The Five Stages of Recovery

Paul Mason. MS, CPC, and Randi Kreger
Excerpt from Stop Walking on Eggshells

Sidebar: A Reader's Response



People who love someone with BPD seem to go through similar stages. The longer the relationship has lasted, the longer each stage seems to take. Although these are listed in the general order in which people go through them, most people move back and forth among different stages.



Individuals working through a borderline relationship should be cautious not to spend excessive time and energy in the outer directed stage.

Everyone passes through these stages in their own way, and anger is often a necessary release. But it is important not to indulge one's self or become consumed by anger to the exclusion of moving forward.

You must move past the anger if you desire to take control of your life.

~ Facing The Facts
Confusion Stage. This generally occurs before a diagnosis of BPD is known. Non-BPs struggle to understand why borderlines sometimes behave in ways that seem to make no sense. They look for solutions that seem elusive, blame themselves, or resign themselves to living in chaos. Even after learning about BPD, it can take non-BPs weeks or months to really comprehend on an intellectual level how the BP is personally affected by this complex disorder. It can take even longer to absorb the information on an emotional level.

Outer-Directed Stage. In this stage, non-borderlines turn their attention toward the person with the disorder, urging them to seek professional help, attemping to get them to change, and trying their best not to trigger problematic behavior. People at this stage usually learn all they can about BPD in an effort to understand and empathize with the person they care about. It can take nopn-BPs a long time to acknowledge feelings of anger and grief--especially when the BP is a parent or child. Anger is an extremely common reaction, even though most non-BPs understand on an intellectual level that BPD is not the borderline's fault. Yet because anger seems to be an inappropriate response to a situation that may be beyond the borderline's control, non-BPs often suppress their anger and instead experience depression, hopelessness, and guilt. The chief tasks for non-BPs in this stage include acknowledging and dealing with their own emotions, letting BPs take responsibility for their own actions, and giving up the fantasy that the BP will behave as the non-BP would like them to.

Inner-Directed Stage. Eventually, non-BPs look inward and conduct an honest apparaisal of themselves. It takes two people to have a relationship, and the goal for non-BPs in this stage is to better understand their role in making the relationship what it now is. The objective here is not self-recrimination, but insight and self-discovery.






 

Decision-Making Stage. Armed with knowledge and insight, non-BPs struggle to make decisions about the relationship. This stage can often take months or years. Non-BPs in this stage need to clearly understand their own values, beliefs, expectations, and assumptions. For example, one man with a physically violent borderline wife came from a conservative family that strongly disapprove of divorce. His friends counseled him to separate from her, but he felt unable to do so because of his concern about how his family would react. You may find that your beliefs and values have served you well throughout your life. Or you may find that you inherited them from your family without determining whether or not they truly reflect who you are. Either way, it is important to be guided by your OWN values--not someone else's.

Resolution Phase. In this final stage, non-BPs implement their decisions and live with them. Depending upon the type of relationship, some non-BPs may, over time, change their minds many times and try different alternatives.
When it comes to chosen relationships, we found that the BP's willingness to admit they had a problem and seek help was by far the determining factor as to whether the couple stayed together or not... If you are looking at this right now, know that you are not alone.


Paul Mason, M.S., C.P.C, is a co-author of "Stop Walking on Eggshells: Taking Your Life Back When Someone You Care About has Borderline Personality Disorder." Mason is currently the program manager of Child and Adolescent Behavioral Health Services at St. Luke's Hospital in Racine, Wis. In addition, as a psychotherapist, he specializes in treating people with borderline personality disorder and their families.



Stop Walking on Eggshells
CoAuthor, Paul Mason, Randi Kreger
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Mason became interested in the assessment and treatment of borderline personality disorder in the late 1980's. This lead to his research on differentiating symptom clusters in patients with BPD, which was later published in the Journal of Clinical Psychology (November 1992). Mason, who specializes in the treatment of people diagnosed with borderline personality disorder, also teaches seminars for mental health professionals on the effects of BPD on people who care about them.

Mason earned his Bachelor's Degree in psychology from the University of Wisconsin and his Master's Degree in clinical psychology from Marquette University. He is a member of the American Counseling Association and the North American Association for Masters in Psychology (NAMP).

Randi Kreger is an author and freelance writer. More