In this episode, Dustin Oliver sits down with Karley, a therapist who specializes in treating Borderline Personality Disorder (BPD) and co-occurring substance use disorders. Together, they explore the complex relationship between emotional dysregulation, trauma, and addiction, highlighting how Dialectical Behavior Therapy (DBT) offers hope and structure for individuals navigating these challenges.

Karley shares her journey into the counseling field, the realities of working with high-acuity clients, and the importance of compassion and boundaries in clinical work. This conversation offers valuable insights for therapists, students, and anyone curious about the inner world of BPD, the path to recovery, and how therapy can help rebuild lives.

Connect with Karley Chickness

https://systemstherapy.org/

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Episode Guide & Chapters:

00:00 Introduction to Borderline Personality Disorder

03:02 Karley's Background and Journey into Counseling

05:55 Early Career Experiences and Specializations

08:35 Understanding Substance Use and Co-occurring Conditions

11:26 The Role of Trauma in Mental Health

14:17 Defining Borderline Personality Disorder

17:24 Dialectical Behavior Therapy Explained

20:17 The Impact of Trauma on BPD

22:35 Emotional Dysregulation in BPD

23:34 Understanding Emotional Intensity in BPD

26:15 The Role of DBT in Treatment

29:36 Modeling Secure Relationships

34:25 Active Passivity and Communication Challenges

35:05 Substance Use and BPD Treatment

38:47 Assessing Risks and Treatment Approaches

42:30 Internal Experience of BPD

44:37 Challenges in Treating BPD

47:15 Success Stories in BPD Recovery

50:06 Reflections on Being a Therapist

Created and Produced by Dustin Oliver