BPD- Opinion

[ladoglover]

Do you think therapists that are seeing clients that have BPD and doing DBT with them would worry about clients that do not contact them in between sessions by text, call, or email? Just basically not contacting them in any way. Yes, you could stay its stigma assuming all BPD's contact there therapist in between sessions. I do not take it that way though. I do not think they are intentionally stigmatizing or really stigmatizing because its just a known fact that most people with BPD contact there therapist in between session therefore maybe it just automatically pops in therapists mind that oh this client that has BPD never contacts me in between session it s just different. Do you think they ever worry if one of there clients that has BPD never contacts them in between sessions?

I think most therapists know that people get busy and cannot always contact them.

I know that I have firm boundaries in place with my clients and if they call they have to give me 24 hours to call back. If I don't call within that 24 hour period than they can call me again.

I have some BPD clients who I've had to talk to about this especially if they call multiple times in a day and it's not an emergency.

Do I worry if the client doesn't call me? If I go multiple days without hearing from them I do start to worry because it's not a normal occurrence, so, I think that when something abnormal occurs (such as the client not calling) then they do get worried.

[ladoglover]

_______Okay

[Rivière]

If I were a therapist and a client contacts me in between sessions, depending on how busy I am and the urgency of that client's needs would determine whether or not they receive a response. If a client were to call me because they're feeling lonely or having a bad day, as harsh as it sounds, I likely won't reply or very quickly because I have other priorities. If someone were to contact me stating they felt suicidal and they were the kind of client that kept doing it, I would also draw a line. I am a human being too. However, if they were to call/text me in urgency because they felt suicidal and it was a one-off, I would most definitely be more responsive.

On the other hand, if I haven't heard from a client in a while, or they behave out of the ordinary, then I would be more concerned.

[Clarent]

My therapist only called/messaged me if something suddenly changed. Unless there's good reasons to contact the patient regularily (like a risk of them doing something dangerous) I don't think most therapists will call every single client regularily, unless they need to confirm an appointment (thouth that's done by most doctors from what I recall ).

[ladoglover]

________okay

I have BPD and I very rarely contact my therapist in between therapy sessions. I was doing DBT groups which honestly I think you would benefit from groups more than just you and a therapist since you get attached. I also think it depends on how much you contact them. If you contact them 3 times in between therapy sessions and then don’t they may worry. But therapist get busy And yea they are here for us and care, but they are very busy and they may not even think about it honestly.

I hope this helped a little
If you ever need to talk my pms/vms are always open
Your friend,
Ariel<3

[ladoglover]

Okay. Not every one with BPD is the same. With any disorder not every one is the same.
People will obviously have some similar symptoms but also they will have different symptoms from others. How the symptoms are expressed will be different for each individual as well.

Thanks for your opinions

Originally Posted by ladoglover

Okay. Not every one with BPD is the same. With any disorder not every one is the same.
People will obviously have some similar symptoms but also they will have different symptoms from others. How the symptoms are expressed will be different for each individual as well.

Thanks for your opinions

No one every said everyone is the same. Heck I feel emotions deeper and a heck a lot stronger than most. But then I block out the emotions because I cannot handle them. From talking to you you express your emotions a lot.

My case was so bad that I got unofficially diagnosed at 15 and as soon as I hit 18 it went into my chart. You remind me so much of me before I went to DBT groups. All I was saying is I don’t think individual DBT is for you. I think you’d do a lot better in a group setting. I also think you may minimize or are in denial of how bad your BPD is. Because first time you were in chat I could tell right away that you had it.

But you can do what you want with this advice. I’m just trying to help.

If you ever need to talk my pm/vms are always open.

Your friend,
Ariel<3

Originally Posted by ladoglover

Okay. Not every one with BPD is the same. With any disorder not every one is the same.
People will obviously have some similar symptoms but also they will have different symptoms from others. How the symptoms are expressed will be different for each individual as well.

Thanks for your opinions

Every mental health diagnosis is on spectrum and I don't believe anyone was saying yours was exactly the same as theirs. I think it is important to understand that for the health of the client and clinician, it is important to set boundaries.


Every mental health practitioner learns this early on in their career. If there is a blurring of boundaries it can effect the client/practitioner relationship. The boundaries set can sometimes be tough for clients to handle but it is still important for practitioners to set them.


For example, I know it is common practice for therapists/psychiatrist offices to request that clients give them 72 hours to respond. I set the 24 hour guidance due to COVID. It tends to be easier to get back to clients when I am not constantly going out in the community to assist people. The days I interact with clients are usually the days I am unable to get back to clients right away.


Boundaries are important in all relationships and especially in a therapeutic one.

[ladoglover]

Yes, agree. Makes sense.

Guess what I found another therapist. She is amazing. {: I really hope it works out. She was going on and on about how she hates the stigma and how she is not going to stigma and how she wants to be the change too that needs to be seen in the mental health system. OMG she is just like me. I hope it works out.

[Proud90sKid]

Originally Posted by ladoglover

Yes, agree. Makes sense.

Guess what I found another therapist. She is amazing. {: I really hope it works out. She was going on and on about how she hates the stigma and how she is not going to stigma and how she wants to be the change too that needs to be seen in the mental health system. OMG she is just like me. I hope it works out.

Stigmatize*

That’s good - hope it works out

[HowrdJns89]

I think there are different specialists