Borderline Quotes

I'm saying that I'm a moody, insecure, narrow-minded, jealous, borderline homicidal bitch, and I want you to promise me that you're okay with that, because it's who I am, and you're what I need.

I'm so good at beginnings, but in the end I always seem to destroy everything, including myself.

People with BPD are like people with third degree burns over 90% of their bodies. Lacking emotional skin, they feel agony at the slightest touch or movement.

Clary made fun of him about his new look; but, then, Clary found everything about Simon's love life borderline hilarious.

Anya jumped in front of the man, acting as his shield. “Now, Sabin. He didn’t mean any harm. He’s borderline stupid. You know that.

What? 'Borderline patients play games'? That what you said? Ernest, you'll never be a real therapist if you think like that. That's exactly what I meant earlier when I talked about the dangers of diagnosis. There are borderlines and there are borderlines. Labels do violence to people. You can't treat the label; you have to treat the person behind the label. (17)

God, I loved this woman: this very crazy, borderline-homicidal – on second thought, scrap the borderline – woman.

The role of the therapist is to reflect the being/accepting self that was never allowed to be in the borderline.

Isabel and Alma Trumbo are the sisters who reside in the brick rambler on Church Street. They are a bit, uh, different and unorthodox. Borderline eccentric, some of the townies say, especially Alma.” “What do the borderline eccentric sisters Isabel and Alma know about solving a murder case?” Dwight gave it a moment’s reflection. “They could probably write a book about it.

A borderline suffers a kind of emotional hemophilia; [s]he lacks the clotting mechanism needed to moderate [his or her] spurts of feeling. Stimulate a passion, and the borderline emotionally bleeds to death.

To stave off the panic associated with the absence of a primary object, borderline patients frequently will impulsively engage in behaviors that numb the panic and establish contact with and control over some new object.

They love without measure those whom they will soon hate without reason.

She had that look again—taut jaw, pursed lips and angry eyes—the look her face assumed when her borderline personality had crossed the border.

Michael, don’t,” Eve said. “He won’t hurt us.” Andeveryone rolled their eyes at that. Even Jason, which was borderline hilarious.

I couldn’t trust my own emotions. Which emotional reactions were justified, if any? And which ones were tainted by the mental illness of BPD? I found myself fiercely guarding and limiting my emotional reactions, chastising myself for possible distortions and motivations. People who had known me years ago would barely recognize me now. I had become quiet and withdrawn in social settings, no longer the life of the party. After all, how could I know if my boisterous humor were spontaneous or just a borderline desire to be the center of attention? I could no longer trust any of my heart felt beliefs and opinions on politics, religion, or life. The debate queen had withered. I found myself looking at every single side of an issue unable to come to any conclusions for fear they might be tainted. My lifelong ability to be assertive had turned into a constant state of passivity.

I can honestly say that my misery had been transformed into common unhappiness, so by Freud's definition I have achieved mental health.

Har, har. You're a borderline fucktard, you know that? Torin to Strider

Writers are nothing more than borderline schizophrenics who are able to control the voices.

Thirty seconds of pure awareness is a long time, especially after a lifetime of escaping yourself at all costs.

Are you crazy? It's a common phrase, I know. But it means something particular to me: the tunnels, the security screens, the plastic forks, the shimmering, ever-shifting borderline that like all boundaries beckons and asks to be crossed. I do not want to cross it again.

Borderlines create the vicious circles they fear most. They become angry and drive the relationship to the breaking point, then switch to a posture of helplessness and contrition, beg for reconciliation. If both parties are equally enmeshed, chaos and conflict become the soul of the relationship.

But what if you simply don't have a solid self to return to—if the way you are is seen as basically broken? And what if you can't conceive of "normal" or "healthy" because pain and loneliness are all you remember?

When the borderline is alone, continuity and connectedness cease. Like sand falling through her fingers, her confidence - even her sense of reality - slip away.

A revenge kill is the best kind of kill. But a revenge kill for your family, with your woman’s permission? That’s borderline erotic.

Lula's borderline too much of a good thing in lots of ways. It isn't exactly that Lula is fat; it's more that she's too short for her weight and her clothes are too small for the volume of flesh she carries.

