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Psychology In Seattle Podcast
Bad Borderline Therapists
Dec 23, 2024
The hosts tackle the ethics of terminating therapy for clients with borderline personality disorder, stirring thoughts on emotional crises. They discuss the damaging effects of splitting, the nuanced dynamics of therapy, and the trauma of therapeutic abandonment. Listeners gain insights into the importance of competent therapists and navigating complex relationships, particularly in the realms of eating disorders and abusive situations. The episode wraps up with a spotlight on the challenges couples face during wedding planning within the therapeutic context.
47:22
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Quick takeaways
- The importance of a supportive therapeutic environment is crucial for clients expressing suicidal ideation, allowing open dialogue without fear of abandonment.
- Therapists often mismanage boundaries with clients displaying borderline traits, potentially exacerbating feelings of distrust and abandonment by abruptly terminating relationships.
Deep dives
Navigating Suicidal Ideation and Therapy
The episode discusses a patron's experience with suicidal thoughts and feelings of shame related to narcissistic and borderline traits. It emphasizes that while the patron's thoughts of suicide can serve as a way to escape their emotional pain, these thoughts may not indicate an immediate intent to act. Bob highlights the importance of understanding this complex emotional landscape, mentioning that such suicidal ideation often stems from past abandonment traumas and a fantasy of relief. The dialogue underscores the necessity of a supportive therapeutic environment where clients can openly express their feelings without fear of abandonment.
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Discover
highlights
Listen to the best highlights from the podcasts you love and dive into the full episode