How to make people happy with symptoms of borderline personality disorder

When patients with borderline personality disorder experience emotional fluctuations, they can help alleviate their emotions through empathetic listening, setting safe boundaries, shifting attention, providing a sense of stability, and avoiding positive conflicts. Borderline personality disorder is mainly characterized by emotional instability, sensitivity to interpersonal relationships, and confusion in self-identity, and requires long-term psychological intervention combined with social support.

1. Empathetic Listening

Accept the patient's emotional expression with a non judgmental attitude, and convey empathy through a brief response such as "I understand how upset you are now. Avoid using instructional language on how to wait, and focus on making patients feel understood rather than corrected. Mild physical contact, such as lightly tapping the shoulder, can be used to enhance a sense of security, but it is necessary to inquire in advance whether physical contact is accepted.

2. Set a safety boundary.

Clearly inform me that I will accompany you for half an hour to prevent emotional dependence from worsening. Adopt a gentle but firm expression, such as' I can accompany you now, but I need to deal with other things at 7 pm tonight. '. Boundary setting should be accompanied by emotional soothing, and the significance of the boundary should be repeatedly emphasized when the patient's emotions are stable.

3. Shift attention

Guide patients to engage in activities that require mild concentration, such as simple manual labor and puzzle solving, or propose emotionally connected tasks such as jointly organizing old photos. Choose things that the patient has previously shown interest in as entry points to avoid forcibly shifting focus. Positive feedback on the patient's abilities can be interspersed during the process.

4. Provide a sense of stability

Maintain a steady tone and use repetitive soothing phrases, such as' I'm here to accompany you '. Items with soothing effects can be provided, such as blankets commonly used by patients or essential oils with specific flavors. By performing regular actions such as tapping the desktop at a constant speed, it helps patients rebuild their sense of control over the environment.

5. Avoid direct conflict

When patients use aggressive language, it is important to use nebulization techniques to respond to your current feelings instead of arguing about facts. Before temporarily leaving the conflict site, please explain that I need a few minutes to calm down and come back immediately. Afterwards, controversial issues can be delayed by writing letters or other means. Long term care requires establishing a stable daily rhythm and assisting patients in recording emotional diaries to identify triggering factors. Encourage participation in group psychotherapy such as mindfulness training, and family members should receive professional guidance to learn nonviolent communication skills. During acute attacks, it is necessary to promptly contact a psychologist to adjust the treatment plan. Benzodiazepines can be used for short-term control of severe emotional attacks, but must be strictly used according to medical advice. Maintaining soft ambient lighting, reducing noise stimulation, and other sensory adjustments can also help calm emotions.