Understanding borderline personality disorder: how I taught my teacher

Emily, a Time to Change bloggerI have chronic depression and in recovery from borderline personality disorder (BPD). I’ve just finished studying pharmacy as a mature student. Now that I am so much better, I try to be as open as possible about my mental health problems, challenging discrimination and misconceptions wherever I can, though I admit I still always leave out the BPD part and use the word “depression” to cover a multitude of problems.

There was one occasion, though, where I felt I had to challenge someone on their attitude towards people with a BPD diagnosis.

We had a lecture on my university course on various mental health conditions. Each one was factually correct and was talked about with an appropriate level of sympathy towards the sufferers. Then a slide popped up with Borderline Personality disorder and the 9 traits and the lecturer changed his tone changed completely.

He sighed and just said “These patients are manipulative, attention-seeking nuisances..." 

He sighed and just said “These patients are manipulative, attention-seeking nuisances and are notoriously difficult to treat, so I won’t go into it any more than that” and moved on to his next slide.

At the end of the session he set us our coursework. We had to write a persuasive essay on a topic of our choice from the module. Perfect!

After the lecture I approached the academic. There was no good backing up what he already believed by appearing angry in any way, as I’d just be branded a “typical borderline” and I wanted to prove him wrong. He'd never met me before so I introduced myself, calmly saying: "Hi, you know those untreatable nuisances that have BPD? Well you have one in your class...and it's me."

He nearly fell over backwards and looked horrified and awkward. I continued, "Your prejudice is based on what you see on the outside, so I'd like to write about how I experience BPD from the inside and see if I can change how you see BPD sufferers".

To my surprise, the lecturer said he would be grateful and honoured to read the essay

To my surprise, the lecturer said he would be grateful and honoured to read the essay. There was so much I could write about but I decided to base the essay on the 9 traits of BPD and what they feel like on the inside and the effects each one has on both my daily life. It was a Masters level essay, so I decided to make it very academic so that it was taken seriously, but interspersed with my own experiences and feelings.

The lecturer gave me 100% for the essay, along with an apology and an admission that I'd made him change his mind. I’d managed to make sure that he wouldn’t imprint those prejudices on other students and future health professionals. I’ll never know, but he might even challenge someone else’s view of BPD because of my being open. It was scary but worth it!

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Or pledge to share your experience of mental health today and find out how talking tackles discrimination.


Comments

Your essay

Hi Emily,
How fantastic to read how you handled this.
Isn't there a saying along the lines that we can change the world, one person at a time, and your essay is doing just that.I am sure it will have long term ripples of positive awareness, and help so many others.

Well done Emily

My daughter had emerging boarderline personality disorder which was eventually treated in a very caring and productive manner when she was seen by our local 16-19 service. Prior to this she had been labelled as anorexic and had been hospitalised twice, totaling 12 months of her teens. She went on to train as a mental health nurse after her sucessful therapy,with the full backing of her psychiatrist and was an excellent pupil.
Unfortunatley the stigma of BPD and anorexia was still a major burden to her, particularly as the occupational health doctor expressed their own uninformed view of her likelyhood to fail. However she continued to excel despite this biased view, but was always worried that she would be prevented from continuing the course by this individual.
My daughter became worried about an essay,(as many students do), but was not treated as other students would be, due to the stigma of her past illness. She was removed from her placement and told that O.H would need to assess her again yet again, (she was already being assessed regularly by O.H to their satisfaction).
She felt that she would never be judged on who she was and what she did, and that her previouse mental health problems would always be what defined how others saw her and she killed herself rather than continue to fight the predjudice.
Thankyou Emily for speaking out for all sufferers of BPD and against the stigma and lack of understanding.I wish you well in all you do and would love to read your essay if you do publish it in the future.

Her

Well my girlfriend has borderline personality disorder and it is quite difficult

I'd love to read your essay.

I'd love to read your essay. Is it available to read online?

Essay

I would also love to read this essay if possible, Emily :)

BPD

HIGH FIVE MY FRIEND!

Bravo

Thanks for such a wonderful blog!

I also have BPD and am so sick and tired of the negative representation of people that have it. When I was diagnosed about a year and a half ago, I made the mistake of researching the disorder online. The most upsetting info I discovered was a barrage of websites suggesting that 'I' should never have children because parents with BPD severely damage them and that anyone entering into a romantic relationship with 'me' should be prepared to suffer/be stalked if they break up with me (and we're supposed to be the ones who think in black and white!) I suffer with incredibly low self-esteem and these websites do nothing but re-confirm what I already believe about myself, that I'm evil, unlovable, difficult, a problem.

I have never broken the law, had a dangerous violent outburst, hurt another person, used drugs but from what I've read online, I should be running around causing trouble all the time. I went to university, work hard and don't want my mental health problems to prevent me from contributing positively to society.

