1 00:00:00,150 --> 00:00:00,983 - Hey everybody. 2 00:00:00,983 --> 00:00:01,816 Today, we're gonna talk about 3 00:00:01,816 --> 00:00:03,940 how to healthily be in a relationship 4 00:00:03,940 --> 00:00:06,810 with someone who has borderline personality disorder. 5 00:00:06,810 --> 00:00:08,740 Before we jump into this important topic, 6 00:00:08,740 --> 00:00:09,850 are you new to my channel? 7 00:00:09,850 --> 00:00:10,720 Welcome. 8 00:00:10,720 --> 00:00:13,120 I release videos on Mondays and on Thursdays 9 00:00:13,120 --> 00:00:14,580 all about mental health, 10 00:00:14,580 --> 00:00:15,780 so make sure you're subscribed 11 00:00:15,780 --> 00:00:18,880 and have your notifications turned on so you don't miss out. 12 00:00:18,880 --> 00:00:20,680 Now first, as always, 13 00:00:20,680 --> 00:00:23,130 let's define what borderline personality disorder, 14 00:00:23,130 --> 00:00:25,530 or BPD, really is, 15 00:00:25,530 --> 00:00:27,620 and what it can mean for those in relationships 16 00:00:27,620 --> 00:00:29,210 with someone who has it. 17 00:00:29,210 --> 00:00:31,300 Now, BPD is a mental illness 18 00:00:31,300 --> 00:00:34,490 marked by an ongoing pattern of varying moods, 19 00:00:34,490 --> 00:00:36,290 self-image, and behavior. 20 00:00:36,290 --> 00:00:38,700 These symptoms often result in impulsive actions 21 00:00:38,700 --> 00:00:40,820 and problems in relationships. 22 00:00:40,820 --> 00:00:42,190 Some of the symptoms I'm talking about 23 00:00:42,190 --> 00:00:45,890 are intense fear of rejection, separation, or abandonment; 24 00:00:45,890 --> 00:00:47,920 rapid changes between thinking someone's perfect 25 00:00:47,920 --> 00:00:49,740 to believing they're evil; 26 00:00:49,740 --> 00:00:52,870 risky behaviors including unsafe sex, gambling, 27 00:00:52,870 --> 00:00:55,510 drug use, or accumulating credit card debt; 28 00:00:55,510 --> 00:00:57,840 threats of suicide or self-harm; 29 00:00:57,840 --> 00:01:00,570 difficulty empathizing with other people; 30 00:01:00,570 --> 00:01:02,040 mood swings from euphoria 31 00:01:02,040 --> 00:01:04,020 to intense shame or self-criticism; 32 00:01:04,020 --> 00:01:06,220 and frequently losing one's temper. 33 00:01:06,220 --> 00:01:07,890 People with borderline personality disorder 34 00:01:07,890 --> 00:01:12,280 tend to view things in extremes such as all good or all bad, 35 00:01:12,280 --> 00:01:13,610 and their opinions of other people 36 00:01:13,610 --> 00:01:15,480 can also change really quickly. 37 00:01:15,480 --> 00:01:18,000 An individual who's seen as a friend one day 38 00:01:18,000 --> 00:01:20,570 may be considered an enemy or a traitor the next. 39 00:01:20,570 --> 00:01:22,210 And these shifting feelings can lead 40 00:01:22,210 --> 00:01:24,920 to intense and unstable relationships. 41 00:01:24,920 --> 00:01:26,640 I've often referred to those with BPD 42 00:01:26,640 --> 00:01:27,900 as emotional burn victims 43 00:01:27,900 --> 00:01:31,270 because they feel everything in life very intensely 44 00:01:31,270 --> 00:01:34,660 and are sensitive to any shifts or perceived wrongs. 45 00:01:34,660 --> 00:01:36,260 And I also feel it's important to mention 46 00:01:36,260 --> 00:01:38,650 that BPD is called other things in other countries 47 00:01:38,650 --> 00:01:40,380 and in some blogs online. 48 00:01:40,380 --> 00:01:42,670 Some refer to BPD as emotionally unstable 49 00:01:42,670 --> 00:01:46,440 personality disorder or emotion disregulation disorder, 50 00:01:46,440 --> 00:01:49,090 but as far as I know and was taught in school, 51 00:01:49,090 --> 00:01:50,370 borderline personality disorder 52 00:01:50,370 --> 00:01:52,880 is the only actual diagnosis. 