Quote:
Originally Posted by rwwff
I've seen this pop up in a few comments where MH workers diag someone as borderline followed by the patient remarking, as you do, about being "done for" or however they'd prefer to express it.
Are these therapists generally not willing to shift to a skill teaching approach; do they all of a sudden start hitting you with things? I'd like to understand how a therapists changes in their interactions with you when they decide on that diag.
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From what I have heard and observed, BPD clients are often seen as needy and as needing to have very strong, rigid, distanced boundaries. In general it is assumed that they need DBT rather than talk therapy, and that the last thing a t wants is to have the client get attached. But of course insecure attachment is really common with BPD. So I have no clue why that is a standard, except that the theory is that allowing a BPD client to become attached is inviting things like stalking and obsession with the t. I am not a treatment provider, nor do I have that diagnosis so I am speaking from hearsay and I don't know that this shift if treatment is a good or bad thing, other than the clients seem to suffer when the t is not receptive to the attachment.