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CBT Counseling Role-Play - Clients with Symptoms of Borderline Personality Disorder

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Sounds almost exactly like what happened to me before with my BPD Minus the excessive calling my therapist Excellent job acting for both of them Comment from : Laura N

I think this video works well in context with Dr Grande's video describing the symptoms of BPD and how people who have it tend to behave I wouldn't really see as much without that as a context I've also read various things about BPD, but it helps having a very basic context I also give full credit to the actress cause yeah, she does well showing how people with this seem to act, as far as I can tellbrI think someone I know may have BPD, but he's against getting any mental health aid cause he doesn't want to be committed However, for that same reason, he also can't work a typical job with people cause he's afraid he'll flip out and look crazy I'm not sure if those with BPD have such localized outbursts but think they canbrIf anyone is reading this, I'd like to ask: how far can you go trying to help/be friends with and/or romantic partners with someone with this condition? In my case, I felt I had to leave because I was being outright verbally and emotionally abused, as well as going through my own physical/mental health issues I had to cut out the bad things I had control over, and that included stressful relationships I was literally having a mental breakdown in front of my other friends because he'd convinced me I was the worst person ever So yeah, how far do we go? I do want to help people, but there's always a limit brThanks in advance! Comment from : Lady Tsuki

I really appreciated this presentation Thank you Comment from : Cool

The chairs are way too close and I’d probably start scooting back 😂 Comment from : HealthRight365

Even though I understand the "client" is an actress, I feel genuinely sorry for this girl! Thank you for sharing! Comment from : Andrea Bill

The most horrible thing is the perpetuity of it all People ARE treating you poorly, they see you are vulnerable, and you ARE overreacting, because how could you react differently after having suffered through so much hurt early on, which probably make people treat you even worse, if not directly they will eventually - unless you are extremely lucky So even if this what a somewhat exaggerated presentation, it is very real Comment from : DJP

These videos are so helpful!! I really struggle with these clients Thank you for posting Comment from : Laura Miller

Sounds like me when I was youngernow at 63 alone, I find I don't like or trust ppl I used to have friendsbrCPTSD in childhood, finding I couldn't trust my own narcissist parent Comment from : C Sc

What if you're like this but only right around your period PMDD? Minus reaching out to others because I go all avoidant, like the silent treatment on angry hormones Comment from : Amanda Smith

Making eye contact🤣🤣🤣 Comment from : New

Oh crap! I may have BPD 😂 Comment from : MLGGSVLMV

Borderline strikes me initially as extreme covert narcissism (extreme focus on herself, her feelings, her experience, zero awareness of others’ realities) Also strikes me as extreme victim mentality, having dealt with a friend and family member just like this Comment from : anonya

Have you done a video about GAD? Comment from : killerwhale5

This is exactly how my thoughts race It’s an exhausting way to live for me and the people around me Thanks for this educational video, I am going to try to find ways to alter my unhealthy thought processes Comment from : Alissa Cook

She sounds like Madonna Comment from : John D

her posture and expressions are actually surprisingly accurate i think for someone with BPD the character is very strong to talk about her boyfriend leaving or accusing her without exalt herself Comment from : Morgue

That was a very interesting interview! Her paranoia and distrust of other people are only serving to perpetuate her fears Comment from : Avalon Justin

I didn’t know Amy Schumer had BPD Comment from : James DeLoera

I may be wrong, but I think many of the things that she says in response, such as staying with her boyfriend because she is afraid to be alone, are things that someone with BPD would THINK but do everything in their power not to SAY Comment from : Ryan Miller

Self deprecating is a such a sad aspect I understand why it happens but still Comment from : Frank Taylor

Very accurate 👌 👏 Comment from : Tifa Ann

Her mood seems more stable than I would expect I'd have trouble saying any of this with out crying or raising my voice But I know everyone is different Comment from : christina p

Thank you so much for doing this The description for BPD is so broad but this helped a lot Someone close to me came out with BPD recently and the descriptions just weren’t enough for me to understand but watching this example helps so much This behavior would drive me nuts I can’t thank you enough Sorry your YouTube analysis gets more views- I’m part of that problem as that’s how I found you but with that, I looked to you specifically for this and sure enough, you did this video that describes it best Comment from : Bree Olson

I have BPD and I've come to realize through some counseling that family and friends run instead of trying to understand and/or be supportive They don't have enough time/energy etc to try I get that and it leaves alot of patients going into introversive patterns No one wants to even be around them I've admitted to family/friends as to what's going on with me and immediately contact was broken This is a reality for so many people It's not easy at all to recover some part of your life that was there before Comment from : Leesa Krall

She said it’s gona be hard to not confront him I feel rejected wow Comment from : Mwadjuma Mukamfizi

Good work !!!!wow it takes a lot work to listen to peopleShe said no not on her side wow I willbrSee how she could call This Doct all the time he is calm of her peace Comment from : Mwadjuma Mukamfizi

I could feel her This lady is me I've been dealing with BPD for over 6 years' now and it is terrible Comment from : Syed Nowreen Muzzammil Qadri