53 00:01:52,880 --> 00:01:54,410 Even if we call it something else, 54 00:01:54,410 --> 00:01:57,140 it still shows the same symptoms of BPD. 55 00:01:57,140 --> 00:01:59,490 Also, if you want to learn the full diagnostic criteria 56 00:01:59,490 --> 00:02:01,540 for BPD, you can click the link in the description 57 00:02:01,540 --> 00:02:03,190 for my video all about it. 58 00:02:03,190 --> 00:02:04,540 Now, as I'm sure you can see, 59 00:02:04,540 --> 00:02:06,770 it could be really hard to be in a relationship 60 00:02:06,770 --> 00:02:08,010 with someone who has BPD 61 00:02:08,010 --> 00:02:11,820 because they can be impulsive, easily upset, and reactive. 62 00:02:11,820 --> 00:02:13,960 But there are some tools that we can utilize 63 00:02:13,960 --> 00:02:16,930 to ensure a much healthier and happier situation. 64 00:02:16,930 --> 00:02:18,460 And my first tool? 65 00:02:18,460 --> 00:02:21,160 Learn about borderline personality disorder. 66 00:02:21,160 --> 00:02:25,200 How can we manage something that we don't even understand? 67 00:02:25,200 --> 00:02:26,350 We can't. 68 00:02:26,350 --> 00:02:29,440 So we need to talk with our loved one about their BPD 69 00:02:29,440 --> 00:02:31,550 and how they're experiencing it. 70 00:02:31,550 --> 00:02:33,300 Because everyone's gonna be different 71 00:02:33,300 --> 00:02:34,760 and they'll struggle with different symptoms 72 00:02:34,760 --> 00:02:35,950 more than others. 73 00:02:35,950 --> 00:02:37,370 So talk with them. 74 00:02:37,370 --> 00:02:39,940 Seek to understand, not judge. 75 00:02:39,940 --> 00:02:42,240 There are also two books that I always recommend 76 00:02:42,240 --> 00:02:44,530 to those who are close to someone with BPD. 77 00:02:44,530 --> 00:02:47,460 They are, number one, I Hate You, Don't Leave Me, 78 00:02:47,460 --> 00:02:50,330 and number two, Stop Walking on Eggshells. 79 00:02:50,330 --> 00:02:52,620 They're both great for understanding the diagnosis, 80 00:02:52,620 --> 00:02:54,870 but also how we can better manage the symptoms 81 00:02:54,870 --> 00:02:56,410 that are hurting our relationship. 82 00:02:56,410 --> 00:02:57,590 And I will link those in the description 83 00:02:57,590 --> 00:02:59,820 if you want to click over and buy those for yourself. 84 00:02:59,820 --> 00:03:02,840 Number two, trying to keep your home life with them 85 00:03:02,840 --> 00:03:05,260 as calm and relaxed as possible. 86 00:03:05,260 --> 00:03:08,180 I know it's not always possible, but just doing our best 87 00:03:08,180 --> 00:03:10,520 because those with BPD do really well 88 00:03:10,520 --> 00:03:12,460 in situations that are predictable. 89 00:03:12,460 --> 00:03:16,080 So keeping home life as upset-free as possible is best, 90 00:03:16,080 --> 00:03:19,330 and it can often mitigate any crisis they may be feeling. 91 00:03:19,330 --> 00:03:21,370 Also, if they're in crisis mode, 92 00:03:21,370 --> 00:03:22,970 it's not a good time to bring up any issue 93 00:03:22,970 --> 00:03:23,930 you may be having with them 94 00:03:23,930 --> 00:03:25,450 or tell them they need to get help. 95 00:03:25,450 --> 00:03:29,250 Remaining calm and relaxed until the crisis passes is best, 96 00:03:29,250 --> 00:03:30,340 and then you can bring up something 97 00:03:30,340 --> 00:03:31,930 that may be upsetting you. 98 00:03:31,930 --> 00:03:34,420 Number three, now if we're gonna talk with them 99 00:03:34,420 --> 00:03:36,380 about something that is upsetting us, 100 00:03:36,380 --> 00:03:39,710 that moves us into our next tip, keeping it simple. 