She is extremely good in portraying a BPD patient.... Good acting👍🏼

More than anything, borderline is a war with the validity of your negative feelings. You can imagine how disregulated one can become when negative feelings are denied or seen as obstacles to life. Eventually, negative emotions arise in response to having negative emotions which are further denied. This leads down the rabbit hole to depression and emptiness.

Comedy is not out of place in DBT, TFP, or MBT. This was a very good session.

Such an empathetic, genuine therapist. Amazing!!!! Educated and caring. What a role model for an effective healer. Love how he uses humor and a non-judgemental stance with his clients.

I really like that he recognizes her feelings as valid experiences, and not as something wrong or evil. Because they are valid experiences. Emotions happen. And most of the time, they are perfectly understandable. I also like that he throws in some jokes from time to time. It makes the whole thing less heavy, and more human.

Good video. Therapy is not a cut and dry process. In truth therapy is difficult to conduct as it is to receive. Some many think Dr. Fruzzetti was not taking things seriously or joking too much, but this is his approach. When working with Borderline patients who have such serious emotions and situations, sometimes the seriousness needs to be deflated. As most therapists still today do not work with patients who are Borderline, I think he did a good job in the video.

This girl and the counselor are both AWESOME PEOPLE. Thank you for being so honest and straightforward.

Fruzetti did a two day training for the eating disorder treatment center at which I work. He's a master. Love the frequent and disarming alternations between validation and irreverence to keep the forward momentum.

I remember a psychiatrist / author responding to criticism of his use of a few zingers in his column in Psychology Today. He acknowledged that he was taking a small, calculated risk, but believed he needed to leave an impression with the patient to "make it stick" when he was encouraging them that their feelings of the moment were not immutable, inevitable, monolithic, etc. If you can laugh at your situation even a little, that reaction can be a step out of the overwhelm. Disproportionality of response, and a pervasive sense of daily catastrophe *are* the adversaries. Showing your faceless adversaries (overwhelming emotions) a little healthy disrespect means you think you can beat them. If your own overreactions can look funny for a second, they lose some of their ability to incite fear, dread, inevitability, etc.

Borderline personality is rooted in invalidation. Instead of saying "you look terrible," if he'd said "You look like you're really hurting today," this whole session could have gone differently.

I started crying 7 minutes in... I need this therapy and hope to help myself as much as I can till my insurance kicks in next year...

I wish this guy could help my daughter! I can see him truly helping her.

From a patients prospective, I would most likely give this Dr. a second chance but if he was the same on the second visit I would be rid of him. I personally find that once some one starts throwing out rapid fire yes, uh huh, o.k. etc... that their focus is not on me at all and they are feigning interest to appease me, not at all what I want in my Dr. this is what my Dr. does and I truly feel she listens and cares, eye contact and the occasional acknowledgement when appropriate. I know this was a dramatization and Dr. Fruzzetti may not do this all the time, I only mention it because it seems that most of the comments come from people in the field, perhaps gathering such suggestions from your clients would help them feel more comfortable, and as you know, an uncomfortable patient is much less willing to talk about their inner most thoughts. I am a vet and have had very little luck with care and doctors at the VA, so I consider myself quite fortunate to have Dr. Doyle and would recommend her to any vet in the Phoenix area.

The cameraman have some solid Parkinson tremors

What a disrespectful therapist! He seems sexist and obnoxious, calling someone 'kiddo' how patrionising, 'you look terrible'. She should leave therapy. He is confrontational and telling her what she is paying attention to. This type of 'therapy' can only retraumatise a person. He is being judgemental and how threatening it could feel for him to stand up all of a sudden and fix his clothes.

I liked how the Dr was distracting her from her own suicidal and negative thinking. He validated her feelings but needed to take the heaviness she was feeling towards herself. Blaming and shaming herself is causing her so much pain and hopefully, she is getting better each day.

I like this technique, cause the therapist try to make different feeling scenarios to one situation. He shows to her, that there is another alternatives not only get mat or destructiveness ...

The jokes are called irreverence. The idea is to bring her out of the funk she is getting stuck in and try and redirect her. Its a way of distracting her.

I am a support worker in mental health and this role play is a good example of how difficult it is to get a BDP to engage in here and now.

His personality is so adorable he reminds me of my doctor so much haha 💕

It's an old video but worth watch😁 complete absolute fulfilling therapy session of DBT& CBT

What a great counselor !!

