Q. Dear Dr. Heller, My 53 yr. old sister lives cross-country from the rest of the family and has BPD, hyperacusis, tinnitis, scolosis that causes pain in a shoulder area, pain in sternum and deep depression. She has been in and out of counseling many times...she stops...and has sought medical advice of all sorts. She is a chiropractor but has been unable to work for 8 months. I spent a week with her in December and realize that she cannot live with me or our parents (now 87 and 90 yrs. old) but wonder what will happen. She is unemployed now and none of us know how she supports herself...she doesn't want us to ask questions. What resources are there for her to turn to? We care so much and have bailed her out of many situations throughout her life but this time things are much worse than ever before - in many ways. What happens to persons with BPD when all treatment methods have failed and resources are gone?

A. I'm not sure what your question is, but I assume you're writing as to what you can do about it.

The most successful first step I've found is to send the individual a copy of my book's cover - it can be downloaded from this website. As long as the individual isn't pushed, reading the cover is extremely eye opening.

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