Psychiatry & Psychotherapy Podcast

Understanding Complex PTSD and Borderline Personality Disorder

Jun 14, 2024

Dr. Adam Borecky, a psychiatrist specializing in complex PTSD and borderline personality disorder, discusses the distinctions between C-PTSD, PTSD, and BPD, emphasizing trauma history and affective dysregulation. The podcast explores intersections of BPD and C-PTSD, highlighting the importance of accurate diagnosis for effective treatment. It delves into trauma symptoms, mental illness severity indicators, and the value of reflective functioning in therapy for BPD and C-PTSD.

01:09:34

Creator website

Episode guests

Adam Borecky

AI Summary

Highlights

AI Chapters

Episode notes

Podcast summary created with Snipd AI

Quick takeaways

Complex PTSD distinguishes trauma with avoidant attachment style from BPD.

Distinct symptom clusters aid accurate diagnosis of PTSD, C-PTSD, and BPD.

Reflective functioning enhances therapy outcomes by improving attachment dynamics.

Deep dives

Complex PTSD, BPD, PTSD Intersection and Differences

Complex PTSD aims to capture individuals who don't fit traditional PTSD or BPD criteria, presenting trauma with avoidant attachment style. Symptoms like emotional numbing, affective dysregulation, and negative self-concept hint at complex PTSD distinctness from BPD. Identifying long childhood traumas, neglect, or severe events like kidnapping can point to complex PTSD.

Understanding Symptoms and Behaviors of Complex PTSD

04:07

Reflective Functioning and Trauma Outcomes

00:54

Factors in Complex PTSD and BPD

01:18

Characterizing Severity in Clinical Practice

01:20

Intro

2min

Understanding Complex PTSD and its Distinctions

10min

Intersection of Borderline Personality Disorder and Complex PTSD

18min

Understanding Complex PTSD, BPD, and Trauma Symptoms

18min

Exploring Indicators of Mental Illness Severity and Personalized Treatment Goals

4min

The Value of Accurate Diagnosis in Trauma Treatment

7min

Enhancing Reflective Functioning in Therapy for BPD and Complex PTSD

11min

The purpose of this episode is to provide a clear and simple guide for clinicians on the diagnosis of complex PTSD (C-PTSD) and how it differs from post-traumatic stress disorder (PTSD) and borderline personality disorder (BPD). It is intended to complement and add to recent episodes on attachment and trauma: 213: Reflective Functioning, 203 and 204 on adverse childhood experiences.

In today’s episode of the podcast, we are joined by Dr. Adam Borecky. Dr. Borecky is a psychiatrist and therapist who helped author the Connection Index and is part of Dr. Puder’s core team. His practice utilizes a holistic approach towards therapy and medication management.

By listening to this episode, you can earn 1.25 Psychiatry CME Credits.

Link to blog.

Link to YouTube video.