Pretty enjoyable to watch...the comedy kinda helped to take the edge off a serious topic. I can see how and why this style of therapy is medium to long term.

If you need to increase your frustration tolerance for this video, check out Albert Ellis doing therapy. You ain't seen nothing yet.

Master class !

This laughing is awful. :'( Be quiet. LISTEN to the pain she is in. Respect it and validate it. THEN move forward in the session. THAT is how you create a relationship of trust. I really respect therapists who can work with people who experience such intense emotions. But the moment this man called me kiddo, I'd be out.

I think he chose an less dignified opening approach bc of her exposure to multiple other therapists. She's seen all the textbook methods already. He was able to reach her. I think it really worked for this situation. Of couse it wouldn't for every situation

I can't imagine putting myself in a position to become vulnerable to a therapist and then experiencing them fire me, over and over. I'd rather never go to therapy bc being fired multiple times, that would make everything so much worse. I'd feel guilty of wasting someone's time and I'd feel ashamed for even feeling like I was deserving of help to begin with.

This guy takes the cake for delegitimizing the trauma of losing 5 therapists and then tells her “You haven’t lost me YET”. Wow. Not fit.

Dr. Fruzzetti comes off as pompous, argumentative, and totally demeaning. 0/10

Rough. And awkward that the audience is laughing (at someone with intense suicidal thoughts).

Wasnt this scripted, I mean it severely bothered me for a bit until i realized it is an attempt to demonstrate client/therapist BL issues, the audience laughter was so so very distressing at first then I reached that conclusion quickly.

Excellent video ✅

I'd have given my therapist soooo much shit for trying to crack as many jokes as this guy, this isn't the time to test your stand up comedy skills, that isn't what we pay your extortionate prices for.

What a waste of time. I get that they are role playing, but the way he speaks to her is so out of line. He's very sarcastic and antagonizing. The audience laughing ruins the video even more.

I don't find this funny, I find it condescending and it makes a mockery of treatment. He starts off being rude, insensitive and his tone is awful. He starts by goading her for a reaction. The exploration of the dynamics between her and John however, was handelled well. What it does illustrate and reinforce, is the countless times I've heard academics talk about how people with BPD are viewed by therapists in the main.

yes is this an actress, could there be more information about this clip, so that I am not sitting in disbelief thinking this man is totally insensitive. ?

I have BPD, and this comes across more like farce than therapy. Is this meant to be informative or entertaining.

I dont understand...is this scripted to show the audience how a session is or is this a TRUE session in front of a class of strangers?

brilliant. his irreverence works.

I found that the way he started off was condescending to her obvious distress. "You look awful"..(.wow)...(like whoopsie! Me bad!). Then goes on to say he didn't mean it like that and "that's what I tell my wife all the time"...like, wuh?? Think if I were the patient, I would have left the room. This is serious business--there's nothing humorous about a therapist (accidentally) making light of a patient's pain. Perhaps he just slipped up with the script but when he continued to joke about it, I stopped the video... (please see my next comment--after watching the video in full, I gained a more solid understanding of his approach)

kiddo?

To me it seems like his approach works with her. For me, the pace of the conversation would be too fast and while I do benefit from humor, I think his style would be too provocative. Furthermore, I need time to talk and think without the therapist interjecting and making assumptions.

yikes - is this an actress or a real patient? The patient begins stating "that was really mean!" The therapist makes references to his wife, and refers to the patient as "kiddo". Is this a joke?

I know that people with BPD go through a lot of emotional pain. I do feel sorry for them; nevertheless, i am really glad that it is not my job to take care of them. You have to have skin of steel to steel with such inter-personally destructive behavior.

I thought this was quite helpful!

One thing I have learned in dealing with clients that have BPD, is NOT to try to help them over the phone!

This was a personal attack. Almost saw myself in her

Laurabeth, why should you not treat a borderline client over the phone?

i really need to do something about my boderlined personality disorder. do i need to be locked away from everyone or do i need to get etc? I don't know how my current boyfriend is going to tolerate this illness.

Laughing is unsettling

Is this a real session

Whoever was in charge of the camera needed to get fired. You're horrible at what you do. Regardless, this dr is amazing, great work! 😊

Is this an act?

Nope

is she ACTING she has BPD? Why not have someone who actually has it?

Actor or no actor... dude seems out of his depth.

guys, she's an actress; calm down lol

Really sad that the audience seem to laugh as though this is some form of entertainment.

I Can't watch this! Are you fucking kidding me