3 part series of the dysfunctional dance between co-dependents and borderlines

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Part II – Understanding and Loving the Borderline

In traditional psychology literature, the person with BPD (borderline personality disorder) is seen as a hopeless and dangerous monster. While this disorder poses serious challenges, I have realized that it is just as dysfunctional as its codependent counterpart. This reputation is coming from the fact that PBPD (people with BPD) can be very threatening especially as they get into rage. The codependent is much more covert. He copes, plays the nice guy and manipulates. He is not threatening but we could argue that an exposed danger is safer than a covert one even if it may be more explosive.

This is actually the major difference between both disorders. They both struggle with poor self-esteem, fear of abandonment, loneliness and shame. The codependent copes while the PBPD is unable to cope. The codependent children were able to exercise a certain level of control in their environment because there was a certain level of predictability as they found coping or manipulative strategies that yielded results with their narcissistic parents. For example, as a codependent child, I could get positive feedback consistently from my grandfather and father by having good grades. I could affect my mother’s mood in how I reacted to her food. I could get her attention consistently by expressing strong emotions. The BPBD environment was much more unpredictable so they could never develop strategies to get the attention, reflection and love they were starving for. The BPBD were raised in fundamentally and profoundly invalidating environments. My mother was forbidden to use the light at night at her foster home in order to save money. Her grades suffered and she received criticism from the teachers as she kept receiving mixed messages from her environment. She was instructed to only wear poor people clothes because her foster parent was afraid that other parents might be jealous. At the same time, she was criticized the way she looked by her classmates. She was taught to wash only in the dark, as her body was sinful. A couple of borderline partners I have had would receive constant criticism from their mother and sometimes serious beatings. When they would do very well on an activity or discipline, their mother would get jealous and punish them. When the mother is borderline, it is very likely that the daughter will be a borderline too while the son would become a codependent though it may vary depending on family dynamics. Because of the invalidating and unpredictable environment, the child develops hypersensitivity to already be ready for danger and does not learn how to regulate his emotions. Their emotions go from park to 5^th gear in no time. Contrary to what some experts are saying, I do not believe that BPD comes from chemical imbalance. It is coming from an early childhood invalidating environment that created this psychological condition in them, which then in turn produced the chemical imbalance. This is not a genetic disease though it often runs in the family. It is a behavioral disorder where parents make their children suffer the same way they have suffered in the hands of their own caregivers. This is coming from the fact that they had to create an internal perpetrator to cope with the caregiver they had to bond with. This ego defense mechanism came from the fact that children that were able to bond with their parents had a much higher chance of survival. Children that would wander away from the parents would be a target for predators. For this reason, the parents can never be bad from the child perspective. The children have to make themselves bad rather than the parents otherwise their survival would be at stake. This was learned through millions of years of evolution. It is safer for their survival or at least it used to be in ancestral societies. This is why children make it always their fault when their parents divorce, fight or abandon them. This is coming from our primitive brain.

People who are invalidated will usually either leave the invalidating environment, attempt to change their behavior so that it meets the expectations of their environment (codependent coping mechanism), or try to prove themselves valid by challenging the environment. The borderline dilemma arises when the individual cannot leave the environment and is unsuccessful at changing either the environment or their own behavior to meet the environment’s demands. Sexual abuse is one of the most severe form of invalidation during childhood. The victim is told that the molestation or intercourse is “OK” but that she must not tell anyone else. The abuse is seldom acknowledged by other family members, and if the child reports the abuse she risks being disbelieved or blamed. It is difficult to imagine a more invalidating experience for a child. As a result, clinical psychologists have suggested that the secrecy of sexual abuse may be the factor most related to subsequent BPD. Similarly, physical abuse is often presented to the child as an act of love or is otherwise normalized by the abusive adult. We  have a French expression “Qui aime bien, châtie bien” which is the English equivalent of “Spare the rod and spoil the child”. It means that if children are not physically punished when they do wrong, their personal development will suffer. This type of upbringing is likely to create disorganized attachment which is the attachment trauma that most PBDP are suffering from.