I have so much respect for you articulating yourself with absolute dignity to your lecturer and now here for allowing people like me to benefit from reading your story.

You're a role model for people with BPD and I wish you every success.

Psychiatrists

I was sectioned after a suicide attempt. I spoke to a few of the staff about my thoughts and feelings. When I finally saw the psychiatrist to have the section removed, she told me if I really wanted to kill myself, I should go away and do it quietly and not upset her staff! Since then I have NEVER been able to talk again =(

A Balanced and Rational Response - Well Done Emily!

That was a very dignified and effective response Emily to what must have been an anger prevoking and shocking statement by your lecturer.
Attention seeking was the description that was most disturbing to read for me. It clarifies why so many people with BPD feel so judged and so desperate. To feel such strong emotions and to have them denied as "real" must be truly awful. Those emotions are there for a reason, it is important to learn how to handle them and how to respond without harming "oneself" rather than to learn to hide them away for fear of being negatively judged.
You did really well Emily and have shown evidence that people with BPD can succeed, improve and handle life's hurdles. Well done!

Timing

I just wish such had been available back as a teen, 40 plus years ago now,and starting to suffer then not understood BPD. I may have avoided all the subsequent pills, therapies which merely took the edge off things; and the general lack of any understanding from professionals or people in general; and eventually having to leave then work and not feeling up to anything more than non-routine voluntary/community activity including helping set up the local MIND centre, and service users group 20+ years ago. (I also have added trouble with so-called endegenous depression, and now chronic physical It's poss that BPD behaviour may have influenced their onset)

Whilst I have tried various therapies, it's difficult to maintain them, even apparently BPD effective ones, esp' with a Gov destroying the social sec system; though the benefits system is also as bad, with docs, Tribunals etc still coming up with the 'attention seeking' nonsense.

A very mature and commendable

A very mature and commendable way of dealing with the stigma. Well done!

Good for you :-)

Emily,

I read your blog with a smile on your face, good for you for standing up to your lecturer and making him realise that BPD is in fact a condition that affects people, not just something to skip over in a slide presentation. I personally don't know much about the condition, however my brother suffered with mental health problems for over 17 years, and unfortunately passed away in February this year but just before he died the doctors said they wanted to look into this as a potential condition he may be suffering from. It would be really interesting to read your essay if you're able or want to post it.

Take good care, and really well done for being brave :-)

Hollie xx

BPD

Wow!!! Well done you. For someone who is supposed to be a professional person his behaviour was shocking. The fantastic thing is that people like you are willing to share their experiences in mental health to raise awareness. Is there any way you could share your essay...even if just part of it. I suffer with BPD too and think it is so difficult to explain just how bad it is to live with. I often just blame depression to those who wouldn't understand about BPD just because to explain BPD takes so long. If more people are aware of it it would make life so much easier.
Again, well done...a very encouraging piece.

Sadly, Emily, there are too few like you

Congratulations on quietly standing up to your professor, Emily, and showing him the internal emotions people with Borderline Personality Disorder deal with. The problem is, here in the U.S., there are estimated to be six to 24 million people suffering with this disorder -- and since the disorder is so unknown, most of these people don't know they could seek treatment for a condition that's causing a lot of pain -- to them, their partners and family members.

I had a relationshp with a man suffering from the Borderline disorder. I never knew when or why the rages would appear, or why he needed me home from work on time every night (fear of abandonment). His rages became so bad that he would blow up and just leave our home, move out.

After many on again/off again events, I was worn out and it was over. A few months later, found the symptoms of the Borderline disorder on the Inernet and finally knew what I call "the name of my pain". At the time, there was nothing to read about the disorder for laypeople, so I began to journal to myself to, keep my head clear and help with my pain.

My journal eventually turned into a book that I published -- 'Breaking Free from Boomerang Love'. The "boomerang' seemed appropriate for the life I'd lived.

Again, congratulations, Emily Good job.

BPD Essay

I would love reading your essay. Please post it somewhere.

Naomi

Where Is The Essay?

Agreed. Your essay should be available so that everyone can gain an understanding of BPD from a service users perspective- that would be most useful!

Essay

Like the others I would love to see a follow up to this blog in the form of the essay.

Would love to see the essay

Hi Emily,

I came across this post via Twitter. I was, at first, very upset by your professor's reaction, as it shows the general assumptions and responses to those of us with BPD. I wrote a letter called "An Open Letter From Those With Borderline Personality Disorder" and shared it with the world, so I can relate to wanting to convey the TRUTH about our condition to others to get them to see the full picture.

I am so proud of you and would love to see your essay. I am MORE THAN HAPPY to post it at my blog at healingfrombpd.org .... Feel free to send it to me. I think MANY other people would love to read it.

