I answered the questions in the quote. That must be what she has. Im serious, that sounds just like her, and she has an intense fear of true intimacy. Sex is great but its mechanical like a really good porn, but it has always lacked true intimacy. Im not sure if that is another sign of BPD.
She also has a need to please. A psychiatrist one time said that about her after an evaluation session we both had to go through. My evaluation was fine.
If it is BPD, what can you do?
Nothing in the short term that is going to help you in your situation. Medications can take the edge off a few of the symptoms on occasion, but you are talking years and years of cognitive behavioral therapy like dialectical therapy with very limited success. And what little success those have is with patients generally younger than she is, and in patients with an incredible desire to get well. You are talking 6 figures worth of therapy, and a patient has to be highly motivated to get well, to the point of working 2 jobs to pay for it if you aren't independently wealthy. It takes a therapist years to even get through the lies and distortion and form even the lowest level of rapport that can start to help. The great majority of psychologists are ill-equipped, or simply realize the futility and low success rate and choose not to take them on. John Hopkins and Harvard have programs, but they don't take insurance iirc, require lengthy commitments, and are more geared to a younger patient.
Trust me when I tell you I am sympathetic to her, as she's in incredible internal pain, but for practical purposes as far as you're concerned, she is broken, and has been since before she started kindergarten.
I'd rather have cancer and full blown AIDS over what she has, because I would have a better prognosis when dealing with those illnesses. What she has doesn't only put her in pain, but causes tremendous pain to anyone around her. And I have had a 7 year battle with cancer personally, so I don't say that lightly. If you loved her beyond words, and she was 15 years younger than you rather than 15 years older, there would be ways to approach it that would likely fail, but at least be worth the effort, but honestly, just gtfo wisely, as hard as that is. You have to view your situation as you 2 children with severe conditions because she's really an emotional child, and you are obligated to do your best for the one that you can help, which is your son.
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