The Delta Flight Attendant-- Borderline Personality Disorder, Ketamine, and Self-Harm
Back from the Abyss: Psychiatry in Stories | Psychotherapy, Trauma, and Psychedelics
10/06/19
•51m
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In psychotherapy, it’s the relationship itself that heals. In this episode of BFTA, Dr. H and his patient Jasmine explore their always complicated, often humorous, and at times very painful journey through the minefield of borderline personality disorder.
A heads up on this episode— Jasmine and Dr. H discuss self-harm/cutting and suicidality in a very frank and perhaps unsettling manner.
BPD overview
https://www.nami.org/Learn-More/Mental-Health-Conditions/Borderline-Personality-Disorder/Overview
Lifetime course of BPD
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4500179/
Dr. H
https://www.craigheacockmd.com
Previous Episode
One phone call changed everything: EMDR and Trauma Part 2
September 22, 2019
•44m
As her father descended into years of meth-induced rages and psychosis, Kate and her family repeatedly tried to flee...but there was no place to hide. And when at last, after finishing college and starting a new life with her husband, she thought she had escaped the demons of her past, a phone call lit her world on fire. Kate eventually found a way to heal through a six year treatment journey with the help of a deeply caring and skilled therapist and the tool of EMDR.
This episode is the second in a two part exploration of healing through EMDR.
Links
Complex PTSD and EMDR
https://www.goodtherapy.org/blog/complex-trauma-emdr-can-help-but-its-no-quick-fix-0425165
http://www.coping.us/images/Korn_2009_EMDR_with_PTSD.pdf
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5904704/
Dr. H
https://www.craigheacockmd.com
Next Episode
How to think about anxiety
October 23, 2019
•7m
Anxiety and pain are the primary drivers of medical visits, as well as two of the more complicated symptoms to break down in a meaningful way. In this mini-episode, Dr. H presents the metaphor of "below the neck" vs "above the neck" anxiety to help us think about anxiety in a way that might better guide diagnosis and treatment. "Above the neck" anxiety emanates from the ruminating/imagining/obsessing/spin-cycle brain, while "below the neck" anxiety is the body's fight/flight response, with adrenaline coursing through the body to send the blaring smoke alarm signal of impending danger...even where there is no apparent immediate threat.
It matters greatly whether anxiety initially sparks from above or below, and the failure to pinpoint the source can lead to treatment failure and prolonged suffering. Obsessional/ruminative anxiety responds best to mindfulness meditation, cognitive therapy, and SSRIs; somatic/adrenaline anxiety requires interventions such as biofeedback, (intensive) aerobic exercise, meditation, beta blockers, and the various somatic trauma therapies (EMDR, somatic experiencing, Hakomi). Benzodiazepines address both types, but at significant potential cost.
Dr. H
https://www.craigheacockmd.com
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