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Wedding Woes

Tell her to stop, and cut down on communication

Dear Prudence,

I love my sister very much, but she’s one of those people who thinks she’s the only person who’s ever right about anything. When she gets on a certain trend, her whole life revolves around it and she must give you advice. If she’s gotten hooked on a certain diet, all your life problems are because you’re not eating like she is. If she’s into manifesting this week, all your problems are because you are not committed to manifesting. Usually this is at worst annoying and I can ignore it, but recently it’s taken a more serious turn.

Three pieces of necessary context: 1. We had a very violent upbringing at the hands of both parents. 2. My sister has been able to overcome the trauma of our upbringing and be successful in life. I have not. 3. My sister has recently become a licensed therapist, and has been diagnosing everyone around her with random conditions, especially the conditions her least favorite group therapy clients have. I saw this coming because, as I said, this is How She Is, but I wasn’t prepared for how truly creepy it’s been getting.

I offhand mentioned an incident from our childhood as part of why I was scared to learn to drive (I won’t go into details but will say: angry mother, wet road, bridge over large expanse of water, threats of suicide) and my sister, who I know was there for that incident, got extremely angry with me and began asking a lot of questions about if I was hearing voices or seeing things. I was shocked because my sister got the brunt of the physical abuse when we were younger, until she got bigger than our mom and I stayed small. I told her this and she asked “why I thought that.” I eventually was able to change the subject and decided she was just being weird again … until later.

Apparently, she’s been going around telling everyone I have borderline personality disorder. I have never been diagnosed with this! I have never even had a mental health professional mention it! I am autistic and have OCD, and pretty severe PTSD, but nobody has even mentioned being borderline! And yet my sister is going around telling family members, friends, and people she works with that I am borderline, only doing anything for attention, and lying about abuse to smear our family. I’m not! I guess I can’t prove that mom beat us and that my dad was sexually abusive, because I’m almost 30 and any physical proof is long gone but like … It happened. I was there.

I guess my question is this: Is it worth asking my sister to stop telling people I have BPD and to stop asking me if I’m experiencing psychosis every time I make some sort of absurdist sarcastic joke, or “jokingly” threaten to institutionalize me every time I make some kind of comedic exaggeration? (Example: Me: “The next time someone takes my lunch from the work fridge I’m gonna eat them for lunch.” Her: “You know violent threats have consequences. I had to hospitalize [name of a guy she should not be sharing with me] for that yesterday.”) Or will expressing my annoyance with this behavior just make it worse?

For the record, I tried to have a one-on-one with her about it, but she just started crying about how I don’t respect her job. I do! I just think this particular “I know you better than you do” thing is annoying. Do I just need to wait til she gets settled into her new career and then gets really into paleo or something and her advice gets more manageable/less adjacent to slander? Again, this is not unexpected behavior from her, it’s just an extreme end of it. The diet or astrology stuff I can handle; the “I think you have a mental illness like the patients I refuse to refer to as human beings” stuff, less so.

—Not Her Patient

Re: Tell her to stop, and cut down on communication

  • If you respect your sister's job and she isn't stopping, give her ONE more out.  Tell her, "I've told you that you aren't my therapist and you are not one to diagnose me.  Please stop telling people this."

    Your sister likely  has to be licensed and you are not your sister's patient.  And if you WERE your sister's patient, she would be violating a MAJOR HIPAA set of rules and ethics by blabbing.

    So tell her: I'm giving you one last out to knock it off now or I will be taking what you are doing and reporting you to your licensing board.   You are smearing my reputation with untruths and this is a violation of your JOB. 
  • Tell her clearly one more time to cut it out, then cut down on communication. You don’t have to take her condescension. 

    But also- that comment doesn’t sound like she’s threatening to institutionalize you as much as she’s trying to be a know it all. 
  • VarunaTTVarunaTT member
    Knottie Warrior 10000 Comments 500 Love Its First Answer
    The way I would grey rock or low contact (okay honestly, I'd NC with her) so fast.  LW, you don't have to take this.  Your sister has not dealt with her own trauma at all, and she's bringing it to you. Boundaries, boundaries, boundaries, LW.

    I remember my therapist told me once that everyone who goes into therapy is in there because they needed their own help too.  LW"s sister would do well to remember that.
  • I don't think she's dealt with your upbringing as much as you think she has. It sounds like it's time to distance yourself, because her unresolved issues are currently manifesting in mistreating you. I would be very direct about the things she's telling family members. "That is absolutely untrue and I'm not sure why she would say such a thing." 

    But also, she's telling you details about her patient's care. I would seriously consider reporting her to whatever board polices her. Sharing confidential data sounds like just the tip of the iceberg, and I really do worry about the people who are in her care. 
  • levioosalevioosa member
    Knottie Warrior 5000 Comments 500 Love Its 5 Answers
    Oof, poor LW. Obviously sister has some shit which she truly hasn't worked through either. I'm also wondering if sister has managed her trauma with straight up blocking some of those abusive events. I know my mom will mention stuff my dad did when we were younger, and I vaguely remember it, but there are chunks of time where I could not tell you about it if I tried because the event was so traumatizing. And I can guess about my brother's mental health (super strongly suspect schizoaffective disorder vs bipolar disorder) but beyond close friends and my therapist I'm not running around telling people. And for all I know he just had severe depression with drug induced psychosis from time to time. None of those things change the fact that his life was just incredibly sad, and incredibly full of trauma and he needed help without the stigma that surrounds mental illness. I would personally like to know because severe Bipolar Disorder and Schizophrenia have genetic components, but so does addiction. I just wish he had been able to utilize the help we tried to give, and that psych meds were free of so many shitty side effects which kept him from wanting to be compliant.

    And super not cool of sister to straight up share names. Like, I get it, sometimes you have to share a story of a nutso day at work (ex. the other day, a patient handed me a plastic bag of their urine, not in a cup, just a four day old bag of urine and demanded I run it, lol), or there is something relevant to a conversation, but there are HIPAA compliant ways to do that. 


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  • VarunaTTVarunaTT member
    Knottie Warrior 10000 Comments 500 Love Its First Answer
    There was a Knottie a long time ago who was...an ER nurse?  I think?  She kept a blog of her wild stories, all HIPAA compliant.

    The only one I remember was about a strawberry.  Yep, it's EXACTLY what you're thinking.  She was on AFB, but I don't think she was part of the insane situation that went down over there.
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