PSYCHVINE

Category: Borderline Personality Disorder

“Before we go any further,” Dr. Smelt says, “I want to tell you a bit about confidentiality.” “No need,” Fred interrupts, “I know that bull shit. You tell me you’re like a priest, but if the judge wants to know something, you’ll tell him. That’s the real world. All this stuff about confidentiality is a way for you to get me to spill my guts. But, I’m not telling you anything that could get me into more trouble with the…

In the previous session, Dr. Smelt discussed a few of the essential premises that underlie cognitive behavioral approaches to therapy. She also collaborated with Kimberly in coming up with a couple of goals for getting therapy started. “Good morning, Kimberly. How are you today? Have you had a chance to think about the goals we discussed last week?” Dr. Smelt asks. “Yes,” Kimberly replies, “in fact I had a situation last weekend that really got me mad that I’d like…

In several previous blogs, we discussed domestic abuse and violence. In the first blog, we reviewed common abusive behaviors known as gaslighting. The second blog discussed more examples of gaslighting behavior. Finally, we wrote on the topic of why people return to toxic relationships. The following TED talk by Leslie Morgan Steiner describes a moving account of one woman’s story.      

In the last blog, Dr. Smelt explained the way thoughts and perceptions about events strongly influence feelings and emotions. She also explained that behaviors also affect emotions and moods. Let’s pick up the conversation from there. “Now, we need to talk about the goals you may have for our time together. I’ll use the whiteboard again to keep us focused and on track. Let’s start with any goal that comes to mind for you,” Dr. Smelt suggests. “Well, that’s the…

Dr. Smelt continues (see Session 2.0) her explanation of how cognitive behavior therapy (also referred to as CBT) works, “I like to give a whimsical example of how your thoughts or perceptions of events powerfully influence the way you end up feeling about what happened to you. Let’s say that you walk out your front door one day on the way to work and you step on a freshly deposited mound of dog poop. What thoughts would come to your…

In our last blog, you met Dr. Patricia Smelt and her client, Kimberly. Dr. Smelt is trying to figure out what Kimberly wants out of therapy. She has detected a whiff of resistance. Dr. Smelt’s last question was, “So, if we asked your boyfriend what he thinks you need from coming here, what do you think he’d say?” Let’s see what happens next. Kimberly hesitates and rubs her forehead, “I guess he might say I need to work on my…

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