It doesn't. We need a secure attachment base to be able to reconstruct and modify our neurological pathways. In DBT, they're playing on abandonment trauma to have us patients comply, at the cost of our mental health. I've been doing actual psychotherapy and psychoanalysis for BPD and self-harm doesn't have a reason to occur anymore when secure attachment is provided by the therapist. Same with addiction sponsors, they provide the help needed not to relapse. What Linehan does is playing on fear of abandonment, not being available or reliable, not helping in times of crisis, which inevitably leads to relapse.

An actor.

thank you!!!!

Terrible indeed. Emotional manipulation at its finest. I'm so glad this is only a thing in the US and that proper attachment therapists understand how psychology works.

What manipulation attempt?

Indeed, being open and recognizing that conversation going of track is valuable in situations like these. People with personality disorders are especially tired of therapists who project themselved as all knowing masters/mistress of the mind and when this ilussion eventually shatters, patients would actually lose trust of the whole process. It is much better to be open up like this and try to understand together.

Another ignorant pop psychologist who thinks they understand every personality disorder under the sun.

Dude. This disorder is about maladaptive responses to stressors. Those responses create further stress, and then the person responds again with a maladaptive response and the cycle continues. DBT aims to break this cycle.

Yes the incapacity of holding own responsability is an issue for borderline human beings😢

Ikr. Linehan takes no accountability for her manipulation.

The student did a fantastic job!

it’s just to show the flow of the therapy, and the technique, not the case indeed

A bit harsh… I recommend reading her memoir… it’s very moving and will show you the long arduous road Marsha had to be on to develop what she truly believed in … including getting trained as a zen master

It’s the learned helplessness part that’s speaking. Same line of thought as ‘how can this person possibly help me?’ I can relate to this

Because she’s dedicated her whole life to it

@@sangeetabansal1258agreed on the memoir

The US managed to manualize and monetize mental health. Capitalism at its finest. PD is best treated with psychoanalysis and Otto Kernberg is quite the reference in the rest of the world. Dr Daniel Fox is also a reference, as well as Dr Kirk Honda . Unfortunately, it's not in the US government's interest to reimburse long-term modalities that address the cause, they'd rather push short-term symptom management and have the patients believe that their illness is their problem. Thankfully, DBT can be done with free AI and workbooks. That's the advantage of manualizing therapies.

The lady playing the role of the patient is a graduate student and they are demonstrating a therapy session. It’s safe

CBT and DBT practicionners are abusive and extremely manipulative.

Maybe finish watching the video and answer the question yourself.

Never. They blame patients for being suicidal.

It's frightening to see that person manipulate and blame the patient in video. Can't believe people buy into that.

@@cherrynado are you a therapist, or do you have some bad experiences with someone with BPD? Are you BPD yourself? Why are you generalizing? Lots of people with BPD get really suicidal and do attempt. Some succeed. Even if they are doing it for attention, my guess is the attention is to get help. At any rate, I’m sure it's not always for attention.

My perception is that she is in fact addressing the suicidality. In this case, the suicidality is not caused by a major depressive episode, but rather it seems to be a consequence of rumination around ideas of worthlessness, helplessness and paranoia. So if the rumination is prevented or halted, the suicidality/self-harming behavior will likely not surface.

Its inappropriate for a therapist to be at a clients beck and call because then dependancy can happen. A safety plan is a better way of dealing with suicidality.

That's DBT in a nutshell. Damaging and life-threatening. Hot-and- cold is in the abuser handbook 101. It rips the little self-esteem the patients have to shreds. Self-doubt, crazy-making, blaming the patient for having emotions, make things so much worse in the long-term.

​​@@beepbopboop7727and it's extremely manipulative to tell a patient that the therapist will be there in case of a crisis, only to not answer or hang up. When treating BPD nonetheless. The US aversion for the therapeutic relationship and healthy dependency is quite a phenomenon. Trying to heal attachment trauma using the same neglect abusive hot-and-cold tactics that the person developed cptsd from is despicable and extremely harmful.

Yes

Its acted not staged.

Yes they use actors. It's not an accurate representation of people with BPD.

same

Do what most of my American clients do, take online therapy with board certified therapists abroad... Here in Ecuador we DBT therapists charge between 50 USD to 110 USD, depending on our location.