Not everything is bad with the borderlines

Because PBPD are so often vilified, I am going to first play the devil’s advocate by stating what is great about them

• Because of their hypersensitivity, they can make great artists, athletes or spokespersons. Vincent Van Gogh, Marilyn Monroe, Robin Williams, Brigitte Bardot, Britney Spears, Taylor Swift, Michael Jackson, Princess Diana, Angelina Jolie, Johnny Depp, Whitney Houston, Christina Aguliera, Drew Barrymore, Katy Perry, Lady Gaga, Madonna, Mariah Carey, Megan Fox, OJ Simpson, Naomi Campbell, Rihanna, Kurt Cobain and so many more that have inspired us, all have or have had, BPD. Many actually manage to get to the top of their field, as they are able to harness their very intense energy towards a creative purpose. When they are on, they are usually incredibly productive as their internal pain allows them to tap into parts of the brain that we typically have no access to.
• They are great lovers. Their rawness, wildness and high-intensity make sex with them an unforgettable experience. They give themselves without restraint and because of their internal torment, they have no hesitation in experiencing the darkness and the ego death that makes love-making so spicy and thrilling. They have a unique way to make their partners dissolve into the act of love with them. The femme fatale is borderline. Some experts say that the PBPD is incapable of love because they are narcissistic however in my experience, the “love bombing” from the borderline is actually sincere that can make anyone melt. Unfortunately, because the PBPD does not have a defined sense of self, the adoration can turn very quickly to violent hate and rejection. I recommend you watch the character of Carmen in the famous Bizet opera to understand this archetype. The 1984 movie with Placido Domingo is one of its most remarkable interpretation.
• They are more authentic by default as they lack the ability to cope. They are more spontaneous, vibrant, and alive than the rest of us. “Emotional intensity” means that their emotional reactions are amplified. On the positive side, emotionally intense individuals may experience joy more easily, and thus may also be more susceptible to spiritual experiences. Many of them are charismatic and possess unique charm and magnetism. As such, they can challenge societal structures that do not serve us anymore. Their frankness can disturb and sometimes hurt, but there is often a lot to learn from it.
• They are the most ardent defenders of the weak and vulnerable because they are able to feel their pain. Children, animals, minorities and more generally; people suffering, echo into their heart. They often advocate for a change of lifestyle to minimize suffering on this planet. They will take that extra step to make a difference in someone’s life. They are less self-centered than the rest of us when they don’t struggle with their very survival. Brigitte Bardot, the French sex symbol of the 1960s, said when she retired “I gave my beauty and my youth to men. I am going to give my wisdom and experience to animals.”

The truth however is that being with a borderline is difficult, and it is up to some of us involved with PBPD to decide if it is worth it or not. Because of my own childhood traumas, I have been in a mission to create happy and fulfilling relationships with PBPD. As a result, I became an expert in loving the borderline which is nothing else than controlling the uncontrollable. I am single today so these efforts ultimately failed, or maybe succeeded, as I regained my autonomy through this healing journey and that I am now able to help others going similar dynamics.

I adore this video. It is based on an actual email exchange between “Mike” and his abusive, BPD girlfriend, “Susan”. I have had probably thousands of similar types of arguments over the last 25 years. Susan is completely in her hurt emotions and Mike is protecting himself by being rational but he is also cut from his emotions as he feels unsafe. The two people are not connecting and they could argue for hours to no avail. What I have learned the hard way is that when a borderline is triggered, there is no amount of rational discussions that would do any good. At this point, the mind of the borderline is completely controlled by their negative emotions so wise thoughts will be pointless. Matching the borderline intensity through the same intensity is never a good option either. The borderline is an escalator so if both of you escalate the argument, you will just end up killing each other. Staying silent, present and looking at their eyes with compassion is a better option however it would not help them release their internal pain and torment. Unfortunately, it would often just reinforce their shame. We need to understand that PBPD feel really bad about themselves and being so much out of control all the time. So staying in control like Mike even in a loving way will just reflect their own inadequacy.

