The Struggle of Life on the Edge

The Old Man in the Restaurant

Date Posted: 01/25/2018

Don't be a borderline chameleon. I had the following dream and was lucky to remember it.

It was about 10 o'clock Saturday night. Tomorrow I was supposed to work downtown at a new Italian place. The owner was both older and old school. Instead of calling to double check my arrival time, I thought I'd go in person to show some initiative. So I turned off the TV, put on some shoes and headed out the door.

I was between careers and needed to pay the bills. Restaurant work is great for that: most people do it once, but few do it forever. All the same, you're working on your employer's dream. Each employee must play their part to perfection. It's like a symphony. If anyone is off they'll face the wrath of a perfectionist owner, hell bent on making his business work.

The bistro had a quaint appearance. As I approached, faint tealights burned behind transparent curtains. They tried to make it feel romantic, dimly lit with soft burning light bulbs. No one was inside, surprising for 10 on a Saturday. But the place had just opened.

I popped my head in, not seeing anyone. The old man came out, preoccupied by staff I couldn't immediately see or hear. At first he thought I wanted a table. "Welcome", he said, forcing a smile through a wrinkled face. "I have a table for two by the window."

"No thank you", I replied. "My name is David, I'm supposed to work tomorrow. What time do you need me in?"

"Oh yes, David", the "i" pronounced with a slight Italian accent.

The old man was born outside Florence, Italy. Then he moved to Rome and eventually to Brooklyn. He became a citizen 40 years ago, married and had a family. He worked in his uncle's restaurant in New York City. Now that his children had grown, he had moved out of the city and onto Long Island. The tiny village I called home had just 5,000 people, but it was a hub for city slickers looking for small boutique art galleries and eateries.

He rightly spotted a good restaurant opportunity, safely away from the cut-throat metro scene. When he interviewed me over the phone, he said my town was like the one he grew up in: quiet, no traffic and good people. I sensed he was trying to recreate a lost youth in his retirement, having lived the American dream and yearning for a connection to his distant past.

The inside was a shrine to Italy. Walls were decorated with art, artifacts and small collectibles. A cross hung next to the kitchen door. Fine wines were carefully shelved in view of the nicer tables.

This was his dream. It was his passion, the culmination of his life's work. It was a chance to do his own thing now that the intractable responsibilities of raising a young immigrant family had passed.

"David...", he seemed lost in thought, "I scheduled you for tomorrow - Sunday?", he asked, temporarily unsure of what he wanted to say. "I"

"Why yes," I answered, "We spoke last week on the phone. I was hoping to wait tables here."

He furrowed his brow, straightened up, and started to rub his belly. His eyes traced downward, glasses slipping down his nose. He seemed disappointed. Was I not tall enough? Was he expecting someone more attractive, to woo the female customers? Was I not short enough? Someone who could be chummy and non-threatening with the men? Guys especially, don't ever want their waiter to distract their dates from an expensive meal.

Or was I not what he expected? Or did he really expect me at all?

"Ah, David...okay, I need you tomorrow at 4. Can you come?"

He sat down on a backless swivel chair. And here is where my dreaming mind suddenly suspended the laws of physics. He slowly spun around the chair without touching the ground. Just slowly but consistently, chin resting on a calloused thumb and forefinger, supported by an elbow nestled over a tired upper body.

What was going on here? I wanted to say, "Yes!" and hustle back home. But he seemed very unsure, almost questioning his decision to hire me. I thought visiting in person would satisfy any doubts. Here I am, 10:15 on a Saturday, taking time out to confirm my schedule. This is a good employee, right?

What more did he want?

Now finishing his second rotation on the chair, I became nervous. "Is that Okay? Should I come early to fold napkins, buff silverware and glasses?" I was trying to impress him. In high school I bussed tables and remember the routine the waiters performed each day before customers arrived.

"Umm...", he uttered, no longer spinning. He looked at me. Then past me. One of the tea lights was out. He seemed bothered by it, making a mental note to light a new one immediately after he was done with me.

"I'll have you come at 3, that is fine. We don't have many reservations. Maybe 5-10 people will walk in. You did all the paperwork?"

"Yes I did, I received it in the mail. I'll bring it tomorrow."

A lithe older lady suddenly appeared. Without a word, she gave the old man a glance, which he immediately understood, offering a slight nod in reply. She shuffled some menus, then grabbed the reservation book off the desk, retiring to the small office next to the kitchen. As yet, no kitchen staff appeared, though I heard some noises back there: the clinking of plates, cracking of olive oil, and a muffled radio with a soccer game on.

I think he was expecting more. After all, this was his dream. But I didn't want to believe he was that naive. How many staff worked at his Uncle's place over the years, and what number shared his Uncle's dream? I'd be surprised if anyone outside his tight knit family cared. They made their money, got their tips and went home. That's all I wanted.

"David, you will be second in, she..." motioning to the woman who just left the room, "...will work front tables. You work back." Maybe this was his test. Maybe he didn't trust me. Maybe this woman just needed the money.

"Thanks, that should be fine," though I was hoping for better tables, which would likely be sat with the few patrons arriving tomorrow.

What more did I want? For him to be overjoyed I decided to work for him instead of the hardware store down the street? To welcome me aboard, arms outreached in a loving embrace, if only for a brief while? Would that have been honest or realistic?

The dream briefly paused. I wondered what would have been better to say to him, just to impress him, to assure him I was a good choice, without being too insincere.

Maybe I should have said, "I'll be here at 1. I'll help you clean the dining area, prep the bar and set the tables. I'll stay afterwards to help you clean up." Would that have been better?

