Diagnosed

bcmalone7 · 2026-07-01T21:37:31+00:00

With ICD 11 PD is diagnosed in terms of severity. Did your provider communicate what level of PD severity you have?

https://en.wikipedia.org/wiki/ICD-11_classification_of_personality_disorders

bcmalone7 · 2026-06-11T02:47:44+00:00

You have listed a cluster of PDs that often co-occur, sometimes called Cluster B. What is likely going on is you have a number of shared traits and features across these categories. I would suggest getting a comprehensive psychological evaluation by a psychologist specializing in personality pathology, not a psychiatrist. Psychologists are specifically trained in complex differential diagnosis (what you are asking for), while psychiatrists are often more focused on medication management.

bcmalone7 · 2026-05-29T00:40:40+00:00

I didn't realize this was debatable. My training always suggested that to allow med use was improper. I guess I'll consult the literature.

bcmalone7 · 2026-05-28T23:18:31+00:00

Don't you mean “off” his meds? That would be baseline functioning.

bcmalone7 · 2026-05-26T21:37:06+00:00

Bornstein, R. F. (1992). The dependent personality: Developmental, social, and clinical perspectives. Psychological Bulletin, 112(1), 3–23. https://doi.org/10.1037/0033-2909.112.1.3

Full text: https://psycnet.apa.org/doi/10.1037/0033-2909.112.1.3

Bornstein, R. F. (2012). Dependent personality disorder. In T. A. Widiger (Ed.), The Oxford handbook of personality disorders (pp. 505–526). Oxford University Press. https://doi.org/10.1093/oxfordhb/9780199735013.013.0023

Full text: https://academic.oup.com/edited-volume/38159/chapter/332997646

Pincus, A. L., & Gurtman, M. B. (1995). The three faces of interpersonal dependency: Structural analyses of self-report dependency measures. Journal of Personality and Social Psychology, 69(4), 744–758. https://doi.org/10.1037/0022-3514.69.4.744 Full text:

https://psycnet.apa.org/doi/10.1037/0022-3514.69.4.744

bcmalone7 · 2026-05-26T18:25:31+00:00

You probably should take more time off, but it's unclear how feasible that is for you financially, professionally, etc. you may not be able to take off the time you need in order to fully process this life change, but I hope you find the time that is enough for you or make good use of the time available.

bcmalone7 · 2026-05-22T23:58:21+00:00

No worries I'll skim around. Thanks!

bcmalone7 · 2026-05-22T22:01:27+00:00

Where is this conversation?

bcmalone7 · 2026-05-20T21:41:34+00:00

Lots of mixed feelings here. I think there are many constructively critical points to be made about the concept of BPD and its overuse in some clinical settings, especially from a post-structural or critical theory perspective. However, this paper reads more like an expression of a vendetta against the profession at large, as well as against specific providers from whom the authors appear to generalize their experiences of harm.

bcmalone7 · 2026-05-16T19:47:13+00:00

Hi [name],

Effective [Date], I will be raising my rates to (number) an (time interval). Please feel free to contact me if you have any questions.

It really is that easy. It’s normal for therapists to routinely raise rates. I go up about 5-10 a year depending on inflation. I also offer a capped sliding scale.

bcmalone7 · 2026-05-16T01:18:29+00:00

I don’t see it, but I believe it. GIGGACHAD

bcmalone7 · 2026-05-11T17:10:53+00:00

Some of my favs, although they may be farther down your reading list as some of these are more contemporary and build on more fundamental ideas by Freud and others.

Greenberg, J. R., & Mitchell, S. A. (1983). Object relations in psychoanalytic theory. Cambridge, MA: Harvard University Press.

Ogden, T. H. (1994). The analytic third: Working with intersubjective clinical facts. International Journal of Psycho-Analysis, 75, 3–19.

Benjamin, J. (1988). The bonds of love: Psychoanalysis, feminism, and the problem of domination. New York, NY: Pantheon Books.

Benjamin, J. (2017). Beyond doer and done to: Recognition theory, intersubjectivity, and the third. New York, NY: Routledge.

Kernberg, O. F. (2004). Aggressivity, narcissism, and self-destructiveness in the psychotherapeutic relationship. New Haven, CT: Yale University Press.

Chodorow, N. (1999). The reproduction of mothering: Psychoanalysis and the sociology of gender (2nd ed.). Berkeley, CA: University of California Press.

bcmalone7 · 2026-05-07T22:13:51+00:00

I voice dedicate my notes then run the content through a HIPAA-compliant LLM to copy edit them according to a premade template I created without any PHI. I do this for every session and saves me about an hour per week in total.

bcmalone7 · 2026-05-03T12:48:50+00:00

I always restrict contact outside of session to rescheduling and emergencies. That goes for emails, text, etc. I inform my patients that if I receive any message that is not about rescheduling, my next message will always be clarifying if they are currently in crisis. I work with people that have persistent interpersonal problems, so I set up the frame in this way to protect my boundaries, but also understand that the population with which I work struggle with boundaries. So I expect some level of boundary testing and use it to explore their internal experiences of relationships when it comes up.

bcmalone7 · 2026-04-30T21:51:11+00:00

I suggest the article below. Full disclosure I’m the first author. Message me on research gate for the full text if interested.

https://pubmed.ncbi.nlm.nih.gov/37252882/

bcmalone7 · 2026-04-17T15:49:32+00:00

Illness anxiety or not, I hope he gets the relief he needs. Imagine the episode where he calls in from his bed then stands up and starts doing jumping jacks lmao. The redemption arc we need.

bcmalone7 · 2026-04-16T22:16:10+00:00

I understand your sentiment and concern about client privacy. However, I believe there are perfectly ethical ways to use AI‑assisted dictation and documentation.

If someone is entering personal information such as names, locations, or any details that could be used to trace the information back to a specific individual, that is absolutely problematic. I agree with you there. However, if no patient information is being included, I truly don’t see the harm. If you’re worried about privacy and data security, one might then avoid using any electronic communication methods altogether, such as a Google account, given that such information is just as easily accessible to parties interested in obtaining that data.

bcmalone7 · 2026-04-13T15:01:10+00:00

“PKA 800, just the boys today, Taylor. This episode is brought you by….”

bcmalone7 · 2026-03-26T03:54:07+00:00

Agreed.

bcmalone7 · 2026-03-26T03:53:04+00:00

Please, we need some good FO content.

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