BPD & PTSD | Debrief w/ Dr. Choi-Kain after Jake Session | Borderline & Trauma
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- Опубліковано 22 тра 2023
- Debrief with Dr. Choi-Kain (expert clinician/researcher) after her first meeting with Jake -- diagnosed with BPD (Borderline Personality Disorder) and likely co-occurring PTSD (Post-Traumatic Stress Disorder). The main topic is the differences and similarities between BPD and PTSD, and which treatment options may be appropriate at what time -- with a backdrop of Dr. Choi-Kain's first meeting with Jake.
The meeting with Jake is here: • BPD & CPTSD: A Real Th...
The post-meeting debrief with Jake is here: • Debrief w/ Jake after ...
This video is part of a series of sessions with therapists who work with Borderline Personality Disorder. Playlist of all videos to date is here: • Sessions
Dr. Choi-Kain's short bio (lifted from the McLean Hospital site):
"Lois W. Choi-Kain, MEd, MD, is the director of the Gunderson Personality Disorders Institute. The institute provides training and supervision for numerous proven treatments, including mentalization-based treatment (MBT), dialectical behavioral therapy for post-traumatic stress disorder (DBT-PTSD), transference focused psychotherapy (TFP), and general psychiatric management (GPM). She works nationally and internationally to expand teaching efforts on borderline personality disorder and its evidence-based treatments and engages in research to study resources for training clinicians who need direction and patients who need access to informed care. With her mentor, John Gunderson, Dr. Choi-Kain developed a training program for GPM and has been expanding its applications.
In 2009, Dr. Choi-Kain developed the Gunderson Residence, a specialized residential program for adult women with severe personality disorders. In 2013, she founded the BPD Training Institute, a major center for proliferating awareness of and evidence-based care for severe personality disorders. Dr. Choi-Kain has also developed training clinics in McLean’s Adult Outpatient Services for treatment approaches such as MBT and DBT-PTSD."
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For more information about BORDERLINE, the feature-length documentary we made about BPD, please visit: borderlinethefilm.com
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Disclaimer: "Please be advised this video may contain sensitive information. All content found within this publication (VIDEO) is provided for informational purposes only. All cases may differ, and the information provided is a general guide. The content is not intended to be used as a substitute for medical advice, diagnosis, or treatment. If you have specific questions about a medical condition, you should consult your doctor or other qualified medical professional for assistance or questions you have regarding a medical condition. Studio Comma The, LLC and BorderlinerNotes does not recommend any specific course of medical remedy, physicians, products,opinion, or other information.
Studio Comma The, LLC and BorderlinerNotes expressly disclaims responsibility and shall have no liability for any damages, loss, injury, or liability whatsoever suffering as a result of reliance on the information in this publication. If you or someone you know is considering self-harm or suicide, it’s okay to ask for help. 24 hour support is provided by www.hopeline-nc.org (877.235.4525), suicidepreventionlifeline.org (800.273.8255), kidshelpphone.ca (800.668.6868).”
I just love Dr. Choi-Kain. I could listen to her insights for hours. Her tone and the thoughtful and informed content of everything she says is so calming and I just soak it up.
And she’s such a clear communication 😮😅
this woman speaks of people with respect not dismissing them. it is difference between how CK talks of others and the rest of practitioners you bring. and I believe the reason is that she is curious to know THAN thinking she knows it. * I m very similar to Jake.... but most of it happened when I left home as a teenager all on my own.... and saw what others do ... I dont understand why she keeps saying it is past past .. it isnt past when your resources are little
His interview is what propelled me to seek treatment. I will be forever grateful….. 💚
Oh wow, you have no idea what that means to me. Thank you for sharing that. I believe in you. You deserve to feel better
So helpful. From her describing Jakes present mindset and communication patterns, you get a birds-eye view of the maze that people find themselves in, feeling distracted and situationally trying to placate others to fend off harm. Humane discussions. Thank you.
“People aren’t harmful, they’re inherently disappointing “ I agree with this although my experience has been that many people have the capacity to be willfully harmful given the right circumstances
I agree. They're both.
Yes both. I can recognize the little sparkle of SchadenFreude's pleasure in their eyes now.
Never trust a human.
I have found that giving up alcohol (I'm an alcoholic) , getting plenty of exercise, eating a well balanced diet, have helped me get back control of my life. I'm able to regulate my emotions and make sense of the world a little bit more. By developing good habits, leads to perceptual changes, becoming a happier more rounded individual who is more approachable these days. Also never underestimate the benefits of therapy , it helps to develop growth, understanding and gives you tools and coping strategies. Hope this helps someone, stay safe people❤
No problems then?
You sounds rich enough to have the luxury of doing all these good things for you. Good for you.
I don't.
Also I dont underestimate the benefits of therapy, it is the price of therapy that is insanely overestimated.
Therapists needs us to pay their pools, or in the case of this one: her hairdresser
Also, Rebbie- Thanks for all of the important work you continue to do. This is the only channel that I know of shedding light on BPD in this way. Its the most profound and informative content on BPD I've come across.
She’s so thoughtful
This video makes me consider how the expression of symptoms in BPD can be a bit gendered or influenced by sociocultural factors. Jake's debrief has been very helpful. Thank you all.