101 00:03:39,710 --> 00:03:42,810 Since those with BPD can be constantly reacting 102 00:03:42,810 --> 00:03:44,010 out of their emotion mind, 103 00:03:44,010 --> 00:03:46,660 meaning not their very logical or reasonable one, 104 00:03:46,660 --> 00:03:48,680 it will be hard for them to actually hear 105 00:03:48,680 --> 00:03:50,270 and understand what you're saying 106 00:03:50,270 --> 00:03:53,740 without getting upset and lashing back at you. 107 00:03:53,740 --> 00:03:55,580 They can even take simple statements 108 00:03:55,580 --> 00:03:57,640 and turn them into personal attacks. 109 00:03:57,640 --> 00:03:59,180 So instead of always fighting 110 00:03:59,180 --> 00:04:01,620 or feeling like we can't every speak up, 111 00:04:01,620 --> 00:04:03,350 just keep it simple. 112 00:04:03,350 --> 00:04:06,620 by keeping our sentences short, simple, and direct, 113 00:04:06,620 --> 00:04:08,910 you'll give them a chance to actually hear you 114 00:04:08,910 --> 00:04:10,600 and hopefully not react, 115 00:04:10,600 --> 00:04:13,180 but respond with understanding and love. 116 00:04:13,180 --> 00:04:16,580 Number four, creating and upholding healthy boundaries. 117 00:04:16,580 --> 00:04:19,550 Those with BPD need boundaries. 118 00:04:19,550 --> 00:04:20,910 Setting a boundary can sometimes 119 00:04:20,910 --> 00:04:22,980 snap them out of their delusional thinking 120 00:04:22,980 --> 00:04:24,750 because they often turn one thing you did 121 00:04:24,750 --> 00:04:26,350 into a much larger issue 122 00:04:26,350 --> 00:04:28,070 or take something you said out of context 123 00:04:28,070 --> 00:04:29,850 and then get more angry about it. 124 00:04:29,850 --> 00:04:32,300 So by holding up healthy and reasonable boundaries, 125 00:04:32,300 --> 00:04:33,830 you prevent them from spiraling 126 00:04:33,830 --> 00:04:35,780 into their black and white thinking pattern 127 00:04:35,780 --> 00:04:37,980 and making things a lot worse. 128 00:04:37,980 --> 00:04:39,480 And in all honesty, as a clinician 129 00:04:39,480 --> 00:04:41,590 who works with a lot of BPD patients, 130 00:04:41,590 --> 00:04:43,000 it makes them feel better 131 00:04:43,000 --> 00:04:44,990 and it calms them down more quickly. 132 00:04:44,990 --> 00:04:47,100 So a little tough love and a little boundary setting 133 00:04:47,100 --> 00:04:48,540 can go a long, long way. 134 00:04:48,540 --> 00:04:51,270 My fifth tip, calling their bluff. 135 00:04:51,270 --> 00:04:53,920 Surprisingly, I promise, it's also really helpful. 136 00:04:53,920 --> 00:04:55,450 But just before I get into that, 137 00:04:55,450 --> 00:04:57,410 creating boundaries and calling their bluff 138 00:04:57,410 --> 00:05:00,540 both require that you build up their self-esteem first, 139 00:05:00,540 --> 00:05:02,830 meaning we can't enter a relationship with them 140 00:05:02,830 --> 00:05:03,830 calling them on their shit 141 00:05:03,830 --> 00:05:05,450 and telling them that they're crossing a boundary. 142 00:05:05,450 --> 00:05:07,120 We can't do that out of the blue. 143 00:05:07,120 --> 00:05:09,750 We have to let them know we care first 144 00:05:09,750 --> 00:05:12,010 and can see all the wonderful traits about them. 145 00:05:12,010 --> 00:05:13,380 I mean, after all, there is a reason 146 00:05:13,380 --> 00:05:15,500 that you're in a relationship with them, right? 147 00:05:15,500 --> 00:05:16,610 Once you've done that, 148 00:05:16,610 --> 00:05:20,100 you need to learn to be assertive, hold your ground. 149 00:05:20,100 --> 00:05:21,670 It's okay to say you didn't do 150 00:05:21,670 --> 00:05:23,050 what they're claiming you did 151 00:05:23,050 --> 00:05:26,330 and you won't engage in that sort of a conversation. 152 00:05:26,330 --> 00:05:27,600 Or you can tell them that they're blowing 153 00:05:27,600 --> 00:05:29,660 this whole thing way out of proportion. 