Personality Couch

Ep 11: The Drama Triangle in Every Personality Disorder

In this episode, we dive into the concept of the drama triangle, a psychological model that explains interpersonal conflict through three roles: the victim, the persecutor, and the rescuer. We explore the historical context of the drama triangle, its origins in transactional analysis, and how these roles manifest in relationships, particularly in the context of personality disorders. Our conversation emphasizes the importance of recognizing these dynamics to disrupt unhealthy patterns and foster healthier interactions.
00:00 Introduction to the Drama Triangle01:16 Historical Context of the Drama Triangle07:59 The Purpose of the Drama Triangle10:44 Roles in the Drama Triangle10:57 The Victim15:43 The Persecutor20:44 The Rescuer27:24 Childhood's Influence on the Drama Triangle30:50 Being Cast In a Role35:21 Disrupting the Drama Triangle36:07 Drama as Smoke to the Personality Fire37:00 Stop, Drop, and Roll43:16 Conclusion and Future Discussions

Ep 10: How We Diagnose Personality Disorders as Professionals

In this episode, we discuss how we diagnose personality disorders as licensed professionals in clinical practice. Personality data is often observed as early as the initial contact for treatment. Once treatment begins, we engage in a "meta process" of observing what's going on inside ourselves as professionals, as well as the dynamic in the room. Because of the nuances and complexities of diagnosing personality disorders, psychological testing is an important tool to peel back the layers of the psyche. We end by discussing what psychological testing involves and point listeners to resources if they are interested in an evaluation.
Chapters00:00 Intro03:58 Indicators of Personality Dynamics Before Treatment Starts06:21 The Referral Question and the Alphabet Soup08:36 Unsuccessful Medication Trials10:34 First Appointment: Interpersonal Dynamics15:18 Ruptures in Relationships and Social Difficulties17:16 The Unspoken Dynamics of Personality Disorders24:33 Using Psychological Testing to Diagnose Personality Disorders37:41 Resources and Conclusion
Resources
https://www.psychologytoday.com/
https://www.nami.org/
https://www.questpsych.org/ (Offering Deep Dive Psychological Evaluations In Virginia)

Ep 09: Cultural Trends & Mental Health

In this episode of the Personality Couch Podcast, we discuss four trends we have observed in the post-pandemic world: collective trauma, mental health diagnoses as identity labels, over-identification with neurodivergence, and self-diagnosing. We explore the impact of the pandemic on mental health, including increased anxiety and hostility. We also discuss how mental health diagnoses have become identity labels, providing a sense of validation and belonging. We delve into the over-identification with neurodivergence, particularly autism, and the challenges of diagnosing this condition. Lastly, we address the issue of self-diagnosing and the proliferation of misleading information on social media platforms.
Chapters
00:00 Introduction and Overview01:46 Chapter 1: The Impact of Collective Trauma on Mental Health10:43 Chapter 2: Mental Health Diagnoses as Identity Labels18:40 Chapter 3: The Over-Identification with Neurodivergence27:13 Chapter 4: The Proliferation of Self-Diagnosing and Misinformation37:16 Conclusion
Articles Referenced:
On Healthcare Workers' Mental Health Symptoms:-https://blogs.cdc.gov/niosh-science-blog/2023/02/06/phw-violence/
On TikTok Mental Health Misinformation: -https://www.mmm-online.com/home/channel/nearly-84-of-mental-health-videos-on-tiktok-are-misleading-study/ -https://www.psychiatrictimes.com/view/psychiatry-on-tiktok-providing-education-to-teens-in-an-ethical-manner-https://www.cbsnews.com/news/social-media-mental-health-self-diagnosis/-https://www.psychiatry.org/news-room/news-releases/new-study-information-on-youtube-tiktok-on-did-https://www.salon.com/2022/04/09/why-teens-are-self-diagnosing-on-tiktok/

Ep 08: Enneagram Personality Classifications

In this episode of the Personality Couch Podcast, we provide an overview of the Enneagram personality typology as a growth tool instead of a personality "box" or label. We discuss our personal journeys with the Enneagram, our typologies, and how we use this non-diagnostic tool in clinical practice. By exploring the different centers of intelligence (body, head, and heart) and the three types within each center, we highlight the key characteristics and tendencies of each of the 9 types, including their strengths and challenges.
Chapters
00:00 - Introduction to the Enneagram01:00 - Our Enneagram Journeys07:30 - Enneagram as a Growth Tool, Not a Box10:15 - Enneagram Overview12:02 - The Heart Center: Type 2s15:48 - The Heart Center: Type 3s19:47 - The Heart Center: Type 4s25:04 - The Head Center: Type 5s30:32 - The Head Center: Type 6s34:08 - The Head Center: Type 7s36:43 - The Body Center: Type 8s41:36 - The Body Center: Type 9s44:20 - The Body Center: Type 1s48:36 - The One - Five Dynamic of Doc Bok and Doc Fish
A Few of Our Favorite Enneagram resources:* https://www.enneagraminstitute.com/* https://sleepingatlast.podbean.com/* https://cac.org/daily-meditations/the-enneagram-an-introduction/ (Richard Rohr)

