Uploaded August 2026 | Updated September 2026, 2 hours ago
The 53-minute extended split-screen version of this consult is available for Tier 2 channel members and at the shop, along with the other PD Project material: shop.mndflds.com/products
Become a member here: youtube.com/borderlinernotes/join
**This is a consultation/conversation. The two participants are not in therapy together and there is no patient-doctor relationship.**
Psych interview / first meeting between Jacob (dx'd w/ NPD) and expert clinician Dr. Ruth Lewis. Focus on Jacob's total self-reliance vs. seeking help from others and taking advantage of a good therapeutic relationship. Touching on Jacob's family and life history, emotional detachment, resilience, neglect, therapy as a safe, reliable space, sadness, distance in relationships, being alone with vulnerability, substance use, and commitment to therapy.
0:00 Intro / Current Therapist Situation
1:47 Family Background / Life History
5:54 Not Wanting Pity / Resilience
8:16 Inability to Open Up / Shame / Emotional Detachment
11:16 The Power of Therapy -- Developing Emotional Muscle / Insight
15:12 Therapy Is a Second Chance at a Safe, Reliable Place
18:38 Utter Self-Reliance / Arms-Length Relationships
23:42 Discomfort in Therapy / Sadness
26:52 Love Relationships / Infidelity / Male Vulnerability
31:16 Jacob's Current Therapy / Substance Use
34:10 Outro / Everyone Deserves Security and Help
SAMHSA’s National Helpline:
If you or someone you know is dealing with substance misuse or mental illness, call 1-800-662-4357 for free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.
Disclaimer: "Please be advised this video may contain sensitive information. All content found within this publication (VIDEO) is provided for informational purposes only. All cases may differ, and the information provided is a general guide. The content is not intended to be used as a substitute for medical advice, diagnosis, or treatment. If you have specific questions about a medical condition, you should consult your doctor or other qualified medical professional for assistance or questions you have regarding a medical condition. Studio Comma The, LLC and BorderlinerNotes does not recommend any specific course of medical remedy, physicians, products, opinion, or other information. Studio Comma The, LLC and BorderlinerNotes expressly disclaims responsibility and shall have no liability whatsoever for any damages, loss, injury, or suffering as a result of reliance on the information in this publication."
The 53-minute extended split-screen version of this consult is available for Tier 2 channel members and at the shop, along with the other PD Project material: shop.mndflds.com/products
Become a member here: youtube.com/borderlinernotes/join
**This is a consultation/conversation. The two participants are not in therapy together and there is no patient-doctor relationship.**
Psych interview / first meeting between Jacob (dx'd w/ NPD) and expert clinician Dr. Ruth Lewis. Focus on Jacob's total self-reliance vs. seeking help from others and taking advantage of a good therapeutic relationship. Touching on Jacob's family and life history, emotional detachment, resilience, neglect, therapy as a safe, reliable space, sadness, distance in relationships, being alone with vulnerability, substance use, and commitment to therapy.
0:00 Intro / Current Therapist Situation
1:47 Family Background / Life History
5:54 Not Wanting Pity / Resilience
8:16 Inability to Open Up / Shame / Emotional Detachment
11:16 The Power of Therapy -- Developing Emotional Muscle / Insight
15:12 Therapy Is a Second Chance at a Safe, Reliable Place
18:38 Utter Self-Reliance / Arms-Length Relationships
23:42 Discomfort in Therapy / Sadness
26:52 Love Relationships / Infidelity / Male Vulnerability
31:16 Jacob's Current Therapy / Substance Use
34:10 Outro / Everyone Deserves Security and Help
SAMHSA’s National Helpline:
If you or someone you know is dealing with substance misuse or mental illness, call 1-800-662-4357 for free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.
Disclaimer: "Please be advised this video may contain sensitive information. All content found within this publication (VIDEO) is provided for informational purposes only. All cases may differ, and the information provided is a general guide. The content is not intended to be used as a substitute for medical advice, diagnosis, or treatment. If you have specific questions about a medical condition, you should consult your doctor or other qualified medical professional for assistance or questions you have regarding a medical condition. Studio Comma The, LLC and BorderlinerNotes does not recommend any specific course of medical remedy, physicians, products, opinion, or other information. Studio Comma The, LLC and BorderlinerNotes expressly disclaims responsibility and shall have no liability whatsoever for any damages, loss, injury, or suffering as a result of reliance on the information in this publication."
