Uploaded June 2026 | Updated September 2026, 23 hours ago
The (2hr 8min long) full interview w/ Dr. Jacob (which includes this topic as well as teaching emotion regulation) is available for Tier 2 channel members.
Become a member here: youtube.com/borderlinernotes/join
Dr. Karen Jacob discusses Narcissistic Personality Disorder (NPD) and Borderline Personality Disorder (BPD) as a clinical psychologist who runs The Gunderson Residence, a residential treatment program for personality disorders. How to diagnose NPD, why narcissism is on the rise, possible treatments (MBT/TFP).
Dr. Jacob’s book “The Feelings Toolbox” is available at no-quam.com
00:00 Tease / Intro
02:20 The Continuum of Personality Disorders / Overlapping ASPD, Malignant Narcissism, Narcissism, BPD / Social Media Influence / Missed Diagnosis
08:58 Diagnosing NPD / Self-worth / External Factors / Standards / NPD Causes / Severity & Impairment
16:57 NPD vs BPD / How Do They Feel Different To The Therapist? / Not Feeling Loveable
24:39 Bringing Your True Self To The Therapy (as a Therapist) / Do You Need to Like or Love Who You're Treating?
29:07 What's The Most Important Factor For Improvement?
32:27 Self-Assessment and Getting Help / TFP vs MBT / PDs Are Not a Death Sentence
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 (2hr 8min long) full interview w/ Dr. Jacob (which includes this topic as well as teaching emotion regulation) is available for Tier 2 channel members.
Become a member here: youtube.com/borderlinernotes/join
Dr. Karen Jacob discusses Narcissistic Personality Disorder (NPD) and Borderline Personality Disorder (BPD) as a clinical psychologist who runs The Gunderson Residence, a residential treatment program for personality disorders. How to diagnose NPD, why narcissism is on the rise, possible treatments (MBT/TFP).
Dr. Jacob’s book “The Feelings Toolbox” is available at no-quam.com
00:00 Tease / Intro
02:20 The Continuum of Personality Disorders / Overlapping ASPD, Malignant Narcissism, Narcissism, BPD / Social Media Influence / Missed Diagnosis
08:58 Diagnosing NPD / Self-worth / External Factors / Standards / NPD Causes / Severity & Impairment
16:57 NPD vs BPD / How Do They Feel Different To The Therapist? / Not Feeling Loveable
24:39 Bringing Your True Self To The Therapy (as a Therapist) / Do You Need to Like or Love Who You're Treating?
29:07 What's The Most Important Factor For Improvement?
32:27 Self-Assessment and Getting Help / TFP vs MBT / PDs Are Not a Death Sentence
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."
