Doctor insights on:
How Can Family Members Or Loved Ones Deal With A Borderline Personality Disorder
According to the dsm IV tr, a personality disorder is: an enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual's culture, is pervasive and inflexible, has an onset in adolescence or early adulthood, is stable over time, and leads ...Read more
Dissociation?: Multiple personality or dissociative identity d/o is rare, but does exist. Behavior changes in a family member may have many other causes too. If concerned about your family member, help him/her get to physician for a check up, and tell the person and doctor why you are worried. The doctor will help by evaluating & examining, & recommending further steps needed. ...Read moreSee 1 more doctor answer
Set Clear Boundaries: Set clear boundaries and stick to them. Sometimes these have to be severe, e.g. Not allowing the person in your home. Remember that the usual controls of behavior, like conscience, maybe largely absent and that talking a good line is likely to have little to do with reality so that one has to impose boundaries based on behavior. ...Read moreSee 1 more doctor answer
Very gently: People who truly have narcissistic personality disorder are exquisitely sensitive to criticism or perceived slights. These can result in verbal attack or sometimes a complete cutting off -- both painful for you. Depending on my relationship with this family member, i would tread carefully, protect my own boundaries, and do extreme self-care after being with them. Might even get help myself. ...Read more
Suggestions: #1: remember that you don't control others and cannot change them. #2: take care of yourself and behave in ways that make you feel good about your own behavior. #3: avoid heated power struggles. #4: understand that it's difficult for your family member to trust that other people are not hostile, threatening or demeaning. #5: you might suggest therapy, too. #6: care, but carry on! ...Read more
Realistic support: Persons with emotional disorders need support. However, they also need to have mirrors so that they can see what others see. Part of emotional disorders is the inability to truly see oneself. ...Read more
How can people with aspergers deal with people with a mood disorder such as borderline personality disorder?
Confusing: Borderline personality d/o is not at basis a mood disorder, but does have instability of moods/affects as well as sense of identity and relationships with others. They fluctuate between fears of abandonment and fears of intimacy, and are in general much more distressed than someone with asperger's. In asperger's the person misses social cues, and may not "get" why the borderline pd is upset. ...Read more
Keep a perspective: If you are that person's friend or family member, then you should probably make sure not to take it too personally -- their self-involvement is really more a story about them than about you. If you are that person's therapist, then you should probably work to uncover the early-on psychological traumas that have created the problem to begin with. ...Read more
How long does it take to diagnose someone with bipolar disorder &/or borderline personality disorder? R these mental illnesses or personality traits?
Variable: It may take several sessions of history-gathering and observing to make diagnoses of this type -- but symptoms & mental status signs may be clear from the start. Borderline personality disorder and bipolar disorder are both mental illnesses, not just personality traits. Both may be present in the same person. Borderline pd often has more intense symptoms in intimate relationships than others. ...Read moreSee 3 more doctor answers
Many factors: Depends on the individual, the age, the circumstances, who the bullies are, who the supposedly supervising people are in the situation, etc. Start with addressing it with the family member himself or herself. Someone closer to the situation where the bullying occurs is usually best. ...Read more
Love & Support: Your loved one needs support and encouragement to let them know that dealing with a mood disorder is tough, but that you are there to love and encourage him. It may be helpful to find some books to read to better understand their disorder. It would also be helpful if you are willing to attend therapy with them, especially if you are a significant other. ...Read more
Information, calm: I suggest keeping calm, and not allowing yourself to be overcome with emotion. Make sure you are giving your family member accurate information. Be clear that it is impossible to predict the future with certainty, despite our medical technology. Many treatments are available. It is also important to address the patient's spiritual needs in a time like this through prayer and meditation. ...Read more
A relative may be suffering from narcissistic personality disorder. What are some ways we can cope with her guilt trips and other NPD behaviors?
Wizard behind screen: An initially difficult to comprehend condition it is characterized by: lack of empathy, blame, self-inflation, sometimes obsequious when they want something, and they are drawn to power, money, and compliments. Ultimately ii is always about them. They encourage idealization, won't admit any weaknesses, and encourage others to believe that anything that goes wrong is someone else's fault - yours. ...Read more
Long-term therapy: Generally, personality disorders are best treated with intensive, long-term psychotherapy with a skilled psychologist or psychiatrist. If you're in a social, work, or family relationship with someone who has a personality disorder, your situation is much different. Depending on intensity, you might consider seeking help yourself -- for education, and also because such relationships are painful. ...Read moreSee 1 more doctor answer
Can you please share your personal experiences with borderline personality disorder or with someone who has it?
Not good candidates.: People with antisocial personalities do not learn from their previous mistakes and therapy does not work. They do understand that for a criminal behavior, they have to be legally responsible. They have no remorse and they are sorry only that they got caught. ...Read more
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