Not evil. Moronic, which isn't quite the same thing. Evil presupposes a moral decision, intention, and some forethought. A moron or a lout, however, doesn't stop to think or reason. He acts on instinct, like a stable animal, convinced he's doing good, that he's always right, and sanctimoniously proud to go around f***ing up ... anyone he perceives to be different from himself, be it because of skin color, creed, language, nationality, or ... leisure habits. What the world needs is more thoroughly evil people and fewer borderline pigheads.

Yet I also recognize this: Even if everyone in the world were to accept me and my illness and validate my pain, unless I can abide myself and be compassionate toward my own distress, I will probably always feel alone and neglected by others.

Imagining that you are deep and complex, but others are simple, is one of the primary signs of malignant selfishness.

Swear to God, for someone so obsessed with music, she’s borderline tone deaf. But trying to describe how I felt watching her dance around and sing would be like trying to build a skyscraper with my bare hands. It made me want to marry her. Made me want to buy her a magic airplane and fly her away to a place where nothing bad could ever happen. Made me want to pour rubber cement all over my chest and then lay down on top of her so that we’d be stuck together, and so it would hurt like hell if we ever tried to tear ourselves apart.

You are a warrior in a dark forest, with no compass and are unable to tell who the actual enemy is, So you never feel safe ..

I used to be a nice, normal, borderline sociopath.

I am not the heroine of this story. And I'm not trying to be cute. It's the truth. I'm diagnosed borderline and seriously fucked-up. I hold grudges. I bottle my hate until it ferments into poison, and then I get high off the fumes. I'm completely dysfunctional and that's the way I like it, so don't expect a character arc where I finally find Redemption, Growth, and Change, or learn How to Forgive Myself and Others.

A crucial element of the real self is its unconditional acceptance of itself.

I'm sure I must have sounded like a fool and a borderline psychotic most of that year, when I talked to people who thought they knew who and where they were at the time ... but looking back, I see that if I wasn't Right, at least I wasn't Wrong, and in that context I was forced to learn from my confusion ... which took awhile, and there's still no proof that what I finally learned was Right, but there's not a hell of a lot of evidence to show that I'm Wrong either.

We do not deserve to be trapped in hell. It isnt our fault.

My skin is so thin that the innocent words of others burn holes right through me.

The theologian Paul Tillich wrote that "loneliness can be conquered only by those who can bear solitude." Because the borderline finds solitude so difficult to tolerate, she is trapped in a relentless metaphysical loneliness from which the the only relief comes from of the physical presence of others. So she will often rush to singles bars or with crowded haunts, often with disappointing--or even violent--results.

The biographies of the great men see their excesses as signs of their greatness. But Jean Rhys, in her biography, is read as borderline; Anaïs Nin is borderline; Djuna is borderline; etc. etc. Borderline personality disorder being an overwhelmingly gendered diagnosis. I write in Heroines: “The charges of borderline personality disorder are the same charges against girls writing literature, I realize—too emotional, too impulsive, no boundaries.

As time passed the political climate changed greatly.  People started to completely forget about borderlines of sexuality, instead turning their attention to the differences between humans and unicorns.

Life is long, people change, I would never be foolish enough to think otherwise. But no matter what, nothing can ever be as it was. Everything has changed in a way that sounds trite and borderline offensive when recounted over coffee. I can never be who I was. I can simply watch her with sympathy, understanding, and some measure of awe.

I need them to be aware and present with me in the midst of the storm, not just tell me what to do.

The great thing about treating borderline patients is that it is like having a supervisor always in the room.

What does borderline personality mean, anyhow? It appears to be a way station between neurosis and psychosis: a fractured but not disassembled psyche. Though to quote my post-Melvin psychiatrist: "It's what they call people whose lifestyles bother them.

You take this cold, remarkable, difficult, dangerous, borderline psychopath man, and you wonder what might have happened to him had he not met his best friend, a friend that no one would have put him with – this solid, dependable, brave, big-hearted war hero. I think people fall in love, not with Sherlock Holmes or with Dr. Watson, but with their friendship. I think it is the most famous friendship in fiction, without a doubt.

