BorderlinerNotes

BPD/NPD Therapy In Action | MBT Group Consult Part 1: "Intro" | w/ Dr. Unruh & Jacob, Tiffany, Tessa

53K views · 5d ago · 1:11:53

Guest: Dr. Unruh

The extended split-screen version of this group consult is available for Tier 2 channel members And the Tier 2 Deep Dive w/ Pascal is here Become a member here This is a group consultation/conversation. The participants are not in therapy together and there is no patient-doctor relationship.

Topics: Participant Introductions · Definition of Mentalization · Tessa on Performance, Avoidance, and Showing Up · Reflections on Mentalizing | Jacob's Example · The Mentalizing Stance | Curiosity | Strengthening the Muscle · Tessa's Difficulty w/ Not Being Special | Specialness as Safety

Expert DBT Therapist Explains Why She Prefers DBT Over Insight-Oriented Therapies

16K views · 2w ago · 5:06

The extended split-screen version of this piece is available for Tier 2 channel members Become a member here Dr. Christine Foertsch -- expert DBT clinician -- explains why Dialectical Behavior Therapy is her treatment of choice. Dialectical Understanding, Mindfulness, Skills Training, Focus on Behavioral Change.

Topics: Why DBT? / Dialectics & Skills Training · DBT’s Focus on Behavioral Change vs. Insight-Oriented Therapies

DBT Consult Debrief w/ Dr. Foertsch | How to Direct Your Attention

16K views · 3w ago · 13:15

Guest: Dr. Foertsch

Become a member here The consult being discussed is here Debrief with expert clinician Dr. Christine Foertsch of the DBT group consult she conducted with Tiffany (BPD dx), Tessa (NPD dx) and Jacob (NPD dx), with a focus on mindfulness and the importance of homework/practice in DBT (Dialectical Behavior Therapy).

Topics: Balancing Teaching w/ Participants' Viewpoints/Experience · Importance of Homework & Practice in DBT · Radical Acceptance / Mindfulness · Definition of "Mindfulness" / Light Analogy · The Point of the Mindful Speaking Exercise

BPD/NPD Therapy In Action | DBT Group Consult w/ Dr. Foertsch & Jacob, Tiffany, Tessa

253K views · 1mo ago · 41:35

Guest: Dr. Foertsch

The extended split-screen version of this group consult is available for Tier 2 channel members Become a member here This is a group consultation/conversation. The participants are not in therapy together and there is no patient-doctor relationship.

Topics: Tessa's Homework: Mindfulness of Others, Anxiety · Tiffany's Homework: Radical Acceptance & Friendships · Jacob's Homework: Invalidation, Self-Validation & Motivation · Guided Mindfulness Practice: Speaking & Listening · Reflections on Mindfulness Practice · Learning a Skill: Radical Acceptance / What Is It?

Debrief w/ Dr. Ruth Lewis After Her Consult w/ Jacob (NPD dx)

89K views · 2mo ago · 11:59

Guest: Dr. Ruth Lewis After

The 35-minute extended split-screen version of this conversation is available for Tier 2 channel members Become a member here The consult being discussed is here Dr. Ruth Lewis reflects on her session with Jacob (dx'd with NPD), focusing on how his family history may have caused his NPD or Borderline traits, and the way that therapy provides an opening to "reinvent" yourself in a more healthy way, recommending a team of clinicians for Jacob going forward.

Topics: Initial Reactions: Jacob's Discomfort, Sadness, Loneliness, Insecurity · NPD or Borderline Traits -- Means "Something Happened" Early On · How Therapy Can Provide an Alternative to the Old Narrative · Recommending Team-Based Support for Jacob

Debrief w/ Jacob After His Consult w/ Dr. Ruth Lewis

47K views · 2mo ago · 7:17

Guest: Dr. Ruth Lewis

The 28-minute extended split-screen version of this conversation is available for Tier 2 channel members Become a member here The consult being discussed is here Jacob debriefs his session with Dr. Ruth Lewis, commenting on her empathic approach, his difficulty accepting positive comments about his character, and the feelings of altruism he has experienced since starting his social media presence.

Topics: Caught Off Guard by Dr. Lewis's Empathic Approach · External Features vs. Character Affirmations · Selfishness vs. Altruism / Craving Attention

NPD Therapy in Action | Consult w/ Dr. Ruth Lewis & Jacob (NPD dx)

1.6M views · 2mo ago · 36:18

Guest: Dr. Ruth Lewis

This is a consultation/conversation. The two participants are not in therapy together and there is no patient-doctor relationship. Psych interview / first meeting between Jacob (dx'd w/ NPD) and expert clinician Dr. Ruth Lewis. Focus on Jacob's total self-reliance vs. seeking help from others and taking advantage of a good therapeutic relationship.

Topics: Family Background / Life History · Not Wanting Pity / Resilience · Inability to Open Up / Shame / Emotional Detachment · The Power of Therapy -- Developing Emotional Muscle / Insight · Therapy Is a Second Chance at a Safe, Reliable Place · Utter Self-Reliance / Arms-Length Relationships

Debrief w/ Dr. Igor Weinberg After His Consult w/ Tessa (NPD dx)

55K views · 3mo ago · 11:10

Guest: Dr. Igor Weinberg After

Become a member here The session being discussed is here Dr. Igor Weinberg debriefs his session with Tessa (dx'd w/ NPD), focusing on the dilemma of getting better that many patients face in therapy, Tessa's trying to maintain her sense of self through external means, and the split between an old, shameful self and a new, more acceptable one that people with NPD often embody.

