Uploaded December 2025 | Updated September 2026, 1 week ago
I’m joined by psychiatrist Dr. Blaise Aguirre to talk about Borderline Personality Disorder (BPD) and Dialectical Behavioral Therapy (DBT). We discuss how extreme emotional sensitivity can lead to despair, self-hatred, suicidality, and an intense fear of abandonment, and how DBT can teach the skills needed to regulate those feelings. We also talk about the nature of self-hatred, how to change the stories you’ve told about yourself, and how their insight and empathy can make people with BPD some of his favorite clients to work with.
Key Topics:
0:00 Introduction
4:05 Common features of BPD
15:16 Skill-building versus narrative work in therapy
22:10 What DBT looks like in practice
27:02 DBT skills: mindfulness, dialectic thinking, and opposite action
33:43 How to shift self-hatred
49:22 Stigmatization of BPD
53:25 BPD versus CPTSD
58:52 Recap
Subscribe to Being Well on:
Apple Podcasts: podcasts.apple.com/us/podcast/being-well-with-dr-rick-hanson/id1120885936
Spotify: open.spotify.com/show/5d87ZU1XY0fpdYNSEwXLVQ
Who Am I: I'm Forrest, the co-author of Resilient (amzn.to/3iXLerD) and host of the Being Well Podcast (apple.co/38ufGG0). I'm making videos focused on simplifying psychology, mental health, and personal growth.
Subscribe to Rick on YouTube: youtube.com/@RickHanson?sub_confirmation=1
Get Rick's Free Newsletters: rickhanson.com/writings/newsletters-from-dr-rick-hanson
Follow Rick Here:
🌍 rickhanson.com
📸 instagram.com/rickhansonphd
I'm not a clinician, and what I say on this channel should not be taken as medical advice.
You can follow me here:
🎤 apple.co/38ufGG0
🌍 forresthanson.com
📸 instagram.com/f.hanson
I’m joined by psychiatrist Dr. Blaise Aguirre to talk about Borderline Personality Disorder (BPD) and Dialectical Behavioral Therapy (DBT). We discuss how extreme emotional sensitivity can lead to despair, self-hatred, suicidality, and an intense fear of abandonment, and how DBT can teach the skills needed to regulate those feelings. We also talk about the nature of self-hatred, how to change the stories you’ve told about yourself, and how their insight and empathy can make people with BPD some of his favorite clients to work with.
Key Topics:
0:00 Introduction
4:05 Common features of BPD
15:16 Skill-building versus narrative work in therapy
22:10 What DBT looks like in practice
27:02 DBT skills: mindfulness, dialectic thinking, and opposite action
33:43 How to shift self-hatred
49:22 Stigmatization of BPD
53:25 BPD versus CPTSD
58:52 Recap
Subscribe to Being Well on:
Apple Podcasts: podcasts.apple.com/us/podcast/being-well-with-dr-rick-hanson/id1120885936
Spotify: open.spotify.com/show/5d87ZU1XY0fpdYNSEwXLVQ
Who Am I: I'm Forrest, the co-author of Resilient (amzn.to/3iXLerD) and host of the Being Well Podcast (apple.co/38ufGG0). I'm making videos focused on simplifying psychology, mental health, and personal growth.
Subscribe to Rick on YouTube: youtube.com/@RickHanson?sub_confirmation=1
Get Rick's Free Newsletters: rickhanson.com/writings/newsletters-from-dr-rick-hanson
Follow Rick Here:
🌍 rickhanson.com
📸 instagram.com/rickhansonphd
I'm not a clinician, and what I say on this channel should not be taken as medical advice.
You can follow me here:
🎤 apple.co/38ufGG0
🌍 forresthanson.com
📸 instagram.com/f.hanson