When you fall in love, everything is impregnated with new meaning. It is as if you suddenly have borderline personality disorder.

For many borderlines, “out of sight, out of mind” is an excruciatingly real truism. Panic sets in when the borderline is separated from a loved one because the separation feels permanent.

Slow down you're doing fine You can't be everything you want to be Before your time Although it's so romantic on the borderline tonight Too bad but it's the life you lead You're so ahead of yourself That you forfeit what you need Though you can see when you're wrong

A successful suicide demands good organization and a cool head, both of which are usually incompatible with the suicidal state of mind.

You survived by seizing every tiny drop of love you could find anywhere, and milking it, relishing it, for all it was worth. And as you grew up, you sought love, anywhere you could find it, whether it was a teacher or a coach or a friend or a friend's parents. You sought those tiny droplets of love, basking in them when you found them. They sustained you. For all these years, you've lived under the illusion that somehow, you made it because you were tough enough to overpower the abuse, the hatred, the hard knocks of life. But really you made it because love is so powerful that tiny little doses of it are enough to overcome the pain of the worst things life can dish out. Toughness was a faulty coping mechanism you devised to get by. But, in reality, it has been your ability to never give up, to keep seeking love, and your resourcefulness to make that love last long enough to sustain you. That is what has gotten you by.

Self-destructiveness may be a primary form of communication for those who do not yet have ways to tame their excruciating inner conflicts and feelings and who cannot yet turn to others for support.

That was the crux. You. Only you could work on you. Nobody could force you, and if you weren't ready, then you weren't ready, and no amount of open-armed encouragement was going to change that.

The Queen is controlling, the Witch is sadistic, the Hermit is fearful, and the Waif is helpless. And each requires a different approach. Don't let the Queen get the upper hand; be wary even of accepting gifts because it engenders expectations. Don't internalize the Hermit's fears or become limited by them. Don't allow yourself to be alone with the Witch; maintain distance for your own emotional and physical safety. And with the Waif, don't get pulled into her crises and sense of victimization. Pay attention to your own tendencies to want to rescue her, which just feeds the dynamic.

Having her in my arms feels like coming home. I am not one to believe in all that love at first sight bullshit, but even as cynical as I am, I can recognize something bigger than lust at work. My body wants her; that is no secret, but the level of want is borderline craving. I need her. Needing someone is not something I am used to. No, I am used to being needed… something this woman clearly doesn’t want.

Owing to a poorly defined sense of self, people with BPD rely on others for their feelings of worth and emotional caretaking. So fearful are they of feeling alone that they may act in desperate ways that quite frequently bring about the very abandonment and rejection they're trying to avoid.

Years after I'd seen him for the last time I found myself thinking of him unexpectedly and often. You know how certain places grow powerful in the mind with passing time. In those early morning dreams when I come back to bed after a sleepy pee and fall quickly into the narrow end of the night, there is one set of streets I keep returning to, one dim mist of railroad rooms and certain figures reappear, borderline ghosts.

I have met countless patients who told me that they “are” bipolar or borderline or that they “have” PTSD, as if they had been sentenced to remain in an underground dungeon for the rest of their lives, like the Count of Monte Cristo. None of these diagnoses takes into account the unusual talents that many of our patients develop or the creative energies they have mustered to survive.

In some ways, com­ing to terms with my­self and work­ing to­ward re­cov­ery has been like say­ing “I love you” to some­one but keep­ing a loaded gun hid­den in your back pocket, just in case that per­son pisses you off enough.

All you want is love and belonging, and your very existence depends on it. But when you get it, you have no existence except that love; there’s still no you.

I was the one who was fighting for survival and I was also the murderer within.

He would never be any different and now Scarlett realize the truth and accepted it without emotion—that until he died Gerald would always be waiting for Ellen, always listening for her. Her was in some dim borderline country where time was standing still and Ellen was always in the next room. The mainspring of his existence was taken away when she died and with it has gone his bounding assurance, his impudence and his restless vitality. Ellen was the audience before which the blustering drama of Gerald O'Hara had been played Now the curtain had been rung down forever, the footlights dimmed and the audience suddenly vanished, while the stunned old actor remained on his empty stage, waiting for his cues.

