A poem about BPD

This is a poem that I wrote last October, based on how I was feeling and that yesterday I decided to share on tumblr. I hope that it isn't triggering even though it has references to self-harm and suicidal thoughts. If you are feeling suicidal please check the section 'Need urgent help?' and make sure you get the appropriate help.

I must say things have got better since.

She had her monsters, she knew them well

They were called anger, pain and despair

Most people knew them but in her case

She couldn't tell them to go away

So she buried them deep

Where no one would find them

And she laughed for a year

Thinking she'd left them behind her

So when she opened a door and they all just snook through

She just didn't know what she was going to do

They said she felt too deeply

She said she felt nothing at all

They said she had to be in control

She said she was just empty

It was either everything or nothing at all

Nothing in between, no halfway to go

She cut her skin, they fed her pills

Trying to get the monsters to let go

She thought there was no way out

The emptiness inside made it easy for the monsters to control her

And there she was after a blackout

The white walls of the hospital all way too bright around her

They called it BPD

You just feel way too deeply

You can't control your feelings

Depression, anxiety

“How long will it be?”

“I don't want them here

I want them to go

I don't want this emptiness

being in control”

There are monsters in my head that want me dead

And I'm afraid they will succeed, you see

And I'm scared people will realize

That I don't know what's in my mind half of the time

I guess there's something beautiful out there

So I am glad that I'm still here

But just don't let go of my hand

I'm scared I'll drown with so much air

How can they breathe so easily?

How can they smile so brightly?

How are their eyes so troubleless?

What, are their minds not behind them?

So why me? Here, have another pill, maybe it'll calm you down

Against your sadness, against your impulsivity

It'll make you happier

It'll make you calmer

It'll make you sleepy

It'll make you easier to handle

Don't read the secondary effects, you'll get scared

No one wants that, you're already scared enough

Why do they care so much?

Why do they care at all?

When will it be time to be a beautiful beloved corpse?

She cuts her skin, they feed her pills

When she cuts deeper increase the dose

And if suicide ever invades your thoughts

You didn't get a damn thing, kid

Things will get better, it will improve

They say “you see? There's a bright future ahead of you”

But she's screaming silently, emptiness fills her eyes

It's too late for me, I am dead inside

Misconceptions about self harm

As with many other issues related to mental health, there are a lot of misconceptions about self harm. There is a lot of stigma around self harm and unfortunately this means that people are unlikely to talk about it and therefore misconceptions are perpetuated. This post aims to shed some light on self harm and to bring down some common myths around it.

I am NOT trying to promote self-harm and I strongly encourage anyone who has considered it to not do it, and anyone who self harms to seek help. 

If you know someone who self harms, I hope this post helps you understand it better and not judge them. Offer them your help, not your judgment. Self harm is a very serious issue.

·"People who self-harm are trying to kill themselves" 

Self harm doesn't equal attempted suicide. Most people who self harm are not trying to kill themselved but instead use self harm as a coping mechanism

·"People who self harm are suicidal" 

This is not always true. It may be in some cases but a lot of those who self harm don't have any sort of suicidal ideation in mind. They could be self harming for a lot of different reasons and you should be concerned. If they are self harming they're probably having mental health problems and could be dealing with depression, anxiety or some other issues. Even if they are not currently suicidal, if they don't get help, the problem leading to self harm could get worse and the shame and guilt that usually accompany self harm could make the situation worse, potentially making them have suicidal thoughts in the future

·"People who self harm are trying to get attention" 

Most people who self harm actually hide their wounds and don't show them to anyone. If a person recurs to self harm for whatever reason, they should get help and you shouldn't try to judge or analyse their motives.

·"You don't have to worry about someone's self harm unless it's serious injuries" 

You have to worry about someone's self harm no matter how serious, deep or shallow their injuries are. If they are self harming they need help. Of course, if the injuries are more serious there is a risk of parasuicide, the person could accidentally die even if it's not their intention from the seriousness of the wounds. However, someone whose injuries seem less serious could potentially have more suicidal thoughts than people whose self harm is deeper. There are many different reasons why someone would choose to inflict less serious wounds but that doesn't mean that the problem is less serious.

·"Self harm = cutting" 

There are many more ways in which someone can harm themselves and they are all equally serious. I'm not going to name any so that I don't give any ideas to people who self harm but anything that someone does to their body with the intention of harming themselves can be considered self harm.