De-escalate the PBPD with heartfelt validation

This is the magic wand and it works! The first thing to do with the PBPD you love is always heartfelt validation. I am saying heartfelt because the PBPD is very sensitive and will be able to feel right away if your validation is not sincere and mechanical. This will just infuriate her even more (I will use “she” for the PBPD because of my own personal relationship experience however some studies say that BPD is just as common in men than in women). She has a very sophisticated BS detector! So you need to be creative and find a way to validate her emotions in a way that is precise and genuine. It is always safe to start with fillers like “you are right to feel this way, anyone in your situation would feel the exact same way”. This will put her in a state of receptivity and at this point, it is best to use your own experience to show how you can relate to what she is experiencing internally. Validation is so important to the PBPD because she carries intense shame so validation is the way to neutralize it. The PBPD was raised in a very invalidating environment where she learned that there is something wrong about herself and how she feels. She has internalized self-loathing as a coping mechanism and this is creating huge amounts of anxiety in her. Let me give you a couple of examples to how validation works. Let’s start with the easier situation when she got very upset with something that does not concern you. It is easier but still challenging because if you do respond to the PBPD in a specific way, a problem that was not connected to you may become all about you, and how insensitive and uncaring you are. So you are still walking on eggshells.

“ I am such a shitty mum. I am just screwing up this child”

“I think you are a great mum. You really care about your child’s emotional well-being like no one else”

“I can only spend with him one day a week with undivided attention. And I feel so drained by the end of my day with him. I am simply not made to be a mum”

“The quality of time you spend with him is more important that the quantity. The fact that he is always asking for you shows that he really enjoys your time together, and how much he feels you care for him. You are really creative coming up with new projects to do together. It is fun and it is helping his development a lot”

“You really think so?”

“Yes, I believe he is really lucky to have a mum like you.. I would have killed to have a mum like you”

PBPD is feeling better. Get closer, hug and connect. Then she naturally goes on her day.

Let’s say now you are not attuned enough to the PBPD that you love, and say instead…

“Yes. Maybe you could try to find ways to spend more time with him. This could help his self worth and development. It seems like he is struggling”

At this point, you have triggered the shame of the PBPD and a discussion that was initially unrelated to you will become solely about you and the relationship

“If you made more money and if you were not such a loser, then I could spend more time with my son.”

“Why are you attacking me? I was just trying to help you”

“You are also such a lousy stepdad. All the pressure is on me because he cannot connect to you.”

“I am spending a day a week with him and I am putting a lot of energy into him”

“Yes, but it feels like you do not want to be there when you are playing with him. And he is feeling it. You have no desire to be a stepdad. This is breaking my heart when I see other men having fun with him. I just wish that were you. It makes me doubt that we should really be together”

“Why are you bringing this up now? This is really hurting me”

“Our relationship is doomed. You say you love me but you cannot connect to my own child. I should have better listened to my instincts. I keep making the same mistake with men”

“This is too much. I have to leave this discussion”

“Yes, get the fuck out of here. We can never talk together. If you leave this room, you may never see me again”

A couple of things happened here. By expressing what you thought was a constructive criticism to make things better, you have triggered the shame of the PBPD. Shame is like a hot potato so she has to give it right back to you. If you are with a PBPD, the chance is that you are struggling with core shame too so she will find a way to get you triggered too by showing how inadequate you are. If this does not work, she will escalate to trigger your abandonment issues that all codependents are struggling with. What is important to realize is that the PBPD is switching the tables on you for her emotional survival, as she cannot regulate her own emotions.

Inability to regulate emotions

Invalidating environments during childhood contribute to the development of emotion dysregulation; they also fail to teach the child how to label and regulate arousal, how to tolerate emotional distress, and when to trust their own emotional responses as reflections of valid interpretations of events. As adults, borderline individuals adopt the characteristics of the invalidating environment. They struggle to regulate negative emotions, have high sensitivity to negative emotional stimuli and show slow return to emotional baseline. As they feel powerless to regulate emotions internally, PBPD attempt to regulate their emotions externally, typically through unstable relationships. PBPD are well known to engage in self-harming behaviors such as cutting. Someone not BPD does not understand this type of behavior. Cutting hurts so why would someone do something so painful to herself? People asking this question have never been through the emotional hell that PBPD go through on a daily basis. Their emotional pain is so intense that physical pain feels like a release. This also explains why BPDs are such great and intense lovers. Sex allows them to get a break from their internal emotional hell and give them a well-needed release. This is the most positive physical release they can get but they need to feel good about their partner for this experience to be healing. The PBPD goes from park to 5^th gear with her emotions. Once she is triggered, it is going to take a considerable amount of time and energy to bring her back to a calmer state. Another positive way for a PBPD to regulate her emotions is exercising. Running, spinning or any other type of hard physical exercise where she can exhaust herself will help her regulate emotions that went wild. Unfortunately, she often chooses to fight with her loved ones and fix them as a way to get a release. Their codependent partner is their most common way to regulate their emotions and this is why PBPD are often diagnosed with love addiction. This is coming from their intense fear of loneliness. For that reason, they are perceived to be needy, demanding and entitled.

