Borderline personality disorder patients may not love everyone, but they may exhibit excessive dependence or idealization of others due to emotional instability and fear of being abandoned. When interacting with borderline personalities, it is important to establish stable boundaries, avoid emotional involvement, provide moderate support, maintain patient communication, and seek professional help in a timely manner.
1. Establish a stable boundary
Clearly indicate the acceptable range of behavior and avoid compromising due to the other party's emotional fluctuations. For example, maintaining a consistent attitude when agreeing on a communication time or refusing unreasonable requests. Boundary chaos may exacerbate patients' fear of abandonment, while clear rules can provide a sense of security.
2. Avoid emotional involvement
When patients experience anger or self harm threats, maintain a calm and objective response to avoid falling into the role of a savior. Excessive empathy may reinforce extreme behavior patterns, while a calm attitude can help reduce the probability of conflict escalation.
3. Provide moderate support
Expressing concern during the patient's emotional stable period, but not excessively intervening in their life decisions. Affirm positive changes, such as seeking medical attention on time or adhering to daily treatment, and avoiding condoning unhealthy behavior patterns out of sympathy.
4. Maintain patient communication
Use simple and direct language to communicate, avoiding metaphors or satire. When patients experience cognitive distortions, gently point out the facts rather than arguing about right or wrong. Regular brief communication is more effective than occasional long conversations.
5. Seek professional help
Encourage patients to adhere to dialectical behavior therapy or schema therapy, and if necessary, participate in family therapy together. Save the psychological crisis intervention hotline and immediately contact a psychiatrist or emergency service when encountering the risk of self injury or suicide.
Long term interactions require attention to one's own mental health and regular relaxation training or psychological counseling. Record the event patterns that trigger patients' emotions during interactions and gradually adjust coping strategies. The improvement of patients' symptoms usually requires several years of systematic treatment, and the support of family and friends should be combined with professional intervention to avoid blaming personal willpower for the condition. While maintaining moderate social distancing, a positive connection can be established through participating in structured activities such as art therapy together.
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