and neutral in your tone. Escalating your own emotions can fuel the conflict, whereas staying composed can help de-escalate the situation.

• Don’t Engage in Power Struggles: If the conversation starts to become confrontational, take a step back and suggest a break if necessary. A calm and non-reactive stance helps prevent further emotional escalation.

4: Be Clear and Direct

Ambiguity or indirect communication can be confusing for someone with BPD, who may already be prone to interpreting situations through a lens of fear or rejection. Aim for clarity in your statements, especially when discussing boundaries or expectations.

• Encourage Professional Help
While you can offer support, BPD is a complex mental health condition that often requires therapy, especially Dialectical Behavioral Therapy (DBT), which is effective for managing BPD symptoms. Encourage the person to seek professional help or continue treatment, while expressing that you care about their well-being.
Example: “I really want to support you in feeling better. Have you thought about talking to a therapist who can help you work through some of these emotions?”

Maintaining peace while interacting with someone with BPD is about striking a balance between empathy and self-care. Setting boundaries, practicing patience, and focusing on clear, supportive communication are key. Remember, their emotional ups and downs are not your responsibility to fix, but your understanding and consistency can make a positive difference in the relationship.

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