Borderline individuals, more so than most, seem to do well when in stable, positive relationships and do poorly when not in such relationships. My mother has done considerably better since she has been married to my stepdad, a remarkably caring man. They desperately need connection as their attachment traumas make them feel they are unlovable so they hysterically look for external validation to fill their inner void. When you are receiving the tail end of a BPD crisis, it is hard to realize that the person abusing you is desperately looking for love & connection. She was abused herself by her primary caretakers so she had to internalize abuse as love to survive a very damaging environment. When a PBPD has an urge to cut, I recommend giving her an ice cube. This will allow her to experience physical pain in a safe way and that will help her regulate her emotions. You may want to press very hard her forearms to create the same relief in a safe way. Hugging her very hard can be helpful too as long as you are careful not to injure her. You may try to blast rap music and get her to dance with the rhythm. The key is to help her release the very intense self-destructive emotions. Emotions have gone too toxic to be processed internally and they need a physical release. The key is to empower them to find ways to release these emotions in a way that do not destroy their lives and the people around them. Unfortunately, PBPDs are often tempted with destructive ways to release themselves from their unbearable internal torment. Elevated rates of borderline personality disorder (BPD) have been found among individuals with substance use disorders (SUDs), especially cocaine-dependent patients. This population is very susceptible to addiction with illegal drugs. The addiction with legally prescribed opioid drugs is just as dangerous and kill many of them every year. PBPD are prescribed opioid pain medications at increasing and alarming rates. When they do not overdose from these drugs, the prescribed medications weaken their health through their many side effects, increase dependency and impact negatively their functioning. Our mental health system is corrupted and most psychiatrists spend their time prescribing dangerous opioid drugs instead of supporting patients to heal their trauma. We live in a system that promotes dependency over autonomy because it is financially beneficial to key players of the pharmaceutical industry. PBPD are a vulnerable population that is paying the price often at the cost of their lives for these economic choices. New clinical trials are coming out using shamanic medicine with DMT, MDMA or psilocybin to treat populations with PTSD with very encouraging results. As most PBPD suffer from complex PTSD, these treatments offer significant healing potential especially as they are far less addictive than prescribed opioid medications.

The most destructive way PBPD attempt to escape their emotional pain is suicide. Research has shown that around 70 percent of people with BPD will have at least one suicide attempt in their lifetime, and many will make multiple suicide attempts. Between 8 and 10 percent of PBPD will complete suicide, which is more than 50 times the rate of suicide in the general population. There is not a single day when PBPD are not contemplating suicide, as the thought of putting a term to their lives feels like a release. Because suicide is always a temptation for PBPD, it is critical that they have strong reasons to keep living such as raising a child, not hurting their loved ones or a personal life mission with greater purpose. Take this meaning away from the PBPD, and they will not hesitate to commit the irreparable. People who commit suicide do not want to die, but to end their pain. This is why it is so important to help PBPD to deal with their emotions in constructive ways.

Hypersensitivity & Overreaction

We discussed previously the positive aspects of hypersensitivity but it also poses some challenges. Partings that would cause to feel antsy may precipitate very intense and painful grief; what would cause slight embarrassment for another may cause deep humiliation; annoyance may turn to rage; shame may develop from slight guilt; apprehension may escalate to a panic attack or incapacitating terror.

Actually much of the borderline individual’s emotional distress is a result of secondary responses (e.g., intense shame, anxiety, or rage) to primary emotions. Often the primary emotions are adaptive and appropriate to the context. The reduction of this secondary distress requires exposure to the primary emotions in a nonjudgmental atmosphere, a validating environment.