Perhaps I just wanted this man's acceptance, something he seemed reluctant to give me since the moment I walked in. Yet I knew, in several months, maybe a year, I'd be quitting and hopefully starting my own career. One which didn't involve restaurant work. I was only doing this for the money.

* * *

At this point I must have woken up. I didn't remember the dream until later. I made three interpretations before sitting down to write this post.

1. The dream was about my father

I think my father loves me. And I think he wants the best for me: to succeed, to be happy, to have meaning and purpose in life. But I also suspect I'm not quite what he expected.

I realized that long before I got my BPD diagnosis. During my toughest years, I felt really rejected and unloved by my father. It was more than disagreeing with my job, opinions or ideas. He just didn't like who I was fundamentally and couldn't find a way to workaround it.

Was the reserved old man my father?

2. Borderlines act like whomever they're with.

It often goes beyond an appropriate modulation to social environments.

For example, everyone naturally is louder, jollier and goofier at parties. But the Borderline will take this a step further. She will not only act this way, but adapt similar beliefs, feelings and sentiments as those around her. She'll find herself agreeing with opinions she would've found unappealing a week before.

She does this to fit in. To be accepted and loved. In reality it is far more than necessary. You can be yourself and still have a good time. It is overcompensation for fear of being rejected.

In my dream, I desperately wanted the old man's approval, even though I wasn't what he expected. I began to doubt myself in a self critical way, hoping my height and appearance were different in order to please him. I even hoped I could sell him on my desire to work in his restaurant as bad as he did!

Some would think the man critical or judgmental. How could he reject me? But isn't he entitled to his own preferences, especially in his own business?

And that's what many Borderlines misinterpret: everyone has different needs, boundaries, desires and goals. It would have been fraudulent for him to accept me as his ideal waiter. He was obviously hoping for something different.

And likewise it was fraudulent of me to pretend I cared more than I really did. Borderline dynamics often force these inauthentic interactions. In the end people end up disappointed and angry.

3. Borderlines frequently struggle with their identities.

Deep down, they don't know who they are. This causes immense grief during stressful times. It is anxiety provoking during transition points in life.

I knew full well I wasn't going to be waiting tables indefinitely. I had much bigger dreams. Isn't it OK to accept that about myself? Why should I feel bad about not meeting someone else's expectations?

Obviously this is BPD meets Social Anxiety meets Identity Crisis balled into one.

I think accepting what one's journey is, teamed with good doses of humility and determination, can provide substantial inner peace and direction. An identity disturbance can derail this mission.

So instead of looking within, the Borderline concludes everyone else doesn't get them. This belief manufactures a victim in constant conflict with the world around them.

Rejection happens as a matter of circumstance, timing and another person's preferences. You can't change circumstances and timing. And people are allowed to have their own needs, boundaries and dreams. It doesn't mean the rejected person is bad. The rejected only thinks she is bad because that's how she's felt for the longest time.

This reaction must be defused in order for the borderline to tolerate reality.

A unique irony appears. Everything which seems like it is about everyone else, is really about you.

Learn yourself from the inside out.

The Life I Wanted: A House in Suburbia

Date Posted: 12/27/2017

Soon to be 40, I've been wracked by a sense of disappointment, fear and aimlessness. Flipping through a high school yearbook 20 years after graduation, I realized the life I thought I'd have is much different than what it became. Here is a fictional short story.


National Lampoon's Christmas Vacation House
National Lampoon's Christmas Vacation House

We live in suburban house, like the one from National Lampoon's Christmas Vacation. We bought it a few years ago after outgrowing our starter home. The kids needed a safer neighborhood, better schools and more room to runaround. The dog and cat now have a backyard. Previously our dog had to be walked in the park twice a day. Now he frolics happily on a 1/2 acre of land. The cat mouses in the shed, never happier after being liberated from a screen patio in our old place.

It will last us until retirement, a wonderful place to make lifelong memories, raise a family and host holiday gatherings. No longer do the den and kitchen bleed together with hastily arranged furniture. No longer do four people share one full bathroom upstairs and a half bath next to the kitchen. Now we actually have a guest room!

Before Christmas I heard from my old friend Brad from college. Almost 40, he's still doing the apartment thing. Sure, he doesn't have the space demands of a growing family. And he doesn't necessarily want to live in a suburban cul-de-sac with a basketball hoop on his lawn, either. He could care less about playgroups, dinner parties and a safe place to power walk.

But as he nears 4 decades, he does wonder what's come of himself. He has to travel for every holiday to see family or else he spends them alone. When I visited him 2 years ago, I got the impression his apartment - much like his existence - was one permanently stuck in transition from a difficult early adulthood to something yet unknown. As I slept on an old couch, I heard Brad's ornery neighbors arguing across the courtyard. Another neighbor's dog barked non-stop. The next morning we had to visit a nearby McDonald's to talk because the groundskeepers' mowers started roaring at 8:30 AM. Brad said it would continue for up to 2 hours.


I made partner at the professional practice 2 years ago. It was the crowning moment of my career, some 15 years in the making. I coasted through my undergraduate education and thoroughly enjoyed my master's degree in public policy. Then I got a reality check upon graduation: for 5 years I slogged through 6 day workweeks with little sleep. Even then, demanding clients called on Sunday, making sure they were getting their money's worth.

Luckily I was taken under the wing of a senior member of the firm. Kenneth assured me there was a light at the end of the tunnel. We'd meet at a restaurant after my semi annual evaluations. I remember those dinners like yesterday, particularly the ones after I received some tough reviews. Gentle and soft spoken, Ken had a way of motivating me through those hard moments when I questioned why I even bothered with this line of work. He steered me back on the right course.