In kindness,
Debbie
HealingFromBPD.org

A brilliant blog. I;d love

A brilliant blog. I;d love to see the essay.

well done

Well done Emily. It is fantastic to see something positive and your bravery will no doubt have a knock on effect. It would be nice to see your essay as mandatory reading for mental health professionals.

Great piece. If anyone is

Great piece.

If anyone is struggling with BPD or are affected by any personality disorder please look at the website of emergence. This is a service user led organisation that provides information and support for people with any personality disorder.

http://www.emergenceplus.org.uk/

I'd be really interested to

I'd be really interested to read the essay too. Will it be published anywhere?

It saddens me that university

It saddens me that university lecturers, who're meant to be among the most knowledgeable, have such ignorance and prejudice. You're really inspiring for speaking out about your BPD, thank you!

Essay

Hi Emily.

Really good stuff! When you say experiencing BPD from the inside, is that you talking about 'acting in' as apposed to acting out?. I tend to act in (what I used to call before I was diagnosed with BPD, trying to keep it all together, until it eventually bubbles over!) I am a guy with BPD and I think men tend not to 'act out' as much. Like the other people responding to your post I would LOVE to see your essay x I have suffered with depression and anxiety,meltdowns and paranoid schizophrenia at various parts of my life. I have had trouble with holding down jobs. Having my full diagnosis now helps me cope better (couselling and DBT helped too).

If anyone can help me with what kind of work I should go for would be great (I haven't worked for 2 and half years) Mainly because I have been supporting my Mum and Dad (Mum has Altzheimers) and the emotional strain exaberbated my condition. Now she is in good care I would like to look forward to finding some suitable work.

J x

BPD

Well done Emily ! I am an RMN i trained 25 years ago when personality disorder and psychopathy were seen as closely linked and both untreatable.
I think part of the problem is the label "personality disorder " it makes a person sound like they are permanently damaged or extremely unpredictable; it does not describe a syndrome of collective problems that quite often have affected the person in their formative years which therefore makes it difficult for the person to unlearn or relearn alternative ways of coping with .
If we broke down PD and treated people for the symptoms they present with as opposed to the label they have been given then I'm sure treatment would be more affective and less stigmatised. Of course this would take a long time which then overwhelms some professionals and hence the throw away comments of untreatable , manipulative, attention seeking (my particular pet hate phrase ,if someone is seeking attention then there is generally a genuine reason for this )
I have also had throw away comments made to me by my managers regarding my long standing depression " you didn't look depressed " "no one would have thought you had depression" and comments regarding coping ...this from a very large mental health trust .
This is why Time for change is so important ,we need to inform people when we are well of how we feel when we are experiencing mental health problems .

Brilliant!

Hi Emily,

Brilliant blog, you handled discrimination from someone who should have known better, really well. I probably would have exploded and spoke out to show him up there and then in front of everyone, proving him right of course, just as you said. Very well handled!

Have you considered producing a revised version of the essay to submit for publication in a medical journal? That would get your writing of the 9 traits out to a wider audience of health care professionals, and go a long way to challenging the stigma that still exists in the NHS today.

That way you get complete ownership and mental health charities can reference the paper so we can all read it too!

essay.

good for you standing up to him like that. Could i please read a copy of your essay? I would treat it confidential.

Understanding Borderline Personality Disorder

I have heard people close to me describe a relative suffering from depression (not me, another woman) as attention seeking, and I see your point!

How wonderful! :)

What an inspiring blog post :) I too suffer from BPD and sadly know exactly how it feels to be 'judged' based on these traits.. I would also love to read the essay if you felt able to share, reading blogs such as these and hearing about opinions on BPD from the sufferers themselves is something that really helps me and gives me hope, it's fine the be a trained health professional and give out opinion but no one truly understands this disorder until you have lived it..

bpd essay

Yep would love to get to read the essay. Noreen

I would love to see the essay!

I thought this was fantastic and I'd love to see what you wrote. Props to you for having the guts to do that.

BPD

It's too easy to judge highly intelligent and emotionally disturbed girls and women as worthless and broken and unfixable. Look at the jimmy savile revelations. No one believes us what we have seen and been through. No doubt, all those girls were also attention seeking and manipulative. Thank god times are changing. The real manipulators in life are on our TV screens. When will people wake up. We need to listen to reason. There is always a reason a girl develops this disorder. Often, it is after years of not being believed or not listened to or heard. Stay strong BPD people. We will get the truth out. It's not our fault. Well done Emily.

Your essay

Hi Emily, would you mind sending me a copy of your essay? I promise to treat it confidentially. I understand that you will not make it publicly available for download anywhere.

And the essay?

Dunno about anyone else, but theis feels a little bit incomplete without the essay? Maybe it could be shared, or at least an edited de-personalised version of it?

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