Understanding The Contradictions With BPD: "I Hate You, Don't Leave Me”
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For many people living with borderline personality disorder (BPD), understanding the subtle nuances of the ups and downs in relationships can be challenging. Instead of perceiving these nuances, a person with BPD might perceive that relationship cues are either “black and white,” “right or wrong,” and “all or nothing.” In psychology, this tendency is known as splitting or alternating between extremes of idealization and devaluation of significant people, events, or actions.
This challenge with “middle ground” situations can make it difficult to have personal relationships and cause interpersonal conflict. BPD can cause a paradoxical view of love, sometimes called a splitting coping mechanism. Popularized by a psychologist who wrote a book about BPD for partners and family, the phrase "I hate you, don't leave me" has been used to describe this pattern of splitting.
If you or someone you know often experiences this dichotomous way of thinking, you might be confused by the patterns in your relationships. If you relate, exploring the significance of splitting in BPD and how to seek support can be valuable.
Symptoms of borderline personality disorder (BPD)
Those with borderline personality disorder may experience many symptoms that contribute to highs and lows in their emotions, including the following:
Profound feelings of insecurity
Low self-esteem
Contradictory feelings
A desire for constant validation from others
Idealizing or devaluing others
Difficulty compromising
Difficulty controlling emotions
Quick emotional reactions
Self-harm
Suicidal thoughts
Borderline personality disorder and splitting
Troublesome interpersonal relationships and difficulty controlling emotions are symptoms of borderline personality disorder (BPD). People with BPD may experience intense mood swings, with periods of uncertainty and self-doubt. Their relationships can ride a similar emotional roller coaster, highlighted by times when they feel close to someone, followed by periods of loathing, anger, or fear.
Another symptom of BPD is splitting, which involves perceiving the world in extremes, where people, events, or situations are either “all positive or all negative,” with no middle ground. When splitting is experienced in the extreme, it can be an integral internal distorted thought process that can negatively impact personal and professional relationships and physical and mental health.
Many people have multiple coping mechanisms for stress, anxiety, or trauma. You might experience overwhelm, distress, or emotional challenges without these coping mechanisms. In addition, many people utilize unhealthy coping mechanisms. These techniques can have a negative impact, sending your brain into a loop of anxiety where the coping mechanism provides a "fix" but does not address the root cause of the anxiety, stress, or trauma. These coping mechanisms can manifest as eating disorders, substance use, and other self-destructive tendencies.
Borderline personality disorder can result from emotional or physical trauma, but some who experience this condition have never dealt with extreme forms of trauma. Working with a licensed therapist or certified counselor is often valuable for addressing the underlying causes. It can be difficult for people with BPD to address these harmful coping mechanisms independently.
How self-esteem may contribute to splitting
Part of the anxiety that fuels contradictory behavior in people with BPD may be self-doubt that stems from emotional invalidation possibly experienced in childhood. When someone grows up in a household where the parents do not outwardly validate a child’s emotions, they may develop feelings of rejection and low self-esteem.
People with BPD often internalize this experience of ignorance or invalidation of their emotions as adults, which might lead to feelings of self-doubt and internal confusion. This confusion could lead to problems in relationships and a dichotomous perspective.
For example, if a person’s parents validated their emotions, they might perceive themselves as a “good person.” However, if their feelings were invalidated, they might perceive themselves as “bad.” For this reason, the origin of splitting as a primary coping mechanism may develop to address the pattern of acceptance and validation as a child.
The impact of this coping mechanism is not limited to relationships with others. It might also impact your relationship with yourself. With a distorted self-image, it may be challenging to understand your relationships with others. While not all people with BPD experienced trauma or invalidation of their emotions as a child, self-doubt and low self-esteem are symptoms of the condition.
How is love experienced by those with BPD?
Below are a few ways individuals living with BPD might experience love and attachment with others.
Validation seeking
Many individuals living with borderline personality disorder are concerned about gaining the approval of others through validation. They may struggle to consider the emotional needs of the other person when these needs occur, potentially perceiving that their need for validation is above all other needs. These individuals might become fixated and emotionally attached to one person, reacting as though that person’s input and love is the only aspect of their life that matters.
When challenges occur or the person they love does not act as expected, they might assume the worst or experience extreme fear that drives harmful actions like reassurance-seeking or splitting. Part of the conundrum of splitting attachment in a relationship with someone with BPD is that they may believe the person they love is responsible for their happiness. As BPD is associated with a fear of abandonment, a partner turning away or acting differently could cause unbearable anxiety or self-doubt.
If you are in a relationship with someone living with BPD, you may find that you struggle to validate them enough or that they continue to ask for similar types of validation even after you’ve already given it. The contradiction may be affecting your relationship to the point of instability. If your relationship starts to falter, you may find that your partner's perception of you changes, leading to a paradoxical contradiction. First, you might notice a fear of abandonment, often immediately followed by distancing or anger that can be painful and confusing.
Fear of abandonment
If you have BPD, you might experience intense fear of your loved one abandoning you. If your interpersonal relationships strain, you may find that the person you love feels drained or wants a break. In some cases, you might want to break up or know that the relationship is unhealthy but are afraid to be alone. If your partner pulls away, asks for space, or wants to leave you, you might feel compelled to take extreme measures to repair the relationship, potentially crossing boundaries.
