I love the confidence Marsha has in the patient's ability to come up with answers for herself. Also reminds her of what they have already talked about. Marsha identifies the core of the problem being ruminating.
Simply WOW! As a therapist, this was absolutely outstanding to watch. She is skillfully dodging any manipulation attempt, holding the therapeutic frame, re-focusing the patient on the problem, and helping them to come up with their own solution in a rationale way. All in a single go. Chapeu.
I had a DBT therapist coerce me into "ECT consultation" because the therapist didn't know what she was doing, wasn't in consultation (She yelled at me, "I wouldn't need consultation if it wasn't for you!"). She ended therapy with no warning because her life was out of control (she told me her colleagues filed a complaint against her because they were racist and her daughter was having trouble at school because the teachers and other students were racist and her husband was cold and distant and she felt all alone).
8:50 the client brings up a good point. She talks to the patient later, instead of addressing the initiate suicidality? Sounds damaging and potentially life threatening. Also she admitted to going into this with a passive aggressive, and covertly hostile attitude.
@@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.
Can someone tell me why there is a 24 hour waiting period from behavior like that? I understand not rewarding behavior and understand that it works but don't understand why it works
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.
The 24 hour rule is very common in dbt therapy, because it prevents reinforcement of borderline behavior, because many mental hospitals reinforce people's behavior, and not moving forward in recovery hospitals get people stuck, same with group homes. It all makes sense.
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.
The annoying thing about bpd is their tends to fault everybody but themselves especially their closest ones, and playing victim in every drama their made.
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.
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.
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.
@@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 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
I LOVE to see how Marsha assumes competence in her client, that she can come up with a better solutions and strategies 👏
I love the confidence Marsha has in the patient's ability to come up with answers for herself. Also reminds her of what they have already talked about. Marsha identifies the core of the problem being ruminating.
this actress nailed this performance! Learned so much!
Actress?
She really did!
As a person wBPD, she doesn't get it. Again, it's not something that's easy to fake.
Simply WOW! As a therapist, this was absolutely outstanding to watch. She is skillfully dodging any manipulation attempt, holding the therapeutic frame, re-focusing the patient on the problem, and helping them to come up with their own solution in a rationale way. All in a single go. Chapeu.
What manipulation attempt?
Thank you so much for uploading these
It's frightening to see that person manipulate and blame the patient in video. Can't believe people buy into that.
I had a DBT therapist coerce me into "ECT consultation" because the therapist didn't know what she was doing, wasn't in consultation (She yelled at me, "I wouldn't need consultation if it wasn't for you!"). She ended therapy with no warning because her life was out of control (she told me her colleagues filed a complaint against her because they were racist and her daughter was having trouble at school because the teachers and other students were racist and her husband was cold and distant and she felt all alone).
CBT and DBT practicionners are abusive and extremely manipulative.
8:50 the client brings up a good point. She talks to the patient later, instead of addressing the initiate suicidality? Sounds damaging and potentially life threatening. Also she admitted to going into this with a passive aggressive, and covertly hostile attitude.
@@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.
Does she address akathisia caused by psych polypharmacy which causes people to be suicidal?
Maybe finish watching the video and answer the question yourself.
Never. They blame patients for being suicidal.
Can someone tell me why there is a 24 hour waiting period from behavior like that? I understand not rewarding behavior and understand that it works but don't understand why it works
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.
Fantastic acting job. I feel as if I know this person.
From a BPD perspective, so inaccurate.
Is this an actor of a patient description?
An actor.
Wish we could see the rest of what was cut off + the Q+A that followed 😕
oh boy, where´s the rest of this? I mean, just when things were going to her more important feedback about the self-harm behavior, come on, now.
The 24 hour rule is very common in dbt therapy, because it prevents reinforcement of borderline behavior, because many mental hospitals reinforce people's behavior, and not moving forward in recovery hospitals get people stuck, same with group homes. It all makes sense.
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.
The annoying thing about bpd is their tends to fault everybody but themselves especially their closest ones, and playing victim in every drama their made.
Another ignorant pop psychologist who thinks they understand every personality disorder under the sun.
The absence of self responsibility is the first issue I see.
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.
is this staged?
Yes
Its acted not staged.
Yes they use actors. It's not an accurate representation of people with BPD.
Why’s her full name? For both people
I don't like the doctor 😕
She's too aggressive with it like calm down bro she cut herself open
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.
Marsha's basically victim blaming.
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.
I don't think the doctor knows what she's doing...very harsh and uncaring attitude...it's like she's trying to antagonize the patient.
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
The person acting as the client is not very good
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.