This will sound strange, and yet I'm sure it was the point: it was a bit like being high. That, for me, anyway, had always been the attraction of drugs, to stop the brutal round of hypercritical thinking, to escape the ravages of an unoccupied mind cannibalizing itself.

He may attempt suicide, often not with the intent to die but to feel something, to confirm he is alive.

Cincinatti was where I learned that running away from your problems has a three-month statute of limitations, a lesson I have found repeatedly to be true. Three months is still a first impression -- of a city, of other people, of yourself in that place. But there comes a point when you can no longer hide who you are, and the reactions of others become all too familiar...

recognizing how even poison is a form of medicine when used the right way.

An inner ease spreads inside me. Such is the power of acceptance and understanding from other people, the power of validation

Certainly, it's important to acknowledge and identify the effects of BPD on your life. It's equally important to realize that it neither dictates who you are nor fixes your destiny.

Connection gives us our life, yet it also threatens to take it from us.

How can I put this? There's a king of gap between what I think is real and what's really real. I get this feeling like some kind of little something-or-other is there, somewhere inside me... like a burglar is in the house, hiding in a wardrobe... and it comes out every once in a while and messes up whatever order or logic I've established for myself. The way a magnet can make a machine go crazy.

Some of our fiercest battles are fought and won in silence.

It's not about blame or wallowing...you are all molded by so much more than a dysfunctional past, and you must ultimately take responsibility for creating the life you want.

If you’re only sceptical, then no new ideas make it through to you. You never learn anything. You become a crochety misanthrope convinced that nonsense is ruling the world. (There is, of course, much data to support you.) Since major discoveries in the borderlines of science are rare, experience will tend to confirm your grumpiness. But every now and then a new idea turns out to be on the mark, valid and wonderful. If you’re too resolutely and uncompromisingly sceptical, you’re going to miss (or resent) the transforming discoveries in science, and either way you will be obstructing understanding and progress. Mere scepticism is not enough.

She was not suicidal; that is what people never managed to grasp. Cutting relieved the pressure and stood as some enduring demonstration of her emotion, some way to be in control of a body that could toss her about with seizures. It was borderline artistic to mark her body, chiaroscuro designs in blood. Dying is the last thing she would want, like any healthy organism. A little pain, a small invoked sting trailing her arm, brought her much closer to grounded when she could not keep her head from racing, her thoughts from consuming her with obsession. An ounce of liquid weight loss and she could go back to being herself again. Usually.

The Queen's children must allow her the right to self-destruct while exerting their right to protect themselves.

There weren't as many layers between her and the world as there were with the rest of us.

The acquisition by dishonest means and cunning,' said Levin, feeling that he was incapable of clearly defining the borderline between honesty and dishonesty. 'Like the profits made by banks,' he went on. 'This is evil, I mean, the acquisition of enormous fortunes without work, as it used to be with the spirit monopolists. Only the form has changed. Le roi est mort, vive le roi! Hardly were the monopolies abolished before railways and banks appeared: just another way of making money without work.

Why is some accident of uncontrolled neurochemistry the ‘real me,’ and a carefully reasoned system of priorities somehow false?

From a pathological standpoint, the incipient twenty-first century is determined neither by bacteria nor by viruses, but by neurons. Neurological illnesses such as depression, attention deficit hyperactivity disorder (ADHD), borderline personality disorder (BPD), and burnout syndrome mark the landscape of pathology at the beginning of the twenty-first century. They are not infections, but infarctions; they do not follow from the negativity of what is immunologically foreign, but from an excess of positivity. Therefore, they elude all technologies and techniques that seek to combat what is alien.

I've grown up with an ethic, call it a part, that insists I hide my pain at all costs. As I talk, I feel this pain leaking out—not just the core symptom of BPD, but all the years of being blamed or ignored for my condition, and all the years I've blamed others for how I am. It's the pain of being told I was too needy even as could never get the help I needed.

For those of us with BPD, entering into a shared experience means passing through the ring of fire that leaves us feeling even more burned—and in this case branded with a label no one would ever choose to wear.