He knew how much emotion I invested in my work, how much I cared about doing the right thing, how much I needed positive moments to maintain motivation. My promotion to partner came completely out of the blue. He called me into his office with three others and handed me a contract inside an elegant leather binder.

Kenneth shook my hand and beamed, "Congratulations, you've made partner. Your years of hard work, dedication and excellent performance have paid off. On a personal note, I'm happy to have witnessed your progress. You've been like a son to me. And you should know those nights we spent talking about our projects, lives and goals were special. I'll be retiring soon enough, as you know. But I'm happy to see such a capable man pick up where I left off." I remember shedding a tear of joy, then the usual enthusiastic hand shaking and profuse "Thank yous" ensued.

My wife surprised me outside the office. Before she could utter her usual girlish "Congrats!", I gave her the most heartfelt hug and kiss I had given since our wedding. She had been there for me every step of the way; loving and supportive, encouraging but realistic, firm but validating. That night we went to dinner and cheerily brainstormed ideas for the rest of our lives.


I met Adelyn in graduate school. We bumped into each other in the cafeteria one day between classes. She was about my height, brunette, and fit. But I saw her brown eyes first, meeting the gaze of my pale blue counterparts across the room. She was studying psychology, hoping to become a counselor, teacher or professor. I joked I'd need some counseling in my future line of work. She appreciated my wit and self-deprecating humor, using the opportunity to sneak in some compliments that would have otherwise been far too forward.

Effervescence defined, she almost always wore a smile. She was beautiful whether she wore sweatpants and a t-shirt or a sexy black cocktail dress. We were a cool couple at parties and among friends. And yet our private time was more gratifying. Adelyn and I would walk and talk in the park for hours, sneaking into the woods for a passionate make out session in anticipation of further relations later that night.

We moved in together after graduation, sharing rent in the usual apartments people in their mid twenties get. At first the relationship plateaued: my long hours at work and her demanding days at the outpatient clinic frequently left us exasperated. The laid back date nights we enjoyed at university were replaced with takeout and bad DVDs. No matter, we had each other.

Then things got better: I became an associate and my hours steadied. She left full time work at the clinic and joined the staff at the middle school. While Addy missed the patients and relationships she built in solo practice, she knew the school job was better. She made more money, was less stressed and suddenly had time to pursue other interests.

Now things were like they were before: just us, minus the uncertainties and stressors of our mid twenties. We took the opportunity to get married and plan the next chapter of our lives.


Of course Addy wanted kids. I, on the other hand, was more ambivalent. I was the worrier, concerned with providing for a family for the rest of our lives. I also didn't consider myself father material. But she changed my mind. She knew my self confidence touched baseline on many things, and fatherhood was one of them. Sometimes you need to hear it from someone else whom you love and trust before you can find it in yourself.

In the next 3 years we welcomed a boy and girl. I gave her Saturday off, taking the kids to the pediatrician, our adoring relatives or to other activities. Meanwhile, Addy's Sunday crafting classes gave way to meetups with other Moms. I could tell she needed support from female friends as new mother. I could only offer so much in my capacity as husband.

The kids gave us both a different sense of purpose and meaning in our lives, not that we ever lacked one before. If we were unable to have children, our backup plan was to become more active in the local community and schools, volunteering as much as possible on behalf of others. That would give us something to do besides retreat into a bubble of selfishness, detached from the rest of the world.

But no worry, the children came and were in good health. And though we suffered the endless banality of things young parents do, somehow it worked. I regretted not being home to see them in the afternoon, but Addy's school job meant she could meet them at the bus. And as much as she wanted to be the Super Mom, available on weekends for unexpected coughs and colds, she knew it was OK to let me tag-in while she recharged.

They were growing so fast, we knew the starter house we purchased after the wedding would no longer suffice. And I knew, after tripping over furniture and toys a few too many times, that we needed more space. After all, we were finally making good money. Our jobs offered good benefits, retirement and vacation time. The big house we bought in suburbia was an easy step to take, and it was entirely a necessity as well.


Brad, the chronically single male, never seemed to get it together. He told me once he suffered from bouts of anxiety and depression. He joked he had "ASS" syndrome, playing with the acronyms psychologists used: Anxiety, Sadness and Sleepy.

Perhaps he was borrowing a self deprecating mannerism from me? It was actually a bit too harsh even by Brad's melancholic standards. On the surface, Brad seemed entirely capable of achieving everything he wanted.

After college we went our separate ways, emailing and meeting now and again. He went to Hong Kong for 6 years, joining a burgeoning online trading firm. I remember being skeptical of his career choice when he announced his departure one day. "You're doing what?!?", I exclaimed on the phone. I didn't even know such a job existed.

When the firm folded he started his own business, working his ass off for another 6 years. He had his ups and downs financially. Sometimes he sounded really sad during the holidays when we talked on the phone.

His family didn't quite understand his career and couldn't relate to Brad's self employment overseas. His father, in particular, didn't get it. He was a career civil servant and a good one at that. But he lacked the compassion, patience and temperament of my mentor, Kenneth. His presence in my life meant so much.

When he returned stateside Brad's family thought things would change, but Brad continued his solo journey nonetheless. Though they were grateful he was no longer a day's flight away, his family was impatient for him to settle down, marry and start a family. Secretly, Brad told me he had struggled with mental illness for much of his life. Additionally, a healthy dose of social anxiety combined with horrific self-criticism handicapped him.

After all, he sacrificed his prime dating and marriage years to his job. While he dated in Hong Kong and back home in Los Angeles, he never quite had a worthwhile relationship. And he wasn't even sure he wanted one. Even if his Adelyn bumped into him at the supermarket, he wouldn't have said a word to her because he was constantly consumed in a world half in reality, half somewhere in a depressed state.

