Not only have I aged myself (I was a little girl when that came out so there
) I have let you in on a little secret. My two main girl characters are, what they say in the mental health field, “Borderlines”. That may sound callous, but it is the reality of a person who suffers from the disease.
So what is it? As I write this I am consulting my DSM IV (I bought one off of eBay for $5- a steal! They cost at least $160. If you haven’t signed up for eBay, um, what are you waiting for?). I’m going to list the criterion and break it down for you a little bit after I’ve listed them.
1. Frantic efforts to avoid real or imagined abandonment
2. a pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation. (i.e., he is the best thing to ever happen to me/ I fricking hate him! I hate him- all within a small period of time.)
3. identity disturbance: markedly and persistently unstable self-image or sense of self (I’m a goth /I’m a gangsta! /I’m a goth again)
4. impulsivity in at least two areas that are potentially self-damaging (eg. spending, sex, substance abuse, reckless driving, binge eating)
5. recurrent suicidal behaviors, gestures, or threats, or self-mutilating behaviors (eg, cutting, burning self)
6. affective instability due to marked reactivity of mood (eg feeling depressed, irritable or anxious and only lasting a few hours, only rarely more than a few days)
7. chronic feelings of emptiness
8. inappropriate intense anger or difficulty controlling anger (eg frequent displays of temper, constant anger, recurring physical fights)
9. transient, stress-related paranoid ideations (thoughts) or severe dissociative symptoms
So what does all this mean? Well, it means essentially you’re pretty messed up and how you got that way is usually through some intense trauma and heartache. Borderlines report having been sexually, physically and emotionally abused and/or negelected at some point in their lives. Not just talking my Uncle touched me stuff though that is still very significant. A lot of times Borderlines have been beaten by mom, neglected by dad, sexually abused by Uncle and raped by a friend. And because of this the cycle of victimhood never stops and we get BPD.
Just like with any personality disorder, there are no cold hard facts and proofs or causes just behaviors and patterns that are diagnosable.
So why is this significant? Because 1 and 5 people in the US suffer from BPD and most are women, though men are diagnosed just not as often and (this is done purposely.) That’s right. Maybe your friend from high school seemed a little upset when you didn’t want to talk to her five times a day. Or your girlfriend in college seemed a little needy and would throw temper tantrums when you called at 8 pm when you said you were going to call at 7, accusing you of not loving her and she hates you now. These are not even extreme examples. It happens.
My characters are teenage girls, which is usually when the diagnosis happens. I am still trying to figure out a way to work in when the main character gets diagnosed, as that is a pivotal moment for her, or anyone for that matter. In real life, back when the novel is set, they did not know much about BPD so they wouldn’t elaborate on what it was, how you got it, why you had it or how they were going treat it. Reality was, you were stuck and no one cared. The stigma, amongst your normal peers and in the mental health field, the people treating you even, was that you were a hopeless case that wanted as much attention as possible. We know that’s not the case now. Still the stigma is great and real.
The girls don’t like each other. The second MC and antagonist, if you could call her that, has Histrionic Personality Disorder as well as BPD. If you thought BPD was delightful, then hang onto your seats for the next blog post! Just kidding. The girls don’t like one another as most people who suffer from the illness are cautious when they meet new people. They don’t trust easily or they over trust immediately. The range of perception and emotion differ from one sufferer to the next.
The purpose of both of them having BPD is to show how co-dependency works in such fragile relationships and minds, both girls about to become adults at 17 years a piece, and that love can happen, even through the twisted emotion and nature of the illness.
This blog post is kind of long so I’m going to stop. For more information on BPD follow these links.
BPD Family
Mayo Clinic