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It's bad enough to be a trauma survivor with symptoms of borderline personality disorder (BPD). However, sometimes people hurt us further when we reach out for help--this is called "secondary wounding".
Early in my relationship with my ex-husband, Will, I felt afraid in his presence. I've often wondered why I stayed with him in these early days. My boyfriends before him generally treated me well - very well. I'd known no one like Will before. He seemed exciting and different. I think my curiosity got the best of me; by the time I'd figured him out, we were entrenched in the cycle of abuse. I think this episode I'm sharing today illustrates what was going on in my head during our earliest abusive interactions. As you will read in the story, Will and I firmly attached ourselves together very quickly. This story happens before he asked me to be his girl.
Addiction, as the saying goes, is a feelings disease. Whenever I used to find myself feeling a certain way, say depressed, angry, upset, etc., I would find a way to use some kind of chemical to alter my emotion. In the end, it didn’t matter how uncomfortable I felt. I knew that all I had to do was to get high, and voila, that would do the trick. Addiction, a feelings disease, begins in part by being uncomfortable with what you're feeling.
As I wrote, some people believe that if you don't have a mental illness, you can't understand someone with a mental illness. I'm not sure this is true.
I have been writing about mental illness for almost a decade now and part of the reason was to try and help people understand bipolar disorder and other mental illnesses. And I have succeeded in some regards. I get emails from people quite frequently that tell me how much more they understand about the disease now that they have read my writings. I am tremendously gratified by this. But, of course, I reach a tiny percentage of people and the issue of mental illness stigma still affects us all. And some people, no matter how hard we try to explain ourselves to them, never seem to understand mental illness. Which begs the question: can a person without a mental illness ever really understand what we’re going through?
Living with a mental illness often involves certain things--particularly if you're not stable: More time in bed, closed blinds, not enough food in your fridge or too much "bad" food in your cupboard. Isolating yourself. Creating a negative environment. When you're recovering from mental illness, creating a positive environment can help you recover.
For someone who speaks so candidly about his experiences with mental illness, it may come as a surprise to find out that I used to go to extremely great lengths to ensure that no one ever found out about my mental health struggles. In fact, it has only been a few months since I started being open regarding my battles with psychosis, major depression, addiction and suicide attempts.
I use the word “doctor” quite liberally and often use it interchangeably with “psychiatrist.” The reason is quite simple – psychiatrists are, in fact doctors, they are just specialists. Yes, that’s right, your psychiatrist has all the rights and privileges that any other doctor has and could probably remove your spleen, if the occasion called for it. Nevertheless, there are some crucial differences between “doctors” in general and “psychiatrists” in particular. And sometimes you need a psychiatrist and sometime any old doctor will do. So how do you know if you need a psychiatrist?
This is the golden age of political correctness, and for the mentally ill in our midst, it simply couldn’t happen soon enough. Horrible slurs like porridge-head, cracker academy graduate, and el whackadente have been replaced by culturally sensitive terms such as, unreality-enabled, extra-normal, and sanity-challenged. But removing the fangs from common speech is just the beginning. Increasingly there is sensitivity about what questions may be considered appropriate to ask a person wrestling with mental illness. Here are just a few of the most common of them, now considered intrusive, prejudicial, stereotypical, and rude. 1. Why don’t you just get over it? 2. Is what you’ve got really a disease, or it is it just a character flaw? 3. Did you ever try growing up? 4. Why is there a duck on your head? 5. Have you looked into Scientology? I’m glad to report that the use of knee-jerk, judgmental questions like these is on the way out. But my feeling is, why stop there? Now that we’ve built up a little momentum, let’s expand the list of verboten phrases – questions and comments simply off limits when it comes to the mentally ill among us.
When people ask, "Why do women stay in abusive relationships?" the answers are often too simple. There could be financial reasons, but if the abusive spouse died, would the victim wonder if they could support themselves to the point of doing nothing to advance their employability? (No.) There are the children to consider, but if the abusive spouse died, would the victim insist on finding a replacement right away? (No.) Although finances and children are reasons victims cite for staying, one true reason they stay is a deeply implanted fear that they cannot make it in the world alone. My abuser implanted this fear so deeply in my mind that instead of recognizing the abuse in my relationship, I instead prayed that he would die. I consciously acknowledged the fact that he made my life hell, but the thought that I could divorce him remained outside my realm of consciousness. Abuse causes illness of the mind and body, and brainwashing sets both illnesses in motion.