Hey, have you been able to get into therapy yet?

I understand. It may seem harsh and maybe it is. However she is probably trying not to positively reinforce the behaviour which can be a cutting motivation in people with BPD.

Marsha Linehan is completely devoided of empathy when it comes to BPD. Reading her books I don't know if I should laugh or cry. Unfortunately, the US is pushing this instead of Kernberg's work, which to every other country is absolutely baffling.

From a BPD perspective, so inaccurate.

Or is it a major part of a Personality Disorder to always take on the victim stance when they are not always the victim?? Maybe you should do research that isn’t on tic tok

Honestly, I don’t see victim blaming, all I seen in the video is Marsha refocusing the client on what she has control over. You can ONLY change what YOU can control. If you have a therapist that lets you focus on everything you can’t control (other peoples behaviors) than you have a bad therapist because nothing in your life will ever change.

I don't see where she is blaming here - for me it looks like Linehan is trying to empower that Lady. Assisting in shifting her attention to gain awareness of everything that led to the incident and trying to make her realize all the other options she has. Such a gift! That Lady unfortunately is refusing to take her advice - and then blames Marsha for not helping her. She makes a victim out of herself(at least during the excerpt), which is sad because she could take responsibility for herself and live a life worth living and be proud of herself when she handles hardship. I would ask why one would ever choose to be a victim but I know from experience how much work it takes to come out of that.

@dinahn6955just curious could you explain how that’s not a good sign?

​@lilalaunelove "She is sadly not taking any responsibility". Please explain to me how this statement is not victim blaming.

She is a brilliant actor wth are you talking about.

Very inaccurate representation of BPD indeed. Marsha is her usual self, manipulative and victim blaming.

If she gave out praise for little stuff, it wouldn't be worth much.

She is expressing boundaries clearly and consistently, I guess you could say that that also is a form of validation, to communicate the rules openly and repeat them as often as it is needed. She is taking the patient seriously, listening to the fact, that she wants to talk about how therapy is not working, offers her autonomy in repeatedly asking her in what order she wants to talk about things. In the emotional turmoil the patient seems to be in, swept away by hopelessness/frustration it is vital to be structured for the situation not to spiral. She is a living example of how not to give in to chaos - something the client needs to learn and committed to. Also Dr Linehan is holding her responsible for how she can use the time of the session inside the rules they agreed upon. If she is able to follow the rules, talk through the self harm etc. there also is space for the things she brought into the session. And turn the situation around: if you stopped taking self harm etc. seriously meaning not speaking about it, that would be invalidating! As the client said: she cut herself because she felt her life was shit. By taking self harm seriously, exploring why she did it, the therapist is not only helping her understand how these situations unfold and how to intervene, but she also expresses, that it does matter, if she hurts herself, that she matters.

Validation isn't just "oh that sounds so difficult, of course you would feel that way." I think it's a bit ignorant to say that the creator of the most well-researched and gold standard treatment for borderline personality disorder couldn't help anyone.

Absolutely agree, just came for this comment. Even during the patient's most agitated moments, she seems more concerned about the furniture or the clock than her. No human empathy whatsoever, just mechanical & tense approach. I respect Marha Linehan for her work but that was just a disappointing demonstration. More like an uptight mum or boss than a caring therapist.

​@@queeryful *

Marsha Linehan? She literally wrote the book on treatment of borderline personality disorder

@@matthewcook9531 Yeah but it's shit. I've went to DBT for a year and it's a load of money-making quack! It may help people with mild anxiety but other than that, it's a joke.

@@BloodAndGutsTV yes, because it isn't supposed to be used for patients with anxiety, it's originally for bpd folks (no gatekeeping tho)

@@BloodAndGutsTV it really depends on whether YOU as a patient are willing to change and learn and put what you are learning into everyday practice. Some people end up repeating DBT a second or third time and I assume it’s really up to the patient whether they are ready for change or not. It’s totally okay if you aren’t open and ready for it but I hope you are someday

@@BloodAndGutsTVif they were treating anxiety with DBT then maybe they were a quack. It usually is the tool for BPD; CBT or maybe solution focused approach is something for more appropriate for anxiety