Dr. Caroline Fleck

This person kind of oscillates between loving and hating you. And there's these extremes at either end. And it can make for, as a therapist, a very difficult, quote unquote, patient.

This person kind of oscillates between loving and hating you. And there's these extremes at either end. And it can make for, as a therapist, a very difficult, quote unquote, patient.

Yeah.

Yeah.

Yeah.

What, if you're borderline?

What, if you're borderline?

What, if you're borderline?

Yeah, so it's more in the emotional experience beneath that. So there's this profound sense of emptiness, loss of identity kind of at the core, an inability to regulate anger. Emotional dysregulation is at the core of the disorder. And so there's a lot of often self-harm in an attempt to regulate emotion, which then graduates at some point to suicide attempts or suicide threats.

Yeah, so it's more in the emotional experience beneath that. So there's this profound sense of emptiness, loss of identity kind of at the core, an inability to regulate anger. Emotional dysregulation is at the core of the disorder. And so there's a lot of often self-harm in an attempt to regulate emotion, which then graduates at some point to suicide attempts or suicide threats.

Yeah, so it's more in the emotional experience beneath that. So there's this profound sense of emptiness, loss of identity kind of at the core, an inability to regulate anger. Emotional dysregulation is at the core of the disorder. And so there's a lot of often self-harm in an attempt to regulate emotion, which then graduates at some point to suicide attempts or suicide threats.

And this is a serious situation. This is a deadly condition. And for the longest time, even to this day, I meet tons of therapists who say they will not work with borderlines because they don't want to be, quote unquote, sued or harassed or X, Y, or Z. So just really ugly stuff out there around how we talk about and have historically treated this group.

And this is a serious situation. This is a deadly condition. And for the longest time, even to this day, I meet tons of therapists who say they will not work with borderlines because they don't want to be, quote unquote, sued or harassed or X, Y, or Z. So just really ugly stuff out there around how we talk about and have historically treated this group.

And this is a serious situation. This is a deadly condition. And for the longest time, even to this day, I meet tons of therapists who say they will not work with borderlines because they don't want to be, quote unquote, sued or harassed or X, Y, or Z. So just really ugly stuff out there around how we talk about and have historically treated this group.

And up until the 90s, like I said, we had no interventions that worked. This was just kind of like a life sentence if you were diagnosed with BPD. And it wasn't until we developed these validation skills, okay, finding a way to see the kernel of truth in someone's experience and communicate that, communicate some degree of acceptance while also pushing hard for change, right?

And up until the 90s, like I said, we had no interventions that worked. This was just kind of like a life sentence if you were diagnosed with BPD. And it wasn't until we developed these validation skills, okay, finding a way to see the kernel of truth in someone's experience and communicate that, communicate some degree of acceptance while also pushing hard for change, right?

And up until the 90s, like I said, we had no interventions that worked. This was just kind of like a life sentence if you were diagnosed with BPD. And it wasn't until we developed these validation skills, okay, finding a way to see the kernel of truth in someone's experience and communicate that, communicate some degree of acceptance while also pushing hard for change, right?

So when we combine this approach of acceptance and change, whoa, not only could we treat BPD, but the entire field of clinical psychology was revolutionized. And very few people outside of the field realize what that was and the effect that it had. It's really weird. It's like this secret that no one talks about.

So when we combine this approach of acceptance and change, whoa, not only could we treat BPD, but the entire field of clinical psychology was revolutionized. And very few people outside of the field realize what that was and the effect that it had. It's really weird. It's like this secret that no one talks about.

So when we combine this approach of acceptance and change, whoa, not only could we treat BPD, but the entire field of clinical psychology was revolutionized. And very few people outside of the field realize what that was and the effect that it had. It's really weird. It's like this secret that no one talks about.