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Back from the Abyss: Psychiatry in Stories | Psychotherapy, Trauma, and Psychedelics - No one believed me-- Complex PTSD and Borderline Personality Disorder
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No one believed me-- Complex PTSD and Borderline Personality Disorder

Back from the Abyss: Psychiatry in Stories | Psychotherapy, Trauma, and Psychedelics

01/26/21

38m

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The therapeutic relationship is built on trust, we come to therapy expecting that we are going to be heard and believed.
Jeanine wasn't believed-- about her childhood sexual assaults, or the emerging psychotic symptoms, or her intractable suicidality....even after many near fatal attempts and over 40 inpatient stays.
This episode looks at how and why we believe some people and discount others. It turns out that the way people tell us their stories matters just as much as the actual words they choose. And, unfortunately, certain clinical presentations make patients/clients much less likely to be heard and believed.
A heads up-- this episode includes descriptions of childhood sexual abuse, self-harm, and suicide attempts.
Dopamine, saliency, and the onset of paranoia
https://www.nature.com/articles/s41398-020-00912-4
Borderline personality diagnosis leads to demedicalization and poor treatment
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4870819/
Inappropriate affect
https://www.betterhelp.com/advice/personality-disorders/inappropriate-affect-symptoms-and-signs/
Dr. H/BFTA
https://www.craigheacockmd.com

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Previous Episode

Some things in life defy explanation...like tripping on mushrooms and arresting the plunge into alcoholism.
Here Stella shares her story of childhood abuse and neglect, her reenactment of the abuse through toxic relationships with men, and then her life-changing sessions with both psilocybin and MDMA. Stella and Dr. H explore how she was able to first bring her dissociated and numbed self back to life with the help of psilocybin and later heal her attachment wounds and trauma with MDMA-assisted psychotherapy.
BFTA and Dr. H
http://craigheacockmd.com

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Next Episode

In the context of an increasingly severe shortage of psychiatrists, Dr. H discusses some uncomfortable truths about why finding a good outpatient psychiatrist is even more difficult than ever.
Psychedelics and Psychiatry-- Dr. H on The Third Wave Podcast
https://thethirdwave.co/podcast/episode-112-craig-heacock/
BFTA and Dr. H
https://www.craigheacockmd.com

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