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Friend with cancer, refusing treatment: is this bpd?

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Justmehere

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I'm sick with a stupid fever and posting this here because I need someone to probably tell me to stop.

I have a very dear friend with highly treatable cancer with a 90-98% 5 year survival rate with basic care, who has chosen to not pursue even meeting with an oncologist. She got the diagnosis and walked out. She is scared the oncologist will force her to do things against her will and will even get a court order to force her to do chemo. No really.

She told me the day after the diagnosis she was "so excited" and "happy" for getting cancer... and the reasons might have been manipulative because it meant her family would pay for elective health care she has always wanted that her insurance doesn't cover. I have only known her as a super intellectual, insightful and relatively mentally health person. But I always knew she had a super long history of depression, sucidial thinking, and used to have borderline personality disorder. This was all probably remission until the cancer diagnosis, and might be playing a huge role now?

It's been six months into her self treatment via diet plan, and she is terribly ill and seems to be quite comfortable with the reality that she is likely to die.

No one knows how sick she is, because she refuses to see a doctor, but based on her dramatic physical weight loss, general illness, boughts a of confusion, extreme fatigue, and her statements that she is not healthy... she doesn't seem to be doing well. She sent me texts this weekend about needing to go live like she is down on a farm and live a simple life with no connection to anyone and is seeking purposeful isolation to heal. (There is no literal farm...) She said any phone calls and visits from anyone are too exhausting, is too much work to keep trying, she is too sick she to barely function. She invited texts and letters.

I told her I was worried and concerned about how isolated she is already. I sent an article about how cancer grows. She didn't know it grows at an exponential rate, but thought it was like 1 cell every month and that she has 10 years until it will doubles in size because she read it on the internet because you know, the internet is always reliable... (not.) sigh. She went on and on about how sick she is, too sick to connect to even a doctor. I commented that even those who are dying of cancer in nursing homes still have visitors and connect with at least one doctor. Even if they have DNR (do not recesitate) order in place and refuse all chemo. They still have a doc there to help them be comfortable.

She apologized for my frustration.

I told her this isn't frustration. It's grief. When someone announces they have cancer, says they are super excited about it, and they are not going to see doctors because they are too scared about the doctors doing things against their will, and 6 months into that self-treatment plan, they announce they are too sick to have visitors and they are going to purposefully engage in extreme isolation.... people worry. They get concerned. They are stunned and struggle with fear and grief. I explained I will be really sad if/when she dies. I love her and miss her already. She replied that my mesaages stirred up a lot for her to process that she had not thought about before.

I'm seriously thinking of sending her a handwritten letter of what I would say at her funeral. I rather say it while she is still living, and to her, anyhow. I'm also thinking of including a pamphlet to hospice.

And ya know what? I am pissed. This feels like a weird manipulative slow suicide or something. Should I just back off?
 
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I think I'd send her the letter. No clue what her deal is. I DO think we tend to regret the things we don't do more than the things we do. If she dies, and you leave things unsaid, I think you'll regret that more than you'd regret whatever else might happen. But, ask yourself that. How would you feel, when it's all said and done, under different scenarios?
 
I think you should send that letter, too. It may just prompt her to look at this in a healthier way. Maybe not, but the fact that she said your other messages gave her pause indicate it can't hurt.

You are in an awful situation with this friend and I feel for you :hug:
 
Actually I sort of get your friends position. I suspect others here do as well. You don't have to search far to find the "I'm not suicidal but I want to die" posts. You friend may view this as getting her wish to die without the stigma and consequences of suicide. And an end to the pain.
 
@Justmehere I'm not depressed, not one bit. If a Dr told me this week that I had cancer, I'd thank him and walk out of his office. I've lived my life, done what I wanted to do, and I'm tired. Physical tired. I'm sick of living in pain daily.

People can argue if I'm depressed or not, I'm not! But I would welcome a death sentence.....
 
But, ask yourself that. How would you feel, when it's all said and done, under different scenarios?
This is what sticks in my brain. I rather tell her now than regret not saying anything later.

She is sending messages stating she's excited about dying while refusing all help to live... and I gotta say, I wish she'd think of the impact this would have on others... is that selfish of me? I know that tired people with cancer are not always thinking about the impact on others.... But if a more typically suicidal person sent the same messages, I might remind them the world is better off with them alive and in it. Because it's true.

If she dies, I will grieve. It's a reality. Let's just be real about it. She has the choice to go this path and if/when she dies, people will miss her. Terribly. No matter how much they respect her choice to do this.
You friend may view this as getting her wish to die without the stigma and consequences of suicide. And an end to the pain.
Yeah. That's what I actually think is happening rather than a choice about this or that path to treating cancer being the best one. My concern is that this is instead a passive suicide, made ok, because we shouldn't tell cancer patients we want them to live and will grieve when they die?

I have frequently had these kinds of passive sucidial thoughts where I wouldn't act to even try to save my life too. So there is no judgement from me about it. Right now, I'm sitting on the other side of it, and it freaking hurts and is so hard to watch. I've lost others who had no will to live, and nothing really lessens the pain of losing a loved one to passive suicide or cancer. Or both.

I don't know why she tells me she is excited to die. She says she feels safe to tell me. She forgets. My dear close friend is dying and I'm not really going to be thrilled about it. I guess I'm sick of hearing her excitement over something that is breaking my heart, even if I understand it.
 
Self-treatment via a diet plan?

Isn't this how Steve Jobs died?

Maybe start searching for that kind of phenomenon.

He was a brilliant man who really thought he could fight cancer with diet or supplements or something like that. And he had the world at his feet, no treatment was too expensive.

There's got to be more about this kind of scenario amongst all the cancer literature out there.
 
Adding.....

Is she at all narcissistic?

Jobs was arguably narcissistic. I've seen the same massive denial re: cancer in other narcissists who died and didn't have to die.
 
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