I have a friend married to a BPD that is an agriculture expert. Summer is for him the busy season and he leaves the house at 6 AM to return after 10 PM every night. His wife expressed her anguish of having him gone so long. He initially shut her down because he makes most of the family yearly income during this time and he knew he could not change the nature of his work for her. This allows them to have a very good lifestyle and some amazing vacations with the children for the rest of the year. Overtime he learned to stop being defensive and to validate her separation anxiety instead of triggering additional emotions of shame and anxiety. This way, without changing anything around the necessities of his job, his wife is experiencing some manageable anguish instead of completely falling apart. He is avoiding crises, hours long disputes and his wife’s emotional breakdown. By improving his communication, he dramatically improved the quality of their life together around this incompatibility. This is fortunate how they really love each other and they have a beautiful family together.

He would say initially “Why are you upset? Who is going to pay for the mortgage and pay for the kids if I do not work my ass off in the summer? I make in one summer what you make in 5 years. I am tired and I need support instead of having you nagging at me for something I have no control over. Do you think I am having fun working 15 hours a day? Can you stop acting irrational?”

This would trigger her secondary emotions of shame and their dispute would escalate. He would then get even less sleep which would make her feel even more guilty. They were in a vicious circle.

His dialog is now much more different “Honey. I understand I am asking a big sacrifice from you every summer. It is really hard to have someone you love gone so much. Everyone in your situation would feel the same way. I miss you a lot too. I am so impressed how you are able to handle the kids, the house, your job and taking care of me during this critical time. I simply could not do it without you. When the summer is over, I promise to make it up to you. I have planned an amazing vacation for all of us in October.” He also mitigates the pressure by getting some of her family & friends visiting during that time and getting additional household support. With his new communication, no secondary emotions are triggered which makes it manageable.

Borderline individuals are the psychological equivalent of a third-degree burn patient. They simply have, so to speak, no emotional skin. If we touch a burn patient, and they start yelling, we are not saying that they overreact. Unfortunately, we dismiss what is not visible to the naked eye so we make the PBPD reactions wrong. This triggers their shame even more and this causes them to lose their temper on a seemingly trivial situation. PBPD are commonly shamed for their neediness. It is quite unfair, as we would not shame an infant or a cancer patient to be needy. Because we cannot see with our physical eyes how emotionally damaged are the PBPD, we judge them as needy, dependents and drama queens. Because PBPD are in desperate need of other people, they have learned to be creative to get people, and this is why many of them have become great lovers, cooks or entertainers. When faced with limited resources, they use their natural talents and charisma to draw people around them in ways that is more socially acceptable.

They carry deep insecurity and have a constitutional incapacity to tolerate much stress, especially in their interpersonal life. Events that might not bother many people are likely to bother them. They are known to make a mountain out of a molehill. If you love a PBPD, it is critical to learn to love her the way she is instead of attempting to fix her. Any of these attempts will just trigger her shame and makes your life even more miserable. If you love a PBPD, you need to ask yourself if you would stay with this person even if they would never change. If the response is negative, it is probably best to end the relationship. A break-up with a PBPD is very painful however both of you will eventually heal while a relationship where both continuously project their shame into each other is permanent hell. The PBPD can also feel if you are with them by obligation or guilt rather than love.

Impaired Thinking from Overwhelming Emotions

Some of the PBPD I know are highly intelligent however, even with them, the intensity of their emotions is overwhelming their thinking ability. Their hurt, anger and other negative emotions are corrupting the objectivity of their thinking. This is why it is pointless to have a rational discussion with PBPD once they are triggered. Our thinking brain (neocortex) is no match to our reptilian brain because it ensures our survival. Some PBPD are able to be more objective once they come back to a calmer state but most feel too insecure and powerless to consider the reality of their dysfunction. They would rather take the role of the victim to avoid the shame related to their behavior.

