Bpd Quotes

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.

Bed the woman until neither of you can walk, and get her out of your system. Remember, no matter what they are or where they come from, all women have one simple birth defect. BPD. BPD? Bitch Personality Disorder.

It is as if my life were magically run by two electric currents: joyous positive and despairing negative - which ever is running at the moment dominates my life, floods it.

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 I had become quiet and withdrawn in social settings, no longer the life of the party.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.

No neurotic harbors thoughts of suicide which are not murderous impulses against others redirected upon himself.

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.

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

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 ..

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.

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

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.

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.

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.

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.

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.

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.

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.

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

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

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.

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.

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.

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

The borderline’s split view of himself includes a special, entitled part and an angry, unworthy part that masochistically deserves punishment, although he may not be consciously aware of one side or the other. In fact, a pattern of this type of “invited” victimization is often a solid indication of BPD pathology. Although

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.

[Adult children of a BPD parent] may seem old before their time or like an old soul (and probably were that way as children too.) They may easily assume the role of fixer and nurturer. They're the ones friends lean on, the ones to whom people tell their problems. Helping others gives them a sense of purpose and worth.

Validation helps to bring down emotions and make them more manageable for everyone, not just the person with BPD.

People with BPD tend to judge themselves and others in extreme ways. They will often use excessively positive terms, idealizing or glorifying, or excessively negative terms, demonizing or devaluing themselves or others. They look at themselves with harsh and critical negative self-judgments that increase their sense of shame.

This painful mental illness is not fair, but saying it is not fair does not change anything. Thinking that you should not have to work so hard to get through everyday life with someone with BPD does not change the fact that this is what you need to do.

To a large degree, a particular collision of genes and temperament with a suboptimal or hostile environment may explain the development of borderline personality disorder.

People with BPD are usually burdened with strong feelings of worthlessness and shame that are not necessarily supported by the facts of actual situations.

Parents with BPD may not accept responsibility for their behavior, nor he willing to listen to how they might have caused emotional or physical harm. If you try to point out their behavior, they may lash out with an abusive tirade or stone-cold silence, attempting to place blame on you instead ("If

People with BPD spend a great deal of their emotional energy worrying about past pain or potential future problems. “If I do that, this will happen.” Dwelling on the past or the future prevents you from focusing on the present.

Gwen, a woman with BPD, talks about her inability to decipher the world around her. “On the day I was born, all the newborn babies got on a line to meet God and to get their How to Act in All Situations Throughout Life book. When it was my turn, God had run out of the book. Ever since that day, I have been looking over other people’s shoulders so that I could read their book and know how to act.

People with BPD judge themselves harshly all the time and find judgments lurking around the corner of every raised eyebrow, sneeze, yawn, or shoulder shrug. You must be acutely aware of how your responses can be misconstrued as judgments.

Behind many emotional responses are real issues.  BPD sufferers can be so overwhelmed by their emotional feelings that they feel unable to tackle the underlying cause of the emotion.

Mom knows that BPD can cause her to see people as perfect or evil. She named me Polarity, spanning positive and negative, to remind her that I'm not one or the other.” ... “She wanted to be sure that she never judged me the way that borderlines tend to do.

Every age has its signature afflictions. Thus, a bacterial age existed; at the latest, it ended with the discovery of antibiotics. Despite widespread fear of an influenza epidemic, we are not living in a viral age. Thanks to immunological technology, we have already left it behind. 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.

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.

It is not necessary to get into a fight with someone because you feel angry; aggressive behavior does not have to be a knee-jerk response to anger. By practicing mindfulness, people with BPD can learn to slow themselves down and have more control over how they will respond.

Acceptance is the only way out of hell.

I'm sorry to be all over the place, my mind doesn't know how to stop, but I'd rather rise up to the insanity, than to further depress on the drop.

The walls I’d built around myself were now paper thin, like butter#y wings. They were iridescent, and shimmery. It was beautiful the way you tore down my old walls and painted this for me.

Imagine feeling empty, virtually without a self. Now think about admitting that what little self you can recognize has something wrong with it. To many people with BPD, this is like ceasing to exist—a terrifying feeling for anyone.

Therapists hear horrifying stories of child abuse that never make the headlines. The media seem drawn to stories about children who die, as if the suffering of those who survive is any less terrifying.

Sadly, psychiatric training still includes far too little on the very serious psychiatric sequelae of childhood trauma, especially CSA [child sexual abuse]. There is inadequate recognition within mental health services of the prevalence and importance of Dissociative Disorders, sufferers of which are frequently misdiagnosed as Borderline Personality Disorder (BPD), or, in the cases of DID, schizophrenia. This is to some extent understandable as some of the features of DID appear superficially to mimic those of schizophrenia and/or Borderline Personality Disorder.

