Family Member with a Personality Disorder

Dealing with a family member who has a personality disorder can be incredibly challenging. It's normal to feel overwhelmed, confused, or even isolated. It’s important for individuals facing these challenges to know that you're not alone. This space is designed to provide a compassionate and understanding environment where you can explore, learn, and find strategies to cope and thrive despite these challenges.

One of the most powerful tools in managing a situation like this is education. Understanding the nature of personality disorders, their impact on relationships, and learning effective communication. Despite the difficulties, it's important to remember that healing and growth are possible. Through therapeutic techniques, coping strategies, and a focus on self-care, a therapist will help to empower you to navigate these challenges and prioritizing your own well-being.

Understanding Personality Disorders

Personality disorders are complex mental health conditions that deeply influence how individuals think, feel, and interact with others. They encompass a wide range of patterns and behaviors that can significantly impact a person's life and relationships.

Borderline Personality Disorder (BPD)

Individuals with Borderline Personality Disorder often experience intense and unstable emotions, leading to difficulties in regulating their feelings and behaviors. This may result in impulsivity, tumultuous relationships, and a fluctuating sense of self. People with BPD often fear abandonment and may engage in self-harming behaviors.

Narcissistic Personality Disorder (NPD)

Narcissistic Personality Disorder is characterized by an inflated sense of self-importance, a constant need for admiration, and a lack of empathy for others. Individuals with NPD may have grandiose fantasies, seek excessive attention, and struggle with relationships due to their self-centered focus.


Living with or having a family member with a personality disorder can have significant impacts on everyone involved. Here are some common effects:

  • Emotional Strain: The emotional toll can be immense. Family members might experience constant stress, anxiety, and feelings of helplessness. They often grapple with a range of emotions, from anger and frustration to sadness and guilt.

  • Unpredictability: Personality disorders can lead to unpredictable behavior. Family members might feel like they're walking on eggshells, unsure of how their loved one will react in various situations. This unpredictability can create a constant state of tension and unease.

  • Strained Relationships: Interpersonal relationships within the family unit can suffer. Communication breakdowns, conflicts, and misunderstandings might become frequent, leading to strained or fractured relationships between family members.

  • Role Changes: The dynamics within the family often change. Some family members might take on caretaking roles, while others might withdraw or distance themselves emotionally as a coping mechanism. This shift in roles can disrupt the family's equilibrium.

  • Isolation: Families might isolate themselves due to shame, embarrassment, or a lack of understanding from others outside the family. This isolation can lead to a sense of loneliness and feeling misunderstood.

  • Financial and Practical Challenges: Depending on the severity of the disorder, there could be financial burdens due to therapy costs, medical bills, or other support services. Practical challenges might arise from having to constantly accommodate or adapt to the family member's needs.

  • Impact on Children: For families with children, the effects can be particularly profound. Children might struggle to understand their parent's behavior, leading to confusion, emotional distress, and potential long-term psychological impacts.

  • Self-Care Neglect: Family members might neglect their own well-being while focusing entirely on the needs of their loved one. This self-neglect can lead to physical and mental health issues for the caregivers.

EMDR Therapy: Healing Through Trauma

EMDR (Eye Movement Desensitization and Reprocessing) is a therapeutic approach that has shown tremendous success in treating individuals who have experienced trauma, including those dealing with personality disorders and their families. This innovative and evidence-based therapy method can bring profound healing and relief.

How EMDR Works

EMDR works by accessing and reprocessing traumatic memories that may contribute to distressing symptoms and maladaptive behaviors. During sessions, individuals are guided by a trained therapist to process these memories while focusing on external stimuli, such as hand movements, sounds, or taps. This process facilitates the brain's natural ability to heal from emotional wounds

As a trained EMDR therapist, Michelle Nosrati, LCSW extend the offer of this powerful therapy modality to individuals and families seeking healing from trauma and aiming to improve relationships and overall well-being. Those interested in exploring how EMDR could benefit their families in navigating the challenges associated with personality disorders are encouraged to reach out for more information or to schedule a session.