Key Takeaways
1. Borderline Personality Disorder (BPD) profoundly destabilizes family life.
Parenting a child with borderline personality disorder (BPD) presents challenges well beyond the scope of typical parenting.
Beyond typical parenting. BPD is a pervasive pattern of instability in relationships, self-image, and emotions, marked by impulsivity. It impacts the entire family, leading to tremendous conflict, hostility, and a feeling that family life is out of control. Standard parenting techniques often backfire, pushing families towards a "breaking point" where members avoid each other due to perpetual discord.
Identifying severity. Families with BPD often exhibit clear signs of dysfunction. These include frequent conflict during family events, tolerance of mistreatment, "walking on eggshells" to avoid upsetting the child, resistance to family gatherings, and guardedness among members. The greater these issues, the more severe the problem, signaling an urgent need for intervention to prevent family disintegration.
The breaking point. BPD causes extremely low frustration tolerance, leading to intense emotional outbursts when desires are unmet. These frequent, difficult exchanges damage the family structure, creating apprehension and anxiety. As family members anticipate conflict, they withdraw, leading to an implosion of the family unit and increased neediness and hostility from the child with BPD towards parents.
2. BPD creates emotional immaturity, low frustration tolerance, and weak empathy.
Individuals with BPD do not experience emotion the way that others do.
Underdeveloped emotions. Children with BPD exhibit a primitive emotional structure, similar to infants, experiencing only "feels good" or "feels bad" and using crying or lashing out to cope. They struggle to accept delayed gratification, viewing all discomfort as intolerable. This emotional immaturity manifests in several key ways:
- Exaggerated separation anxiety
- Very low frustration tolerance
- Weak empathy
- Inability to take responsibility
- Struggle for self-definition
Weak empathy. A central feature is an almost total self-absorption and apparent lack of empathy. They may ask how others feel but are more interested in asking than truly understanding, often disregarding responses or projecting their own insecurities. Attempts to make them empathize often increase conflict, as they resist acknowledging others' feelings to maintain their position as the center of attention.
Borderline belief system. Over time, these behaviors crystallize into maladaptive beliefs that perpetuate dysfunction. Examples include believing mistreatment is effective, rules don't apply to them, or that they are entitled to forgiveness for any behavior. These beliefs, if unchallenged, lead to repetitive, destructive patterns in relationships, most severely affecting those closest to them.
3. Parents often feel guilt and shame, leading to "feeding the monster."
Parents who have been raising a child with BPD for any period of time often struggle with feelings of guilt, shame, and inadequacy as the child complains about almost all aspects of her life and blames her parents for not making her happy.
Guilt and inadequacy. Children with BPD frequently accuse parents of being "bad" when their demands aren't met, shifting focus from their own struggles. This triggers immense parental guilt, leading to defensive reactions or overcompensation, such as showering the child with treats or compromising other family members' needs. This cycle reinforces the child's manipulative behavior.
Feeding the monster. Giving in to unreasonable demands, or "feeding the monster," exacerbates BPD symptoms. When hurtful or toxic behavior successfully achieves desired outcomes, the child learns to use it more frequently and intensely. This positive reinforcement strengthens the illness, creating a spiral where parents feel increasingly helpless and hopeless, accelerating the family's journey toward the breaking point.
Shame and isolation. Parents also experience shame from public humiliation or provocative behavior by their child, leading them to avoid conflict or public scenes. The child's ability to behave differently in non-intimate relationships further isolates parents, as others may not understand their struggles. This shame can lead parents to avoid their child, intensifying the child's fear of abandonment and neediness.
4. Parental unity and clear communication are vital for effective intervention.
Consistency in your relationship with your child requires unity between you and your spouse or partner.
Starving the monster. To reverse the cycle of enabling, parents must consistently say "no" when appropriate, even in the face of escalating aggression. This "starving the monster" approach requires weathering resistance and transitioning to a healthier family environment, utilizing specific parenting skills to hold the child accountable for her behaviors and choices.
Confrontation, not anger. Effective confrontation is direct and calm, not angry or hostile. It involves holding the child responsible for her actions and choices. Parents must avoid "walking on eggshells" and instead state the effects of the child's behavior clearly. Anticipating defensive "secondary responses" from the child allows parents to prepare further confrontation, targeted at the resistance, to encourage responsibility.
Communicating in "the egg." Parents must maintain a unified front, making decisions privately within "the egg" (a metaphor for their marital privacy). Children with BPD often try to "scramble the egg" through triangulation, pitting one parent against another. Parents should respond with statements like, "I will discuss it with your father, and we will get back to you," to protect their unity and prevent the child from manipulating their decision-making.
5. "Stop the bleeding" by setting firm behavioral and physical boundaries.
You cannot help your child while she is hurting you.
Boundaries for hurtful behavior. The first step in recovery is to "stop the bleeding" by setting clear boundaries against intentionally hurtful behavior. This means refusing to tolerate mistreatment, as allowing it teaches the child that such behavior is effective and acceptable in relationships. Parents must convey that they will not permit their child to purposefully inflict pain.