Unbearable pain that is expressed and acknowledged becomes bearable. But borderlines received no such responses in their childhood. Therefore, they are stuck in the past, trying to elicit what they needed as a child—validation of their unbearable pain.

...it felt as if they had all died while he had slept...or perhaps (He) died, and they had forgotten him.

Deep down, people with BPD know that many of their problems are self-caused, but acknowledging this can lead them down a dark hole of fear and shame.

emotions of shame, sadness, and guilt are often much stronger and harder to cope with. Some people with BPD seem to spend more time being angry with themselves than with anyone else.

Parentified children learn to take responsibility for themselves and others early on. They tend to fade into the woodwork and let others take center stage. This extends into adulthood - adult children may put others' needs before their own. They may have difficulty accepting care and attention.

bargaining This stage is characterized by the non-BP making concessions in order to bring back the “normal” behavior of the person they love. The thinking goes, “If I do what this person wants, I will get what I need in this relationship.” We all make compromises in relationships. But the sacrifices that people make to satisfy the borderlines they care about can be very costly. And the concessions may never be enough. Before long, more proof of love is needed and another bargain must be struck. depression Depression sets in when non-BPs realize the true cost of the bargains they’ve made: loss of friends, family, self-respect, and hobbies. The person with BPD hasn’t changed. But the non-BP has.

A patient's passivity must not be unilaterally interpreted as lack of motivation, resistance, lack of confidence, or the like. Many times, passivity is a function of inadequate knowledge and/or skills.

Self-harm or substance abuse being common ways in which BPD sufferers tend to block their unwanted emotions; this is not weakness but simply that the condition makes it so difficult to regulate your reactions.

When you travel to another country, it’s important to know the local customs. When you’re interacting with someone with BPD, it’s crucial to understand that their unconscious assumptions may be very different from yours. They may include: I must be loved by all the important people in my life at all times or else I am worthless. I must be completely competent in all ways to be a worthwhile person. Some people are good and everything about them is perfect. Other people are thoroughly bad and should be blamed and punished for it. My feelings are caused by external events. I have no control over my emotions or the things I do in reaction to them. Nobody cares about me as much as I care about them, so I lose everyone I care about—despite the desperate things I do to stop them from leaving me. If someone treats me badly, then I become bad.

Borderlines may destroy what is good and loved by their children because they are intensely jealous of the loved object.

Children of borderlines and survivors of hurricanes have much in common. Survival is dependent on finding a safe place, staying low, and not being fooled by the eye of the storm.

Most kids who don't feel enough love and nurturance carry around this kind of inner rage- a rage that often lasts throughout adulthood. The people who should have cared for them didn't. The lesson to take away: All people are shit. This is why troubled youth walk around with chips on their shoulders and why they are so hard to help. Early on they learn that people can't be trusted. They often spend the rest of their lives embracing this damaging belief. Seeing the world through shit-coloured glasses, they are hypersensitive to every possible slight or judgement, and they believe anyone friendly or kind must have an ulterior motive. Despite all this, wounded people desperately want and need love. But, terrified to trust, they constantly do thing to test and sabotage their relationships. This push-pull dance is well-known to anyone who's ever been close to a victim of abuse, neglect, or abandonment. Those who suffer from BPD are hypersensitive to perceived slights from others and can grow notoriously hostile when they feel dissed.... For survivors of abuse, who you trust is a matter of survival. Its black and white. There can be no apologies. There can be no gray. There are no exceptions.-Scared Selfless

Not knowing how to regulate their own painful, aversive feelings, such as shame and anger, makes people with BPD walking powder kegs. Because of their deficits, they tend to regulate emotional pain with actions that bring quick, short-term relief, such as cutting themselves (parasuicidal acts) using drugs or alcohol, shopping or overspending, binge eating, anorexia, gambling, or engaging in unsafe sex. The consequence of these behaviors is usually more emotional pain. Alternatively, they may cope by avoiding or dissociating from the trigger or the actual emotion they are feeling. Some people with BPD may have developed too much control of their emotional responses. They may be described as emotionally over-controlled or emotionally constipated.

            Tempting as it may be to draw one conclusion or another from my story and universalize it to apply to another's experience, it is not my intention for my book to be seen as some sort of cookie-cutter approach and explanation of mental illness, It is not ab advocacy of any particular form of therapy over another. Nor is it meant to take sides in the legitimate and necessary debate within the mental health profession if which treatments are most effective for this or any other mental illness.             What it is, I hope, is a way for readers to get a true feel for what it's like to be in the grips of mental illness and what it's like to strive for recovery.

