Yeah NPD and BPD are linked and BPD are notoriously hard to treat. One day they will just proclaim they are completely mentally well and stop taking all their meds. Once that happens, the only way I have seen to get them back onto meds and into therapy is some complete breakdown of their life… Which almost always inevitably happens, although it can take years for things to spiral.
Yeah, unfortunately I’ve been on the receiving end of that one too. But I’ve also known people who seemed to have dealt with it long term. What I notice in them is an eternal vigilance of a similar sort to addicts who stay permanently clean. They understand that the easiest and safest place to stop their destructive patterns is when it’s about to start.
That said, I wasn’t aware of medication being used for any personality disorder, I was under the impression that the only effective treatment was dbt.
Yeah NPD and BPD are linked and BPD are notoriously hard to treat. One day they will just proclaim they are completely mentally well and stop taking all their meds. Once that happens, the only way I have seen to get them back onto meds and into therapy is some complete breakdown of their life… Which almost always inevitably happens, although it can take years for things to spiral.
Yeah, unfortunately I’ve been on the receiving end of that one too. But I’ve also known people who seemed to have dealt with it long term. What I notice in them is an eternal vigilance of a similar sort to addicts who stay permanently clean. They understand that the easiest and safest place to stop their destructive patterns is when it’s about to start.
That said, I wasn’t aware of medication being used for any personality disorder, I was under the impression that the only effective treatment was dbt.