
Show Notes
Why does a quiet partner at dinner instantly mean they're going to leave? Why does a friend's joke feel like a personal attack? If you have BPD, you know this spiral all too well. In this episode, we explore how Mentalization-Based Treatment (MBT) is a therapy designed to address the core of this exact problem, and we break down the life-changing concept of "mentalizing".
🌱 Have questions, stories, or something you’d like us to cover? We’d love to hear from you. Email us at [email protected] and let’s keep the conversation going. 🎧 Looking for meditations made for emotional regulation, BPD, and more? Check out Empowered Heroes for meditations created with love & care: https://www.youtube.com/@Empoweredheroes Also available on Spotify at Empowered Heroes Meditations. If you’d like more support in your journey toward BPD recovery, Steff offers 1:1 sessions using evidence-based tools from DBT and Mindfulness to help you heal. Email for a free 30-Minute Consultation: 📩 [email protected] or check out the website: www.bpdsupport.org
📚 Referenced Research Includes: Bateman, Anthony, and Peter Fonagy. "Effectiveness of partial hospitalization in the treatment of borderline personality disorder: a randomized controlled trial." American journal of Psychiatry 156.10 (1999): 1563-1569. https://doi.org/10.1176/ajp.156.10.1563 Bateman, A., & Fonagy, P. (2008). 8-year follow-up of patients treated for borderline personality disorder: mentalization-based treatment versus treatment as usual. American Journal of Psychiatry, 165(5), 631-638. https://doi.org/10.1176/appi.ajp.2007.07040636 Fonagy, P., & Bateman, A. W. (2006). Mechanisms of change in mentalization‐based treatment of BPD. Journal of clinical psychology, 62(4), 411-430. https://doi.org/10.1002/jclp.20241 Oud, M., Arntz, A., Hermens, M. L., Verhoef, R., & Kendall, T. (2018). Specialized psychotherapies for adults with borderline personality disorder: A systematic review and meta-analysis. Australian & New Zealand Journal of Psychiatry, 52(10), 949-961. https://doi.org/10.1177/0004867418791257 Storebø, O. J., Stoffers-Winterling, J. M., Völlm, B. A., Kongerslev, M. T., Mattivi, J. T., Jørgensen, M. S., ... & Simonsen, E. (2020). Psychological therapies for people with borderline personality disorder. The Cochrane database of systematic reviews, 2020(5), CD012955. doi: 10.1002/14651858.CD012955.pub2
More from BPD Diaries: Stories and Science with Steff
Is Medication the Best Solution for BPD? In this episode, I sit down with Professor Joanna Moncrieff, Professor of Critical and Social Psychiatry at University College London and practising consultant psychiatrist, for a conversation that challenges some of the assumptions about mental health, psychiatric diagnosis and medication. Joanna's work has challenged the idea that psychiatric drugs work by correcting an underlying “chemical imbalance” in the brain. So what does that mean for people with BPD? Content note: This episode discusses psychiatric medication, depression, suicide, trauma and mental health diagnoses. ⚠️ This episode is for education and discussion, not medical advice. Please don't stop or change any medication without talking to your prescriber. Some medications can cause withdrawal effects if stopped suddenly. 🌱 Have questions, stories, or something you’d like us to cover? We’d love to hear from you. Email us at [email protected] and let’s keep the conversation going. If you’d like more support in your journey toward BPD recovery, Steff offers 1:1 sessions using evidence-based tools from DBT, Schema Therapy, and Mindfulness to help you heal. Email for a free 30-Minute Consultation: 📩 [email protected] or check out the website: www.bpdsupport.org
I Was Hospitalised Again and Again. Then I Discovered DBT What does recovery from BPD actually look like? In this deeply honest conversation, Debbie DeMarco Bennett, better known as Debbie Corso, author of Stronger Than BPD and founder of DBT Path, takes us back to the years when her life was dominated by intense emotions, chaotic relationships, suicidal thoughts and repeated psychiatric hospitalizations. Debbie talks openly about being misunderstood and misdiagnosed, the stigma surrounding BPD, her eventual diagnosis, and the moment DBT began to change the course of her life. Debbie also talks about her concerns about the potential risks of the growing reliance on AI for emotional support and why she wants to be part of shaping how we use it safely. This is a conversation about BPD, DBT, recovery, hope, lived experience, stigma, relationships, AI and what it means to build a life worth living.
Why can spending money feel like emotional relief when you have BPD? You feel empty, lonely, rejected, angry or overwhelmed. Then you see something you want. And that little voice says, "Buy it!" In this episode, I explore the complicated relationship between BPD, impulsive spending, emotional regulation and shame. I look at why spending can become a way of escaping emotional pain, filling chronic emptiness, extending a good mood or even trying to buy a different version of yourself. This episode is about understanding why the spending happens and what we can actually do about it.
What if the label everyone's afraid to give a teenager is the one thing that could save their future? Professor Joost Hutsebaut has spent a career working with young people on the edge of a diagnosis most clinicians won't touch: borderline personality disorder (BPD). In this episode, Joost explains why he wrote a paper called The Diagnosis That Should Speak Its Name, arguing it's ethically right to diagnose personality disorders in teens. We dig into where a "difficult personality" ends and a disorder begins, the real risks of stigma versus the risks of staying silent, and how his own philosophy - "make therapy simple again" - reshaped the way he practices. He also honestly answers some of the internet's most asked questions. Whether you're a clinician, a parent, or someone who's ever been told to "wait and see," this conversation reframes early diagnosis as an act of hope, not a life sentence.
Whether you've just been diagnosed with BPD or have been living with the diagnosis for years, deciding whether to disclose it can feel overwhelming. Should you tell your partner? Your family? Friends? Your employer? Or is it safer to keep it private? In this episode, I explore one of the most common and emotionally difficult questions people with BPD ask. 🌱 Have questions, stories, or something you’d like us to cover? We’d love to hear from you. Email us at [email protected] and let’s keep the conversation going. 🎧 Looking for meditations made for emotional regulation, BPD, and more? Check out Empowered Heroes Meditations on Spotify. If you’d like more support in your journey toward BPD recovery, Steff offers 1:1 sessions using evidence-based tools from DBT, Schema Therapy, and Mindfulness to help you heal. Email for a free 30-Minute Consultation: 📩 [email protected] or check out the website: www.bpdsupport.org