BPD sufferers experience emotions far more intensely than the rest of the population.  In many senses, this is no bad thing but the lack of control of these emotions is where BPD patients risk self-harm, destructive behaviors and problematic relationship issues with others.

We propose that BPD involves secondary structural dissociation. Consistent with this, Golynkina and Ryle (1999) found that patients with BPD encompassed a dissociative part of the personality that seems to represent an ANP (a coping ANP) and more than one EP (abuser rage, victim rage, passive victim, and zombie). Some patients with BPD have severe dissociative symptoms, and may actually border on DDNOS or DID. Our clinical observations suggest that dissociative parts in BPD patients have less emancipation and elaboration, and less distinct sense of self than in DDNOS or DID.

having BPD does not mean that you have a flawed personality, or that you will always struggle with the problems you are having right now. It simply means that you have a pattern of thinking, feeling, and behaving that may be hindering your ability to have a high quality of life, keep your relationships going strong, or reach your goals.

I would like this to end now, no more mornings, goodbyes or fighting determined sunsets. I would like this to end now, no more tear drops, suffocated breathing or life's cruelest memories. I would like this to end now, no more thinking beyond thought, eggshell walking or awkward hyper-self awareness. I would like this to end now, no more masking, imitating, or mindless mirroring. I would like this to end now, no more, me.

I'm constantly searching for confirmation of his love for me, and each of his gestures and words, no matter how trivial, can either prove or disprove it.

I'm pained, losing my soul, until darkness swallows me whole.

It is rare for even adult children to abandon their mother, regardless of how many times their mother has abandoned them.

Many people will take a rational approach, thinking through the pros and cons of an issue.  This is much harder if you have BPD.  In

One of the defining features of BPD is that sufferers have a difficult time in accepting emotions.  This is in large part thanks to the intensity with which they experience them.

There’s another key aspect to this splitting: people with BPD also split themselves, often into victim or hero—or into someone capable or someone incompetent.

Then I go on to say that one of the reasons I’m doing so well is because of how much I’ve learned about BPD and DBT, especially the part about Linehan’s biosocial model and how BPD develops through a combination of biological vulnerabilities and an invalidating environment. When I explain what an “invalidating environment” is like, she stops chewing her spring roll.

You will become effective only when your loved one can trust you. For years, your loved one with BPD has felt emotionally isolated and misunderstood. How can he trust someone he feels has never heard him? He will begin trusting you when he senses you are truly listening to him, actually hearing what he says, and really trying to communicate with him. Having the humility to acknowledge your own mistakes will help you begin to repair the damage brought about by years of miscommunication. This will be a very slow process but, over time, you can do it.

People with BPD struggle with their emotions and are often overwhelmed by them. In fact, some researchers have said that emotion dysregulation is the most important problem for people with BPD

Emotional Shades of Meaning There are hundreds of emotions, ranging in degree and sometimes with only subtle differences between them. For instance, anger can range from mild irritation or annoyance to rage and fury; sadness can range from feeling a little blue to utter despair and hopelessness. It's important to understand the distinctions among emotions as well as to be able to assess how you feel. Because you feel annoyed with someone doesn't mean you should fly into a rage and swear never to speak to them again. Because you feel sad about something that happened today doesn't mean the world will end and you should give up all hope of ever feeling better. Emotion dysregulation is a hallmark of BPD, and children raised by a parent with it may not have had the best emotional role model to learn from.

They may vacillate between over-involvement and neglect, depending upon their moods and emotional needs at the moment. They may only pay attention to the children when the kids are doing something to meet the borderline parents’ needs. Some parents with BPD try to cope with their own feelings of inadequacy by demanding that their children be perfect. Children may then feel worthless when something goes wrong.

big part of learning to cope with emotions is to ensure that those around you understand what is happening.  It can be hard to talk about BPD, thanks to the many negative depictions the condition has had in the past.  However, ensuring that your family understand how BDP can affect you is essential.  It's particularly important to make it clear that, sometimes, emotional situations can be simply too much for you.

one important thing to keep in mind about BPD is that it comes with a lot of extra baggage. That is, many people with BPD have other problems and may meet criteria for other diagnoses. For instance, many people with BPD suffer from depression, anxiety disorders, eating disorders, and/or drug and alcohol problems. People with BPD are also at risk for suicide attempts, self-harm, and other self-destructive behaviors.