·"Scratching doesn't count as self harm" 

Look at my previous point. Scratching can be self harm and does not have to be overlooked.

·"Showing your scars means that you're seeking attention" 

I'm sorry but no. I'll post something about this in the future but showing your scars doesn't mean that you want attention. Not even showing your wounds has to mean this. But with scars there's not even controversy around it. You should feel comfortable in your own body and if you do have scars and you show them, that means courage, that means that you're getting comfortable with your body as it is. Do not be ashamed of your scars. And do not shame people about their scars. Scars, even if they're not self-inflicted can be a tough thing to get used to showing. Feel comfortable in your own skin.

·"You can stop self harming any time you want" 

Unfortunately this is completely false. Yes, you can take steps towards stopping your self harm and I'm not saying that you'll never be able to stop: you will. But it's not an easy thing to do. There is a physical and a psychological explanation for this. The physical one is that pain and pleasure are separated by a very thin line. By self harming you release endorphins and your brain actually becomes addicted to this. The psychological reason is that if you're feeling bad for some reason and you recur to self  harm and it makes you feel better (for whatever reason) and you have trouble dealing with those problematic feelings, then when you feel them again you know that self harm once made you feel better and you'll recur to it more easily. What starts being whenever something huge happens ends up becoming your go-to mechanism any time you're not feeling particularly well. That's why quitting self harm is so difficult.Relapses are normal in the process to recovery and you mustn't let them bring your hopes down. It is possible to stop self harming.

·"People who self harm are just emo/flaunting their cuts"

Let's stop right there. Flaunting their cuts? I have indeed met some people who were proud of their wounds and would show them around as if it were something to be proud of, and I've always felt a certain disgust towards this behavior. I personally was extremely ashamed of my self harm that I was always particularly careful to hide it. Like me, so many people hide their wounds. There are so many people ashamed, embarrassed who won't show their wounds. A lot more than of those who show them.

·"People self harm because they want to" 

Riiiiiight. Not really. I mean, you're sort of right but not really. Because of what I have explained earlier about it becoming sort of addictive, a lot of the times people don't really want to stop self harming because it actually makes them feel better so they think: why stop? I keep seeing it as a drug. A drug user might want to stop doing drugs but then again a part of themselves might not really want to. I don't know anyone who likes to self harm. Most people experience feelings of shame, self-hatred, embarrassment or guilt after self harming. However a part of them doesn't want to stop doing the only thing they have found so far that helps them feel better. That's why it is so important to get professional help. Don't try to deal with someone's self harm all by yourself. They need help and they need treatment.

Why I'm thankful I lived 2014 and my suicide attempt a year ago failed

This post could be triggering (I have tried my best for it not to be), but still.

If you have suicidal thoughts or ideation, please seek urgent help.

Most of you who use Facebook have probably been given the offer to 'see this year' according to Facebook. Well, so have I. And guess what? There were very few pictures, I think it's the year there have been the fewest pictures since I opened my account. Why was that? One could think this was a year not worth remembering, maybe I think that as well some times. But that is very far from the truth. This year was not the best year of my life. The worst moments and days of my life have taken place in 2014. And still, I am thankful that I got the chance to live this 2014. That may sound extremely dramatic, but you may not find it so much so when I tell you that exactly a year ago, on the early hours of the 1^st of January 2014, I attempted suicide.

Things had been getting ugly for a long time for me. My depression had come back and it seemed to be here to stay. I was experiencing panic attacks, dissociative episodes, extreme mood swings, I was in the midst of a dependance relationship with my boyfriend back then and I had had suicidal thoughts and ideation for months. I thought that I was losing my mind. I found it impossible to concentrate and had required extensions for my work at university for the first time in my life. I had resorted to parties, sex, food restriction, alcohol and drugs and mild self-harm to keep my feelings at bay, to 'control' my feelings and keep them from spinning out of control. But the truth is that by the end of 2013 not only was I on antidepressants, I was unable to sleep on a room by myself with the lights off unless I had taken a sleeping pill, and I found the idea of fun without alcohol absolutely absurd.

I saw myself as being on the 'peak' of my life and I thought I was going crazy and knew that everything was going to go downhill because I couldn't keep the pace I was on. I thought I was going to break down and that everyone I loved would leave me.

Well, guess what? No one left me when things got as ugly as they did. And I am glad that I was here to see that.