I think validation that they discuss is addressing a lot of the gaslighting that came with abuse. Being told you aren't allowed to be angry/upset/sad by abusive parents and that your feelings don't matter and then the sort of break that is at the center of BPD, which is the understanding that as a child deep down on some level you know that what is being said/done is wrong yet you inevitably end up internalizing these messages. The most important thing is clearly validating that those early experiences were f'd up and that internalization is the what needs to be constantly addressed and re-framed combined with having new experiences that prove otherwise. Although for Jacob and what I think the psychiatrist might not quite understand is the extent of unhealthy relationships within the gay community which result from a lack of practice relationships and societal acceptance. As in, it's mostly probably going to be short-term relationships that just don't work and thats regardless of BPD... it's due to the homophobia and growing up gay. I'd say most therapists don't touch this bit with a ten foot pole because it just further muddies the water and makes treatment feel more complicated, and yet is what will happen in reality.
Thank you. I appreciate you saying this, especially the latter part. Thank you for saying what I have a hard time saying.
It's only because I feel you! from having a very similar experience. You are definitely not alone @@JacobLasher
and p.s. despite what you think you are clearly likeable, if you ever want to just chat with someone who gets you and is on the other side of the planet hit me up
@@adrianfeeger absolutely. how do i go about contacting you? thank you again
I felt really sad seeing how she was sad seeing jake explaining his awareness and smiles and giggles. it made me think is it so uncommon? I m like this particular characteristic that I don’t expect help caring because I rarely saw any help and the helplessness with it is not a way to live with. jake and people like us need another template so that someone shows them they care about them. I m not sure if the other person to whom he is now self critical about was kind to him either. I m not sure if here is any solution when we haven’t had a foundation of being helped ..
I'm looking so forward to this upload. Thank you. I'm suffering so badly, waiting for help. Dying on every hill. As the waiting list for clinical help... Therapists... is long and our healthcare system here so fractured. I've no choice but to self soothe with self help in the meantime. Gratitude 🙏
Ontario, Canada 🇨🇦✌️
Thank you -- I hope you get something out of this vid! I think it's very informational / helpful to understanding BPD/PTSD. Wishing you well. -P
It is great you have started putting into motion important resources that will help you. Where you are is not easy, hang in there.
@@KonjikiKonjiki That is such a touching comment . ❤
Hang in there, Miss Thing! 💫💚
hopefully she sheds light in quiet bpd? idk how many more "quiet" episodes
I felt quite a connection to Jake when I watched the session with him.
It's nice to hear Dr. Choi- Kain say she thinks he can have a better life with the work he's doing with his therapy.
I have some similarities with Jake from listening to the session and now with this debrief.
I'd really like to find out what my one to one therapist had to say about me when I did DBT with the team I saw.
I'm from the UK and had my treatment via the NHS.
I wonder if knowing how she spoke of me to others, if that would help me with the difficulties I'm having now.
I'm sure she liked me and cared about.
Which is very scary to think and believe as it doesn't fit with how I see myself.
I'm going to watch this video again as I think there's things Dr. Choi-Kain said that I may be able to use myself.
As always thanks for the upload
Yay 🎉love the debriefs - Thank you ♥️♥️♥️
I value these videos so much! I find it hard to put up bounderies towards my parents. Its really an ongoing reacting of the trauma. Life is so hard. I relate soo much. ❤ Thank you for making these videos! Dr Choi Kain is the most insightful therapist ive ever heard!❤ I always come back to your channel and it always gives me insights!
Have been so looking forward to this conversation. Compassionate validation is the main tool I've turned to in my recovery. It kind of instantly gives me the benefit of a larger perspective, because my default instinct was I deserved the way I felt and the things that happened to me. Looking back on it, I did my best to teach my ex husband how to care for me, if he had done so, I wondr where we'd be now. As it was, giving compassionate validation, he'd made clear that was the LAST thing I'd ever get. He wanted me to stop talking to him about it, he wanted me to let him logic or dismiss my concerns away. Yikes! fNow I've learnt how to provide it for myself and there's no stopping me now. :).
It was interesting to hear takes on what can happen in a person who expereienced severe trauma from a young age. My experience has been once you start figuring out the main issues, you see tendencies all over the place inside. A year ago I would have said BPD was single handedly the biggest and most difficult thing I was dealing with, and that once I got it under control I'd be happy as a lark. But, the trauma that led to BPD also led to some ASPD traits that flared up out of the blue, and let me see how I have APD traits near the core. All this I never expected, the same as I never expected to find ASD. Now that I am managing BPD and ASD, I'm learning all kinds of things I never was able to wrap my head around before. Not just emotional stuff, but complex geometry, etc.
She’s helped me do much
so very rich, brilliant and informative, thank you!
i m falling asleep, her rhythm of language is so sleep provoking.
4:12 Sensitivity to the presence of others
These are interesting videos. I may have to watch the movie itself.
I’d really love to hear more about the situations where it’s unsafe to enter therapy because of the possibility that the therapeutic relationship actually causes harm. Never heard this mentioned before. What can you do if you’re in that situation but wanna heal. I was in a re-traumatising therapeutic relationship and I feel so angry at the therapist for how that all played out. Any advice for seeking therapy? Or insights? Wouldn’t almost all BPD have this problem? Why some more than others?
My advice is when you see signs of gaslighting come out.
I like this Dr., but I miss Karen Jacob ! Please bring her back! ❤
If people comment or ask questions it would be great if that would be answered
Thnx
Her parents did a great job with her name.
suffering atm
Sorry to hear that and I hope you have some support.
13:45 was too real
who is she?
You can read description under the video
Dr. Choi- Kain.
If you click under the video more details come up!
Who is who?