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re: 12 Year Old Girl with BPD

Posted on 4/29/24 at 2:15 pm to
Posted by PsychTiger
Member since Jul 2004
99155 posts
Posted on 4/29/24 at 2:15 pm to
quote:

My sister is bipolar and we are going through similar things.


OP's daughter has Borderline Personality Disorder, a whole different animal and never easy to deal with.

As mentioned already, Dialectical Behavior Therapy is the treatment of choice. I don't prescribe meds, but a Clinical Psychopharmacology text I have suggests a combination of an SSRI and an atypical antipsychotic to treat the dysphoria, mood instability, and impulsivity. Combinations mentioned include paroxetine with risperidone or fluoxetine with olanzapine. For any med options go through a psychiatrist and not a primary care or other family doctor when considering these meds.

Good luck
Posted by Leotiger725
Member since Jan 2021
805 posts
Posted on 4/29/24 at 2:16 pm to
I have set up cameras. In fact I caught her sneaking butcher knives into her room. When I confronted her about it she said she was going to attack my wife and her baby sister with them.
Posted by Kafka
I am the moral conscience of TD
Member since Jul 2007
142188 posts
Posted on 4/29/24 at 2:17 pm to
Posted by canyon
Member since Dec 2003
18444 posts
Posted on 4/29/24 at 2:19 pm to
gonna get deleted....
Posted by bad93ex
Member since Sep 2018
27270 posts
Posted on 4/29/24 at 2:19 pm to
Was the diagnosis from an inpatient facility? If she is actively threatening you and your family then she needs to be admitted.
Posted by Mushroom1968
Member since Jun 2023
1602 posts
Posted on 4/29/24 at 2:19 pm to
quote:

I have set up cameras. In fact I caught her sneaking butcher knives into her room. When I confronted her about it she said she was going to attack my wife and her baby sister with them.


Geez man, I hope you read all the posts here, maybe even the one above us on this page and consider all options.
Posted by Earnest_P
Member since Aug 2021
3532 posts
Posted on 4/29/24 at 2:21 pm to
Throw her cell phone in the trash, first.
Posted by dupergreenie
Member since May 2014
5346 posts
Posted on 4/29/24 at 2:21 pm to
quote:

boarderline personality disorder 


I am almost positive my childs mother has this. Very rough dealing with it.
Posted by LSUZombie
A Cemetery Near You
Member since Apr 2008
28910 posts
Posted on 4/29/24 at 2:21 pm to
My wife and I can't have kids due to medical reasons. It's something I struggle with at times. Posts like this kind of snap me back to reality.

This sounds like a nightmarish scenario. Therapy and medication are about the only options there are. I have experience with some of these things with a family member but signs didn't start until they were much older. Can't imagine a 12 year old acting this way.

Prayers to you and your family.

Posted by TygerTyger
Houston
Member since Oct 2010
9211 posts
Posted on 4/29/24 at 2:21 pm to
NAMI is a great source that you should use.

I take it you're using BPD to signify Borderline Personality Disorder, NOT Bipolar Disorder right?

There's a big difference in the two. Borderline Personality Disorder is a no win nightmare situation, whereas Bipolar can be controlled with some high degree of success if the patient is complicit in their treatment.

From what you've described, she's Borderline Personality Disorder. Narcissistic, with no empathy, manipulative, and cruel. Sorry man, this is going to be a lifelong challenge.
Posted by AUstar
Member since Dec 2012
17052 posts
Posted on 4/29/24 at 2:22 pm to
Man that is tough.

I don't know what to say other than she has to go to therapy (drugs are hit and miss as there's really no drugs tailored for BPD. However, some shrinks will prescribe drugs "off label" for it just to see if it helps).

There is a talk therapy called DBT that has a decent success rate. In fact, it was created for BPD people. However, I have no idea what the scientific literature says about it when it comes to kids.

I know we have a psychologist that posts here and I remember seeing a psychiatrist post here as well. Maybe someone with their expertise will chime in.

Sorry you've gone through that.
Posted by Leotiger725
Member since Jan 2021
805 posts
Posted on 4/29/24 at 2:23 pm to
I meant Borderline Personality Disorder for the record
Posted by kingbob
Sorrento, LA
Member since Nov 2010
67138 posts
Posted on 4/29/24 at 2:23 pm to
What you need to do is get professional help. The root of bpd is a problem with emotional regulation. This is a brain problem, not a will power or personality issue. Her hormones and emotions are swinging wildly and she can’t control it any more than you can control the weather. She needs a professional to do a few important things:

1. Prescribe medication that can help keep the swings less severe. These can help to keep her from swinging from manic crazy to depressed suicidal 5 times a day.