We need this help from the outside because we don't know how to to do this for ourselves. We start with a deep deficit—a chasm really—when it comes to understanding and being tolerant of ourselves, and that's even before we go forth to do battle with the rest of the world. As soon as someone judges, criticizes, dismisses, or ignores, the cycle of pain and reactivity ramps up, compounded by shame, remorse, and rejection. The act of validation, simply saying, 'I can see things from your perspective,' can short-circuit that emotional detour.

The disorder is more common in women." Note the construction of that sentence. They did not write, "The disorder is more common in women." It would still be suspect, but they didn't bother trying to cover their tracks. Many disorders, judging by the hospital population, were more commonly diagnosed in women. Take, for example, "compulsive promiscuity." How many girls do you think a seventeen-year-old boy would have to screw to earn the label "compulsively promiscuous"? Three? No, not enough. Six? Doubtful. Ten? That seems more likely. Probably in the fifteen-to-twenty range, would be my guess - if they ever put that label on boys, which I don't recall their doing.... In the list of six "potentially self-damaging" activities favored by the borderline personality, three are commonly associated with women (shopping sprees, shoplifting, and eating binges) and one with men (reckless driving). One is not "gender specific," as they say these days (psychoactive substance abuse). And the definition of the other (casual sex) is in the eye of the beholder.

Why let your fury lay deep inside you, sullenly boiling your blood into silent steam and griding your bones to dust? I it not better to thrust it out with great velocity from every pore, with your every action? Let your actions speak your legend. The physical is the manifestation of the spirit. Let your spirit be teeming with fury. Let your strength be unusual and controlled. The average is the borderline that keeps mere men in their place. Those who step over the line are heroes by the very act. Go.

The borderline Queen experiences what therapists call "oral greediness". The desperate hunger of the borderline Queen is akin to the behavior of an infant who had gone too long between feelings. Starved, frustrated, and beyond the ability to calm of soothe herself, she grabs, flails, and wails until at last the nipple is planted securely and perhaps too deeply in her mouth. She coughs, gags, chokes, and spits, eyeing the elusive breast like a wolf guarding her food. Similarity, the Queen holds on to what is hers, taking more than she could use, in case it might be taken away prematurely.

The techniques of brainwashing are simple: isolate the victim, expose them to consistent messages, mix with sleep deprivation, add some form of abuse, get the person to doubt what they know and feel, keep them on their toes, wear them down, and stir well.

In the life cycle of an intense emotion, if it isn't acted upon, it eventually peaks and then decreases. But as Dr. Linehan explains, people with BPD have a different physiological experience with this process because of three key biological vulnerabilities (1993a): First, we're highly sensitive to emotional stimuli (meaning we experience social dynamics, the environment, and our own inner states with an acuteness similar to having exposed nerve endings). Second, we respond more intensely and much more quickly, than other people. And third, we don't 'come down' from our emotions for a long time. One the nerves have been touched, the sensations keep peaking. Shock waves of emotion that might pass through others in minutes keep cresting in us for hours, sometimes days.

Some people say that having any conscious opinion on the matter is a mark of sanity, but I'm not sure that's true. I still think about it. I'll always have to think about it. I often ask myself if I'm crazy. I ask other people too. 'Is this a crazy thing to say?' I'll ask before saying something that probably isn't crazy. I start a lot of sentences with 'Maybe I'm totally nuts,' or 'Maybe I've gone 'round the bend.' If I do something out of the ordinary, like take two baths in a day for example- I say to myself: Are you crazy" It's a common phrase, I know. But it means something particular to me: the tunnels, the security screens, the plastic forks, the shimmering, ever-shifting borderline that like all boundaries beckons and asks to be crossed. I do not want to cross it again

For all these years, you’ve lived under the illusion that, somehow, you made it because you were tough enough to overpower the abuse, the hatred, the hard knocks of life. But really you made it because love is so powerful that tiny little doses of it are enough to overcome the pain of the worst things life can dish out. Toughness was a faulty coping mechanism you devised to get by. But, in reality, it has been your ability to never give up, to keep seeking love, and your resourcefulness to make that love last long enough to sustain you. That’s what has gotten you by

