sorry the patient is way too nice to stay on that chair.. I was expecting much more from Marsha. Her questions are just way too dragged and if I was in that chair I will lose hope. Ill see the next part maybe there is more in that. I still have hope in DBT so ill watch more of Marshas videos and read more about her and DBT
These videos are very helpful for me. They help me to empathize with this set of issues and how hurtful they can feel to a client. I have watched several of her videos today and they are helping me understand the impact of DBT for not only people with personality disorders but even defense mechanisms I have developed over the years to deal with feelings of anxiety. Very good work, thanks for sharing @Damien
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.
the most difficult thing with borderlines is to keep in the Flow because they are very chaotic. You have to be like water, my friend. At the same time you have to be someone. A person with boundaries but they always test and hop over the boundaries because they don't feel them. "Well, I promised this but now I'm feeling like doing the opposite and I don't see what effect this has on me or the person I promised this to."
I truly don’t understand how one woman can be credited with creating a standard of living that so many institutions make money off of. Did she take others people’s credit? Literally the DBT Handout lists one creator/author. I doubt her so much.
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
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).
She needs her meds...mood stabilizers, antidepressants, anxiety pills, nutrition supplements...that will help her feel well enough to get herself living a life that she loves....I have severe BPD and I have psychiatrist and a therapist....I CAN HELP her feel better in a week or less...then she can start therapy and continue on her meds and get the support that she really needs... Please, Please reach out to me as soon as you can.
line I've heard more than once "yaknow if ur dead the therapy isnt gonna work" or "well the problem with repeatedly attempting is that its not very sustainable, I mean, you might die"
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.
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.
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.
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.
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.
I don't see how this doctor could help anyone...the patients seem to just want to be heard, and she acts like a jerk....my gosh, any average person could give more validation.
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.
@@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
Wow.. I seen myself in EVERY statement and every tiny action in this client role play.. Holy crap.. Wish I had DBT treatment in my town. I'd have to move outta state for dbt, specialized treatment, which is so frustrating. I've had over a dozen therapists as well. I've been kicked out, left, abandoned, called "too must" " too intense", childish, helpless, untreatable and dramatic. I don't know why I'm even continuing therapy.
@@lo9209 I have not stormed out before, I always formed extreme attachments to my therapists (most of them). I know I've been close. . And have cycled thru the thoughts like "if I storm out, will they even care?" " will I be terminated?" Or will they come after me? But no I've not stormed out.
Kudos to you for continuing, 🎉🎉🎉 Have you been put on high dose venlafaxine, a very experienced psychiatry professor who treats only personality disorder swears by this treatment. Just lemme know what you are on currently.
sorry the patient is way too nice to stay on that chair.. I was expecting much more from Marsha. Her questions are just way too dragged and if I was in that chair I will lose hope. Ill see the next part maybe there is more in that. I still have hope in DBT so ill watch more of Marshas videos and read more about her and DBT
Marsha is hilarious. It's awesome to see these videos after reading her memoir.
These videos are very helpful for me. They help me to empathize with this set of issues and how hurtful they can feel to a client. I have watched several of her videos today and they are helping me understand the impact of DBT for not only people with personality disorders but even defense mechanisms I have developed over the years to deal with feelings of anxiety. Very good work, thanks for sharing @Damien
16:04. That Lineham's answer is gold.
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.
Thanks
Persistence, not giving up herself, respecting the patient's need for privacy...respect for Marsha Linehan.
ترجمه فارسي نداره ؟
Is there a part 4?
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.
Why’s her full name? For both people
This is old as shit
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😢
More empathy from the tx … sounds too anxiety ridden… needs to be the opposite
I wish she was my therapist!!!
the most difficult thing with borderlines is to keep in the Flow because they are very chaotic. You have to be like water, my friend. At the same time you have to be someone. A person with boundaries but they always test and hop over the boundaries because they don't feel them. "Well, I promised this but now I'm feeling like doing the opposite and I don't see what effect this has on me or the person I promised this to."
cannot believe how good and convincing that role play was.
The student did a fantastic job!
Traduzioni per favoreeeee in italiano oportoguese 😢🙏😊
Professional specialist.
This discredits those people who are actually specific. This screws and fake situation are so vague
it’s just to show the flow of the therapy, and the technique, not the case indeed
I truly don’t understand how one woman can be credited with creating a standard of living that so many institutions make money off of. Did she take others people’s credit? Literally the DBT Handout lists one creator/author. I doubt her so much.
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
People laughing? This isn’t a joke…the audience should be prepped ahead of the session on how to listen with quiet respect.
The lady playing the role of the patient is a graduate student and they are demonstrating a therapy session. It’s safe
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).
Does she address akathisia caused by psych polypharmacy which causes people to be suicidal?
Maybe finish watching the video and answer the question yourself.
She needs her meds...mood stabilizers, antidepressants, anxiety pills, nutrition supplements...that will help her feel well enough to get herself living a life that she loves....I have severe BPD and I have psychiatrist and a therapist....I CAN HELP her feel better in a week or less...then she can start therapy and continue on her meds and get the support that she really needs... Please, Please reach out to me as soon as you can.
the mmhmm at 22:47 😭😭
Thank you so much for uploading these
Marsha is incredible
line I've heard more than once "yaknow if ur dead the therapy isnt gonna work" or "well the problem with repeatedly attempting is that its not very sustainable, I mean, you might die"
Wish we could see the rest of what was cut off + the Q+A that followed 😕
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.
is this staged?
Yes
Its acted not staged.
I resonate with this girl so much! 😩 Wish I could find and afford this therapy.
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 LOVE to see how Marsha assumes competence in her client, that she can come up with a better solutions and strategies 👏
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.
Fantastic acting job. I feel as if I know this person.
Very real
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?
The person acting as the client is not very good
She is a brilliant actor wth are you talking about.
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.
I don't see how this doctor could help anyone...the patients seem to just want to be heard, and she acts like a jerk....my gosh, any average person could give more validation.
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 *
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
this actress nailed this performance! Learned so much!
Actress?
She really did!
Wow.. I seen myself in EVERY statement and every tiny action in this client role play.. Holy crap.. Wish I had DBT treatment in my town. I'd have to move outta state for dbt, specialized treatment, which is so frustrating. I've had over a dozen therapists as well. I've been kicked out, left, abandoned, called "too must" " too intense", childish, helpless, untreatable and dramatic. I don't know why I'm even continuing therapy.
would you try to storm out the way this client did?
@@lo9209 I have not stormed out before, I always formed extreme attachments to my therapists (most of them). I know I've been close. . And have cycled thru the thoughts like "if I storm out, will they even care?" " will I be terminated?" Or will they come after me? But no I've not stormed out.
Kudos to you for continuing, 🎉🎉🎉 Have you been put on high dose venlafaxine, a very experienced psychiatry professor who treats only personality disorder swears by this treatment. Just lemme know what you are on currently.
you inspired a will wood song
Do you have part 4 of this session?