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Taylor
I am 35yr old and have adhd. I didn't get my drivers license until I was 29. I have very poor sense of direction when driving and even when I have taken the same path to and from home several times. I can't go anywhere without my GPS. I even have great difficulties finding my car when I'm done at the shopping center. It seems to be connected to my adhd struggles.
Paula
I have a lifetime of trauma and BPD and depression & anxiety and i can really identify with everything you have said chronic low self esteem and believing i nothing worthwhile to contribute to any conversations in social situations, iv grown up believing i was a bad evil person who doesn’t deserve anything good that life has to offer, even when im with my family i again feel like im an outsider and all the above caused me to isolate for 16 years and this made my situation a million times worse when i came back into society only months ago, im absolutely filled with Paranoia and i dont feel safe around humans unless im with 2 people that i can sort of connect with but its not often this happens and on any given day im that terrible or feel unable to have a conversation with people i can retreat to isolation again which again makes me worse everytime, i feel like i suffer if im out with people and i suffer if i isolate, im just constantly in a state of anxiety and terror and it paralyzes me and makes me brain shut down where i cant even think of a sentence to strike up a conversation with people, it’s absolutely horrendous and all the negative things my head tells me about myself it’s disturbing! I wouldn’t talk to anyone else the way i talk to myself but i just dont know how to stop it its been so ingrained in me for at least 4 decades now and im 45 years old.. i keep hoping one day it will get easier, but my heads such a mess, honestly and im not a bad person, iv just had a lifetime of trauma since i was a little girl that it completely changed me, that I don’t even recognise myself and neither does my family or anyone who knew me, but i might have more serious mental health iv just never been able to get out the house to go to mental health assessments.. but i wish you all luck!
Anonymous
Hi I'm 15 and I have severe anger issues that I can't control. I don't know why I am like this but when I am super mad I like to punch myself in the head repeatedly until I pass out and I sometimes slam my head against the wall. I used to cut but I try not to. I would just take scissors and you know, snip snip. I think this started when I was younger- around 12 years old. I always thought about sh but now I actually do it. I wish I had never started because once you start you can't go back. It's like a one-way road. There is no way you are going back to where you started.
anon
I do not have a BPD diagnosis (or think I should), but I can relate to much of what you're saying. I had a parent who was bipolar and struggled with addiction and who ultimately died when I was in my twenties. My other parent was extremely religious and I was raised in a controlling and punitive environment. I am extremely codependent on my intimate partners but can simultaneously hold others at a distance when I feel overstimulated or just want to be alone. I too am very triggered by perceived abandonment and really struggle to communicate with others because I feel too much too intensely and cannot make others understand it..I don't always understand it. Despite all of this, I feel very triggered by this post?? I have a friend who also struggles in the same ways I do, but I suspect it is much worse for them. I notice they ALWAYS have plans even when they feel burned out because they are terrified of being alone. We used to be very codependent on one another but now I find myself keeping my distance. And sometimes for unrelated reasons, I have to cancel plans. OR I will state upfront that I tentatively agree to the plans but reserve the right to cancel if I don't feel up to it. I don't know if that makes me a bad friend or not; I have been in counseling for years learning how to hold space for both myself and others. And sometimes that looks like cancelling or rescheduling. I know that this is a trigger for my friend- they not so casually mention other "flaky" friends in conversation- but at what point am I supposed to cater to someone else's (sometimes irrational) needs at the expense of my own peace? Why do I have to give you a play by play of my thought process (and maybe a doctor's note) to get out of doing something? What's an acceptable reason to cancel? This friend recently encourages me to just say I don't want to do something (almost aggressively mind you), but when I do, I feel like I get the silent treatment or otherwise passive aggressive responses. And I am constantly hearing stories about this person's disappointment in other friends who cancel or are perceived as flaky. I want to give them space to process their feelings about cancelled plans, but sometimes I feel annoyed and overlooked. Like their pain is more valid or important than my own. I have not had the courage to talk to my friend about this but feel I need to soon or else I will continue to harbor resentment. Anyway, I know there's room for all of us to feel our feelings but it's so hard to navigate right now. I have been a caretaker in one form or another my entire life. I really need to take care of myself and not feel guilty about it. The end!
Mj. Bean
You're definitely not alone. My boyfriend has DID and more often times than not, we dont get throiugh the day without arguing or disagreeing at least once. I'm head over heels in love with "Super Max" which is who he basically is when he reaches this sort of "peak performance" and the "lesser" maxs' are the ones that can get downright insane. One talks like an 8 year old, another one acts like he's around 20 years old. I didn't have any idea he had this until we were 3 months in and i had already fallen hard for him. Most days he's in "annoyed/angry max mode" where he is literally the biggest control freak on the planet. Obsesses over silly things like "spilling" things and such. It can be exhausting but the violent max is the one that, while i rarely see him, he's still the only one i dread and have only seen a handful of times.

My point being, I'm right there with you. I hate the rollercoaster. I just want to live life without being in a state of constant fight or flight mode, only for his character to change and de-escalate and I fall for the person I fell for all over again.
Exhausting is a horrible word. The understatement of all understatements, if you will.

I wish there were better support groups for this kind of mental health condition.