154 00:05:29,660 --> 00:05:30,920 If we always give in to them 155 00:05:30,920 --> 00:05:33,210 when they're engaging in their BPD behavior, 156 00:05:33,210 --> 00:05:35,070 it will only make things worse. 157 00:05:35,070 --> 00:05:37,040 Because think about it, we're creating a cycle, right? 158 00:05:37,040 --> 00:05:39,510 If they believe that what they're saying is true 159 00:05:39,510 --> 00:05:43,237 and we react out of it, we're almost sabotaging it 160 00:05:43,237 --> 00:05:45,140 and telling them yes, I did act like this, 161 00:05:45,140 --> 00:05:46,360 and yes, I am a jerk. 162 00:05:46,360 --> 00:05:48,200 If we just hold our ground and say no, 163 00:05:48,200 --> 00:05:50,420 we can stop that cycle from getting started. 164 00:05:50,420 --> 00:05:51,910 Also, I think it's really important to know 165 00:05:51,910 --> 00:05:54,340 that giving them control all the time 166 00:05:54,340 --> 00:05:55,990 doesn't end up making them feel better 167 00:05:55,990 --> 00:05:57,610 or more safe or secure. 168 00:05:57,610 --> 00:05:59,730 It actually causes the opposite to happen. 169 00:05:59,730 --> 00:06:01,670 So calling them on their misinterpretations 170 00:06:01,670 --> 00:06:03,830 and black and white thinking sounds crazy, 171 00:06:03,830 --> 00:06:05,440 but I promise you, it's best. 172 00:06:05,440 --> 00:06:07,450 Number six, take their suicide 173 00:06:07,450 --> 00:06:09,880 or self-injury threats seriously. 174 00:06:09,880 --> 00:06:12,380 I know these are common among those with BPD, 175 00:06:12,380 --> 00:06:14,520 and many see these threats as manipulative 176 00:06:14,520 --> 00:06:17,540 and done for attention, but what you don't know 177 00:06:17,540 --> 00:06:21,140 is that roughly 10% of those with BPD die from suicide, 178 00:06:21,140 --> 00:06:22,810 which means that if they're threatening 179 00:06:22,810 --> 00:06:24,400 to kill or harm themselves, 180 00:06:24,400 --> 00:06:25,390 or even if they're just telling you 181 00:06:25,390 --> 00:06:27,490 they've been thinking about it or planning it, 182 00:06:27,490 --> 00:06:30,570 we need to get some professional help involved ASAP. 183 00:06:30,570 --> 00:06:33,610 Call 911 or the National Suicide Hotline. 184 00:06:33,610 --> 00:06:37,090 In short, recognize that they are in deep, deep pain 185 00:06:37,090 --> 00:06:38,410 and express your concern 186 00:06:38,410 --> 00:06:40,660 while still maintaining your healthy boundaries. 187 00:06:40,660 --> 00:06:44,220 Number seven, encouraging them to seek therapy. 188 00:06:44,220 --> 00:06:45,810 Unlike a lot of other diagnoses, 189 00:06:45,810 --> 00:06:49,110 most BPD people welcome the idea of therapy, 190 00:06:49,110 --> 00:06:50,930 and I believe this is because they're uncomfortable 191 00:06:50,930 --> 00:06:52,170 with how they feel 192 00:06:52,170 --> 00:06:55,270 and would love to find a way to make that stop, 193 00:06:55,270 --> 00:06:56,900 which is why there is hope 194 00:06:56,900 --> 00:06:59,840 and many people with BPD do fully recover. 195 00:06:59,840 --> 00:07:01,380 I just want you to hear that. 196 00:07:01,380 --> 00:07:03,750 Many people with BPD do fully recover, 197 00:07:03,750 --> 00:07:05,450 so supporting them in these efforts 198 00:07:05,450 --> 00:07:08,320 can be great for your lasting relationship. 199 00:07:08,320 --> 00:07:09,700 Now DBT has been shown 200 00:07:09,700 --> 00:07:11,300 to be the most effective type of treatment. 201 00:07:11,300 --> 00:07:12,720 We've talked about that before. 202 00:07:12,720 --> 00:07:15,290 But if it's not available, CBT can help, 203 00:07:15,290 --> 00:07:16,570 Schema therapy can help, 204 00:07:16,570 --> 00:07:19,410 attachment-based therapies have been shown to work as well, 205 00:07:19,410 --> 00:07:21,560 and also, some medication options. 