Form before content. When a child with BPD engages in hurtful behavior, parents must refuse to acknowledge the content of the discussion until the "form" (tone, respect) is corrected. This technique prevents the child from using aggression to get her way and normalizes respectful communication. Ignoring hurtful expressions only validates them, making them habitual and reinforcing the child's maladaptive belief system.
Limits and contingencies. Setting limits involves requiring the child to meet prespecified conditions for support or privileges, such as maintaining a certain GPA for financial aid. Behavioral contingencies pair consequences with specific behaviors, like taking away car keys for drinking and driving. Both must be enforceable and consistently applied to starve the monster, as inconsistency signals negotiability and encourages further testing.
6. End codependency by fostering independence, not comfort.
The parents’ encouragement toward independence is seen as an attempt at abandonment rather than a vote of confidence.
Reluctant codependents. BPD fosters a strong dependency, as individuals require constant reassurance to combat self-loathing. Children with BPD resist independence, interpreting parental encouragement as abandonment. Parents, often "reluctant codependents," give in to avoid conflict and guilt, inadvertently reinforcing the illness by providing services the child is capable of doing herself, thus encouraging dependency.
Deconstructing the pattern. Breaking this ingrained codependent pattern requires a deliberate, three-phase approach. First, parents must rigorously self-examine their motivations, distinguishing between enabling behaviors (driven by avoiding conflict, shame, or guilt) and those that genuinely support independence. This self-awareness is crucial for shifting from avoidance to confrontation.
Starving the monster. The second phase involves actively breaking existing codependent patterns. This means changing behavioral contingencies and refusing to participate in destructive activities. The child will likely resist aggressively, as this strategy has historically worked. Parents must explain, not justify, their new stance, consistently withholding reinforcement for mistreatment to compel the child to seek healthier methods of influence.
7. Healing requires empowerment, redemption, and forgiveness for all.
In the same vein, it’s necessary to heal yourself first in order to help your child with BPD and your family heal.
Healing yourself. Parents must first heal their own wounds—feelings of being beaten down, helpless, hopeless, guilty, and betrayed. This involves:
- Empowerment: Gaining renewed control through successful boundary setting.
- Redemption: Affirming oneself as a good parent, recognizing the child's feedback is unreliable.
- Self-forgiveness: Releasing guilt for past errors, understanding that BPD makes traditional parenting ineffective.
This self-healing is crucial for confident, effective parenting.
Healing your child. Your role in your daughter's healing is supportive, not curative. She must pursue her own empowerment, redemption, and forgiveness. You can support her by:
- Empowerment: Refusing to do what she can do herself, encouraging self-reliance.
- Redemption: Offering hope of forgiveness, contingent on her taking responsibility.
- Forgiveness: Requiring her to take responsibility for hurtful actions, commit to remediation, and consistently follow through. This builds trust and healthy reassurance.
Healing your family. Family healing depends on the parent-child relationship stabilizing as an anchor. It requires:
- Empowerment: Rebuilding the family as a source of support and belonging, ensuring positive, non-toxic interactions.
- Redemption: Consistent healthy gatherings that rebuild comfort and trust.
- Forgiveness: Individual members forgiving the family, seeing others take responsibility and make changes. This often requires professional guidance due to its complexity.
8. Cultivate a new family structure based on cooperation and respect.
The entire family structure is built on the concept of cooperation.
Cooperation over competition. A healthy family structure is defined by cooperation, where members prioritize collective goals and mutual support over individual competition. BPD often fosters a competitive "me" mentality, disintegrating the family's "we" sense. Healing requires restoring trust that members will consider each other's needs, facilitated by parents ensuring fair distribution of resources and attention.
Addressing competitive behaviors. Individuals with BPD struggle with cooperation due to low frustration tolerance, distorted perceptions (e.g., "always" and "never"), and weak empathy. Parents must gently correct distortions, clarify others' feelings, and help the child increase frustration tolerance by consistently honoring commitments and praising cooperative efforts. This teaches her that cooperation, not competition, yields positive results.
Exclusivity vs. equality. BPD individuals often demand special treatment, viewing it as reassurance. This "exclusivity" undermines the family's social contract, where rules and fairness are paramount. Consistently giving in weakens the structure, punishing cooperation and reinforcing competitive behavior. A new structure must discourage competitive behavior and promote equality, ensuring all members feel valued and respected.
9. Support your daughter selectively, focusing on her independent functioning.
Selectively supportive parenting occurs when all resources are offered selectively—only under circumstances in which the child uses the resources to pursue the triad of health.
Selectively supportive parenting. Unlike general supportive parenting, BPD requires selective support. Resources should only be offered when the child uses them to pursue the "triad of health": getting well (therapy), getting educated, and getting a job. This approach ensures the child has "skin in the game," motivating her towards independence rather than reinforcing codependency.
