Psychology In Seattle Podcast Bad Borderline Therapists
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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.
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Managing Abandonment Crises
- Therapists should prepare for and address potential abandonment crises in clients with borderline personality disorder, especially during absences.
- These crises can be triggered by events like vacations, similar to a child's distress at preschool drop-off.
The Role of Fantasy in Crisis
- Sometimes, acting out a fantasy, like buying a weapon, can resolve a crisis, as it satisfies the urge temporarily.
- The disgust subsequently felt may reflect ambivalence towards living or self-criticism.
The Importance of an "Out"
- Having an "out" or escape option, even if irrational, can reduce anxiety and dysregulation in people with borderline personality disorder.
- Not having an escape option can escalate these feelings, highlighting the paradoxical nature of the need for an "out".