206 00:07:21,560 --> 00:07:22,980 The most important thing 207 00:07:22,980 --> 00:07:26,060 is that this treatment is regularly scheduled 208 00:07:26,060 --> 00:07:28,800 and we understand that it'll be long-term. 209 00:07:28,800 --> 00:07:29,810 But just as a reminder, 210 00:07:29,810 --> 00:07:31,310 don't bring this up when you're fighting 211 00:07:31,310 --> 00:07:32,740 or in the middle of a crisis. 212 00:07:32,740 --> 00:07:34,170 Wait until things are calmer 213 00:07:34,170 --> 00:07:36,010 and you can actually talk with them about it 214 00:07:36,010 --> 00:07:37,980 in a loving and supportive way, 215 00:07:37,980 --> 00:07:39,740 showing that you really care 216 00:07:39,740 --> 00:07:41,780 and that's why you want them to get help and support 217 00:07:41,780 --> 00:07:44,090 because you want your relationship to grow. 218 00:07:44,090 --> 00:07:48,290 Number eight, get outside emotional support for you. 219 00:07:48,290 --> 00:07:49,990 We all need this in relationships, 220 00:07:49,990 --> 00:07:51,410 but especially if we're trying to remain 221 00:07:51,410 --> 00:07:52,920 calm and supportive, 222 00:07:52,920 --> 00:07:55,120 maybe even when we don't really feel like doing that. 223 00:07:55,120 --> 00:07:56,830 Having other friends and family members 224 00:07:56,830 --> 00:08:00,040 that we can lean on when we need it is really important. 225 00:08:00,040 --> 00:08:03,570 Make time for that as well as some regular self-care time. 226 00:08:03,570 --> 00:08:04,990 This will allow you to be strong 227 00:08:04,990 --> 00:08:06,360 and assertive when you need to 228 00:08:06,360 --> 00:08:09,450 and to keep your relationship happy and healthy. 229 00:08:09,450 --> 00:08:12,330 I would also encourage you to get into therapy for yourself. 230 00:08:12,330 --> 00:08:14,260 This will not only be a safe place 231 00:08:14,260 --> 00:08:15,940 for you to get the support you need, 232 00:08:15,940 --> 00:08:17,670 but it allows you to talk about your relationship 233 00:08:17,670 --> 00:08:20,170 without any judgment or pressure. 234 00:08:20,170 --> 00:08:23,400 You can get some helpful tools for managing crises or upsets 235 00:08:23,400 --> 00:08:26,770 and you can also learn how to place and uphold boundaries 236 00:08:26,770 --> 00:08:29,300 and how to lovingly be assertive with them. 237 00:08:29,300 --> 00:08:32,360 Overall, loving someone with BPD can be difficult at times, 238 00:08:32,360 --> 00:08:33,920 but it can also be really rewarding, 239 00:08:33,920 --> 00:08:35,720 just like any relationship. 240 00:08:35,720 --> 00:08:37,530 And by learning how to clearly communicate 241 00:08:37,530 --> 00:08:39,690 and diffuse any crisis situation 242 00:08:39,690 --> 00:08:42,400 should allow your relationship to grow and thrive. 243 00:08:42,400 --> 00:08:43,570 This video has been brought to you 244 00:08:43,570 --> 00:08:45,270 by the kinions on Patreon. 245 00:08:45,270 --> 00:08:46,750 If you would like to support the creation 246 00:08:46,750 --> 00:08:48,050 of these mental health videos, 247 00:08:48,050 --> 00:08:50,160 click the link in the description and check it out. 248 00:08:50,160 --> 00:08:51,340 And I hope these tips are helpful 249 00:08:51,340 --> 00:08:52,320 and give you the tools you need 250 00:08:52,320 --> 00:08:53,900 to strengthen that relationship. 251 00:08:53,900 --> 00:08:55,920 But as always, what do you think? 252 00:08:55,920 --> 00:08:57,920 How have you helped your loved one with BPD? 253 00:08:57,920 --> 00:09:01,110 Or if you have BPD, what's worked in your relationships? 254 00:09:01,110 --> 00:09:02,550 Let me know in those comments down below 255 00:09:02,550 --> 00:09:04,370 and I will see you next time. 256 00:09:04,370 --> 00:09:05,203 Bye.