Brad wasn't ugly. He didn't look like George Clooney but he wasn't the Elephant Man either. Once an athlete in high school, Brad had thrown himself back into competitive sports. He had a trim and toned appearance, perfect for the local road running circuit. While he wasn't turning in competitive times, he was closing in on personal bests from his teens and early twenties.

I had run against Brad in high school before we met in college. He asked why I wasn't competing anymore, perhaps trying to find something we could enjoy together. I told him I didn't have time for it. And, although I was quickly developing a Dad-bod and could stand to lose a few pounds, I made peace with my running years ago.

In truth I think he did it because he needed something to do. He told me his motivation was to lose weight and get in shape, but I think it came from a much darker place. One night after a few beers, chiding me to join him the next day on a 6 mile training run, he confessed he was doing it to feel better about his younger self; to make his sports-minded father proud of him; to conquer intense anxiety he felt about racing; and to face the horrific self-criticism that motivated him. He was firmly committed, employing a personal trainer and spending up to 2 hours a day working out, 6 days a week.

Startled, I initially changed the topic to more pressing things. "Brad, what about your job, getting a house...and have you met anyone recently?" He said he felt aimless. He had no direction or real purpose. He wasn't sure what to do, where to live and how to go about meeting someone. How could he do any of that while he was living off savings? Weren't those things several steps ahead of the next one he needed to take? And what was the next step, for that matter?

Ever the practical type I recommended Brad do a time and money budget. Then report to therapy to assess an obvious depression and anxiety disorder. Finally, he should get out and about anyway. He gave me a sheepish look, knowing the advice was right, but resenting hearing from it from someone who seemingly had the perfect life.

"You know," he said to me, nodding in agreement after I encouraged him to get out more, "I kind of resent your life, what seems like a real American fairy tale. We chose different paths, and I'm having some second thoughts about mine. I know you had doubts while you and Adelyn were in the trenches of your careers after school. I guess what I envy, really, is that you knew enough about yourself to not let your insecurities rule you."

"Oh...", I stuttered, surprised Brad actually thought I was a fairly secure person, " actually thought I was secure in myself? It took quite a long time to find that. Sure, my family, Ken, Adelyn, they all helped. But I had my moments.."

In my early 20s I didn't quite know who I was. I wasn't the kid who wanted to be a doctor starting in 8th grade. I had no big business idea or entrepreneurial dreams. Nor did I have any inclinations towards what I wanted life to look like in my 30s, 40s or beyond. I suppose I wanted to be married and living happily, but I had no idea how to get there.

"Well yeah..." Brad admitted. "Of course I know all that stuff. I meant something different. I've never felt good enough for anyone, myself included. And I've read all those shitty online pop-psychology articles about self confidence and finding a meaningful life...they don't quite do it for me. I suppose I've never known who I really am. As a consequence, unwilling to do what I really want to do and living with whatever happens."

The game came back on, the home team ahead once again. We turned to the TV, stared for a few moments. Brad turned and said, "Aweseome house though, can't wait to visit you guys one day."

Leaving the bar I knew I wasn't Brad but I could have been. But I had the life I wanted, a house in suburbia. A lovely wife and an amazing job. Two beautiful children who meant the world to me. Meaning, purpose and something to do.

I wasn't sure what to say to Brad. Was it misfortune, bad decisions or just his mental malaise? There were some obvious things he could do differently, ways he could prioritize his time to have exactly what I had. But I also knew he had chosen a different path that might not ever lead to the life I had, at least not right away.

And it would have been fine, except he realized what was motivating him was something nearly the opposite of passion and curiosity. Well, maybe those two things initially, but not now. He wasn't like Addy and I who did the usual professional thing. In some respects I admired him for that because he took that risk.

But the loneliness and isolation in his voice and feelings were deafening. I struggled to identify the obvious conflict in front of me: was it bad luck, poor choices, mental illness, fate or the act of an unfair god?

None of those, really. It was Brad against himself. In the course of some reflection I realized the main difference between us. I was less at war myself, whereas Brad constantly battled himself. Yes he had some complicating factors beyond his control. But he made them no easier to manage with an unrelenting emptiness temporarily filled with dashes of achievement and a few pinches of hope and promise.

I had everything I always realized I had wanted. That didn't mean the future would be eternally positive and without struggle. I might end up with Brad's existential depression should my life suddenly turn negative on a dime; in which case I would long for the freedom Brad has but rarely exercises. As I think that thought, I know I am more or less locked into my life, with a wife, two children, a professional career and a nice home depending on me. There is more security but less room for change should things go bad.

I suppose my wife, children, job and home came at the cost of other experiences I could have had and other ways I could have spent my time. Had I gone to Hong Kong, like Brad, I would have returned to the United States with conversational Mandarin, travel across East Asia and the experience of participating in a newfangled industry. I could have stayed single, lived leisurely in an apartment and worked on my 5K time, joining other weekend warriors on a quest to revisit tumultuous teenage years of immense physical energy but profound mental immaturity. What better way to make peace with the past?

Yet the fact remained I knew I would have never been happy doing what Brad did. And I couldn't say I was envious of his admittedly unique life because it wouldn't have been right for me. I am more at peace with my past than he is, maybe because the future for him is much less certain. It could be something or nothing. At least I have something to look forward to.

Addy and I will grow old in our house. The kids will go to school and hopefully finish college like we did. They'll bring girlfriends and boyfriends home to visit and maybe get married themselves. One day grand kids will appear at the door, climbing up the furniture to sit next to us.

