Can People with High Conflict Personalities Change?
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Jul 7, 2022
Exploring the possibility of change in individuals with high conflict personalities, focusing on borderline personality disorder and treatment methods like cognitive behavioral therapy and dialectical behavior therapy; developing empathy in high conflict people through role-playing exercises and a supportive environment; the importance of not diagnosing or labeling individuals; addressing the challenges faced by high conflict personalities and the need for time, repetition, and support for lasting change.
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Use Long-Term DBT For Borderline Traits
Enroll borderline-type individuals in long-term evidence-based therapy like DBT to increase chances of sustained change.
Expect multi-year commitment; research shows 2–5 years can reduce or remove the diagnosis.
insights INSIGHT
Narcissistic HCPs Rarely Volunteer For Change
Narcissistic and histrionic HCPs are less likely to seek or stick with therapy because they resist admitting flaws.
Schema-focused therapies can help a minority who develop enough self-awareness to engage.
insights INSIGHT
Antisocial Patterns Are Hardest To Reverse
Antisocial-type HCPs are the most resistant and may be deeply ingrained or genetic.
Early intervention in adolescence (conduct disorder) offers the best chance for altering the trajectory.
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As we know, change is hard for everyone, but if you’ve had a high conflict individual in your life, you know that change for them is seemingly impossible. Our minds tell us that they’re doing it on purpose or at least partially so; and that they can change if they’d just choose that route. But is that a reality? If we start with the premise that people with high conflict personalities don’t even know they have such a thing, why would change?
In this episode, Bill and Megan talk about:
whether people with high conflict personalities know they’re such
whether people with high conflict personalities can change
if change is possible:
what is the likelihood of change
what it takes to help them change, such as therapy, programs, those around them
how to approach someone with a high conflict personality HCP about their need for change and whether you should ever do that
NOTE: We are not diagnosing or labeling anyone and neither should anyone listening to this podcast. Instead, we focus on what to do to help.
It’s All Your Fault: High Conflict People