PBPDs have black & white thinking or “splitting”. They lack the ability to see simultaneously both the positive and negative qualities of the self and others into a cohesive, realistic whole. They tend to think in extremes, interpreting others actions and motivations as all good or all bad with no middle ground. Even when they excel in their professional occupation, they will oscillate between a state where they think they are a fraud, ready to be fired to boasting how good they are. It truly feels as a “split” personality. The same pattern is seen even more clearly with their relationship. Once in a relationship, they idolize their intimate partners, see them as their twin flame, as the best thing that happened to them but once the relationship ends, they demonize them often by making up stories and rallying everyone around them to substantiate their perceived abuse. They refuse to see that they were with the same person at the beginning and at the end of the relationship. It is their perception of their loved one that changed overtime. At the end of a relationship, they frantically discard any sign they ever were romantically involved with their ex in the hope it would take away the pain related to their abandonment and internal sense of inadequacy. They internally wish that their exes fall apart emotionally after the break-up to improve their self-esteem and not face their internal shame of contributing to the separation. This would make them the good guys that tried everything to make it a successful relationship but the partner was simply “too damaged”. It is projection that helps them not to feel abandonment. I knew a PBPD that played mind games with her ex to drive him to the point of insanity. He was still in love with her and coping by drinking alcohol. I could sense below the surface how much she took satisfaction on his addiction. This way, she could easily justify to others the end of the relationship on his dysfunction while she had a large part in it. If you are ending a relationship with a PBPD, do not fall into this trap. Do your healing work and be the first one to get back on your feet. Stay away from the drama and create an environment conducive to your healing. It is part of the psychological make-up of the ex PBPD to get you to sink so that they look good to themselves and others. This is why many PBPDs will continue to harass their exes even years after they break up, and they will use any opportunity to damage your friendships, your career, the connection with your children and your enjoyment of life.

In the treatment of BPD, the therapist would help them see both black and white, and to achieve a synthesis of the two that does not negate the reality of either. PBPD inappropriately attribute all blame and responsibility for negative events sometimes to themselves and other times to others. The goal is to help them to be more objective and to realize that both parties made sincere efforts but also mistakes.

PBPD are constantly catastrophizing, or anticipating disastrous scenarios. They have hopeless expectancies, or pessimistic predictions based on selective attention to negative events in the past or present, rather than on verifiable data. Borderline individuals frequently respond to any relapse or small failure as an indication that they are total failures and may as well give up. Once, I did an awareness exercise with my borderline partner and it was fascinating to watch how she made every stimulus into a negative thought. We are driving on a highway, and she imagines the people that crash at this intersection. She sees a pregnant woman and she feels infertile. I mentioned an exciting upcoming trip and she imagines the plane to crash. Considering the train of thoughts in her mind, I could understand why she was so tormented. As a child, negative focus was  their coping mechanism to protect themselves from continuous disappointment, and they bring this destructive mental habit into adulthood. If you forget your cell phone and are coming home late, they will imagine that you died in a car accident about 50 times, and will be intensely angry with you when you show up as you purposely tried to hurt them. They also experience chronic feelings of emptiness and loneliness. The PBPD has a tendency to ruminate about traumatic events over and over again. The rumination not only perpetuates the crises, but can generate new crises whose relationship to the original crises is often overlooked. A PBPD is a bit like an overtired child on a family outing. Once overtired, the child may become upset at every minor frustration and disagreement, crying and having tantrums at the slightest provocation. If the parents focus on trying to resolve every individual crisis, little progress will be made. It is far better to attend to the original problem— lack of sleep and rest. By the same token, it is often more effective to help the PBPD regulate her state first than problem solving right away what she is afraid about. As Albert Einstein said “Problems cannot be solved with the same mind set that created them” so focusing first on improving the PBPD state is sensible.

Narcissism

Any human being in a state of survival stops caring for others, so when a borderline is experiencing an emotional crisis, they may appear narcissistic. It is not so much that they stop feeling others but rather their internal pain is overriding their natural empathy for others. They are naturally quite empathic and compassionate people as they are hypersensitive and feel other people’s pain better than most. However this stops once they get triggered. This is why after they come back to a calmer state, they often experience intense guilt about the harm they caused others during their crises. Or alternatively, they can block their conscience and demonize the other in order not to feel this guilt. However, this type of denial will worsen their mental health.

NPD (Narcissistic Personality Disorder) is different than BPD, however these two disorders originate from attachment traumas. Both PNPD and PBPD have intense fear of abandonment, self-loathing and low self-esteem (covert for the NPD).

For this reason, it is common for PBPD, especially the “successful” ones to display NPD symptoms:

• An exaggerated sense of one’s own abilities and achievements
• A constant need for attention, affirmation, and praise
• A belief that you are unique or “special,” and should only associate with other people of the same status
• Persistent fantasies about attaining success and power
• Exploiting other people for personal gain
• A sense of entitlement and expectation of special treatment
• A preoccupation with power or success
• Feeling envious of others, or believing that others are envious of you
• A lack of empathy for others

In this case, BPD and NPD symptoms will fluctuate in the same individual as different personalities. It is sometimes hard to comprehend how the same person can go from a state where they want to commit suicide, as they feel so completely worthless, to a state of grandiosity where they can get into full rage if others do not consider their superiority. It is simply two sides of the same token where the self feels deeply insecure and unworthy of love. They feel they do not exist or embody evil as they carry an unstable self-image or sense of self and suffer from identity disturbance. Devaluating oneself or devaluating others is in a sense the same thing. This is why so many PBPD have narcissistic traits. They follow a pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation.