Our children will ask us what we are asking our parents right now: a litany of banal questions and trials all parents in our neighborhood face, and yet refer to the older generations for their wisdom and guidance. Perhaps there will be further meaning in our own present struggles when it's our turn to help the next generation with theirs.

As for Brad, I'm not sure what's in his future. There are no easily prescribed answers. I would hate to see him waste away in his present state, with little direction for the rest of his life. He's not that old yet and it's not too late for something like I have. Before Brad makes any rash decisions he needs to really figure out who he is.

Then, one day, maybe years from now, we can fondly reflect on our two very different lives knowing we went about them happily and voluntarily.

And yet, never have we been so unsure of myself.

Parents Who Disrespect Their Children's Boundaries

Date Posted: 05/03/2016

Troubled parents will - knowingly or unknowingly - take advantage of their children through manipulation, gas lighting and other psychological ploys.

Mom calls, needs help with her student's math tests

My Mom retired from teaching last year. She's since decided to tutor people. Family friends recently discharged a caretaker who wanted her high school GED. My Mom volunteered to help. This opportunity not only gave her something to do, but also the chance to help someone. I was genuinely happy for her.

Tonight I got two frantic voice mails. I thought there was an emergency. Nope. Just Mom calling because her student had "passed all the tests except math". She was helping her student take the tests and they both got stumped. An email appeared in my inbox with 5 pages of algebra final exams.

At first I thought she sent regular classwork. One way to prepare for tests is to take practice tests, and these looked like something a teacher would assign. My Mom sounded anxious, almost embarrassed.

I called back a couple hours later. She was busy eating dinner with my father, still frantic. The following is our paraphrased dialog:

Mom: "We need help with these tests. My student almost has her GED. We're both stumped. Can you look at them, reply with answers, and explain how you did it?"

Me: "You know I struggled with math...Search Google for math lessons and help your student through each problem. She'll be prepared for her final."

Mom: "But these are the finals! I really can't talk long, we're eating. But can you look at them and send us the answers? We don't want to look at Google, we'd rather do them ourselves..."

{In my head: "But you're asking me to do them?"}

Mom: "Everyone else is busy, your sister can't help. Can you do it and send them back?"

Me: "I don't think so. These are finals. Your student should be doing them herself. That's really unethical."

Am I the most ethical person on Earth? No. Did I ever cheat on tests? I admit my eye wandered on 2 occasions during secondary school. But as an adult I know that was wrong. I wouldn't want anyone else to do it, and I certainly wouldn't advise someone to cheat. I've learned. I've become more ethical through experience; opposed to never learning my lesson.

Mom didn't respect my ethical boundaries. She put herself first.

Parents should NEVER ask children to cross their own ethical boundaries. Even worse, parents shouldn't do it so they can feel better about themselves. That doesn't treat a child as a unique human being, but as a source for narcissistic supply.

Her self esteem and interpersonal support is derived from others and her environment. She is likely has BPD, so she uses manipulation, guilt, obligation etc. to preserve that supply. That means her codependents (me) see their boundaries routinely crossed, abused and blurred. My ethics, morals and values mean nothing. She needs something and I am there to give it. Randi Kreger of provides an excellent summary here.

Unsurprisingly, while I catch myself being codependent with her, I was at one time diagnosed as borderline myself. The apple doesn't fall far from the tree. I learned how to operate from her troubled psychology as a child. My problems started when I became an adult, the natural age when most personality disorders blossom.

When I rebuffed her requests, I got the following responses. Read carefully and interpret what she said:

Mom: "I thought you were good enough at math to help. Maybe you aren't."

Me: "The issue isn't whether I can do the math. I'm not going to help your student cheat."

{Challenging my abilities. Manipulating my ego into action by suggesting I can't do it to prove her wrong. If I gave in, she'd get her test answers.}

Mom: "The student immigrated a few years ago from Europe. She needs this GED badly. It's her chance to get ahead. I want to help her."

Me: "It doesn't matter what her story is. That doesn't make my position any different."

{Using an unrelated narrative to establish urgency over my objections. Also re-balancing the morality of the situation: it's OK to compromise your beliefs because this is a unique situation.}

Mom: "I thought you wanted to help people. I know you've wanted to volunteer. Here's a chance to help someone. Maybe I was wrong about you."

Me: "I do want to help people. I'm happy to volunteer. But you're asking for more than I can give. Your impression isn't wrong, either. I want to help people."

{Using guilt to make me feel selfish about withholding assistance. Claiming I'm paying lip service to my own desire to help others by not compromising my values to help her cheat.}

Mom: "I don't view it as cheating. I've been working with the student since January [5 months]. We need to get her GED. It's not cheating. You'll send the solutions, we'll review them. We're both stumped."

Me: "It's cheating if I'm figuring the solutions and you're using them on the test."

{Gas lighting. Claiming my perception of reality isn't accurate, that I'm mistaken about the situation. I can't be right. It's not cheating according to her, so it's OK.}

Some would say, "Oh, just accept your mother, she's complicated. She's old and having a senior moment. It's not a big deal."

But I disagree. This is how she operates factually and emotionally. Can you imagine the way my world was distorted growing up?

It's my responsibility to get better. I don't blame her for all my problems. However, I'm reminded that troubled parents often raise troubled children. Her distortions undoubtedly shaped me as a child, and I'm lucky to see through them as an adult.

Part of healing is catching hurtful moments as they happen and learning from them. While this wasn't an enormous misdeed, it's clear years of small distortions and boundary erosion in childhood eventually create a fractured adult. I'm hurt she did this and working through it.

I am wiser for knowing what was happening.

Viewing Facebook Makes Me Depressed - Why do I feel upset?

Date Posted: 03/31/2016

Why do I feel depressed viewing Facebook?

