Psychiatry & Psychotherapy Podcast Understanding Complex PTSD and Borderline Personality Disorder
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Jun 14, 2024 Dr. Adam Borecky, a psychiatrist specializing in complex PTSD and borderline personality disorder, discusses the distinctions between C-PTSD, PTSD, and BPD, emphasizing trauma history and affective dysregulation. The podcast explores intersections of BPD and C-PTSD, highlighting the importance of accurate diagnosis for effective treatment. It delves into trauma symptoms, mental illness severity indicators, and the value of reflective functioning in therapy for BPD and C-PTSD.
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Complex PTSD vs. BPD: Treatment-Seeking Behavior
- Complex PTSD patients often exhibit emotional numbing, feelings of worthlessness, and disconnection from others.
- Unlike BPD patients who often seek treatment, those with Complex PTSD tend to avoid it.
The Distant Veteran
- Adam Borecky shares a case of a Vietnam veteran resistant to therapy after losing his wife.
- The veteran maintained distance, preferring phone calls and avoiding face-to-face interaction.
Screening Challenges in Complex PTSD
- Patients with Complex PTSD may be missed by standard trauma screeners.
- Their tendency to minimize traumatic experiences can lead to underreporting on questionnaires like the CAPS-5.