Uploaded June 2026 | Updated September 2026, 2 hours ago
The 48-minute extended split-screen version of these debriefs 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
The consult being discussed is here: youtu.be/7gNjm3PUwsE
1. Dr. Jacob's debrief, noting mainly Tiffany's tendency to people-please and "lose herself" so that she is left unknown to herself and others, as well as her low level of affect while recounting her narrative of the past.
2. Tiffany's debrief, w/ a focus on having a fear of not being believed and the anger around constantly having her diagnosis questioned in her life by armchair psychiatrists who see her as "high-functioning."
0:00 DR. JACOB'S DEBRIEF / What Dr. Jacob Listens for in a Session / Narratives
2:43 Tiffany's People-pleasing and then "Losing Herself"
3:56 Tiffany's Lack of Affect vs. Cognitive Understanding
6:42 Therapeutic Tactics to Connect to Feelings Under the Cognitions
9:30 TIFFANY'S DEBRIEF / Fear of Not Being Believed as Having BPD
12:04 Identifying as Having BPD / It's Not a Fashion Statement
15:34 Against "Armchair Psychiatry" / Having Her Diagnosis Questioned / Anger & Isolation
Dr. Jacob’s book “The Feelings Toolbox” is available at no-quam.com
The Suicide and Crisis Lifeline: 988
For resources about BPD: https://gundersonpdi.mclean.harvard.edu/psychoeducational-resources/
If you or someone you know is considering self-harm or suicide, it’s okay to ask for help. 24 hour support is provided by hopeline-nc.org (877.235.4525), suicidepreventionlifeline.org (800.273.8255), kidshelpphone.ca (800.668.6868).
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 48-minute extended split-screen version of these debriefs 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
The consult being discussed is here: youtu.be/7gNjm3PUwsE
1. Dr. Jacob's debrief, noting mainly Tiffany's tendency to people-please and "lose herself" so that she is left unknown to herself and others, as well as her low level of affect while recounting her narrative of the past.
2. Tiffany's debrief, w/ a focus on having a fear of not being believed and the anger around constantly having her diagnosis questioned in her life by armchair psychiatrists who see her as "high-functioning."
0:00 DR. JACOB'S DEBRIEF / What Dr. Jacob Listens for in a Session / Narratives
2:43 Tiffany's People-pleasing and then "Losing Herself"
3:56 Tiffany's Lack of Affect vs. Cognitive Understanding
6:42 Therapeutic Tactics to Connect to Feelings Under the Cognitions
9:30 TIFFANY'S DEBRIEF / Fear of Not Being Believed as Having BPD
12:04 Identifying as Having BPD / It's Not a Fashion Statement
15:34 Against "Armchair Psychiatry" / Having Her Diagnosis Questioned / Anger & Isolation
Dr. Jacob’s book “The Feelings Toolbox” is available at no-quam.com
The Suicide and Crisis Lifeline: 988
For resources about BPD: https://gundersonpdi.mclean.harvard.edu/psychoeducational-resources/
If you or someone you know is considering self-harm or suicide, it’s okay to ask for help. 24 hour support is provided by hopeline-nc.org (877.235.4525), suicidepreventionlifeline.org (800.273.8255), kidshelpphone.ca (800.668.6868).
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."
