I think my brother has Borderline Personality Disorder. Should I tell him how I feel?

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Hello,
Ever since I learned about Borderline Personality Disorder a couple of years ago, I’ve noticed that I believe my brother may suffer from this disorder. He tends to have highly strong emotional reactions to things–specifically rage, tends to get very envious of people, has been sexually promiscuous, has engaged in risky behavior like drunk driving and getting into fights, etc., and has drowned himself in alcohol and threatened suicide when a girl broke up with him. He is a heavy drinker and the symptoms get worse when he drinks. He’s been more stable recently than in the past but I know that this may be more of a ticking time bomb than a real relief.

I recently saw a documentary on Borderline Personality Disorder and they said that the disorder is quite treatable and that many patients get a lot better when they finally get help. On the one hand, telling him might kick start his getting help somewhere and he might be able to have a happier and more stable life if he does get help. On the other hand, I’m also aware that people only get help when they elect to do so themselves, not when somebody else tries to control them. Additionally, the other negative side effect of my telling him how I feel might be that he will strongly over-react and do something unpredictable.

All of his friends, and our mutual friends, say he drinks too much. Time and time I listen to others’ complaints about him. He consistently disrespects and violates others around him, especially when he’s drunk. And he gets drunk often. He has developed a sort of terrible reputation that follows him everywhere. What’s worse is, whenever he’s confronted about this behavior, he doesn’t seem to give a shit. So it kind of seems like he lacks self-awareness or is indifferent.

I’ve also learned from this documentary about BPD that to have BPD, emotionally speaking, is to feel a sort of rawness all over the body–like an intense sunburn–and that the slightest touch can be painful.

I still love and have sympathy for my brother. But when I hear the crazy stories about him, how he cut someone in line at a restaurant and when the person confronted him, he punched the guy til his face was bloody, how he got into bar fights, how he slapped strange women’s asses, and even slapped a woman on her face, how he drank a fifth of whisky when his girlfriend broke up with him, etc., it not only makes me want to distance myself from him, but also makes me worried he will do something in which he’ll go too far and suffer extraordinary consequences (although, he has gone too far time and time again in my book). I’m afraid for him that all this behavior is going to catch up with him and come crashing down on him hard.

Like I say, he does seem to be less immersed in this behavior recently, and has even shown some sign of self awareness. He had over-reacted to something recently and then said “I’m sorry, that was a good idea. I don’t why I got mad.” When normally he would not admit fault like that or be self aware. And I feel it would be enormously relieving for him if he did receive help, because my understanding is that BPD is immensely painful and an almost torturous way of existence.

What should I do?

Category: asked June 22, 2015

1 Answer

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Hello July,
I am sorry about your brother and yes, the symptoms really seem to be like he is suffering from BPD. I can understand that you want to help him out of this. Since, your brother might really be having emotional roller-coaster rides, anxiety, short temperament and all that, you should be very careful around him and also while talking to him about this disorder. Also, make sure you are not very direct and upfront about it, act slow, try putting things in this mind swiftly and calmly.
You've mentioned that he has been behaving a little normal and acknowledges the wrong-doing as well, you can use this calm-period to talk to him about how you feel he should go for a treatment. But be very careful, he might come up with any kind of reaction to it and you HAVE to be calm around him. Because if you react things can get worse.
Its a serious disorder and however, you will not eliminate your brother's borderline behaviour, no matter how well you communicate. Only he can do that. Your goal is simply to communicate that he should help himself When your loved one has BPD , it’s all too easy to get caught up in heroic efforts to please and appease him or her. You may find yourself putting most of your energy into the person with him at the expense of your own emotional needs. It is not in your hands to help it in any way. So don't be harsh on yourself.
So, when you talk to him and he agrees to it, that would be best. If not, do what you can do, visit a therapist and explain your brother's situation to him. Also, if you have parents or anyone that he is emotionally close to, you can always seek for their help. You brother might react mildly ( if at all) if the "talk" happens with someone who is emotionally close to him. Be compassionate, Take baby steps, Go slow I am sure you'll be able to be of some help to him. All the best.


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