Blurts & Spasms

This is a tough question to answer — mainly because I don’t know the questioner's situation or why they are asking this question. However, if they have been diagnosed with BPD and are observing this reaction from others, then I would offer the following, based on several years living with folks with BPD, attending BPD support groups and therapy, and studying up on BPD….

1. Part of the problem is perception and lack of education. If someone doesn’t understand the Borderline diagnosis, they will tend to make incorrect assumptions about what “looks like” sabotaging, manipulative, deceptive, or destructive behavior…but which is really just an overwhelming self-preservation response from someone with BPD. Borderline’s aren’t intending to act they way they sometimes do, they are coping with a powerful flood of heightened emotions with a primal and reflexive panic. These self-preservation responses can override all rational attempts to manage them differently (on the part of the person who has BPD) — and all rational attempts a friend or loved one might make to mitigate them. Imagine being so flooded by, for example, fear or anxiety that the only actions that seems available are to lash out, or lie, or run away, or try to desperately force the situation into a different condition. So the friends, coworkers, loved ones, relatives, etc. may simply not understand the immensely strong emotions the person with BPD is feeling in these instances…and so the Borderline’s actions seem inexplicable or inexcusable.

2. BPD can be extremely difficult to treat. One of very few effective options available is Dialectical Behavioral Therapy (DBT), which provides a set of tools (practices, habits, thought patterns, etc.) that help Borderlines manage the intense emotional turmoil they experience — and help manage the negative impacts of common BPD behaviors on others. If a Borderline hasn’t ever engaged in DBT training and support groups, then it’s possible whatever therapy they try will have very limited effect. And this can be incredibly frustrating for everyone involved — for the Borderline and for everyone else in their life who is placing hope that therapy (or medications, etc.) will result in healing or constructive change. And if multiple therapeutic techniques are attempted — and fail to help — that can lead to everyone involved feeling more mistrust, exasperation, frustration, antagonism, etc.

3. Of course there are people who are mean to others and dislike them simply because they themselves are immature, and don’t care about trying to understand the other person — or to have compassion for them. This is often just a hallmark of immaturity and selfishness, in my experience. It wouldn’t matter if the person being disliked had BPD or red hair…the self-centered nasty person would be mean because that’s just who they are. Or — ironically — perhaps they themselves have a personality, emotional or mental disorder that is causing them to be mean…?

4. Just as with some other personality disorders (and some other mental illness diagnoses), someone suffering from BPD can feel sad, angry, depressed, paranoid, or judged by others in various situations, even when the other people involved aren’t actually trying to be mean — and don’t actually dislike them, aren’t judging them, aren’t angry, etc. This is one of the saddest situations that anyone trying to befriend or support a Borderline can experience: *to be suspected or accused of being mean, or of disliking their friend or loved one with BPD, when they really don’t feel that way at all. *It can be heartbreaking until everyone involved (including the Borderline) can eventually learn that these suspicions and fears are manifestations of a mental illness, and not actually real. It’s very hard to arrive at this place of neutral, non-judgmental awareness of these strong negative emotions, but that is what anyone with BPD — or anyone who is in a relationship with someone with BPD — must learn to do. Again, Dialectical Behavioral Therapy training and ongoing support groups can be incredibly helpful in this regard.

5. Lastly I would like to share one of the foundational pillars of Dialectical Behavioral Therapy: radical acceptance. Radical acceptance is available for everyone involved in these situations — for the Borderline themselves, and for the people in their life who wish to support them. And it’s just what it sounds like: acceptance without judgement, without expecting or forcing a change, without retaliating or punishing, without feeling shame. Just acceptance…and letting go. In my experience radical acceptance is extraordinarily liberating, and healing, for everyone involved. In fact can be a necessary and constructive first step in mending any tumultuous relationship.

I hope this was helpful info.