Ep 16: BPD Part 4: What BPD Therapy Really Looks Like

In this episode of the Personality Couch Podcast, we dive into the complexities of Borderline Personality Disorder (BPD) treatment, in particular, the healing power of the invisible dynamics in therapy. We discuss the importance of motivation and insight in recovery for BPD, and the significance of the therapeutic relationship. The conversation emphasizes that while BPD is treatable, the journey is often non-linear and requires active participation from the patient. We also highlight the necessity of setting boundaries within therapy to create a safe and effective environment for healing. In this conversation, we discuss the importance of evaluating effort in therapy, the significance of attachment, and the challenges posed by boundary violations. Our conversation also explores the concepts of transference and counter-transference, the process of repairing ruptures in the therapeutic relationship, and the methods of facilitating insight and connections in therapy. Overall, this discussion emphasizes the individualized nature of treatment and the invisible dynamics that play a crucial role in the therapeutic process.

Chapters

00:00 Understanding Treatability and Recovery in Borderline Personality Disorder (BPD)
05:50 The Role of Motivation in Treatment
11:28 Which Treatment is Best for BPD?
14:08 Our Approach to BPD Therapy: Invisible Concepts
14:58 Boundaries in Therapy
21:15 The Therapy Relationship
22:51 Bad Therapy
26:51 Transference and Counter-Transference
33:35 Facilitating Insight and Connections
36:35 Summary and Conclusion