Eliciting positive feedback. To foster genuine affection, help your daughter differentiate behaviors that elicit love from those that don't. Create situations where she can succeed in getting positive feedback from you (e.g., asking her opinion on her strengths) and others (e.g., volunteering). Use "verbal correction" to rephrase hurtful statements and "pre-gaming" and "post-gaming" to prepare for and debrief social interactions, enhancing her weak empathy.
Resist overparenting and let her fail. Overparenting, doing what she can do herself, is the essence of codependency and must be avoided. Define assistance clearly to prevent the "one-sided contract" where favors become entitlements. Crucially, parents must learn to "let the child fail." While difficult, this forces her to take responsibility for her choices and learn from consequences, fostering resilience and independence.
10. Accept limitations: You cannot "fix" BPD or force change.
The success of the parenting techniques offered in this book depends largely on your daughter’s ability to change her behavior and allow herself to become independent.
Inherent limitations. BPD is a serious psychiatric disorder with a low "cure" rate, meaning treatment focuses on living with it rather than eliminating it. Parents must accept that their daughter's capacity for change is limited by biological and cognitive-emotional factors outside her control, such as an overactive nervous system, weak empathy, and low frustration tolerance. This understanding helps reduce parental guilt.
Cognitive-emotional barriers. Your daughter's weak empathy limits her ability to anticipate how her actions affect others, leading to feelings of victimization when others pull away. Her low frustration tolerance drives impulsivity, making thoughtful decision-making difficult. Furthermore, her avoidance of taking responsibility, often manifesting as denial or blaming, stems from an intense fear of being seen as unlovable and abandoned.
Low self-esteem and confidence. BPD causes significant anxiety when facing challenges, making sustained effort painful. Pushing her to achieve will likely increase her anxiety and lead to impulsive, unsuccessful responses, which she will blame on you. Instead, offer supportive encouragement, suggestions, and validation, acknowledging her pain while maintaining that she must still face challenges.
11. Avoid common parenting pitfalls that worsen BPD symptoms.
In order for your child to make consistent and enduring changes in her behavior and choices, she must come to see these changes as benefiting her.
Don't ask her to change for you. Pleading with your daughter to change her behavior out of guilt for your sacrifices is ineffective. She will perceive it as an attack, triggering defensiveness and a victim mentality, rather than self-reflection. For lasting change, she must internalize that the changes benefit her, not just you, as her weak empathy prevents her from genuinely understanding your feelings.
Don't force her to admit a problem. Individuals with BPD fear that admitting flaws makes them unworthy of love and risks abandonment, causing intense anxiety. Forcing her to admit she has a "problem" will likely be counterproductive. Instead, encourage therapy for less threatening reasons, such as physical symptoms, trauma, or as a "collateral" in your own therapy, allowing her to engage without feeling inherently flawed.
Don't be her provider, fixer, or therapist. Over-functioning for your daughter—paying all her bills, cleaning her home, solving her problems—is the most harmful form of codependency. It makes her sicker by inhibiting independence, eroding self-confidence, and preventing her from developing essential life skills. Your role is to support her journey, not to live her life for her or become her primary mental health professional.
12. Manage transgenerational effects to protect grandchildren from BPD patterns.
The intensity of the drive toward codependency will depend on the level of neediness that your daughter experiences as she accepts the reality of becoming a mother.
Grandparenthood's complexities. The arrival of a grandchild, while joyful, can intensify codependent patterns. Your daughter's BPD-driven neediness and competitiveness may lead her to be torn between appreciating your help and being jealous of your attention to her children. This internal conflict can manifest in inconsistent behavior regarding your relationship with your grandchildren.
Pregnancy and infancy. During pregnancy, your daughter will seek frequent reassurance. Be specific with commitments, avoiding open-ended promises that she'll turn into entitlements. In infancy, resist permanent transfer of parenting duties. Teach her infant care skills, don't do them for her. If she attempts to make you fully responsible for her child, consider legal adoption to ensure stability for the grandchild, as her inconsistent attachment can be damaging.
Childhood and attachment. As your grandchild grows, your daughter's low frustration tolerance and neediness may lead to anger or withdrawal of love when the child is needy. Your grandchild may seek a more secure attachment to you. While desirable, your daughter may perceive your closeness as a threat, interfering with your access or undermining your relationship. You must navigate this by maintaining boundaries and avoiding triangulation, prioritizing the grandchild's need for consistent, secure attachment.
Last updated:
Review Summary
When Your Daughter Has BPD received mixed reviews. Many parents found it helpful, providing insights and strategies for dealing with BPD behaviors. However, numerous readers with BPD criticized the book for stigmatizing language, referring to BPD as a "monster," and portraying those with the disorder negatively. Some praised its practical advice and relatability, while others felt it lacked depth and was repetitive. The book's focus on daughters was questioned, as BPD affects all genders. Overall, it's a controversial resource that resonates with some parents but alienates many individuals with BPD.
Similar Books