Borderline means you’re one of those girls… …who walk around wearing long sleeves in the summer because you’ve carved up your forearms over your boyfriend. You make pathetic suicidal gestures and write bad poetry about them, listen to Ani DiFranco albums on endless repeat, end up in the emergency room for overdoses, scare off boyfriends by insisting they tell you that they love you five hundred times a day and hacking into their email to make sure they’re not lying, have a police record for shoplifting, and your tooth enamel is eroded from purging. You’ve had five addresses and eight jobs in three years, your friends are avoiding your phone calls, you’re questioning your sexuality, and the credit card companies are after you. It took a lot of years to admit that I was exactly that girl, and that the diagnostic criteria for the disorder were essentially an outline of my life.

It's important that you don't continue to ignore or accept rages. Realize that extreme rage directed at you or your children is verbal and emotional abuse. Even if you think you can handle it, over time it can erode your self-esteem and poison the relationship. Seek support immediately.

The desire to commit suicide, however, has at its base a belief that life cannot or will not improve. Although that may be the case in some instances, it is not true in all instances. Death, however, rules out hope in all instances. We do not have any data indicating that people who are dead lead better lives.

So at family gatherings… I try to stick to the acceptable script. Indeed, I discover that the less I say, the happier everyone seems to be with me. I sometimes wonder if I wouldn’t have been better off as a paraplegic or afflicted by some tragic form of cancer. The invisibility and periodicity of my disorder, along with how often I border on normalcy, allows them to evade my need for their understanding. And because our most enduring family heirloom is avoidance and denial of pain and suffering, I don’t need much prompting to shut myself down in their presence.

And, as an adult, you have the freedom and the access to indulge in much greater forms of self-destruction than a two-year-old could ever have. You can drink and use drugs. You can smoke. You can be promiscuous. You can kill yourself if you want to, run into the streets at night, choose to eat everything in sight, or starve yourself. It's dangerous when the raw black-and-white emotions of a child are harbored in an adult's mind and body.

In the last twenty-five years, the borderline patient, who confronts the psychiatrist not with well-defined symptoms but with diffuse dissatisfactions, has become increasingly common. He does not suffer from debilitating fixations or phobias or from the conversion of repressed sexual energy into nervous ailments; instead he complains "of vague, diffuse dissatisfactions with life" and feels his "amorphous existence to be futile and purposeless." He describes "subtly experienced yet pervasive feelings of emptiness and depression," "violent oscillations of self-esteem," and "a general inability to get along." He gains "a sense of heightened self-esteem only by attaching himself to strong, admired figures whose acceptance he craves and by whom he needs to feel supported." Although he carries out his daily responsibilities and even achieves distinction, happiness eludes him, and life frequently strikes him as not worth living.

Consider a lighthouse. It stands on the shore with its beckoning light, guiding ships safely into the harbor. The lighthouse can't uproot itself, wade out into the water, grab the ship by the stern and say, "Listen, you fool! If you stay on this path you may break up on the rocks!" No. The ship has some responsibility for its own destiny. It can choose to be guided by the lighthouse. Or, it can go its own way. The lighthouse is not responsible for the ship's decisions. All it can do is be the best lighthouse it knows how to be.

I’m not interested in Bob Marley telling me to ‘lively up’ myself. The only music that satisfies me is Nine Inch Nails and Trent Reznor’s voice crying through industrial rhytms. In the August evenings, I lie on my bed with earphones, letting his laments roll through me like unrepentant thunderstorms. I envy the courage that carries his voice into the world. He doesn’t berate himself for pain and anger; he howls. And this delights me, even though I feel ashamed when my own rage comes to the surface. My anger doesn’t signify courage; it’s just more confirmation that I’m bad.

DBT's catchphrase of developing a life worth living means you're not just surviving; rather, you have good reasons for living. I'm also getting better at keeping another dialectic in mind: On the one hand, the disorder decimates all relationships and social functions, so you're basically wandering in the wasteland of your own failure, and yet you have to keep walking through it, gathering the small bits of life that can eventually go into creating a life worth living. To be in the desolate badlands while envisioning the lush tropics without being totally triggered again isn't easy, especially when life seems so effortless for everyone else.

