Yesterday, I told my therapist that all I wanted was "a stiff drink and a sharp blade". As you can imagine, this did not go over well. Yet it made me think--how does substance abuse affect the symptoms of borderline personality disorder (BPD)?
Coping with BPD
I had to cope with nightmares last night, nightmares related to a traumatic event I went through. That's one of the downsides of borderline personality disorder--the nightmares can leave you shaken up for the entire day. But there's good news: there are ways to cope with nightmares and night terrors and not let them get to you. Three such ways are thought stopping, rewriting the nightmare, and understanding what the dream means.
Types of meditation, like mindfulness, are an important part of dialectical behavior therapy (DBT), a popular treatment for borderline personality disorder (BPD). Other types of meditation may also be helpful in controlling symptoms of BPD too. But how do you meditate? What type of meditation should you use?
Much of my learning comes from reading books and adapting their ideas in my real life. As a result of this process, I've found three books I recommend everyone with borderline personality disorder (BPD) read.
Though the righteous may stumble,
He picks them back up.
Though the poor may have nothing
He fills up their cup.
Though the weak weep alone
And cry deserts wet
He stands right behind them
And they're not beaten yet.
While a personality disorder such as BPD in itself can not be medicated, its co-occuring illnesses and symptoms can. But what it medication is not available during a sudden flare-up of symptoms? Or what if the medication on its own is ineffective? There are three herbs you should know about: yerba mate, kava kava, and valerian.
Sometimes we feel as if we're getting worse instead of better. Sometimes we feel as if we're in more pain, not less. This is due to emotional thawing.
You have nothing to lose by facing your traumatic memories; you can always go back to what you were doing before. But you have peace to gain. It's hard work, but it's worth it.
One particularly useful one is the importance of checking your thoughts, looking specifically for "stinking thinking". These thoughts warn us of a likely relapse (alcohol, drugs, self-injury), and it is recommended you change your thoughts.
So how should we cope with the loss of a negative coping skill? We should build, maintain and rely on a support system; we should understand and accept that we are grieving a loss; and we should concentrate on taking care of ourselves.