Patrick Solitano (Bradley Cooper) is ready to face the world! After a stint at a mental health facility, Pat wants to go back to teaching and to pursue his wife (Bea Bree). If he works hard enough, she’ll remove the restraining order and give him another chance. But is he all better? He still goes through manic episodes, and his parents (Robert DeNiro and Jacki Weaver) suffer the consequences. He’s not taking his medication — doesn’t want to feel “foggy” all day. But then he meets his friend’s sister-in-law, a beautiful young widow named Tiffany (Jennifer Lawrence), who appears to have mood-related issues of her own. Pat wants his wife back and Tiffany offers to help. How? With dance lessons. She’s not a great dancer herself, but it helps relieve stress, and she thinks Pat could benefit from a few dance lessons. Tiffany has a hidden agenda though. She’s falling in love with Patrick. She hopes he will feel the same way. She also bonds with his football-obsessed father — aiming for more meaningful enmeshment. But will Patrick ever see past his self-inflicted fog?
I didn’t know what to make of this movie at first. Seemed risky — a story about a man with such a controversial mental health problem (controversial due to the constant stigmatization, but more on that later). I never read the book this movie is based on, so I dived in without knowing what to expect. I love it! LOVE. IT. Bradley Cooper shines in this film! He shows the depths of his talent, and he humanizes a man with little to no control of his emotional faculties. And Jennifer Lawrence? She won an Oscar for this role, need I say more? Even though no one knows what Tiffany’s problem is (even Patrick is at a loss), it is clear that she suffers from Borderline Personality Disorder. I can see why the writer might have done this. People confuse BPD with BD all the time. Bipolar is a mood disorder and Borderline is a personality disorder. They both have mood swings, but the similarities end there.
Bipolar Disorder — once known as “Manic Depression” — is marked by radical changes in mood, energy, thought patterns, and behavior. Borderline Personality Disorder is when you have difficulty regulating your emotions, most of which is triggered by an extreme fear of abandonment. BD is treatable through medication and mood-stabilizing exercises. BPD is also treatable, but not through anti-depression, anti-anxiety or anti-psychosis medication (like Zyprexa). (Hence the scene where she tells Pat that Xanax and Klonopin don’t seem to work on her.) BPD is not a chemical imbalance in the brain — the Borderline’s brain is literally underdeveloped, from low levels of Oxytocin in the frontal lobe. This leads to self-destructive behavior, like cutting, substance abuse or sleeping with multiple partners. Dialectical Behavior Therapy is the most effective treatment for BPD. They have to do this for a lifetime. By dancing, Tiffany has come up with her own version of DBT, but she still needs the real thing. Borderline is one of five personality disorders in the Cluster B (the “Wild” cluster). Unfortunately, that means BPD is clustered with narcissists, sociopaths and psychopaths. Unlike those three disorders, people with BPD still feel love and empathy toward others (at least those who don’t have narcissistic or psychotic tendencies), and therefore they’re more treatable than the others. When we think of BPD, we think Glenn Close in FATAL ATTRACTION, but Tiffany is a more realistic portrayal of a borderline. (Another realistic borderline is Clementine in ETERNAL SUNSHINE OF THE SPOTLESS MIND, played by Kate Winslet. And a good example of a sociopathic borderline is Amanda Seyfried’s character in CHLOE.) BPD and the other Cluster B disorders are grossly misdiagnosed all the time, hence the reason why Tiffany and the others don't know what is wrong with her.
So I love this movie! I love movies that make me think, and this one does it for me. It has complex characters, but the plot is still fun and full of heart. It has such an amazing cast. Besides Cooper, Lawrence and DeNiro, we also have Chris Tucker, Julia Stiles and Paul Herman, but the true star is the theme of this movie. People stigmatize mental health disorders an awful lot, especially Bipolar Disorder. If someone exhibits high levels of emotion, that person is immediately labeled a “bipolar.” We MUST stop doing that. 1) People with Bipolar Disorder deserve to live a dignified life, and they don’t need some jerk belittling and stigmatizing their condition and 2) unless you have a PhD in Psychology, you have no business diagnosing others (or yourself).
Great movie! It gets five solid Coconut and Hazelnut Cold Brew Iced Coffees (with a touch of brown sugar)!