"I can't trust him, like I can't trust anybody" and "I've always been treated that way, so why would this be different?" That made my heart sink I've said this more times than I can count to a therapist verbatim She did a pretty good job here, and I understand some people with BPD can experience things more intensely than others with it, or whatever it may be Good video Comment from : :tongue:

These are amazing videos love this entire serious I am on my way to becoming a psychologist and seeing this is really helpful Thanks Dr Grande Comment from : Taylor Cloutier

The woman deserves an Oscar Comment from : K J

This was excellent Comment from : Sandra

Did she say dr grande was her last resort? That would have bern my first resort Just saying Comment from : Diane Bays

i’ve been doing CBT for three years already, got diagnosed with BPD in 2018 and ,,, man she was so on spot the way i speak to my therapist whenever i feel that bswitch/b turning on this is a really good video Comment from : bowie h

Always playing victim Comment from : Lisa Isablogger

I just discovered this series and I always get so engrossed in each episode because they're SO convincing Well done Comment from : Hana Behl-Lecter

My sister is like this, she is very hard to handle but the antidepressants have made everything for me much easier to deal with This was very helpful, thank you for sharing this Comment from : Jessica Gomez

Hi how are you doing been better what ever Comment from : UltramindcontroL realzz

I would think no one wants a person that needs you to fix them That is a drowning job and puts too much of a burden on one partner That's what my husband expected of me The reason how I found this out was observing and him being a jerk and the more I gave the more he became a little boy It's some sh-t to witness I will tell you that I am still pissed in talking about this What an assh-le His reality is not my reality and not your reality Put it that way Comment from : N D

This is excellent Comment from : Manon Kaufman

Couldn't such natural 'method' acting prove to be harmful for the actor's mental health? Comment from : an1rb

Wow! Comment from : Jo Smith

Lol I think I have borderline but the quiet type hahah Comment from : Sally May

:( Comment from : Cheiyenne Jimenez

Dual LPC/LMFT Student here Love the videos, very informative Even within the context of role-playing, your care and compassion shine through Comment from : Melody McKibbin

Good stuff love it Comment from : madix cult

The acting was sure good in this valuable for everyone to watch in the caregiving professiopresentation So good that maybe 1 too many ? was asked which could have left a real client with a little more self doubt for about a day or so Comment from : Frances Bernard

I feel like Im actually watching my BPD friend Comment from : Amy Cuaresma

This is so triggering 😱🥴 Comment from : TheMisslili8

"Yes, let's set some boundaries so I can violate them" Comment from : Rays Dad

Dr Grande asking really tough questions for a therapist to ask This comes with a good rapport especially with a borderline He's a total boss when it comes to his knowledge Comment from : Joseph Autrey

My ex got bpd she always manipulates me and leaves me gives me hot and cold dr todd can you suggest me any idea what should i do to convince my girlfriend to go theraphy without attacking i told her about bpd she gets defensive and tells me she doesnt need theraphy and end up getting blocked in social media i want to help her Comment from : Arafat Islam

im more quiet about it but yes i would be at least thinking everything she says i unfortunately jump to these conclusions when i think people are dodging me or that they are fake if they are nice to me one day and too busy to talk the next Comment from : Rico Bonifacio

Dr Grande, your videos are so helpful and so very well explained I watched many of your videos on a whim Thank you for them so much 🙏 Comment from : Christine Christine

This is so not true about bpd Its videos and opinions like this that stop me reaching out for help because of fear of being judged brthis is so fake 🤬 Comment from : Toby assistance dog in training gemma

This was so interesting and very helpful Thank you! Comment from : Emma Phi

Dr Grande, I really enjoy your videos I use them often when teaching other counselors You provide great examples of technique through these role plays Thank you Comment from : Dr Howard

In many ways, this is very close to what one could expect from any Borderline Needy, demanding, extremely reactive when judged or faced with disapproval or rejected, perpetually disappointed either with herself or others, with moments of extreme but short lived enthusiasm, and a very ambivalent relationship with the therapistbrbrBut one thing that strikes me as very particular of this case is the presence of more or less reliable sources of support And the lack of an evident emotional disorder, such as depression and suicidal ideas This is a very ideal scenario for a BPD, at least in my experience Setting clear boundaries with a BPD is secondary to establishing a trusting therapeutic relationshipbrbrI also noticed he only tried to help her develop some kind of insight into how her demands and patterns of controlling behavior may drive significant others away, but did not use his own relationship with the patient to help with that analysis I have no problem with being very straightforward in that analysis with a BPD client once the therapeutic relationship is consolidated They most certainly need to understand and benefit from understanding how they foster the judgment or disapproval or rejection the so desperately fear Comment from : José Pablo Bolaños Rigioni

I swear there are a lot of people who look like that patient I feel like I have met her before Comment from : Big Rod

Thank you for all this vidos as a grad student it is helping me so much Comment from : ifeoma rita uzor

I don't have BPD but I've been practicing CBT via some workbooks I bought on amazon (I can't actually afford counseling) and it's tough stuffbrActually having to be accountable for your own intrusive thoughts while at the same time dismantling them with logic and acknowledging that what you feel and think aren't always true is something that takes a lot of mental and emotional effortbrDunno how I ended up on these older videos but this is extremely helpful thank you DrGrande Comment from : Berry Tears