The insight isn't obvious until you realize how inauthentic and incomplete FB posts are. People misrepresent themselves in the following ways:

  1. Idealized Self. Who you want the world to know, minus the flaws. Common examples: perfect parent, high achiever, social butterfly, activist, brilliant thinker, athlete, philosopher, traveler, artist or comedian. These characteristics are part of who you are, not your entire imperfect self.
  2. Glad-Handing. Insincere reminders of one's humility, fairness, optimism, pride and generosity. Outrage over current events for brownie points among like-minded people. Displays of charitable acts that aren't balanced by occasional selfishness or conceit.
  3. Selective Editing. Photos seem too perfect. Stories better than Hollywood. Moments that would fit on a postcard. Are your friend's lives really that awesome? Have they figured out something you haven't? Probably not, and most people don't do this intentionally. However, an unending scroll of wonderful moments can make you feel discontent, envious or bitter.

How do people manipulate positive reactions for seemingly negative things? Remember, people usually represent misfortune accurately. It's problematic, though, when it's one of their preferred narratives. Importantly, is their negative impression reasonable, or is it an attempt to evoke a reaction from friends?

  1. Victimhood. Some people's victimization becomes excessive. They are victims of society, significant others, misfortune or bad people they choose to know. Occasional posts naturally garner sympathy from others. But a persistent call for virtual support betrays their true need for attention. People will like these posts just to pacify their authors, not because they feel sorry for the 20th time.
  2. Humble Brags. Don't trick people's admiration out of them. "I only got an A- on my calculus test," your friend writes. If that's the 3rd best grade of 20 people, is that so bad? Of course your friend is frustrated their studying didn't pan out. But their self-deprecation makes you wonder if they secretly think the hard-earned Bs and Cs are the REAL losers. After all, their crappy A- needs a support group, never mind those who failed.
  3. Guilt, remorse and confession for kicks. FB is a casual confessional where people fish compliments from others. This is a matter of degree, because there's nothing wrong with being open about mistakes. Problems arise when people's repentance is more important than their accountability. "I was mean to the grocery clerk yesterday, feel bad about it." Friends will reply with likes and reassurance. What about apologizing to the clerk? What about not doing it again in the future? Stop posting confessional memes and make things right in the real world.

There are two natural rebuttals:

  1. Stop viewing Facebook. This works until you begin missing occasionally important social information. Now you're out of the loop. Awkward!
  2. Grow a thicker skin, you're responsible for your own feelings. Good advice, except FB is NOT reality. You're dealing with a distortion which requires selective engagement of the way others present themselves. In other words, you must arbitrate truth, reason and intention with every post you see. This is exhausting for trained psychologists. Most people - no matter how tough - trust their friends to represent themselves accurately, and therefore begin to believe whatever they see. Their suspension of disbelief is abused by interpersonal trust.

Facebook is a clever social experiment. People are stripped of their ability to read, discern and interpret social interactions in person. Since friends naturally trust each other, we accept Facebook's distorted reality as truth.

Furthermore, barring first hand experience of something we see, it is difficult to question its authenticity. More importantly, how we should really feel versus what we immediately feel. The former requires immense energy and ability to sift through false narratives, insincerity and ploys for attention, while the latter is believing what people tell us because we know them.

After spending time with someone in person we can tell who is honest and who stretches the truth; who needs attention and who is more secure; who omits important information from their social chatter to mask discontent in their private lives. Only then can Facebook be appropriately regarded for what it is: a one dimensional look at multidimensional people.

In absence of a couple dimensions, don't allow your imagination to color in something overly complimentary. You don't have enough information to make that assessment, and your self perception may suffer in the meantime.

Borderline Personality and Vigorous, Competitive Exercise

Date Posted: 11/22/2015

One component of Marsha Linehan's DBT worksheets is the "PLEASE" acronym (see page 2). The final "E" stands for "get regular exercise, working up to 20 minutes a day".

The benefits of consistent exercise cannot be overstated: walking, jogging, biking, weight lifting, swimming and most fitness programs (Crossfit, etc.) can provide immense benefits, both physical and psychological.

After exercising, I feel less edgy, more focused, and occasionally euphoric. Exercise days also make falling asleep easier. I can use exercise time to process emotions or "lose" them altogether: focusing on my body effectively disrupts whatever was in my head. Often I'll return home wondering why I was feeling frustrated 40 minutes earlier, now suddenly calm and positive.

BPD and Intense Exercise/Competition Can Feel Different

Balance is key. Those who take exercise to competitive extremes will face different emotions compared to someone exercising moderately. Exercise should almost always be a positive experience, even when you're pushing yourself. I say almost because there will be days when you're frustrated with your body's performance.

Always "check in" with yourself before, during, and after intense exercise to asses your state of mind. Never dismiss positive feelings, work through the negative ones.

Why Would Someone with BPD Constantly Run, Workout or Lift Weights?

Positives are global:

It can be personal time, escape from work, fresh air, socialization, and improving competitive performance.

Negatives are multi-layered, pervasive:

Some days, hard workouts border on self abuse. The idea of "punishment as motivation", and "no pain, no gain" often cuts athletic aspirations short. These notions are toxic motivation for people with BPD.

Those prone to self-image problems, e.g. Body Dysmorphic Disorder, may exercise too much and eat too little. Tough workouts are followed by inadequate nutrition, fearing much-needed calories will cause weight gain.

Some BPDs exercise for vanity, due to some healthy narcissism, no pun intended. 🙂Most fit people are viewed as sexually attractive. For BPDs, this makes starting relationships easier. They will - at a superficial level - feel that validation they have long desired, all due to working out. Fit body = Easy dates = A relationship. The logic is sound. However, a BPD's partner will eventually feel misled: "I gave this girl many chances because she was beautiful". Or, "This guy at the gym was hot and really intense, the sex was great, I enjoyed his body, but the rest was unpleasant."

