A site visitor who signed with the name “Jay” recently left an interesting comment to my earlier post on borderline personality disorder. As this bears on the issue of rage and the sense of entitlement, I’ll quote his remarks at length. He’s a young mental health professional, working at an in-patient facility:
“I have one BPD patient. Just one and the stress is starting to get to me. It is becoming a nightmare. She cuts, threatens suicide, hits her peers, urinates on the floor and yells at the top of her lungs when she does not get her way. She pulled the fire alarm during her tour of the building because she wanted to be let in the music room. That room was under construction. I explained to her why she could not go in there, her answer was “how do you know?” I pointed to the “under construction keep out” sign. She replied “well you still don’t know that.” She then proceeded to yell at me for not taking her side.
Another example, she ordered cereal for breakfast the night before. She woke up and asked for oatmeal and bananas. We did not have any oatmeal. We offered cereal and bananas. She flipped a few chairs, threw her tray at the kitchen staff, threatened to kill herself and burn the place down. That lasted 3 hours. There was no talking with her, no pacifying her. Finally she was placed in restraints and medicated. She sleeps 10 hours.
Empathy does not work, group therapy, one on one, drawing, meditating, bribery, nothing . Yes, I bribed her with snacks, tried a few reward systems. She’s in her early 20s, as I am. I can not reach that girl. She hates me one day and can not live without me the next. My colleagues are all sick of her. Being the youngest of the staff, she’s is mine until she leaves. I am seriously considering switching to hospice care. She has no boundaries and does not respect mine. For example, I stated that I am uncomfortable with kissing on the cheeks, hugging, holding hands and such. However I do shake hands. She will try to hug me every time I see her, or touch my clothes, hair, to touch my papers. I’d say “please