In AA today, we were talking about the insanity behind substance abuse, a common symptom of borderline personality disorder (BPD). We agreed that self-knowledge is not enough to solve the various addictions we face in life, whether it be alcohol, self-injury or any other self-destructive behavior.
Borderline Treatment
Recently, I took the bus home. Normally, that's not "interesting" but this trip was because the driver got lost. Seriously. She even asked passengers for directions on her route. So what does this have to do with therapy? Plenty. If you get an unqualified or inexperience therapist, you may end up wandering just like this bus driver did.
Sometimes we may feel like therapy is impossible. But is the problem in our perception of the task at hand? More Than Borderline's Becky Oberg talks about how working in therapy can be like pushing a boulder.
Today, at AA, we were reading a story from the Big Book. The part that jumped out to me was this:
"It was here that I realized for the first time that as a practicing alcoholic, I had no rights. Society can do anything it chooses to do with me when I am drunk, and I can't lift a finger to stop it, for I forfeit my rights through the simple expedient of becoming a menace to myself and to the people around me."
It made me think about AA sayings that apply to people with borderline personality disorder (BPD).
When Delay is Deadly
When I was kicked out of the Army due to my mental illness, they gave me a 30-day supply of medication, a list of mental health services in Indianapolis and a "good luck, ex-soldier Oberg". Unfortunately, it was going to take three months to get in to see a psychiatrist. I've since found that other people have the same problem--it's so common that CrisisChat.org has an article about what to do while waiting for mental health services in their mental health library.
If it had been just me, I probably could have ignored it. But it wasn't just me. During one of my many psychiatric hospitalizations, I observed what I believed was a systematic pattern of abuse of restraints. Patients were often restrained without the least restrictive means being tried and without a doctor's order or evaluation. They were often restrained for up to an hour, even if they were out of danger. I knew this was illegal. But how was I supposed to fight back?
I have a confession to make--I am almost incapable of calling a crisis hotline, no matter how bad I feel. I flip open my cell phone, stare at the screen, flip it shut, flip it open again, start to dial the number, stop and flip it shut, on it goes. It can take me up to half an hour to call a crisis hotline. I have no clue why I do this.
And I'm not the only person who does this. According to IMAlive.org, more than 30 percent of people who call a crisis hotline hang up as soon as they hear a voice. Maybe you're one of these people. Did you know you have the option to chat online about your problem?
A chance meeting with the pastors of an Internet church resulted in me being given a book called "The Hallelujah Life" by Richard Propes, an Indianapolis-based children's advocate who has paraplegia and spinal bifida. While there is some triggering material in this book due to descriptions of the sexual abuse he survived and his suicidal episodes, this is a book I can not recommend strongly enough for people with borderline personality disorder (BPD). I learned much from this 117-page book of poetry and short stories, but perhaps the most important lesson was that abuse is confusing.
I have two mental health warning signs that alert me to psychiatric danger. Each one serves to warn me what type of danger I'll be in. Knowing these "early warning signs" is crucial to surviving my Borderline Personality Disorder diagnosis.
If there's one thing true about psychiatric hospitals, it's that you have a lot of down time. When I was in the state hospital system, I used this time to play Animal Crossing: Wild World on my Nintendo DS. Believe it or not, the game was a helpful therapy.
Animal Crossing: Wild World, or AC: WW for short is a video game in which you live in a rural village with a bunch of anthropomorphic animals. You go around doing tasks for these animals, making money, making friends and other various life adventures. This game taught me three skills: how to read the emotions of other people, how to set boundaries, and how to handle rejection.