Histrionic vs Borderline Personality: Our Deep Dive | Ep 65

🎬In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) explore the confusing and speckled history distinguishing histrionic and borderline personality disorders, clarifying their differences and overlaps. We delve into DSM criteria, psychodynamic, and Millon’s perspectives to untangle these often confused diagnoses.

⚠️Note: this podcast does not constitute a professional relationship. If you're in need of professional help, please seek out appropriate resources in your area. ⚠️

Chapters: 00:00 Intro to Histrionic and BPD 00:35 Disagreement on HPD & BPD 01:26 Borderline as Personality Organization 01:57 DSM Borderline: 256 Variations 02:15 DSM Borderline is Histrionic at "Borderline Level Organization" 02:37 Research Outlining Diagnostic Problems 04:07 Brief Overview: HPD and BPD in DSM 05:19 BPD Criteria: Instability 05:57 BPD Criteria: Identity Disturbance 06:24 Identity Disturbance in Histrionic vs Borderline 07:48 BPD Criteria: Impulsivity 08:12 BPD Criteria: Self-Harm 08:31 BPD Criteria: Mood Swings 08:48 BPD Criteria: Feelings of Emptiness 09:07 BPD Criteria: Anger 09:41 BPD Criteria: Paranoia & Dissociation 09:55 Dissociation in Histrionic 10:25 HPD Criteria: Center of Attention 10:48 Distinguishing Attention (HPD) vs Attachment (BPD) 11:13 HPD Criteria: Inappropriate, Seductive Behavior 11:45 Histrionic Subtypes: Inhibited & Demonstrative 12:23 HPD Criteria: Rapidly Shifting & Shallow Emotions 13:06 HPD Criteria: Using Appearance for Attention 13:34 HPD Criteria: Impressionistic Speech 14:11 HPD Criteria: Dramatizing 14:39 HPD Criteria: Suggestibility 15:48 Attachment Needs in HPD vs BPD 17:01 How Do We Have 2 Overlapping DSM Diagnoses? 17:19 Psychodynamic’s Perspective: Borderline Organization vs Disorder 18:42 Hysteria as Axis I & BPD as Axis II 19:22 Dr. Theodore Millon’s Theory of BPD vs HPD 19:47 Borderline As A Defective Structure 21:06 Millon’s Passive-Active Polarity 21:21 Millon’s Self-Other Polarity 21:50 Interpersonally Imbalanced Spectra 23:46 Histrionics Actively Modify Environment 25:01 Borderline In Conflict with All Polarities 26:00 Histrionic vs Narcissistic Personality 27:00 Different Flavors of BPD 28:02 Summary and Ending

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Personality Couch Links 🛋️Website https://www.personalitycouch.com/

✍️Blog (& Podcast Episode References) https://www.personalitycouch.com/blog/histrionic-vs-borderline

📺Referenced Episode: The 3 Most Unstable Personalities | Schizotypal, Borderline, & Paranoid | Ep 44: https://youtu.be/0kaFDQSt6x4

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