This month we continue our exploration of Borderline Personality Disorder (BPD) and its effect on BPD sufferers and their families.
As you may recall from last month’s posts, May was Borderline Personality Month. BPD is now known to be a brain-based emotion regulation disorder that often begins to arise in early adulthood and affects more women than men. The disorder manifests in a devastating emotional sensitivity that makes it difficult for some and impossible for others to maintain the type of close, nurturing, mutually supportive relationships that make life feel worth living.
This explains why, out of the 18 million Americans who have BPD, 10 percent will commit suicide before adequate diagnosis and treatment is offered. Additionally, current statistics state that 33 percent of all youth who commit suicide are found posthumously to have displayed symptoms characteristic of BPD that went undiagnosed.
In my work as Program Director with Southlake Counseling, I have seen firsthand how a lack of knowledge, lack of or improper diagnosis, and inadequate or improper care can lead to the tragic loss of a loved one who has BPD, and the unnecessary total breakdown of family systems. I say unnecessary, because there are some practical, accessible skills that loved ones of a BPD sufferer can begin to employ right now to ease the tension in their relationships and restore valued connections.
In this post, I would like to introduce one such technique: Validation.
Validation is a term that was first employed in Dialectical Behavioral Therapy (DBT), which is a therapeutic method designed by Dr. Marsha Linehan specifically to treat BPD. Validation is a DBT-based technique that is carefully designed to counteract the natural emotional response nearly every important communication has the potential to evoke in a BPD sufferer.
In the normal world of a person with BPD, their brain is not wired as sensitively to relational cues as a non-BPD individual’s brain is. So it is much easier for a BPD sufferer to feel invalidated or rejected by even a mundane or routine interaction with a loved one.
Validation is a direct counter to the BPD individual’s assumption that every communication is invalidating until proven otherwise. The rage, the suicidal actions, the emotional outbursts, the self-harming behaviors, the expressed fearfulness and the impulse control issues all stem from a feeling of being rejected, abandoned or invalidated by a person who holds an important role in the BPD individual’s life.
Learning how to successfully communicate with a loved one who has BPD is based upon understanding their inner emotional landscape and working with rather than against their BPD-influenced perception of relationships and events. Using Validation promotes that awareness and understanding, and opens up the door to better communications between the BPD sufferer and those who share their life.
In our next post, we will explore how to use Validation to facilitate communications with a BPD sufferer. So stay tuned!
If you or someone you care about is suffering from symptoms that appear to be related to Borderline Personality Disorder, don’t wait! Seek help right away as BPD can be life threatening. At Southlake Counseling, our staff has received extensive training from Dr. Linehan’s Behavioral Tech Institute. We have more than two decades of experience successfully treating BPD through Dialectical Behavioral Therapy. We also offer supportive DBT-based skills-building groups for family, loved ones, and friends of BPD sufferers. Learn more at www.southlakecounseling.com.