Ep 07: Personalities That Kill

In this episode of the Personality Couch Podcast, we discuss personality darkness and specifically focus on personalities that are prone to violence and extreme behavior. We also discuss two important research studies, the Milgram study and the Stanford prison experiment, that shed light on the capacity for humans to engage in harmful acts. We then delve into the different personality types within Cluster A (schizoid, schizotypal, and paranoid); Cluster B (borderline, histrionic, and narcissistic); and Cluster C (avoidant, dependent, obsessive-compulsive) and discuss their risk levels for violence and murder. In this conversation, we also explore sadistic personalities, a category not included in the DSM, but included in multiple other personality theories. We highlight the characteristics and behaviors associated with each type and discuss the potential for violence and destructive behavior. The conversation emphasizes the importance of understanding these personalities and their potential risks in order to promote awareness and better understanding of human behavior.
Chapters
00:00 Introduction: Personality Darkness and Violence02:43 The Influence of Authority: Milgram’s Study05:03 The Influence of Situational Factors: Zimbardo’s Stanford Prison Experiment
Cluster A:08:01 Schizoid10:18 Schizotypal12:27 Paranoid - 18:45 Paranoid Subtypes: Querulously, Insular, Malignant
Cluster B:23:01 Borderline27:05 Histrionic28:58 Narcissistic - 31:26 Narcissistic Subtypes: Elitist, Exploitative, Unprincipled 35:00 Antisocial - 37:17 Antisocial Subtypes: Reputation-Defending and Malevolent
41:44 Sadistic Personalities
Cluster C:46:22 Avoidant47:43 Dependent50:32 Obsessive-Compulsive Personality
55:54 Summary and Closing

Ep 06: Psychodynamic Personality Classifications (as Ice Cream)

In this episode of the Personality Couch, we discuss personality flavors and typologies from a psychodynamic lens, using ice cream as our metaphor. Unique to the psychodynamic perspective is the multi-dimensional way it captures personality. We explore psychodynamic’s three personality axes throughout the episode: the severity axis (ranging from personality style to disorder level); the organizational axis (representing movement and disintegration within personality structures); and the character axis (representing distinct personality names and characteristics). We further explore psychopathic, schizoid, depressive and manic, self-defeating, borderline/cyclophrenic, and dissociative personality structures within this framework. A note to our audience: this is a complex and deep topic, and we recommend tuning in to episodes 04 and 05 first: Personality Disorders as Ice Cream Flavors and Millon’s Personality Types (as Ice Cream flavors) first before diving in. Alternatively, you can check out our blogs with visual aides here to guide you: https://www.personalitycouch.com/blog/psychodynamic-personality-classification-as-ice-cream/
00:00 Introduction to Psychodynamic Tradition01:46 The Multidimensional Approach to Personality02:45 The Severity Axis: From Style to Disorder05:17 The Organizational Axis: State Change in Personality    6:46 Neurotic as Freezer Burned Ice Cream    7:03 Psychotic as Melted Ice Cream    7:23 Borderline as Melting Ice Cream 10:40 The Character Axis: Personality Categories11:05 Psychopathic (Antisocial) Personality11:40 Schizoid Personality17:36 Self-Defeating (Masochistic) Personality18:50 Manic and Depressive Personality    20:58 Cyclophrenic/Borderline Personality    24:39 The Complexities of the Name “Borderline”    26:59 Introjective and Anaclitic Depressive Personality    29:32 Quiet Borderline31:55 Dissociative Personality36:32 Summary

Ep 05: Millon's Personality Types (as Ice Cream Flavors)

