Uploaded March 2021 | Updated September 2026, 11 hours ago
Dr. Karen Jacob uses a debrief of her interview with a BPD-diagnosed client as a jumping off point for a more general discussion about therapy.
You can find Part 1 (the session) here: youtu.be/MpMHl4Hby0I
And Part 2 (debrief with client) here: youtu.be/jMmN39uCbMY
Topics include: first session strategy, validation, substance use, avoidance, self conflict, motivation for change, readiness for therapy, the pain of therapy, therapist/client match, the Working Alliance Inventory, behavioral change timelines, assessing the effectiveness of therapy, what makes a good Borderline Personality Disorder therapist, difficulties for a therapist treating BPD, and why treating BPD is fulfilling for the therapist.
Dr. Jacob’s book “The Feelings Toolbox” will be out soon — you can pre-order it on her site: no-quam.com
This video is part of a series of sessions with therapists who work with Borderline Personality Disorder. Playlist of all videos to date is here: youtube.com/playlist?list=PL_L7KEOxOeQ8OaaXJj_Zod63R8_vc9GE6
For more related material, see John Gunderson’s videos: youtube.com/playlist?list=PL_L7KEOxOeQ-fgpNYcWPPiXEHWlXkcyN4
And Mary Zanarini's videos: youtube.com/playlist?list=PL_L7KEOxOeQ9FxZZkBi3SbCt-RHF-eKTz
Dr. Jacob is at the forefront of treatment for people with BPD, including those who experience co-occurring psychiatric conditions such as substance use, eating disorders, depression, or anxiety. Her short bio:
"Karen L. Jacob, PhD, is an expert treater of those with BPD, a Program Director for a Borderline Personality Disorder Treatment Program, and an Instructor of Psychology. She received her PhD in clinical psychology from Clark University and completed her post-doctoral training at Cambridge Health Alliance at Harvard Medical School. Her clinical training has been primarily in cognitive behavior therapy (CBT) for patients struggling with mood, anxiety, and personality disorders, as well as in mindfulness, mentalization, dialectical behavior, and biofeedback therapies.
Dr. Jacob has an extensive research training background, having studied topics including diabetes, adoption, attachment, panic disorder, and psychotherapy outcomes. She has authored numerous papers and presentations and was honored with the Hiatt Scholarship. Her current research interests include understanding the effectiveness of empirically-supported treatments in clinical contexts and in elucidating mechanisms of change in treatment. Dr. Jacob has a particular interest in understanding the relative impact of different components of treatment on outcome, as measured by both symptom and functional improvement."
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For more information about BORDERLINE, the feature-length documentary we made about BPD, please visit: borderlinethefilm.com
Our archive of videos on mental health is expanding - be sure to subscribe to our channel here: youtube.com/borderlinernotes
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 for any damages, loss, injury, or liability whatsoever suffering as a result of reliance on the information in this publication. 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).”
Dr. Karen Jacob uses a debrief of her interview with a BPD-diagnosed client as a jumping off point for a more general discussion about therapy.
You can find Part 1 (the session) here: youtu.be/MpMHl4Hby0I
And Part 2 (debrief with client) here: youtu.be/jMmN39uCbMY
Topics include: first session strategy, validation, substance use, avoidance, self conflict, motivation for change, readiness for therapy, the pain of therapy, therapist/client match, the Working Alliance Inventory, behavioral change timelines, assessing the effectiveness of therapy, what makes a good Borderline Personality Disorder therapist, difficulties for a therapist treating BPD, and why treating BPD is fulfilling for the therapist.
Dr. Jacob’s book “The Feelings Toolbox” will be out soon — you can pre-order it on her site: no-quam.com
This video is part of a series of sessions with therapists who work with Borderline Personality Disorder. Playlist of all videos to date is here: youtube.com/playlist?list=PL_L7KEOxOeQ8OaaXJj_Zod63R8_vc9GE6
For more related material, see John Gunderson’s videos: youtube.com/playlist?list=PL_L7KEOxOeQ-fgpNYcWPPiXEHWlXkcyN4
And Mary Zanarini's videos: youtube.com/playlist?list=PL_L7KEOxOeQ9FxZZkBi3SbCt-RHF-eKTz
Dr. Jacob is at the forefront of treatment for people with BPD, including those who experience co-occurring psychiatric conditions such as substance use, eating disorders, depression, or anxiety. Her short bio:
"Karen L. Jacob, PhD, is an expert treater of those with BPD, a Program Director for a Borderline Personality Disorder Treatment Program, and an Instructor of Psychology. She received her PhD in clinical psychology from Clark University and completed her post-doctoral training at Cambridge Health Alliance at Harvard Medical School. Her clinical training has been primarily in cognitive behavior therapy (CBT) for patients struggling with mood, anxiety, and personality disorders, as well as in mindfulness, mentalization, dialectical behavior, and biofeedback therapies.
Dr. Jacob has an extensive research training background, having studied topics including diabetes, adoption, attachment, panic disorder, and psychotherapy outcomes. She has authored numerous papers and presentations and was honored with the Hiatt Scholarship. Her current research interests include understanding the effectiveness of empirically-supported treatments in clinical contexts and in elucidating mechanisms of change in treatment. Dr. Jacob has a particular interest in understanding the relative impact of different components of treatment on outcome, as measured by both symptom and functional improvement."
-----------------------------
For more information about BORDERLINE, the feature-length documentary we made about BPD, please visit: borderlinethefilm.com
Our archive of videos on mental health is expanding - be sure to subscribe to our channel here: youtube.com/borderlinernotes
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 for any damages, loss, injury, or liability whatsoever suffering as a result of reliance on the information in this publication. 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).”