Yes, I lost a couple of friends who didn't understand the extent of my mental health issues and claimed that I was just being lazy and an attention whore. But those people were never worth it in the first place.

But all the others, all the ones who mattered, stayed by me. Even people I did not consider so close, people I never thought would be there in ugly times, showed up to show their support.

This past year has not been the best year of my life. It started with me attempting suicide. As a consequence, I was requested by my therapist and my parents to leave university, my house, my job, my friends and boyfriend, the country where I was studying, to go back home to live with my parents. The first months of 2014 are but a blur in my mind.

But this 2014 I finally got diagnosed with BPD (after having recurring episodes of depression since I was 11 and needing a therapist a few times for an eating disorder, depressive episodes and self-harm since I was 16). I was sent to a day centre to which I attended every day and learnt DBT and other skills to deal with my illness and my life.

I ended up 2013 wishing to end my life, and as 2014 ends, I have hope again, and I want to live my life and find out where all of this is going.

In January I will be moving back to university to finish my degree.

This year has been very hard, but it has been filled with great surprises, great people, great lessons.

I am thankful that I got to live this 2014 and I am looking forward to 2015.

I remember at the beginning of last year I thought I was never going to feel better, but now I do. Things have improved so much and they will keep improving.

Recovery is not an easy process. I am on medication, I am still in therapy. But I'm getting better and I certainly am much better than I used to be.

So if you are struggling, remember that things do get better (and I am the living example of it - and I'm glad to be!). Please hold on. You are important.

Borderline personality disorder and mood swings

Have you ever been on a roller coaster? That's pretty much how a person with BPD feels most of the time. I mean... not literally.

Okay, let me explain myself. When you suffer BPD, one of its main characteristics is the mood swings.

You may feel happy right now. And then something may happen, something that may be a little upsetting but that other people wouldn't consider 'a big deal', and BAM! suddenly you're sad, you feel like nothing is worth it or even suicidal. What happened? That little event, or there wasn't that little event. Any small trigger or small events can make your mood go from 0 to 10. The same way, someone may tell you that you were late and suddenly you're rage is so high that you feel like screaming at that person or even getting physically violent (or so mad that you feel like interiorising the pain with yourself).

Right, right. I'm not saying that ANYTHING would trigger a BPD person's emotions. But BPD is also referred to as an mood instability disorder, and that's because people who suffer it have a lot of trouble keeping their emotions in line and controlling them. Their feelings generally surpass them.

It doesn't mean that if they feel mad they will automatically get violent, do not get me wrong. But if something makes them mad, it will probably infuriate them. If something hurts them, it may make them sink so down that they may feel hopeless.

These feelings may not last longer than hours, because something else will probably happen and their mood will swing towards something else.

In the same day you can go from feeling happy, to feeling absolutely hopeless, fury and rage and then happy again. I remember when I was 18 it was when I became really self-conscious of these mood-swings and how brutal they were. Maybe one day I was feeling suicidal and then a few hours later I was extremely happy and excited about many different things.

I remember telling my psychiatrist that I thought I was bipolar. I had never heard about borderline personality disorder at this point. And bipolar was what sounded the closest to what I felt. She immediately ruled it out when she asked me what was the longest I was depressed for and I said a day.

But interesting fact: Guess what? Many years ago they used to think that BPD was a milder form of bipolar disorder.

One of the main issues with this roller coaster is that: you are very unstable and therefore as a consequence so are your relationships with people. Besides idealization and devaluation, this emotional instability is one of the major reasons why BPD people have such a hard time building long-lasting stable friendships and romantic relationships. A later post will talk about this more in detail.

But it is possible to become more stable. In my case, medication has helped me get my emotions more stable. I never thought that I'd aspire to be 'stable', but since last year that's all I want to be. Lately my emotions have been all over the place so I guess I need to visit the psychiatrist...

If you are worried about your mood swings, visit a therapist.

World Suicide Prevention Day - What to do if someone tells you they suffer from depression

Well, well, well.

I've been waiting for ages to write this post.

Because, for those of you who may not know it, today 10th of September is WSPD or World Suicide Prevention Day.

Not long ago, the death of Robin Williams raised the issue of suicide, as it happens every once in a while. But it seems like the subject keeps getting forgotten a while after a celebrity has died. However, the statistics are horrifying. Every 40 seconds, a person dies of suicide.