But whereas the psychopath suffers from emotional poverty, a person with BPD does things impulsively precisely because he or she is extremely emotionally sensitive to the stimulus and people around him or her.

Core Wound: People with BPD tend to be suffering from a deep wound of rejection or abandonment, which has planted an idea of inner defectiveness in them. This causes them to believe they are inherently worthless and unlovable—that they cannot be themselves, because no one will ever want that person. Note: People with BPD often think “being themselves” equates to being extremely emotional and sobbing, or being clingy and jealous, or manic and impulsive. So the protective self is on its best behavior (idealization period) until it feels safe, and then exposes these more and more dramatic qualities, until eventually people leave. But neither of these sides is who you truly are. They are both the protective self, one “perfect” and another “broken.” The protective self creates an infinite loop to keep you trapped and justify its own existence.

Attacks by the Witch mother are like tornadoes: random, devastating, and unpredictable. Naturally, her children are on constant alert for changes in the atmosphere that might indicate when and where she will “Turn.

Although borderline mothers may love their children as much as other mothers, their deficits in cognitive functioning and emotional regulation create behaviors that undo their love. Borderline mothers have difficulty loving their children patiently and consistently. Their love does not endure misunderstandings or disagreements. They can be jealous, rude, irritable, resentful, arrogant, and unforgiving. Healthy love is based on trust and is the essence of emotional security.

Children who live with a predatory mother become unconsciously preoccupied with reading their mother’s moods. A fleeting glance, a furtive gesture, deceleration, and a shift of direction are signals of an approaching Turn. Bracing, hiding, or merely holding on gives children a much-needed sense of control. Shutting down, avoiding eye contact, and getting away are other means of establishing control.

When it comes to BPD, emotional triggers are what we need to understand.  Most people with BPD will have a set of emotional triggers which can make their symptoms worse.  Usually it's a very specific set of triggers and these can be highly individual, varying from one person to the other.

Most kids who don't feel enough love and nurturance carry around this kind of inner rage- a rage that often lasts throughout adulthood. The people who should have cared for them didn't. The lesson to take away: All people are shit. This is why troubled youth walk around with chips on their shoulders and why they are so hard to help. Early on they learn that people can't be trusted. They often spend the rest of their lives embracing this damaging belief. Seeing the world through shit-coloured glasses, they are hypersensitive to every possible slight or judgement, and they believe anyone friendly or kind must have an ulterior motive. Despite all this, wounded people desperately want and need love. But, terrified to trust, they constantly do things to test and sabotage their relationships. This push-pull dance is well-known to anyone who's ever been close to a victim of abuse, neglect, or abandonment. Those who suffer from BPD are hypersensitive to perceived slights from others and can grow notoriously hostile when they feel dissed.... For survivors of abuse, who you trust is a matter of survival. Its black and white. There can be no apologies. There can be no gray. There are no exceptions.-Scared Selfless

Witch mothers possess a laser-like ability to detect areas of vulnerability in others. Like the witch in Hansel and Gretel, the borderline Witch has “a keen sense of smell” for human weakness. Witch mothers know what to say to hurt or scare their children, and use humiliation and degradation to punish them.

A chart review (Herman, 1986) found that 67 percent of twelve psychiatric outpatients with BPD had a history of abuse in childhood or adolescence. And a qualitative study (Bryer, Nelson, Miller, & Krol, 1987) found that 86 percent of fourteen hospitalized patients with BPD had experienced sexual abuse before the age of sixteen.

Just a small critical or disapproving look might be enough to throw you into an emotional tailspin.

Interpersonal dysregulation means having trouble with relationships with other people.

they tend to struggle in their relationships in two primary ways: unstable relationships, and fear of abandonment.

Borderlines may need to feel in control of other people because they feel so out of control with themselves. In addition, they may be trying to make their own world more predictable and manageable. People with BPD may unconsciously try to control others by putting them in no-win situations, creating chaos that no one else can figure out, or accusing others of trying to control them.

People with BPD can be dramatic and charismatic, and they are often quite caring and understanding. Nevertheless, caring for someone with BPD is like trying to hold onto the sun: the emotional intensity of a person with BPD can singe and char relationships. Further, people with BPD often become swallowed by grief or sadness, leaving the caregiver or family member in the dark about what to do.

There is no consensus or agreement on what “emotional regulation” means – either in general or in BPD cases specifically.  Some experts argue that the inability to increase or decrease an emotional response as appropriate to circumstances is a good basic definition, while others prefer a broader definition which looks at emotional regulation as a continuous necessity throughout our daily lives in order for us to be  able to function properly and maintain a healthy “emotional system”.

