In this episode of the Personality Couch Podcast, we delve into the complexities of Borderline Personality Disorder (BPD), focusing on the themes of suicidal ideation and self-harm. We explore the DSM criteria for BPD, the motivations behind self-harming behaviors, and the stigma associated with these actions. The conversation emphasizes the importance of understanding the emotional pain experienced by individuals with BPD and the impact on their relationships. We provide insights into navigating these dynamics, the need for professional help, and the significance of setting boundaries.

Chapters

00:00 Introduction to Borderline Personality Disorder (BPD) Series 01:46 DSM Criteria for Suicidal Ideation and Self-Harm in BPD 03:31 Triggers for Self-Harm and Parasuicidal Behaviors 07:36 Reasons for Self-Harm and Parasuicidal Behaviors 10:11 Defining the Parasuicidal and Self-Harm Spectrum 13:59 Additional Reasons for Self-Harm and Parasuicidal Behaviors 17:24 Self-Harm and Parasuicidal Behaviors Outside of BPD 18:51 Hidden Self-Harm 20:36 Stigma and Motives of Behavior 29:39 Navigating Relationships and BPD 38:29 Conclusion and Key Takeaways

CRISIS RESOURCES

• Text Line: Text HOME to 741-741; a trained crisis counselor receives the text and responds quickly.
• National Hopeline Network: https://www.thehopeline.com/
• National Suicide Prevention Lifeline @ 988 or https://988lifeline.org/
• American Foundation for Suicide Prevention @ https://afsp.org/ -https://www.mentalhealthishealth.us/better-together-summit/

Psychoeducation

• https://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml
• https://www.nami.org/learn-more/mental-health-conditions/borderline-personality-disorder
• https://www.borderlinepersonalitydisorder.org/

In our second episode of the Borderline Personality Disorder (BPD) series, we discuss how this condition manifests in relationships and clinical practice. We explore the pervasive patterns of instability, fear of abandonment, and the role of attachment theory in understanding BPD, while also touching on psychosis and dissociation. Our conversation highlights the challenges faced by individuals with BPD in their relationships and the dynamics that arise in therapeutic settings. We further emphasize the importance of understanding the multifaceted nature of BPD and the need for compassionate approaches in treatment.

Chapters

00:00 Borderline DSM Symptoms Overview 04:09 First Signs and Symptoms in Treatment 07:45 Fear of Abandonment and Its Impact 09:56 Attachment Theory and BPD 16:58 Fear of Abandonment and the Dynamics of Therapy 24:39 Episodes of Psychosis and Dissociation in BPD 30:43 Conclusion

Book Referenced:

• 1984 Borderline Book- John Gunderson, M.D.: https://www.amazon.com/Borderline-Personality-Disorder-John-Gunderson/dp/0880480203

Other Resources:

• BPD: https://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml
• BPD: https://www.nami.org/learn-more/mental-health-conditions/borderline-personality-disorder
• BPD: https://www.borderlinepersonalitydisorder.org/

In this episode of the Personality Couch Podcast, we delve into the complexities of Borderline Personality Disorder (BPD). We discuss the stigma and misinformation surrounding BPD, the media's misrepresentation of the disorder, and the need for a more nuanced understanding of its symptoms and diagnosis. The conversation highlights the emotional experiences of individuals with BPD, the criteria for diagnosis, and the importance of recognizing the spectrum of presentations within the disorder. We advocate for a reboot in the classification of personality disorders to better reflect the lived experiences of those affected by BPD.

Chapters

00:00 Introduction to Borderline Personality Disorder 01:16 Media Misrepresentation of BPD 05:39 Borderline as a Movement, Not a Category 11:20 The Need for a Reboot in BPD Classification 15:09 Emptiness and Vague Symptoms in BPD 17:16 BPD and No Emotional Skin 18:37 Diagnosing BPD 20:12 Impulsivity in BPD 22:59 Instability in Sense of Self 26:50 Unstable Relationships 32:55 Unstable Moods 37:16 Symptoms in Quiet BPD 39:49 Summary and Closing