As a sufferer of depression myself, suicide is a subject that matters deeply to me, as I know just how dark someone's thoughts can get. It can be hard for some people to understand what would lead others to even consider suicide as an option. Many times the stigma that exists around mental health stops people from speaking out and seeking the help they need, therefore leaving them hopeless and feeling like that might be the only way out, when really it is not.

If you are dealing with suicidal thoughts or suicidal ideation, then click here to get to the page of Need urgent help to seek immediate help.

One way in which you can help to make the suicide rate lower is by making those around you feel safe, by being open and understanding if someone shares with you that they are struggling with a mental health issue.

What can you do if someone tells you they are struggling with depression?

· Be understanding 

I know, I know, it sounds obvious. But it was necessary to say it. The person may tell you it's depression, or they may say some other mental health issue, maybe even one you have never heard about. Don't tell them they are making it up. Just because a mental illness can't be seen, it's not less real than any other illness.

· Don't say things such as "You're just too sensitive", "This is just a phase", "Everyone goes through this" or "Cheer up!"

While you're probably just trying to help out and show empathy, the person can feel like your "minimizing" their problems. Those struggling with depression are going through hell in their minds, they don't want anyone to tell them that it is not such a big deal, because they will just feel like they are not being understood and like you are trying to make their problems less important (and they may not want to talk about it to you anymore, which is not what we want here!). And "cheer up", ugh, just don't. Please, don't. Someone dealing with depression didn't choose to be depressed and would do anything to be happy again. So telling a depressed person to cheer up almost sounds like accusing them of having chosen to live life that way as if they could just cheer up whenever they wanted to, because then they wouldn't just have done it before you told them, that idea just never came to their minds!

· Listen!

Listen, listen, listen. Encourage them to talk. And listen. I can't say this enough times. But the person may need someone to talk to and being there for them is always of great help.

· Don't push them to talk too much

Oops, did I say listen too many times? (Probably not). BUT If they have told you something but they don't want to share any more details, don't push them too much as they may feel like they don't want to talk anymore.

· Offer your help

Honestly, if they are struggling with depression there is not much you can do for them besides being there and being ready to talk and listen whenever they need to. But if you offer your help and let them know that you are ready to listen to more whenever they feel ready to tell you, they will probably be extremely thankful.

· Keep in touch

Even if they are not contacting you after that, send them messages or call them after that to check on them and ask them to meet. People dealing with depression are more withdrawn and have more trouble in doing everyday things such as replying to messages, or might be scared of how you reacted. So calling them and asking them to meet up might be a great way to make them feel better and also to check up on them.

· Be patient

· Be there

You don't need to physically be there all the time, just show them that you are available to talk, etc.

· Don't judge them

Someone struggling with depression may have developed some unhealthy habits to cope with their emotions such as alcohol or substance abuse or self harm. You can express your concern about this kind of behavior, but it is something that they probably feel like it escapes their control. It can be hard to understand it (issues as self harm) from the outside, but even if you can't understand it you have to try and not be judgmental. This doesn't mean go on and encourage them to pursue this behavior since it is detrimental for their health, only makes depression worse and can create separate separate problems of their own but don't judge them for having done it.

· Encourage them to go to therapy if they don't yet

This is a very important point. If they have told you they suffer from depression but are not going to therapy it might be because they are scared of being judged etc. Or they may just need more encouragement. You can offer them to go with them to the therapist and wait for them outside.

· Do some research

If you don't know much about mental health, research a bit to know more about the symptoms of depression etc to be able to understand better the behavior of the person.

· If you have noticed changes that alarm you, contact someone

You may have noticed recent changes on the person that have alarmed you, like seeing them more withdrawn or a lot more tired, or their conversation revolving around death.

You can read other alarming symptoms at the Samaritans page, clicking here.

If you are a friend and know the parents, you could tell the parents if you know that they are open about mental health. Other useful contacts are:

The Samaritans if you are int the UK: 08457909090

Suicide Prevention Lifeline if you are in the USA: 1-800-273-TALK (8255)

You can call them and tell them that you are worried about someone else and they will provide useful information.

· Look out for yourself

If you have a relationship with a person struggling with depression, whether it is family, friendship or the love kind, at some point it can become exhausting for you too. You need to make sure that you don't get dragged into the depression cycle and that you look out for yourself and your health. This will help you stay healthy and keep helping the person and also assure them that you're not going to leave them because you are tired of the situation. So make sure you have the space you need and some time for yourself.