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BorderlinerNotes: Real Therapy Sessions

BorderlinerNotes: Real Therapy Sessions

What It’s Like to Treat Narcissism and BPD | Dr. Karen Jacob

BorderlinerNotes: Real Therapy Sessions · Nov 12, 2026 · 47:47

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The (2hr 8min long) full interview w/ Dr. Jacob (which includes this topic as well as teaching emotion regulation) is available for Tier 2 channel members.Become a member here: https://www.youtube.com/borderlinernotes/joinUploaded 08-06-26Dr. Karen Jacob discusses Narcissistic Personality Disorder (NPD) and Borderline Personality Disorder (BPD) as a clinical psychologist who runs The Gunderson Residence, a residential treatment program for personality disorders. How to diagnose NPD, why narcissism is on the rise, possible treatments (MBT/TFP).Dr. Jacob’s book “The Feelings Toolbox” is available at https://no-quam.com/00:00 Tease / Intro02:20 The Continuum of Personality Disorders / Overlapping ASPD, Malignant Narcissism, Narcissism, BPD / Social Media Influence / Missed Diagnosis08:58 Diagnosing NPD / Self-worth / External Factors / Standards / NPD Causes / Severity and Impairment16:57 NPD vs BPD / How Do They Feel Different To The Therapist? / Not Feeling Loveable24:39 Bringing Your True Self To The Therapy (as a Therapist) / Do You Need to Like or Love Who You're Treating?29:07 What's The Most Important Factor For Improvement?32:27 Self-Assessment and Getting Help / TFP vs MBT / PDs Are Not a Death SentenceThe Suicide and Crisis Lifeline: 988For resources about BPD: https://gundersonpdi.mclean.harvard.edu/psychoeducational-resources/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 https://www.hopeline-nc.org (877.235.4525), https://suicidepreventionlifeline.org (800.273.8255), https://kidshelpphone.ca (800.668.6868).SAMHSA’s National Helpline: If you or someone you know is dealing with substance misuse or mental illness, call 1-800-662-4357 for free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.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 whatsoever for any damages, loss, injury, or suffering as a result of reliance on the information in this publication."
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Episodes: BorderlinerNotes: Real Therapy Sessions

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