2. Learn the fears and traumas underlying these emotions. While the emotions are irrational, they are often fed by real fears from actual childhood experiences. Exploring them and understanding them can take the power away from them and help heal wounds she didn’t even know were there. Imagine experiencing horrific pain that makes it difficult to walk, everyone telling you what a failure you are for not being able to run as fast as everyone else, only to finally go to a doctor and find out you have a tumor growing on your hip. Until she finds the root of the fear, those emotional swings will control her rather than the other way around.

3. Suicidal threats are often a manipulation technique or a cry for attention, but that doesn’t mean they shouldn’t be taken deadly seriously. Through therapy, she can learn better ways to seek the attention and care she wants or achieve the desired outcome.

4. Being a tween is hard AF. It’s the most difficult age. It’s totally fine to be a weird kid when you’re little. As long as you’re somewhat positive, other kids will still be friends with you and play with you. When you hit 12, being weird becomes a HUGE problem. Kids start playing the popularity game and anyone the least bit outside the mainstream will be bullied unless they conform. For weird kids, especially introverted or mildly autistic ones, they will struggle because they’re not weird because they choose to. They don’t understand human behavior. They don’t know how to conform and no one is going to teach them. This can build up intense emotions of anger, self-loathing, resentment, rejection, and loneliness. A 12 year old brain often isn’t developed enough to really process all of this effectively. A professional can help them process these feelings, learn how to adapt socially without sacrificing their individuality, and channel those negative emotions into something positive.

My prayers go out to you. I was a really troubled kid at 13. I wish I had parents who took it more seriously. Maybe if I was as in-your-face about it as your daughter is, I would have gotten help for it at 13 instead of 28.

She needs to know you love her, that you’re worried about her, and that you just want to protect her, not change her.
Posted by PsychTiger
Member since Jul 2004
99155 posts
Posted on 4/29/24 at 2:23 pm to
quote:

She always has the nuclear option of threatening suicide, and she uses it very often.


Suicide threats are one of the key means of manipulation these patients use. Even with a therapist they will go an entire session without saying anything bad, but right before the session ends they will start talking about suicide which forces the therapist to stay with them and address it. With BPD you typically get more self-injury and other parasuicidal behavior than actual suicide attempts. For example, cutting their wrist so they bleed, but not cutting so deep that there is an actual threat to their life from it.

Disorders like this are a key reason I stick to evaluation and diagnosis and don't do therapy.
Posted by bad93ex
Member since Sep 2018
27270 posts
Posted on 4/29/24 at 2:24 pm to
quote:

There is a talk therapy called DBT that has a decent success rate. In fact, it was created for BPD people. However, I have no idea what the scientific literature says about it when it comes to kids.



They don't like diagnosing children with BPD which has hindered the research into treatments.
Posted by danilo
Member since Nov 2008
20190 posts
Posted on 4/29/24 at 2:25 pm to
quote:

I have set up cameras. In fact I caught her sneaking butcher knives into her room. When I confronted her about it she said she was going to attack my wife and her baby sister with them.

Wow. I am certainly not a doctor but seems like she may need to be admitted for everyone’s safety
Posted by Northshore Aggie
Mandeville, LA
Member since Sep 2022
4747 posts
Posted on 4/29/24 at 2:25 pm to
cluster B personality disorders are wild OP - I'm so sorry you are dealing with this. I have someone in my life who i strongly suspect to have BPD, but it's more of the high functioning, "quiet" type as they call it. sounds like your daughter is more of the other type, which can be much more dangerous. there's a ton of stuff on the internet about it and several good help group forums that you can search out.

someone recommend the book "stop walking on eggshells" which is fine, but i found "i hate you dont leave me" and "stop caretaking the borderline narcissist" to be much more useful. "the borderline mother" is really good too, and even though it focuses, obviously, on mothers specifically, there is a tremendous amount of just good knowledge about BPD in there.

it's a tough road man. i'm just so, so sorry that you are having to deal with it. especially with your daughter. i have two little girls myself, and i cant imagine.
Posted by Leotiger725
Member since Jan 2021
805 posts
Posted on 4/29/24 at 2:28 pm to
That was a great post. You're right about being a tween. I had a difficult time at that age as well, but it was a short lived phase for me.

I actually went to military school (YCP), and it was a great experience for me.

I was never like my daughter is now though. Thank you for the prayers, that is important to me and I know the effectiveness of prayer from righteous people.
Posted by Bjorn Cyborg
Member since Sep 2016
26840 posts
Posted on 4/29/24 at 2:30 pm to
I know she is your daughter but you don’t have to ruin your life and risk your career, reputation and possibly the life of your other child for a crazy person.

I would have her committed, turned over to the state and walk away.
Posted by Mushroom1968
Member since Jun 2023
1602 posts
Posted on 4/29/24 at 2:30 pm to
kingbob

You always have great posts in threads similar to this.
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