Strict workout schedules can be part compulsion, part avoidance, part escape and self-isolation thrown in. From doorstep to post-run shower, 10 miles on Saturday can easily kill 2 hours that can't be recouped elsewhere in the week. Most of this time is spent alone under physical stress. The "I've gotta do this" thought butts heads with Linehan's other axiom: "Avoid Avoiding" (page 25). If you're lonely, having relationship issues or just need to relax, this isn't a wise use of time. Instead, consider whether you'll feel better socializing, going to therapy, talking with your partner, journaling or just relaxing.

Finally, achieving fitness goals can feel like the validation you've always wanted, but extra balance is needed with BPD. Just did your best bench press? Great! Make sure that feeling is thoroughly enjoyed and celebrated. However, if you find yourself depressed afterwards or "not yourself away from the gym", you could be neglecting other aspects of your mental health.

What Emotions Do People With BPD Experience While Doing Hard Workouts?

I can only speak for myself, having experienced just about everything in my head. Intense workouts are as much mental as they are physical. With BPD, the mental part can be extremely baffling, frustrating and volatile.

Exercising Alone and BPD

My Tuesday long-run arrives. I begin feeling pretty good. Halfway through, I slow down. My motivation vanishes almost immediately. I start feeling anxious, bitter, angry; my self-talk becomes demeaning. By the end I've missed my goal and feel terrible. Why am I doing this? Why am I alone? What a waste of time, I'm exhausted, pissed off and feel terrible. Isn't there more to life? Is this really what I want?

Good runs aren't an antidote. Even after a great workout, the positive feelings are fleeting. Within a couple hours I feel anxious and obsessed with the next challenge. Then a slight desperation arises: Why am I doing this to myself? What is causing the good feelings to dissipate? I begin to question myself while experiencing painful emotional whiplash.

These feelings are less problematic in people without BPD, because their self worth is more intrinsic. A bad workout - even a bad competition - doesn't equal a bad person, wasted time, or a signal to quit.

Exercising With Others and BPD

Everything from "Exercising Alone" applies, plus interpersonal stress.

My friend coaches me in the weight room. He's tough, uncompromising, and a stickler for form (the hallmarks of a superb trainer). Similar to romantic relationships, the non-BPD won't comprehend the BPD's dramatic emotional reactions.

One day my friend was really pushing me. I was recounting a stressful night with my diabetes and he started lecturing me about proper nutrition. It was out of love and concern. I knew that in my core because he is a wonderful human being.

But as I was straining through some chest presses, listening to him trying to motivate me, I snapped. I slammed some heavy dumbbells and got up. He was rightfully aghast by my reaction. We were walking on eggshells for the rest of the workout.

Later I called and unconditionally apologized, knowing full well I lost control. Our friendship has since improved. I'm more mindful of my emotions during tough workouts, making sure NOT to hurt others who are only trying to help me.

People with BPD have to know who the good people are, and do their best to treat these people well. Ignore the bad ones.

Moderate exercise can be extremely beneficial for people with BPD. However, those taking exercise to a more competitive level must be aware of their emotions at all times. Exercising should be positive and helpful. If you experience negative emotions while exercising, work through them. Never forget the good you feel or dismiss it as unimportant. Finally, remember interpersonal relationships are still vulnerable during tough workouts, especially if emotions are running high. Exercise doesn't turn BPD off, but it will provide an opportunity to catch problematic thoughts and socialize in a healthy manner.

I have Type 1 Diabetes and Borderline Personality Disorder

Date Posted: 11/04/2015

Welcome to an exclusive club: In 2012, between 1.6%-5.9% of the US population was estimated to have BPD. Meanwhile roughly 0.4% of the population had diagnosed Type 1 Diabetes (using 2012 total population). That number is actually higher when accounting for undiagnosed cases.

Having Type 1 Diabetes is easier if your mental health is in order. Likewise, as difficult as BPD is, having good physical health improves treatment outcomes.

Both at the same time? Well, now you have an epic silent struggle on your hands.

While the stigma of Type 1 Diabetes is decreasing, it is still quite high for those with BPD. Having BPD is hell on earth. Suicide rates approach 10%. Few people will care to help you. Like Type 1, it is a self-managed condition, in conjunction with a superb therapist. Marsha Linehan's DBT (Dialectical Behavioral Therapy) is noted as efficacious psychotherapy, while some meds can decrease comorbid feelings of anxiety, depression and poor mood regulation.

Is Mental Illness Common with Type 1 Diabetes?

First, it's important to note many Type 1 diabetics will experience depression and anxiety in their lives. That doesn't mean they have BPD. Rather, it is collateral damage from the stress and demands of managing chronic illness. Incidence of depression, in particular, is more common among those with poor glucose control. That said, these conditions are fully treatable and beatable.

Throwing BPD into the mix complicates things: the sadness, rage and emptiness of BPD make managing Type 1 a herculean task. Why bother pricking fingers, taking insulin and eating healthily if your world is falling apart? If you just want to die? If you feel misunderstood, alone, dejected and miserable?

In 18 years with Type 1 and 14 years with BPD, I will admit it: I pondered overdosing on insulin just to end it. And who would know? At least I went out due to physical illness, not some perceived character defect. People would feel bad: "He had diabetes...". Opposed to angry: "He was a manipulative, awful piece of sh!t...".

These feelings have dissipated as both my Type 1 and BPD management improved. Both conditions require taking immense responsibility for your life, relationships and health. You don't have to "get there" on day 1, just realize that's where you're eventually headed.

