\\n\\n\\n=========BLOG POST TRANSCRIPTION========\\n\\n\\nThe below is an auto-generated transcription from the podcast. Please excuse typos and grammatical errors.\\n\\n\\n\\nCharlie McDermott 00:02\\nWelcome to the Mandela podcast where we help you feel your best body, mind and soul. Hey there, Charlie McDermott back in the studio and fortunately back with Bri Jaworski. Bri, how you doing?\\n\\nBri Jaworski 00:16\\nI'm great. Charlie. Thank you so much for having me. How are you doing?\\n\\nCharlie McDermott 00:19\\nDoing terrific and once again, congratulations on episode one. But I'm really psyched about the next episode, you share some notes with me and not only for this episode, but quite a few here. You have quite a series planned in these next few episodes, don't you?\\n\\nBri Jaworski 00:33\\nYes. So, I was thinking about where do I want to begin? Where do I want to start? And I kind of was thinking about what some of the main kind of hot topics in regard to mental health are these days and one of the things is personality disorders. So, in particular, a group of personality disorders, which we classify under a cluster called Cluster B. So, anybody that's familiar with Cluster B, that's where we got our antisocial personality disorder, borderline personality disorder, narcissistic personality disorder, and histrionic personality disorder. So, that's going to be our series is just going to be all about Cluster B, and just telling you a little bit about each one and today, we're going to start off with borderline personality disorder.\\n\\nCharlie McDermott 01:13\\nI love it. I love it in that I'm gonna learn a lot here. So, selfishly, I love it. \\n\\nBri Jaworski 01:19\\nWell, good. I mean, that's the point we want people to learn and that's the main thing. That's if I people can take away anything from this episode, I think it would be that BPD in general, I think has a really negative stigma and so if I can dispel some of those kind of misconceptions about it, then I feel like I've done my job today and hopefully, people can learn a little bit about that in a positive way. So, we'll see.\\n\\nCharlie McDermott 01:46\\nAnd you'll probably get into this. But just to put it out there. When you get into these different personality disorders, do you find that individuals tend to have just one or multiple or different times different personalities? How does that kind of play out?\\n\\nBri Jaworski 02:03\\nThat's a good question. So, yes, we definitely do see co-occurring personality disorders, and also mood disorders and all sorts of things. So, a lot of times people have more than one diagnoses. But the other part of that is a lot of the diagnoses have overlapping symptoms. So, sometimes people may not have as many diagnoses as they think if different things are being either misrepresented or misinterpreted as something else. So, they may have symptoms of depression and things like that and actually, one of the things that we're going to talk about is the different presentations of BPD and one of them really does mimic like major depressive disorder. So, that's one that sometimes people get diagnosed incorrectly. So, we're going to talk about that. But yeah, a lot of the symptom ology is the same with overlapping diagnoses, too. So, it can get confusing.\\n\\nCharlie McDermott 02:54\\nYeah. All right. But unfortunately, we have you here, and you're gonna make it real plain and easy for everyone.\\n\\nBri Jaworski 03:01\\nWe do that or just confuse everybody more so.\\n\\nCharlie McDermott 03:05\\nSo, borderline personality disorder? Let's start there.\\n\\nBri Jaworski 03:10\\nYes. So, for the purpose of this podcast, I'm just gonna be referring to borderline personality disorder as BPD moving forward, it's just a little quicker and easier. But so yeah, so a quick story of when I was in grad school, I remember being in class and now at this time, I was working kind of in a non-clinical setting. So, I never worked with anyone that I knew had been diagnosed with BPD. So, I remember not only my professors, but also other students being like, oh, people with BPD, they're a nightmare. They're the worst clients to work with. They're the ones that you don't want there. Every therapist�s nightmare. So, you know, I leave, I leave class that night, and I'm like, oh, my goodness, I hope I never get a client like this. They sound off, you know? And to be honest, in my experience, now, working in the field for a long time, people who have been diagnosed with BPD have been some of my all-time favorite clients. I know you're not supposed to have favorite clients, but like, I'm human, and like, you know, so. But some of my favorite clients to work with for sure and so I definitely want to try to kind of dispel a lot of the rumors and misconceptions that there are around BPD and there are definitely four distinct presentations and BPD and it's not always the one that we think of when we think of BPD. So, I'm going to talk about that too. But then I'm going to talk about some of the other subtleties and different presentations too. All right. So, let's get into it. So, the very first presentation of BPD that I want to talk about, is what I like to refer to as the loud presentation. This is loud BPD. This is the one that my professors and the other students in class so we're talking about, and this is the one I think that stereotypically people think of when they think of BPD. As it has a lot of our overlapping, narcissistic tendencies very loud, can be full of