Being Well Podcast: Understanding Borderline Personality Tendencies

06 Jul Being Well Podcast: Understanding Borderline Personality Tendencies

Posted at 12:53h in Podcasts, Therapy and Counselling Podcast by
Understanding Borderline Personality Tendencies

One of the most important and challenging skills we can develop is learning to regulate our strong emotions. While it’s very natural to have fluctuations in how we feel about others and ourselves, for some, struggles with impulsivity and overly strong reactions to those fluctuations may manifest in symptoms relating to Borderline Personality Disorder (BPD).

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BPD, at a clinical level, is characterized by a pattern of instability in a person’s emotions, moods, behavior, self-image, and relationships. While BPD is actually fairly common, it’s even more common for its symptoms to appear for anyone when navigating attachment wounds and emotional triggers.

Fortunately, BPD is highly treatable, and on this episode of Being Well, Forrest and I look at what to do when borderline tendencies show up in our lives even at sub-clinical levels. We discuss how to cultivate a healthy amount of sensitivity and tolerance to distress, how to regulate and nurture ourselves, and how to navigate relationships with others when they exhibit borderline tendencies.

As a disclaimer: formal diagnosis of any condition should be done with a medical professional working directly with the person in question. This podcast episode is not a substitute for that.

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Key Topics:

0:00: Introduction

2:00: Clinical history and definition of Borderline Personality Disorder?

6:50: 9 Symptoms of BPD

9:10: The what, why, and how of mental health

11:25: Childhood influences for borderline tendencies

15:05: Instability, impulsivity, and the drive for reassurance

25:00: Recognizing varying degrees of borderline patterns

27:00: Practical tips–regulation and nurturance

32:50: Boundaries and avoiding spiraling

37:50: Acceptance and the desire for change

40:35: Sensitivity and distress tolerance with painful emotions

45:00: What to do when you begin to notice borderline tendencies in a relationship

51:00: Recognizing how much someone else’s nature is going to change

53:35: Borderline is highly treatable and tends to decrease with age

54:50: Recap

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Dr. Ramani Durvasula is a licensed clinical psychologist, author, and expert on the impact of toxic narcissism. She is a Professor of Psychology at California State University, Los Angeles, and also a Visiting Professor at the University of Johannesburg.

The focus of Dr. Ramani’s clinical, academic, and consultative work is the etiology and impact of narcissism and high-conflict, entitled, antagonistic personality styles on human relationships, mental health, and societal expectations. She has spoken on these issues to clinicians, educators, and researchers around the world.

She is the author of Should I Stay or Should I Go: Surviving a Relationship With a Narcissist, and Don't You Know Who I Am? How to Stay Sane in an Era of Narcissism, Entitlement, and Incivility. Her work has been featured at SxSW, TEDx, and on a wide range of media platforms including Red Table Talk, the Today Show, Oxygen, Investigation Discovery, and Bravo, and she is a featured expert on the digital media mental health platform MedCircle. Dr. Durvasula’s research on personality disorders has been funded by the National Institutes of Health and she is a Consulting Editor of the scientific journal Behavioral Medicine.

Dr. Stephen Porges is a Distinguished University Scientist at Indiana University, Professor of Psychiatry at the University of North Carolina, and Professor Emeritus at both the University of Illinois at Chicago and the University of Maryland. He is a former president of the Society for Psychophysiological Research and has been president of the Federation of Behavioral, Psychological, and Cognitive Sciences, which represents approximately twenty-thousand biobehavioral scientists. He’s led a number of other organizations and received a wide variety of professional awards.

In 1994 he proposed the Polyvagal Theory, a theory that links the evolution of the mammalian autonomic nervous system to social behavior and emphasizes the importance of physiological states in the expression of behavioral problems and psychiatric disorders. The theory is leading to innovative treatments based on insights into the mechanisms mediating symptoms observed in several behavioral, psychiatric, and physical disorders, and has had a major impact on the field of psychology.

Dr. Porges has published more than 300 peer-reviewed papers across a wide array of disciplines. He’s also the author of several books including The Polyvagal Theory: Neurophysiological foundations of Emotions, Attachment, Communication, and Self-regulation.

Dr. Bruce Perry is the Principal of the Neurosequential Network, Senior Fellow of The ChildTrauma Academy, and a Professor (Adjunct) in the Departments of Psychiatry and Behavioral Sciences at the Feinberg School of Medicine at Northwestern University in Chicago and the School of Allied Health at La Trobe University in Melbourne, Australia. From 1993 to 2001 he was the Thomas S. Trammell Research Professor of Psychiatry at Baylor College of Medicine and chief of psychiatry at Texas Children's Hospital.

He’s one of the world’s leading experts on the impact of trauma in childhood, and his work on the impact of abuse, neglect, and trauma on the developing brain has impacted clinical practice, programs, and policy across the world. His work has been instrumental in describing how traumatic events in childhood change the biology of the brain.

Dr. Perry's most recent book, What Happened to You? Conversations on Trauma, Resilience, and Healing, co-authored with Oprah Winfrey, was released earlier this year. Dr. Perry is also the author, with Maia Szalavitz, of The Boy Who Was Raised As A Dog, a bestselling book based on his work with maltreated children, and Born For Love: Why Empathy is Essential and Endangered. Additionally, he’s authored more than 300 journal articles and book chapters and has been the recipient of a variety of professional awards.

Dr. Allison Briscoe-Smith is a child clinical psychologist who specializes in trauma and issues of race. She earned her undergraduate degree from Harvard and then received her Ph.D. in clinical psychology from the University of California, Berkeley. She performed postdoctoral work at the University of California San Francisco/San Francisco General Hospital. She has combined her love of teaching and advocacy by serving as a professor and by directing mental health programs for children experiencing trauma, homelessness, or foster care.

Dr. Briscoe-Smith is also a senior fellow of Berkeley’s Greater Good Science Center and is both a professor and the Director of Diversity, Equity, and Inclusion at the Wright Institute. She provides consultation and training to nonprofits and schools on how to support trauma-informed practices and cultural accountability.

Sharon Salzberg is a world-renowned teacher and New York Times bestselling author. She is widely considered one of the most influential individuals in bringing mindfulness practices to the West, and co-founded the Insight Meditation Society in Barre, Massachusetts alongside Jack Kornfield and Joseph Goldstein. Sharon has been a student of Dipa Ma, Anagarika Munindra, and Sayadaw U Pandita alongside other masters.

Sharon has authored 10 books, and is the host of the fantastic Metta Hour podcast. She was a contributing editor of Oprah’s O Magazine, had her work featured in Time and on NPR, and contributed to panels alongside the Dalai Lama.

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