Type 1 is best treated one finger stick at a time. When your numbers approach normal, you will experience mood improvements. If my BG is 51, I'm irritable and incoherent. If I'm 251, I feel depressed and miserable.

But at 101, my body is back in the game. I don't feel physically stressed, only my BPD remains.

How Does My BPD and Type 1 Diabetes Present Itself?

At present, my Type 1 is in good control, my overall physical health is excellent and I continue treatment for BPD.

The cost of taking greater responsibility for myself, however, has been increased sensitivity to healthcare providers offering constructive criticism, making objective observations or pushing me to improve.

BPDs can be thin skinned, and I'm no exception. This is compounded when a physician makes the *slightest* offhand remark, like "you're too low at 2 PM", "you take too much insulin at dinner", or "your A1C is only above-average, we have some patients with better control". ENOUGH! It's like I'm being burned alive!

Here's a good example in dialogue. I use an insulin pump, so "bolus" means taking a fast acting insulin dose.

Doctor: "You're bolusing 26 times a day, that's a lot higher than average..."

Me: [immediately taking offense inside, because it felt like an attack] "Well, I should talk to my shrink about that, I might have an OCD problem. I'm on that thing more than my cellphone." [smirk, snide joke intended]

Doctor: [awkward grin] "I'm concerned you're stacking your insulin, producing lows later on in the day. Fast-acting insulin lasts up to 4 hours in your system. Frequent boluses might lead to up-and-down glucose readings. Your CGM shows some swings."

The doctor wasn't outwardly upset at my remark, but I realize it was out of line. She was only trying to help me, but my emotional sensitivity got in the way.

A week later I went to individual therapy. I caught myself doing another BPD tactic: pitting healthcare providers against each other.

I recounted the same dialogue to my therapist. At first he asked if I should apologize. I didn't feel my doctor took much offense. Even after my odd remark, our appointment was routine and cordial. Eventually I confessed I felt maligned, that her comment was unempathetic. Now I was playing victim, when nothing had happened. After a few minutes my therapist was still trying to make sense of it, questioning what I got out of going to the diabetes clinic. Voila! BPD manipulation, victimhood and projective identification in less than 10 minutes!

Therapy has taught me most physicians mean well. It is my BPD that conjures these dramatic emotional reactions. Had I raged, insulted the doctor or burst into tears, I would have made an apology.

This is BPD small ball, an improvement over many years of therapy and introspection. For some, the same comment would have sparked a much different reaction.

How Do Others With Type 1 Diabetes and BPD Present Themselves?

I've never met anyone else with Type 1 and BPD, so the following are from various medical journals. In general, the authors paint a gloomy picture of the Type 1 Diabetic BPD patient.

1. She doesn't take care of her diabetes and blames others for it. Codependent spouses might be blamed for not taking care of the Type 1's prescriptions, glucose meters, etc.

2. A1Cs are out of control. Metabolic Panels, Cholesterol tests, etc. out of normal ranges.

3. Patients refuse to follow medical advice, not because it is bad advice, but because they're having a personality conflict with the provider.

4. Appointments are frequently missed and canceled. Office staff spend inordinate time taking care of BPD patients, coordinating and enforcing office policies.

5. Patients jump from clinic-to-clinic after a blowup or feeling offended. Arriving at a new clinic, she states, "I know you'll be the best doctor I've ever had." (Victim-Rescuer Dynamic)

6. BPD patients do not follow rules and expect special treatment. Full medical records are requested "STAT", opposed to a 3-7 day wait most people experience.

7. Nasty complaint letters or phone calls will be made against the physician's office.

8. Healthcare providers are pitted against themselves. The psychiatrist will get one story about the Endocrinologist; the Endocrinologist will get another story about the psychiatrist. The therapist is stuck in the middle. 🙁

Some diabetes clinics will actually "tag" a BPD patient's file, so they know to be prepared when he/she arrives for treatment. This is for their own sanity, because they know the interaction will be more emotionally charged than normal.

Read more:

1. Borderline Personality Disorder and Diabetes: A Potentially Ominous Mix
2. Treating Patients with Borderline Personality Disorder in the Medical Office

Is there hope for people with Diabetes and Borderline Personality Disorder?

Yes. I sincerely believe there is hope and improvement for anyone battling both of these conditions.

I started this blog calling it an exclusive club. That was an objective compliment, because it is a rare combination. Of course, I'd rather be rare for different reasons than my health problems. But give yourself a break: these challenges are well beyond what most people face.

If you're worn out from both conditions, start working on one first. Personally, I think diabetes is easier and more approachable. It sows seeds of structure, responsibility and management necessary for BPD treatment. With better BG numbers, your physical health, energy levels and mood will improve. Next, sit down with a skilled psychiatrist and therapist for the tough work coping with BPD entails. DBT groups, psycho-analytical group therapy and applicable meds for depression and anxiety will help.

Realize your rarity means most people will never understand your struggles. Furthermore, that few doctors will have experience with both conditions at once. Accept - for now - that progress will be slow and hard fought; but it will be worthwhile.

Finally, don't let the perfect be the enemy of the good. Set reasonable diabetic and therapeutic goals. Anyone who is telling you to "snap out of it and eat better" is grossly misinformed and ignorant. This all takes immense time and energy. Don't defeat yourself at the outset with the expectation of feeling great - physically and mentally - in a couple months.

Find qualified health professionals and cut them slack. They are doing their best. So are you. Sometimes emotions run high on both sides. Therapy will provide insight and coping mechanisms so that productive healthcare relationships aren't ruined.

Feel free to ask questions in the comment section below. Good luck to everyone.

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