Democracy is cancerous, and bureaus are its cancer. A bureau takes root anywhere in the state, turns malignant like the Narcotic Bureau, and grows and grows, always reproducing more of its own kind, until it chokes the host if not controlled or excised. Bureaus cannot live without a host, being true parasitic organisms. (A cooperative on the other hand can live without the state. That is the road to follow. The building up of independent units to meet needs of the people who participate in the functioning of the unit. A bureau operates on opposite principles of inventing needs to justify its existence.) Bureaucracy is wrong as a cancer, a turning away from the human evolutionary direction of infinite potentials and differentiation and independent spontaneous action to the complete parasitism of a virus. (It is thought that the virus is a degeneration from more complex life-form. It may at one time have been capable of independent life. Now has fallen to the borderline between living and dead matter. It can exhibit living qualities only in a host, by using the life of another — the renunciation of life itself, a falling towards inorganic, inflexible machine, towards dead matter.) Bureaus die when the structure of the state collapse. They are as helpless and unfit for independent existence as a displaced tapeworm, or a virus that has killed the host.

GoodReads: Do people still ask you about your mental health? Susanna Kaysen: Well, they used to a lot. "Are you still crazy?" was how people put it. And I would say, "Yes, but I'm older, so I'm more used to it." It's familiar. You've been there, you've done that, and it's gone away. I think the fact that you can feel like it's the end of the world and you're going to kill yourself and yet there's some part of you that says "this has happened before." And by the time you get to the point where you can say "this has happened 137 times before," it's better than saying "this has happened four times before." So as you get older, there's a little ironist or cynic or somebody inside you who says, "Yeah, uh-huh. Right, OK, I've heard that, I've heard that.

Once you have realised that there is no objective external world to be found; that what you know is only a filtered and processed version, then it is a short step to the thought that, in that case, other people too are nothing but a processed shadow, and but a short step more to the belief that every person must somehow be shut away, isolated behind their own unreliable sensory apparatus. And then the thought springs easily to mind that man is, fundamentally, alone. That the world is made up of disconnected consciousnesses, each isolated within the illusion created by its own senses, floating in a featureless vacuum. He does not put it so bluntly, but the idea is not far away. That, fundamentally, man is alone.

The Dialectical Dilemma for the Patient The borderline individual is faced with an apparently irreconcilable dilemma. On the one hand, she has tremendous difficulties with self-regulation of affect and subsequent behavioral competence. She frequently but somewhat unpredictably needs a great deal of assistance, often feels helpless and hopeless, and is afraid of being left alone to fend for herself in a world where she has failed over and over again. Without the ability to predict and control her own well-being, she depends on her social environment to regulate her affect and behavior. On the other hand, she experiences intense shame at behaving dependently in a society that cannot tolerate dependency, and has learned to inhibit expressions of negative affect and helplessness whenever the affect is within controllable limits. Indeed, when in a positive mood, she may be exceptionally competent across a variety of situations. However, in the positive mood state she has difficulty predicting her own behavioral capabilities in a different mood, and thus communicates to others an ability to cope beyond her capabilities. Thus, the borderline individual, even though at times desperate for help, has great difficulty asking for help appropriately or communicating her needs. The inability to integrate or synthesize the notions of helplessness and competence, of noncontrol and control, and of needing and not needing help can lead to further emotional distress and dysfunctional behaviors. Believing that she is competent to “succeed,” the person may experience intense guilt about her presumed lack of motivation when she falls short of objectives. At other times, she experiences extreme anger at others for their lack of understanding and unrealistic expectations. Both the intense guilt and the intense anger can lead to dysfunctional behaviors, including suicide and parasuicide, aimed at reducing the painful emotional states. For the apparently competent person, suicidal behavior is sometimes the only means of communicating to others that she really can’t cope and needs help; that is, suicidal behavior is a cry for help. The behavior may also function as a means to get others to alter their unrealistic expectations—to “prove” to the world that she really cannot do what is expected.