One influential book about this disorder is I Hate You — Don’t Leave Me: Understanding the Borderline Personality, by Jerold Kreisman, MD, and Hal Straus. Kreisman states that for many people with borderline personality disorder, “’out of sight, out of mind’ is an excruciatingly real truism.” He states that they may feel panic when they are separated from a friend or family member because “the separation feels permanent.” ( I Hate You — Don’t Leave Me: Understanding the Borderline Personality is available in its third edition, which was published in 2021).
Contradicting feelings
Understanding contradictions can be a part of understanding borderline personality disorder. You might feel angry, hateful, or confused when your needs are not being met or the person you love is not meeting your expectations. Even if you love the person, you might want them to leave you alone. In some cases, you might be tempted to leave them to see if they’d ask you to stay.
This cycle can continue to contradict feelings. There may be powerful emotions attached to all phases of the cycle, but when the emotion is indifference, it can be uncomfortable for someone with borderline personality disorder. A middle ground might seem impossible, and the cycle of pushing and pulling away might feel normal.
Counseling options
For those living with borderline personality disorder, it can be challenging to maintain relationships. If you know someone who has BPD, it may help to recognize that their responses are part of their condition. Their ability to process circumstances and thoughts can be limited at times, as they often experience extreme emotions. Whether you or someone you love has BPD, consider reaching out for support from a therapist.
Online therapy for borderline personality disorder
You might also consider online therapy if you feel shame about seeing a provider or can’t find a personality disorder specialist in your city. Research has proven that online therapy is an effective method of treating borderline personality disorder and comorbid disorders, such as eating disorders. One study published in Frontiers in Psychiatry found that patients experienced significant improvement across various metrics after receiving internet-based treatment for BPD. The study noted that borderline personality disorder is often an undertreated condition and that internet-based therapy could bridge that gap in treatment.
The availability of mobile and computer-based therapy platforms can provide opportunities for guided treatment. In addition to holding counseling sessions, therapists can lead clients through exercises and lessons proven to aid in recognizing triggers when they arise, acting as an invaluable resource.
Working with a licensed therapist, you can find alternative ways to cope with your emotions effectively while taking advantage of a more comprehensive array of specialists than might be available in your area. With online therapy, you might also find more therapists specializing in BPD. Online therapy could also help clients avoid the perceived stigma that many people with borderline personality disorder feel when seeking traditional therapy. If you want to get started, consider signing up with a platform like BetterHelp for further guidance.
Takeaway
What is the book I Hate You Don’t Leave Me about?
I Hate You—Don’t Leave Me is a bestselling guide on borderline personality disorder (BPD) that has been updated and reflects up-to-date research that has opened doors to a new understanding of BPD, risk factors, and co-occurring disorders. The book was written by:
Jerold J Kreisman, MD: A personal practice psychiatrist and leading expert on BPD who contributes regularly to Psychology Today. He has written two books on BPD, including Sometimes I Act Crazy.
Hal Straus: A professional health writer who has written I Hate You—Don’t Leave Me alongside Kresiman, and he has contributed numerous articles to publications including Men’s Health and Ladies’ Home Journal.
Together, Kreisman and Straus highlight that both medication and psychotherapeutic advancements point to real treatments and understanding of BPD that can help diagnosed individuals and their loved ones. An expanded and revised edition, using up-to-date research, can serve as an essential guide for individuals diagnosed with BPD, loved ones, colleagues, and professionals in the field. To obtain an excerpt, read here.
Is there a link between eating disorders and borderline personality disorder?
Yes, according to some research around half of people with an eating disorder experience comorbid personality disorder. Borderline personality disorder (BPD) is the most common of these, accounting for 22% of comorbid cases.
What does “I hate you, don’t leave me” mean?
The phrase “I hate you, don’t leave me” is a phrase that can be used to describe the thoughts and behaviors of people with borderline personality disorder (BPD). It exemplifies the contradictory feelings that people with BPD often experience, in which they may lash or experience anger toward someone but then regret or plead with the person to stay despite their behavior because they feel abandoned.
The phrase is used as the title of a book by the same name. It was written by a psychiatrist and leading expert on BPD, Jerold J. Kreisman, and professional health and medical writer, Hal Straus, more than three decades ago (with a revised edition available).
What personality disorders are usually associated with eating disorders?
According to one study, obsessive-compulsive personality disorders and borderline personality disorder are most closely associated with eating disorders. This study observed that obsessive-compulsive and borderline individuals may experience changes in eating pathology that increase the risk of impulsive or restrictive eating.
These five books can provide people with personality disorders (and other psychiatric disorders) real hope for improving their quality of life.
What does untreated borderline personality disorder (BPD) look like?
Untreated BPD can lead to symptoms such as:
- Spending beyond one’s means
- Substance abuse
- Depression
- Mood swings or irritability
- Anxiety
- Interpersonal issues and issues with day-to-day interactions
- Financial instability
- Chronic pain
Though more research is needed, research suggests that BPD has developmental roots in childhood, as it’s more likely in individuals who’ve experienced traumas, like physical or sexual abuse, to develop the disorder. This is especially likely if they’ve experienced post-traumatic stress syndrome.
BPD can cause significant impairments to daily life and functioning. However, there are treatments and therapies available that can provide borderline individuals with insights, practical tools, and/or medications to help manage symptoms.
Can people with BPD have healthy romantic relationships?
Yes, people with BPD can have romantic healthy relationships. However, numerous articles find that people with BPD are more likely to experience relationship challenges. Furthermore, BPD and substance abuse commonly co-occur, which may further exacerbate relationship issues.
Successful relationships often rely on non-judgmental communication, willingness to seek treatment, and clear boundaries. A supportive partner can take steps to learn more about their partner’s diagnosis and protect their own well-being.
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