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My mother, who has BPD tendencies is in temporary in-patient senior rehabilitation b/c last week she fell in her bathroom and broke her ribs.
Background: 2 months ago, her doctor recommended she enter in-patient senior rehab to build the strength in her legs so she could go on living independently. (She’s only 70.) She refused his suggestion/wouldn’t even bring in in-home physical therapists (which he said wouldn’t be sufficient rehab, that she absolutely needed to be in-patient for at least two weeks). In that 8-week span her depression/migraines resulted in her needing me to call 911 for “failure to thrive,” not eating, drinking water, leaving her bed, etc. The social worker there put her on a 24-hour mental health hold as gravely disabled, then sent her to a 2-week program, which she talked her way out of in 2 days, aunt picked her up and shipped her back home here (her apartment). Then she fell and landed in ER 4 days later and ended up in the in-patient senior rehab.



Since she was on mental health hold we have not spoken b/c she attacked me for over sharing with the social worker at hospital and blames me for being held.



Anyways, tomorrow is her birthday, and I feel bad not dropping off a gift, but I really don’t want to establish a reason for communication.
Should I? Or should I stick to NC?
(BTW: the nursing facility knows that she she cannot come home with me and I will not take care of her.)

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Why don't you instead just order some flowers to be delivered? That way you don't have to actually go see her, yet she will know that you remembered her birthday.
It's a win win all the way around.
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sp19690 Mar 2023
OP should send herself the flowers.
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Do whatever makes YOU feel best. But get yourself a gift no matter what. We so often neglect ourselves in our mad quest to please mentally ill parents who are beyond help.
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You can bring the gift to the facility and leave it with the person at the desk or other staff.
This way you don't "feel bad" but you do not have to see her. (actually seeing her might disrupt any treatment that may have been working)
I might also ask what does her medical staff say? Would getting a gift from you help or hinder her progress?
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I like funky's suggestion.

Now is the time you talk to a SW about having her placed permanently. You Mom needs constant care where she is getting her meds and eating right. You need to tell them she is an "unsafe" discharge. Tell them to call her doctor. That the Aunt should not be allowed to take her home and then just drop her off. She needs 24/7 care that you are not willing to do because of childhood problems you had with her. Its OK that you need to keep your distance, so maybe it would be good to allow the State take over her care. A guardian will be set up to get her placed and make sure she is cared for. You can visit if you want knowing you aren't the one who is responsible for her care.
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It seems to me that you have never broken off your relationship with your Mom; is that true?
If you have not, then, certainly you should send a birthday greeting of some kind.

If you are breaking off your relationship with your Mom forever at this point, then do so formally, with a Licensed Social Worker at your side would be my advice.

Being in a relationship with someone this mentally ill and out of control is being able to accept that you cannot bring it under control. You have informed authorities that you are not /will not be responsible for her if I understand you. You should inform Mom of that as well, and if you are unable now to maintain ANY relationship with her she has a right to be informed of that by you as well' she will not then expect you to reach out on special occasions.

I can't remember if you have posted to us about your Mom before, Den, but if you did I surely already recommended to you the memoir by Liz Scheier called Never Simple. Get it and read it if you have not. You will feel less alone. Liz S. tried for decades to help her mentally ill mom with the assist of the city and State of New York, all to no avail.

I'm so sorry for this suffering for you both. But you already know your mom's mental illness precludes any relationship that is a normal exchange of love and support. Get help for yourself if you need it and provide what understanding and love to your Mom that you are able without the sacrifice of your own life. My heart goes out to you.
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NeedHelpWithMom Mar 2023
So true, nothing is ever simple in life. Things get complicated and messy at times. Great book recommendation!
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Give her the present, please.
Everyone likes presents.
And no matter what she says, doesn't say, when she receives it, deep down she'll be very happy to receive a present.
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sp19690 Mar 2023
Why should she? Who caras what would make the mom happy. I think its time OP focuses on herself. Maybe on her mother's bitthday OP should buy herself a gift as a reminder she survived her childhood with this woman and deserves to give herself something that makes her happy instead of trying to make mom happy.
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I want to thank you all for taking the time to give different perspectives on this. It is so sad that something as simple as a birthday present can be this difficult, but BPD is complicated. I did end up dropping off an orchid and croissants with a card from my 3-year-old. I did not see her. It’s the end of the day and I feel good that I did it, while also knowing that she has refused to honor my boundaries and respect me and my family. And yes, I read “Never Simple” as soon as you guys recommended it last month.This situation is crazily similar. Thank you again.
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All you've discribed is hurtful. I'm sorry for your mom, and I'm sorry for your broken heart.

Her condition and behavior conflicts with what a child mother relationship should be, what you yearn for, and don't have.

You may still feel a need to apease a fantasy and do your part as a good child but it's a useless effort, and would sadly be an inflaming effort if you did.

Also, marking the occasion may satisfy a basic human need in you to make a sympathetic gesture because no one else may be celebrating her on her birthday.

Whatever you do will result negatively. Actually, I'm only reflecting your narrative.

Ordinarily I might say send a card saying that you're thinking of her and that you're sad that she is ill, BUT, she's gone and the situation is hopeless. You are obviously concerned and kept informed and this is within 100% of your ability and involvement.

You already came to answer when you said "I really don't want to establish a reason for communication". You're unfortunately very correct.

I wish your mom a miracle.

Enjoy your life.
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I like the flower idea. Also if you have Amazon Prime they can deliver many things overnight. So if flowers don’t appeal to you, they could deliver a box of candy or socks - anything she might find useful.
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Seems pointless to me. There's no point in interacting with such an individual.

You're smart for letting them know you will not take care of her or live with you. Never waver on that for even a second. This person should be in some sort of facility for the rest of her life.
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