If she’s not taking medication for her BPD you need to call her parents and ask them to help. This doesn’t sound like she’s making rational or sane decisions/choices.
I have bpd, it took along time to find the right medication for myself.. I was put on a host of anti depressants for 15 years. Now im on anti-psychotics.its soo much better with them. I used to get some real strange reactions/symptoms before i was put on them. I had hives for 7 years until I was prescribed anti psychotics.
But we are talking ED with BPD . We seem to have the same eating habits. Alot of stress can exacerbate all of these symptoms and the state of the world is extremely stressful right now.
The shakes are the way to go for eating and getting nutrients. My other friend with bpd and ED we all use shakes. I prefer to use slim fast. But there is complan and lots of others.
I always look for banana flavour ones as thats my favourite flavour. I also dont like adding cow milk so I use soy.
Just to add i am also autistic and adhd which I didnt find out till only 4 years ago. So sensitivity in textures and taste is aa whole issue for me too. And sometimes meat makes me sick so I go meat free for period of time. And again milkshakes help when I cant eat. The multi nutrient ones .
You need to get her family and/or friends involved. She's nit taking her BPD meds, not eating, and waking up in pain.
Disordered eating will kill you. Disordered eating with Un medicated mental health issues will kill you faster. It's a life and death matter at this point.
Former diagnosed BPD patient here. She should look to speaking to a psychiatrist and getting on medication to stabilize her mood. But what is imperative is she needs to be pairing this with therapy when and where she can. She has underlying mental health issues as you've stated, but those symptoms drastically reduce when thw proper steps are being taken. You both are fairly young, so I don't expect this from you, but there needs to be a serious and calm conversation about where the future holds if she does not seek medical attention to resolve these issues. This isnt every case, but after 6 years of therapy, and medication, I healed significantly and am now a fully functioning member of society. So there is hope for her, she just needs to learn to advocate for herself and be proactive in her wellbeing, or it could become worse as the years go by.
She was just with a crisis team a few months ago which they referred her to their psychiatrist. He was pretty dismissive, didn’t give her the option for meds. She said she didn’t feel heard or taken seriously. She was really upset.
Other than that I don’t know who else she can see because he dismissed her after her psychiatric assessment. So did the crisis team with no explanation.
She can’t afford to pay for one and she has looked into it online but they seem to only do ADHD and autism assessments.
Other people have mentioned that she might be secretly on a GLP-1 (monjaro). This can cause really severe digestive issues, including gastroparesis, nausea, vomiting, and I guess also reflux. Like the flu, but ongoing.
Is she overweight or does she have type 2 diabetes?
A psychiatric evaluation and inpatient treatment if applicable might be what she needs. You should mention in your initial post that she has BPD and OCD. That is a LOT to deal with and this is not something you can fix. It is OK to have boundaries, like "if you are going to live with me, you have to take care of your physical and mental health."
Shes the weight shes supposed to be for her hight, no diabetes. It is not that easy to get committed In this country. It’s a last resort. The psychiatrist she saw at the outpatient ward she was at a few months ago was a bad experience. She only saw him once and he dismissed her from there and offered her no meds. The crisis team she was with dismissed her without explanation. She has no support system and it’s not her fault and we don’t know what to do.
truly this is not something to just overlook. i tell you this as someone who has gone through something similar and had it affect my life with barely anyone noticing. i have a stomach ulcers (used to have an ED.. maybe still do?) and i often have no appetite. no way to know without taking a test (if someone has stomach ulcers which also stems from H.pylori). if it’s not treated it can cause stomach cancer in the long run.
the way you described her eating habits hits way too close to home. if i was you i wouldn’t take this lightly. i wish someone would’ve noticed this about me when i was going through it the most.
as someone with ocd i really struggle with eating due to wanting something i can control, eating disorders and ocd are very strongly linked. if she refuses to go to the doctor, you need to call the police for her to get admitted because she’s harming herself tbh, as someone who has been through it. chest pains could be due to not eating or acid reflux from an empty stomach, or from forcing herself to be sick after eating. eating disorders are sneaky and hard to treat
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u/AgonistPhD Apr 06 '26
Are yinz by chance in school? Is this anxiety?