In this episode, we continue discussing personality typologies, focusing on Dr. Theodore Millon's classifications. We explore six unique types in terms of their characteristics, behaviors, and potential co-occurring disorders. Speculating on what ice cream flavor each type would be, we use creative and humorous descriptions to bring levity to an otherwise complex topic!
Chapters00:00 - Intro01:50 - Melancholic Personality: The Gloomy Type07:02 - Turbulent Personality: The Energetic Type17:09 - Sadistic Personality: The Pain Inflicting Type21:56 - Masochistic Personality: The Willing Victim Type27:20 - Negativistic Personality: The Grouchy and Skeptical Type32:28 - Compulsive Personality: The Perfectionistic Type41:14 - Conclusion

Ep 04: Personality Disorders as Ice Cream Flavors

In this episode, we discuss the different types of personality disorders and compare them to flavors of ice cream. We explore the personality disorders that are always in season and the ones that come and go depending on cultural and social factors. Highlighting the “ingredients” that make up each disorder and how they manifest, we explore the DSM-5-TR classifications of: Cluster A (odd or eccentric), Cluster B (dramatic or erratic), and Cluster C (anxious or fearful). If you want to jump to a specific cluster, just use one of the timestamps/chapters below. If you’re new to personality disorders, we recommend starting at timestamp 11:17 and returning to the beginning after a more thorough explanation of each disorder.
Chapters
00:00 - Intro/Overview of the Personality Flavors02:13 - Personality Flavors Always in Season03:12 - Pandemic Personality Flavors05:14 - Mid Pandemic Personality Flavors06:18 - End of Pandemic Personality Flavors07:15 - Personality Flavors not often in Season11:17 - DSM Clusters ABC Overview
Cluster A11:48 - Cluster A12:14 - Cluster A: Paranoid PD14:55 - Cluster A: Schizotypal PD19:21 - Cluster A: Schizoid PD
Cluster B22:33 - Cluster B23:10 - Cluster B: Antisocial PD27:39 - Cluster B: Borderline PD29:41 - Cluster B: Histrionic PD31:51 - Cluster B: Narcissistic PD32:43 - Antisocial PD vs Narcissistic PD
Cluster C36:20 - Cluster C36:40 - Cluster C: Avoidant PD37:34 - Schizoid PD vs Avoidant PD38:08 - Borderline PD vs Avoidant PD39:16 - Cluster C: Dependent PD41:38 - Cluster C: OCPD44:27 - Conclusion

Ep 03: How to Spot a Personality Disorder

In this episode of the Personality Couch Podcast, we discuss how to spot a personality disorder. We start with the definition of a personality disorder according to the Diagnostic Statistical Manual (DSM), which includes enduring patterns of behavior that deviate from cultural expectations and cause distress/impairment. We also introduce the concept of the personality drama triangle, where individuals can take on different roles as a rescuer, persecutor, or victim. We discuss how to spot personality disorders through observations of thinking patterns, moods, relationships, and impulsivity. We emphasize the importance of trusting your intuition and paying attention to your body's reactions when interacting with someone who may have a personality disorder.
Chapters
Introduction00:00 - Introduction01:40 - The DSM definition of Personality Disorders
How Personality Disorders Show Up03:41 - How Personality Disorders Show Up in Thinking05:07 - The Drama Triangle in Personality Disorders07:09 - How Personality Disorders Show Up in Moods
Spotting Personality Disorders09:22 - Trusting your Gut, Intuition, and Body13:50 - Where There’s Smoke, There’s Fire16:45 - The Axis II Hook and “Oil Spills”
Disconnecting From Personality Disorder Dynamics31:05 - Stop Drop and Roll Out of the Drama33:53 - The Power of Naming a Personality Disorder
Conclusions41:02 - Empathy for Personality Disorders45:54 - Conclusion

Ep 02: What is Personality?

In this episode of the Personality Couch Podcast, we talk a little more about our intrigue for personality, pathology, and darkness, which influence our media consumption. We discuss seeing personality everywhere - from pets to babies to our everyday relationships. Walking through history, we explore various classifications including, the Four Temperaments, Freud and Psychoanalysis, the MBTI, the Big 5, and more! We look at the American Psychological Association’s (APA’s) definition and the Diagnostic and Statistical Manual (DSM), which includes the field’s current classification of personality disorders.
Chapters
00:00 - Introduction and Intrigue of Personality Darkness in Media08:23 - How Did Personality Become a Thing?20:09 - What is Personality? (APA + other definitions)
Historical Classifications of Personality28:47 - The Four Temperaments33:20 - The Enneagram (9 Types)
Modern Classifications of Personality35:04 - MBTI (Myers-Briggs Type Indicator)36:02 - OCEAN (Big 5)36:30 - Type A, B, C, D 37:37 - DSM38:35 - What are Personality Disorders?42:49 - Personality Disorders in Youth50:30 - Summary