Topics: Maintaining Sense of Self: Internally vs. Externally / "Fakeness" · The Dilemma of Getting Better · Tessa's Construction of a New Self / The Split Between Old and New Selves

Debrief w/ Tessa After Her Consult w/ Dr. Igor Weinberg

17K views · 3mo ago · 7:34

Guest: Dr. Igor Weinberg

Become a member here The session being discussed is here Tessa (dx'd w/ NPD) debriefs her intro session with Dr. Igor Weinberg, feeling very positively about his lack of judgment, the way the session flowed, feeling listened to, and gaining a new image of breaking out of the prison of her struggles.

Topics: Therapists as Guides / Feeling Listened to / Igor's Understanding · Letting Go of Wanting to Impress / Igor's Non-judgment · The Question of "Her" Celebrity Being Flawed · What She'll Take Away From The Session / Breaking Free · Reconnecting with Her Parents

NPD Therapy in Action | Consult w/ Dr. Igor Weinberg & Tessa (NPD dx)

601K views · 3mo ago · 43:45

Guest: Dr. Igor Weinberg

Become a member here Extended split-screen version here This is a consultation/conversation. The two participants are not in therapy together and there is no patient-doctor relationship. Psych interview / first meeting between Tessa (dx'd w/ NPD) and expert clinician Dr. Igor Weinberg. They explore Tessa's narcissism and why she is "still miserable" despite years of self-awareness. She describes the process of "becoming a new person," shaping herself after a celebrity.

Topics: Wanting to Know Why She's Miserable Even Though Self-Aware · Feeling "Hollow" No Matter What She Does · Needing to Be Understood & Doubting Anyone Can · Fearing Being Understood / Not Being "Fascinating" Anymore · "Groundhog Day" of Disappointing, Empty, Boring Life · Wishing She'd Had a Different Childhood / Wasting Her Life

Can We Prevent BPD in Our Kids? The Importance of Emotion Regulation Skills | Dr. Karen Jacob

49K views · 4mo ago · 26:47

Guest: Dr. Karen Jacob

The (2hr 8min long) full interview w/ Dr. Jacob (which includes this topic as well as "treating narcissism and BPD") is available for Tier 2 channel members. Become a member here Dr. Karen Jacob discusses the importance of teaching kids emotion regulation skills in preventing serious mental health issues.

Topics: Tease · Identifying & Regulating Emotions / High Emotion States / Emo Vulnerability · Kids with Hypersensitivity / Developing BPD / Bio Vulnerabilities

📚 Book mentioned: The Feelings Toolbox

What It’s Like to Treat Narcissism & BPD | Dr. Karen Jacob

169K views · 4mo ago · 41:03

Guest: Dr. Karen Jacob

The (2hr 8min long) full interview w/ Dr. Jacob (which includes this topic as well as teaching emotion regulation) is available for Tier 2 channel members. Become a member here Dr. Karen Jacob discusses Narcissistic Personality Disorder (NPD) and Borderline Personality Disorder (BPD) as a clinical psychologist who runs The Gunderson Residence, a residential treatment program for personality disorders.

Topics: Tease / Intro · NPD vs BPD / How Do They Feel Different To The Therapist? / Not Feeling Loveable · What's The Most Important Factor For Improvement? · Self-Assessment and Getting Help / TFP vs MBT / PDs Are Not a Death Sentence

📚 Book mentioned: The Feelings Toolbox

Post-Consult Debriefs w/ Dr. Jacob + Tiffany

26K views · 5mo ago · 18:28

Guest: Dr. Jacob

Become a member here The consult being discussed is here 1. Dr. Jacob's debrief, noting mainly Tiffany's tendency to people-please and "lose herself" so that she is left unknown to herself and others, as well as her low level of affect while recounting her narrative of the past. 2.

Topics: DR. JACOB'S DEBRIEF / What Dr. Jacob Listens for in a Session / Narratives · Tiffany's People-pleasing and then "Losing Herself" · Tiffany's Lack of Affect vs. Cognitive Understanding · Therapeutic Tactics to Connect to Feelings Under the Cognitions · TIFFANY'S DEBRIEF / Fear of Not Being Believed as Having BPD · Identifying as Having BPD / It's Not a Fashion Statement

📚 Book mentioned: The Feelings Toolbox

BPD Therapy in Action | Consult w/ Dr. Karen Jacob & Tiffany (BPD dx)

186K views · 5mo ago · 38:02

Guest: Dr. Karen Jacob

This is a consultation/conversation. The two participants are not in therapy together and there is no patient-doctor relationship. Psych interview / first meeting between Tiffany (dx'd w/ BPD) and expert clinician Dr. Karen Jacob.

Topics: Being Seen as "High-functioning" vs Feeling Persistent Distress · Feeling Judged / Fighting for Self-Worth · People-pleasing and Not Having Friends / Loneliness · Feeling Something is "Inherently Wrong" With Me · "High-Functioning" Outside Doesn't Match Internal Feeling · Self-Judgment / Hiding Yourself Makes Real Love Impossible

📚 Book mentioned: The Feelings Toolbox

What's Underneath "High-Functioning" BPD | Interview w/ Tiffany (BPD dx)

68K views · 6mo ago · 25:16

Become a member here Extended Split-Screen Version Tiffany (dx'd w/ BPD) details how her “high-functioning” exterior covers a history of suicidality, self-harm, and chaotic relationships. She describes the invalidation of clinicians and peers, a seven-year abusive relationship, leapfrogging to new attachments to avoid being alone, and the way feeling unliked can rapidly escalate to suicidal thinking.

Topics: Isolation Hides BPD Symptoms / Not Having Friends · “Seven-year relationship” ≠ Wellness; Leapfrog to New Relationship · Always Having to Prove She Has BPD / The Cutting Incident / The Criteria · Not Getting Help / People Don't Want to Believe Her · Suicidality / What Prevents Her From Doing It · What Triggers Suicidality / Invalidating Environments / Feeling Unliked