rage, screaming, yelling, especially when distressed braking objects, road rage, a lot of boundary pushing, just very explosive. So, this is, it's, and this definitely is part of BPD and this is the tricky thing, because, you know, there's a list of criteria that we go off of when we have to diagnose someone and you know, some of the things are very much going to fit into this category where some of the things are going to fit into some of the other categories that we're going to get into. \\n\\nSo, this is the stereotypical BPD. But I have to tell you, this is not typically what I see a lot. I don't see a lot of this very loud. It could be, because maybe those people don't come to therapy as much. That definitely could be why. But I want to talk about some of the other ones. So, another presentation of BPD is what I like to refer to as quiet BPD. So, we had loud BPD and now we quiet BPD. So, if we think of loud BPD as being very explosive, especially towards other people, quiet BPD is very kind of like instead of an explosion, we have an implosion. So, these are very typically very high functioning, they internalize a lot of things. So, instead of getting upset outwardly at someone else, they're gonna get upset with themselves. They typically are very fragile people. They their emotions run high. They get very upset about any, either actual or perceived abandonment and they typically take that stuff out on themselves. So, they're very, they lack a lot of self-compassion. They have a lot of negative self-talk, or sometimes some suicidal ideation self-harming. But you'll see that these people are typically very, very much people pleasers. So, they're not that loud presentation. \\n\\nThey want to make people happy, they want to go out of their way to make things happy between people and they get very, very upset when relationships don't work out that way, and aren't as kind of easygoing and free flowing as they'd like, they really don't want to rock the boat, they want everything to be calm, and kind of nice for everybody and if it doesn't turn out that way, they're not going to take it out on you, they're going to take it out on themselves, unfortunately. So, that's definitely one of the types of the I think people don't talk about and don't think about when they think of BPD. So, and again, it's, it's not like, when we're diagnosing someone, we're saying, I might say this to them. But generally speaking, I'm not going to look in the DSM and say like, oh, this person's got quiet BPD. Like that's not an actual thing. That's just as a clinician, me telling you the different types of presentations that we might see. So, moving on to the third one, this is what we call, kind of like the petulant, moody child like BPD and it's very much if you think of kind of a bratty little kid, it can be very much like that, like throwing tantrums, kind of very socially immature and they can fluctuate. They kind of fluctuate between the two that I just mentioned, the quiet and the loud. So, they can be very explosive towards people, but they can be very internally damaging to themselves with a lot of negative self-talk and things like that. Most of that comes from just feelings of, you know, being unloved or feeling like they're unworthy of people's love. So, most of that comes from just like a deep seated, just a lack of self-esteem and self-worth and stuff like that. So, either way it can present outwardly or inwardly. But again, we see a lot of just kind of bratty behavior, what people consider bratty behavior, and attention seeking tantrums, things like that. So, that would be the petulant version. That's the third one. So, that one could be more of what people think of in a stereotypical way, because it can present very negative in an outward way and those the people with either loud BPD or petulant BPD do have a really hard time with relationships, interpersonal relationships, so a very difficult time in romantic relationships, but just really any relationship in their life. So, whether that be family members or friends, or they just have a lot of turbulence in the relationships, it's hard for them to keep things kind of calm. \\n\\nThen that brings us to the fourth presentation for BPD which is the depressive presentation. So, this is the one I mentioned before that can get missed diagnosed with depressive disorder, major depressive disorder, because this person is kind of uniformly dysphoric and depressed most of the time, that's the major presentation is just really depressed. I mean, they have a really hard time holding employment. They have a hard time taking care of themselves. I mean, they're on a basic, very basic level, like basic hygiene, being able to get out of bed like those things are very, very difficult for them. For them a lot of times definitely have a hard time, if not impossible time taking care of anyone that would be in their care, meaning children or even pets and things like that, find it very difficult to take care of. So, they can be very neglectful in that way. \\n\\nThey don't mean to be, but it's just, you know, the depressive and dysphoric thoughts and moods that they have just make it basically impossible for them to function at a really high level and so we have a lot of isolation with that and again, the suicidal ideology and the self-harming behavior. So, that kind of like, in a nutshell gives you the four different types of BPD. So, not everybody is yelling, and screaming and cussing at people and making a scene, some of them are very, very internally hurting and our thing about personality disorders also is there's no medication for personality disorder, you can treat some of the symptomology of the personality disorders with different medications that are typically made for different things. But really, therapy is the most effective treatment for someone with a personality disorder so that they can really assimilate into, you know, our culture and our world in a way that's more acceptable and used to dealing with other people on a regular basis. So\\n\\nCharlie McDermott 11:54\\nAnd we're pretty sure it's very gray. But you know, where is that line where you go, yeah, I need help?