A personality disorder is simply a long-lasting pattern of relating to the world that doesn’t work very well. In addition, these problems cause great distress and may create difficulties in relationships or lead to problems reaching goals in life

My other client, whom I will call Teresa, thought Lorraine had MPD and hoped I could help her. Almost no one recognized this condition in those days. Lorraine was forty years old and had been in and out of psychiatric hospitals since she was thirteen. She had had various diagnoses, mainly severe depression, and she had made quite a few serious suicide attempts before I even met her. She had been given many courses of electric shock therapy, which would confuse her so much that she could not get together a coherent suicide plan for quite a while. Lorraine’s psychiatrist was initially opposed to my seeing her, as her friend Teresa had been stigmatized with the "borderline personality disorder" diagnosis when in hospital, so was seen as a bad influence on her. But after Lorraine spent a couple of months in hospital calling herself Susie and acting consistently like a child, he was humble enough to acknowledge that perhaps he could learn some new things, and someone else’s help might be a good idea.

evidence from functional magnetic resonance imaging showing that patients with BPD have hyperactivity in the limbic areas of the brain, especially the amygdala, and hypoactivity in the prefrontal cortex [and] in complex interaction with childhood trauma common among borderline patients, can result in the . . . behavior recognized as the symptoms of BPD: impulsive aggression, lack of affective control, and a profound mistrust born out of early disruption in the development of emotional attachment.8 Obviously, psychological theories for BPD

Though women have struggled successfully to achieve increased social and career options, they may have had to pay an exacting price in the process: excruciating life decisions about career, families, and children; strains on their relationships with their children and husband; the stress resulting from making and living with these decisions; and confusion about who they are and who they want to be. From this perspective, it is understandable that women should be more closely associated with BPD, a disorder in which identity and role confusion are such central components.

Essentially, people with BPD look to others to manage their feelings for them. Someone with BPD wants others to provide them with things they find difficult to supply for themselves, such as self-love, stable moods, and a sense of identity. Most of all, they are searching for a nurturing caregiver whose never-ending love and compassion will fill the black hole of emptiness and despair inside them. Rachel Reiland, author of Get Me Out of Here: My Recovery from Borderline Personality Disorder, had BPD for many years, but has fully recovered. In an email, she describes the conflicting feelings

... as Herman (1992b) cogently noted two decades ago, these personality disorders can be iatrogenic, causing harm to individuals as an inadvertent result of the social stigma they carry and the widespread (but not entirely accurate) belief among professionals and insurers that those with Cluster B personality disorders (especially borderline personality disorder[BPD]) cannot be treated successfully, cannot recover, and are a headache to practitioners. For example, the BPD diagnosis continues to be applied predominantly to women often, but not always, in a negative way, usually signifying that they are irrational and beyond help. Describing posttraumatic symptoms as a personality disorder not only can be demoralizing for the client due to its connotation that something is defective with his or her core self (i.e., personality) but also may misdirect the therapist by implying that the patient's core personality should be the focus of treatment rather than trauma-related adaptations that affect but are distinct from the core self. In this way, both therapists and their clients may overlook personality strengths and capacities that are healthy and sources of resilience that can be a basis for building on and enhancing (rather than "fixing" or remaking) the patient's core self and personality.

with friends at a local coffee shop Posting comments on discussion boards rather than communicating face to face in social settings Conversing via e-mails and text messages rather than phone conversations Being a part of anonymous online support groups rather than attending local support group meetings Cybersnooping friends' profiles rather than getting to know them personally Of course, some of these ways of "techno-relating" are fun and beneficial. The social components of the Web appeal to many people because they offer easier, safer, and quicker ways to connect to others. No one really knows to what extent isolation from overuse of technological ways of relating to other people contributes to the development of BPD or other emotional problems. However, technology can prevent the in-person contact you need to build relationships and trust. To get better, people with BPD need real relationships, real social support, and real feedback about their behavior.

Criteria for Borderline Personality Disorder Frantic efforts to avoid real or imagined abandonment A pattern of intense and unstable interpersonal relationships characterized by alternating between extremes of idealization and devaluation Identity disturbance: markedly and persistently unstable self-image or sense of self Impulsivity in at least two areas that is potentially self-damaging Recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior Affective instability due to a marked reactivity of mood Chronic feelings of emptiness Inappropriate, intense anger or difficulty controlling anger Transient, stress-related paranoid ideation or severe dissociative symptoms