The 4 x 4 of BPD


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2 Sets of Four Skills for loved ones of people with Borderline Personality Disorder (BPD)

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The 4 x 4 of BPD

  1. 1. The 4 X 4 of BPD<br />Two sets of four rules that make relationships with Borderlines <br />easier for the Non-BPD<br />4X4<br />By Bon Dobbs<br />
  2. 2. Borderline Personality Disorder (BPD) is a serious mental illness of dysregulation, dyscontrol and impulsivity. People with BPD are highly emotionally sensitive. People with BPD react strongly to negative emotional cues. People with BPD take longer to recover from emotional states than others. When a person with BPD is in a highly emotional state, they are said to be “emotionally dysregulated”.<br />BPD is a painful mental illness in which the sufferer’s emotional system is dysregulated.<br />
  3. 3. BPD can be extremely stressful on close interpersonal relationships, especially family, partners and friends.<br />
  4. 4. Dysregulation occurs in five areas:<br />Emotions<br />Behavior<br />Relationships<br />Self-Image<br />Cognition<br />People with BPD can feel that they are awash with negative emotions, drowning in a sea of sadness, anger, desperation and shame.<br />
  5. 5. Anxiety<br />Emotions<br />Shame<br />Sadness<br />Frustration<br />Fear<br />Anger<br />RAGE<br />Pain<br />Stress<br />Boredom<br />
  6. 6. Lying<br />Behavior<br />Self-harm<br />Eating<br />Disorders<br />Burning<br />Bridges<br />Fights<br />Shoplifting<br />Suicide<br />Threats<br />Unsafe <br />Sex<br />Substance<br />Abuse<br />Dangerous<br />Driving<br />
  7. 7. Relationships<br />Love/Hate<br />Rejection<br />Sensitivity<br />Unstable<br />Relationships<br />Need for<br />Reassurance<br />Idealizing<br />Others<br />Lack of<br />Intimacy<br />Fear of<br />Judgment<br />Lack of<br />Trust<br />Weak<br />Boundaries<br />
  8. 8. Cognition<br />Irresponsibility<br />Devaluation<br />Black-and-<br />White<br />Thinking<br />Jealousy<br />Negativity<br />Feelings<br />Are Facts<br />Perceived<br />Threats<br />Paranoia<br />
  9. 9. Identity<br />Confusion<br />Self-Image<br />Poor<br />Self-worth<br />Shame<br />Insecurity<br />Who<br />Am I?<br />Confused<br />Sexuality<br />Emptiness<br />Feeling Dead<br />Inside<br />Dependant<br />
  10. 10. In pain, Emotional, Filled with Fear, Angry, Acting out, Self-destructive, Suicidal<br />Confused, Angry, Numb, Tired, Secretive, Isolated, Fed-up<br />I’m in <br />pain!<br />She’s<br />Nuts!<br />
  11. 11. The gulf between the BP and Non-BP creates a serious communication issue. <br />It is as if the BP and the Non-BP are speaking two different languages.<br />
  12. 12. Relationship<br />RULE #1:<br />This rule is also know as “IAAHF” or “It’s all about his/her feelings.<br />It’s not <br />about you.<br />
  13. 13. Relationship<br />RULE #2:<br />Validation is for emotions. While behaviors can be validated, they should be only with respect to the emotions that drive them.<br />Learn to <br />validate Feelings<br />(it takes practice)<br />
  14. 14. Relationship<br />RULE #3:<br />People with BPD are very sensitive to judgment. They can interpret judgment of their behaviors as judgment of themselves.<br />Learn to be <br />non-judgmental<br />
  15. 15. Relationship<br />RULE #4:<br />People with BPD know best how to solve their own problems. You can help direct them to the most effective solution, but not tell them what to do.<br />Don’t try to<br />solve other <br />people’s problems.<br />
  16. 16. Self RULE #1:<br />Relationships can be greatly damaged when a person intentionally tries to harm the other person. Attacking back just perpetuates the emotions.<br />Do no harm.<br />
  17. 17. Self RULE #2:<br />It is most effective to be brave and say how you feel. If you tell the BP that you are angry, sad or frightened, they can’t argue with you since that is how you actually feel.<br />Be brave.<br />
  18. 18. Self RULE #3:<br />Trying to change something that you have no power to change leads to frustration. If you can’t change something it has to be accepted “as is.”<br />Accept what you have to, change what you can.<br />
  19. 19. Self RULE #4:<br />The nature of effective boundaries is that you stick to your own values. Boundaries are for you and your behavior, not the borderline’s.<br />Stick to your values while being effective.<br />
  20. 20. Bon Dobbs is a Non-BP who operates the “Anything to Stop the Pain” blog and Google Support list. Bon has written a “how-to” guide for Non-BP’s called “When Hope is Not Enough”.<br />