\\n\\nBri Jaworski 12:04\\nYeah, I think the biggest thing is anytime you have anything, whether it be BPD, or otherwise, anytime you have anything, where it's taking a major negative toll on your life, whether it be in a work capacity in relationships in, you know, whatever, being able to go to school, or just like function in a productive way, I think that's the biggest red flag because that could be, again, totally moving away from BPD but that could be completely situational. You know, people have tragedies or some sort of trauma, and they're just not able to, at that time function anymore in the way that they used to be or the way that they're accustomed to and so I think anytime that it's taking, like a major negative toll on your life, no matter what it is, or what's happened. I think that's the time for someone just to seek help outside of themselves. You know, like, sometimes it's just, it's too much for us to try to figure out on our own and we really just need to seek outside help just the same way we would with something medical, you know, if you broke your leg, you're not going to just try to tough it out, well, maybe some people would, but most people wouldn't try to tough it out and just figure out how to, you know, fix it on their own, they would seek help. \\n\\nCharlie McDermott 13:18\\nYeah, and I would imagine even friends and family, it's tough really, to get any work was a just tell them I'll Charlie, just suck it up or, you know, or don't worry, you know, it's just a phase and...\\n\\nBri Jaworski 13:31\\nYeah, our families are notorious for trying to help but being some of the worst because they're just too close to the situation. You know, kind of the analogy I always use for people in a variety of different things in mental health is you know, if I gave you a piece of paper and I said put it up to your nose and tell me what it says you wouldn't be able to read it to me, but you know, if you place it out, you can read it clearly and that's kind of where we are. We're not directly involved. We're a step back so we can see things a little more clearly, we're able to help from an objective standpoint and you know, we're not as we're not emotionally attached in that way and your actions good bad or indifferent don't affect us in that way. Whereas family and friends have you know, they have a stake in the game so they are trying to do the best they can, but they can be really seriously negatively affected by emotional stuff going on with you as well. So, it's hard for them to be objective understandably.\\n\\nCharlie McDermott 14:34\\nYeah, that's a really good point. Okay, well, you did not disappoint Bri. [Cross talk].\\n\\nBri Jaworski 14:43\\n[Inaudible] course on BPD.\\n\\nCharlie McDermott 14:46\\nBPD, I'll be using that the rest of the day with Barb.\\n\\nBri Jaworski 14:51\\nAnd just remember it's not a put down if you say it, you know some of them are, the qualities are lovely.\\n\\nCharlie McDermott 15:00\\nWell, this has been lovely, and I know your goal with this podcast has been to help individuals with those struggles and what a great start Bri. So, thank you for sharing all that and I look forward to the next episode and you want to give a little teaser what you have in store for the next episode?\\n\\nBri Jaworski 15:20\\nYeah, so we're going to be covering one of the other Cluster B personality disorders. So, I haven't decided yet but it's either going to be antisocial, narcissistic, or histrionic and we'll eventually cover all four of them so that everybody gets a little bit of information or misnomers that you may have covered and if you think that you may be suffering from something like this or somebody else that you know or are close to, then please give us a call and maybe we can help out with that.\\n\\nCharlie McDermott 15:49\\nTerrific. Well, Bri until the next episode, you have a wonderful day and week there and talk soon.\\n\\nBri Jaworski 15:55\\nOkay, cool. Thank you so much.\\n\\nCharlie McDermott 15:57\\nThanks for listening to the Mandela podcast. To learn more about Mandela Counseling and Health Coaching, go to www.mandela_counseling.com or call 239-360-1983 or visit us on Facebook or Instagram.\\n- 1 -\\n- 1 -\",\"type\":\"unstyled\",\"depth\":0,\"inlineStyleRanges\":[],\"entityRanges\":[],\"data\":{}}],\"entityMap\":{\"0\":{\"type\":\"IMAGE\",\"mutability\":\"IMMUTABLE\",\"data\":{\"src\":\"//img1.wsimg.com/isteam/ip/284efb9d-9c26-4553-9515-3d0fe08e3a17/CC1D0FA2-25CF-43ED-9934-5E3A7E30E672.jpeg\",\"alt\":\"Fort Myers Counseling \",\"loading\":false,\"left\":\"0%\",\"top\":\"0%\",\"width\":\"100%\",\"height\":\"100%\",\"rotation\":\"0\",\"editedAspectRatio\":\"1.7777777777777777\",\"filter\":\"NONE\",\"alignment\":\"center\",\"href\":\"https://\"}}}}","socialSharing":{"twitter":{"enabled":false,"profile":"@ServicesMandala"},"facebook":{"enabled":true}}}};