The inability to let go of “being right” in favor of achieving goals is, of course, related to borderline patients’ experiences with invalidating environments. I would often ask my BPD partners if they would rather be right or be loved. This question would irritate them as unmistakably, being right feels the most important thing to them.

Just like with PNPD, when friends, therapists or acquaintances try to share helpful tips or recommendations, they are often experienced as discouraging or as manifestations of lack of love and appreciation. They overact to mild criticism or rejection, so gross that it suggests paranoia or even outright delusion.

Struggling with Accountability

We saw how the step of validating the hurt inner child is so critical as it helps neutralize shame in the PBPD. However if all we do is to dwell on the pain, and identify with the hurt inner child, we will just end up being controlled by an angry, depressed, immature and sometimes mean (internal) little boy or little girl. Recently, a woman posted in a forum how horrible was another woman to get a high margin from her work as a personal organizer, that she felt exploited and decided to go on her own. I praised her for her decision to start her own company but went to educating her on the reality of business not realizing she only wanted validation. She became very angry at me and started personal attacks with a clear intent to hurt. All she wanted to hear was how bad the other woman was and that she should rot in hell. There was no interest in any other perspective and while I made the mistake of not feeling into her before commenting, redirecting her anger to someone else without any self-awareness was not going to support her healing.

The PBPD is often stuck between complete powerlessness and anger, with anger being a higher state. We can think of ourselves as a trinity: inner child, adult and higher self. When we fully identify with the deep emotional pain of the inner child, whether it is loneliness, depression, despair, or anger, it is important to bring our adult and higher selves without abandoning the inner child. The inner adult can bring wisdom and encouragement to the hurt inner child, while the higher self can remind us of our innate perfection and ultimate nature as love. We have to teach all three to work and support each other. Suppressing the inner child is the most dangerous thing to do, as it will manifest externally as tragedy. And I am speaking from experience. The inner child contains our shadow but it is also the seat of the soul and the key in understanding our divine nature. As you dive deeper into it, you will actually meet the internalized aspects of the shadows of your primary caretakers within the inner child. You may be a high-energy successful executive and have a repressed depressed aspect from your mother and a repressed addict from your father side. Under duress, these repressed aspects may take over abruptly to the astonishment of your friends and family. These shadow aspects within ourselves have to be met consciously and ultimately loved for true integration to take place. This is where the step of accountability is so important. It will allow the PBPD to move from anger to sadness with self-awareness, which is where healing actually starts. If the lady mentioned above had gone there, she could have said for example “I am sad that I do not fit into this business world. I am terrified at the idea of finding my own clients and this could involve a lot of rejection. I am afraid to start my own business as the level of administrative complexity overwhelms me”. After experiencing her sadness and fears, she can then naturally move into problem solving.

This is easier said than done. This is why PBPD suffer from inhibited grieving. They have a tendency to inhibit and overcontrol negative emotional responses, especially those associated with grief and loss, including sadness, anger, guilt, shame, anxiety, and panic. For this reason, they are unable to grieve as they compulsively find a way out of experiencing the negative emotion consciously. This is why clinical trials with MDMA or DMT have showed efficacy in treating patients with PTSD. The plant medicine forces them into experiencing the trauma because every resistance is met with unsustainable torment so they have no other option than letting go. Inhibited grieving is understandable among borderline patients. People can only stay with a very painful process or experience if they are confident that it will end some day, some time— that they can “work through it,” so to speak. It is not uncommon to hear PBPD say they feel that if they ever do cry, they will never stop. Indeed, that is their common experience— the experience of not being able to control or modulate their own emotional experiences. They become, in effect, grief-phobic. In the face of such helplessness and lack of control, inhibition and avoidance of cues associated with grieving are not only understandable, but perhaps wise at times. Inhibition, however, has its costs. Borderline individuals are constantly re-exposed to the experience of loss, start the mourning process, automatically inhibit the process by avoiding or distracting themselves from the relevant cues, re-enter the process, and so on in a circular pattern that does not end. For healing to take place, the PBPD has to learn to grieve deeply in order to end grieving.  Through accountability, the PBPD needs to confront rather than avoiding the crises they are experiencing.