Yuuuuuuup Comment from : A Starry Eyed Life

Hi Doctor Grande Great insight I am currently working towards an eventual LMHC license I have a question for you In session, do you typically sit this close to the client, or is this just to fill the camera frame? Comment from : SirMan48

Brilliant Comment from : Paige Therese

What do you feel is the best method of reality checking a client with BPD? Comment from : Dominique M

Well watching this has taught me I probably don’t have the required patience or temperament to ever be a good councillor - I’ll have to stick with Engineering Lol 😂 Comment from : Donna Crozier

Is there a different condition which has symptoms that are more mild than this or would it still be BPD? Comment from : Upstate 518

Wow, this is spot on I have a few clients with bpd and she is bringing up all the issues my clients present with including being frustrated that I I'm not available at their convenience Comment from : Petite Rider

That's me Comment from : TheQueen

ps few people will you that your zipper is down or you have bad breath either but if one brave soul says it think about it TURN IT UP please pps the ad sounded loud enough Comment from : terry gregg

OMG, get some girlfriends If the guy is cheating on you, he not a "great guy" anywaybrTreat yourself well and let things unfold Get a massage, join a fun meetup group Poor thing Listen to a meditation tape Sit outdoors and look at how beautiful nature is Take a walk in a place you love or a new place you are curious about Comment from : Nancy Debosek

This isnt a critique of the video, rather the closed captioning I have mine on as my hearing isnt great and its a noisy house, however thw text was really far off the actual spoken word Only 90 seconds into the video and I have lost count It all started with "Hello, this is doctor Bronte" I just thought you might want to be aware of that fact Comment from : Future5305

I love this!! I am going to watch more of your role plays She played a very good bpd client Comment from : julhowe Channel

Sounds like Jodie Arias story😬Thank you Dr Grande for the insight of this frightening disorder Comment from : Alice Morton

What do you say to a client who, when receiving the homework, instead of saying they'll try it, they say "How? How do I not follow him? I don't know how to stop" ?? Comment from : Wendy Lee Connelly

Something many people in the comments don't seem to realize is that bpd is a VERY wide spectrum and everyone experiences it differently Comment from : Nico Rizzo

She seems very mild mannered for a bpd person Everyone has some moments of insecurity and trust issues at different times in their life The only thing I can detect is her impulsiveness and bothering the therapist Maybe I don't understand bpd! Comment from : M R

@3:05brI've always needed to see what "splitting" was I'm assuming this is what it is? Comment from : SweetBlackSistah

Thank you can you please do a borderline splitting?? Comment from : plumucci

I can relate to a lot of this Comment from : DeviantMotives

I have bpd and have been seeing a psychologist for over a year every week I've made some good process Some of this video rings true for me but her emotions do not change once the whole way through which is not accurate for bpd Comment from : Rose Ault

Very interesting Comment from : myself

It’s interesting I find that more women have BPD and more men have Narcissism and Psychopathy It’s interestingbrbrBPD: I love yougo awaydon’t leave mego away It’s interesting to see all the different ways this behavior can manifest There’s so many facets of BPD It must be very difficult to have and live with It’s a lot of self blame and fear of abandonment It must be very painful and frightening If you’re living with BPD I am so sorry for all the pain you endure Just know there are many people out there who love you and value you There is help out there and people who are willing to listen Comment from : Amy Hensley

5:32 how to respond when the person is - sadly - partially correct I'm not saying a person is unlovable, like undeserving of basic respect- but isn't it possible a person could be very hard to be around? Do you deny it knowing she's actually somewhat right about herself, do you agree and watch her flip out and jump off a building? Is the third option- just nodding along with why she feels that way without actually agreeing or disagreeing?br11:43 again, what if it's true? Do we just kind of nod and not address the facts of that? Comment from : Jeff K

I have BPD and I'm a man Why always a woman Can you please do one with a male cause this shit here doesn't look like me Comment from : Grimm333

Borderlines are broken beyond repair! Comment from : Beyond Beauty69

I think I am a borderliner😕 Comment from : Arúviel Evenstar

I have difficulty living my own life >< Comment from : bananian

Do people in the comments realize that this is role-play? This is just to show what a CBT-session with a borderline client could look like There is no way to simulate a real therapy situation by acting because the therapeutic relationship cannot fully be acted as role-play Also, therapists have different styles and different approaches and might use different approach with different clients, this video is just to showcase a common CBT-approach to BPD There is no way to evaluate Dr Grane's skills based on this video (or to evaluate anyones skills based on any role-play video) because this is just a video intended for educational purposes and I would speculate that he picked the approach that he uses in this video because this is the basic CBT-approach (CBT varies a lot in approaches and CBT as a whole covers a whole range of other therapy approaches like DBT and ACT, this is just the most basic one) I have to note also that an inexperienced actor will have to use a lot of his/her attention on the acting itself, and that normal body language is not captured well on camera (trained performers always exaggerate their body language on screen), so if Dr Grande seems distant and cold in terms of body language and posture, this is probably just because of the fact that they are acting and because this is a video Comment from : Someone559

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