The slightest touch or movement can create immense suffering for the borderline. Yet, on the other hand, life is movement. Healing, at its best, requires both movement and touch. Thus, the process of healing itself cannot fail to cause intensely painful emotional experiences for the PBPD. The PBPD must have the courage to encounter the pain that arises. The experience of their own vulnerability that sometimes leads borderline individuals to extreme behaviors such as suicidal behaviors. This work is better facilitated when they are surrounded by loving friends, family members or a skilled compassionate therapist. Ultimately, however, they are the ones that need to experience these painful emotions consciously with a slow breathing and a relaxed body. No one else can do this work for them if they are going to learn to regulate their own emotions internally rather than externally. It will feel like at first that they are jumping into the abyss but overtime they will build confidence with this process of healing.

PBPD lack of accountability is often expressed as active passivity behaviors. They have a tendency to passive interpersonal problem-solving style, and not engage actively in solving their own life problems. They make active attempts to solicit problem solving from others in the environment while rejecting all suggestions. This translates into learned helplessness. When they experience intense emotional pain and vulnerability, the PBPD frequently believes that others (friends, family or therapist) could take away the pain if only they would. If they attempt to bring back the responsibility of their emotional state to the PBPD, they will be met with rage as this will trigger the PBPD immense shame of regulating her emotions. Once triggered, PBPD are often unable to distract themselves from the emotion. I had a borderline partner that always wanted to be on the same page. She could not agree to disagree, or postpone the resolution of the conflict to another time. She could not sleep if something was not resolved so intense discussions could go well into the middle of the night leaving us completely exhausted by the morning. When people currently involved with PBPD also fall into the trap of inconsistently appeasing her (basically their matching codependent partner) — sometimes giving in to and reinforcing high-rate, high-intensity aversive emotional expressions and other times not doing so— they are recreating conditions for the person’s learning of relationship-destructive behaviors. For this reason, codependents will make the PBPD mental health worse. They will never incentivize their borderline partners to become accountable too as they benefit from the dependency.

Another trait of PBPD making it hard to step into accountability is apparent competence. They have a tendency to appear deceptively more competent than they actually are. These individuals are typically very gifted and talented in some specific areas so people assume mistakenly a high degree of functioning in all aspects of their lives. As a result, they experience intense shame at behaving dependently in a society that cannot tolerate dependency, so they have learned to inhibit expressions of negative affect and helplessness whenever the affect is within controllable limits. It is hard for a PBPD to step into accountability if they know they are going to be judged and possibly rejected when they share in a vulnerable way their actual limits.

DBT (dialectical behavior therapy) developed by Marsha Linehan is the most effective therapy for BPD that does not involve drugs. It has been called a “blackmail therapy” by some, as patients that do not improve can be let go by their therapists on the basis that “Continuing an ineffective therapy is unethical”. Actually, the real goal is to get PBPD into accountability even if this means triggering their abandonment issues. CBT (cognitive behavioral therapy) mostly fail with PBPD because it focuses on changing the patient which is invalidating. On the opposite, DBT is based on the patient’s inherent ability to get out of the misery of her life and build a life worth living. It promotes autonomy and the DBT therapist finds and plays to the patient’s strengths, not to her fragility. The therapist believes in their patients and coaches them in how to resolve the problems themselves.

Reading these two articles on codependents and borderlines may just have increased your powerlessness and anxiety, as you are likely to find some of these aspects within yourself. This is why the third and last section of this series will focus on solutions and how we may be able to heal from these conditions. Actually 98% of the population is struggling with some light or severe form of the 10 personality disorders defined by the DSM (Diagnostic and Statistical Manual of Mental Disorders) so we are not alone out there. The same 98% of us have a hurt inner child that requires healing, re-parenting and integration. So we are in an essence a bunch of hurt kids just pretending to be adults 🙂

Read part I – The dark side of the co-dependent

Read part III – Growing and healing together as a couple