Being Well with Forrest Hanson and Dr. Rick Hanson8 Dec 2025

Borderline Personality: DBT and Working with Self-Hatred with Dr. Blaise Aguirre

Forrest is joined by psychiatrist Dr. Blaise Aguirre to discuss Borderline Personality Disorder (BPD) and Dialectical Behavioral Therapy (DBT). They explore how extreme emotional sensitivity can lead to despair, self-hatred, suicidality, and an intense fear of abandonment, and how DBT can teach the skills needed to regulate those feelings. They discuss the nature of self-hatred, how to change the stories you’ve told about yourself, and how their insight and empathy can make people with BPD some of his favorite clients to work with. About our Guest: Dr. Blaise Aguirre is the medical director of 3East at McLean Hospital, a residential DBT program for adolescents and young adults, and is an assistant professor of psychiatry at Harvard Medical School. He’s also the co-author of a number of books including DBT for Dummies, and the author of I Hate Myself: Overcome Self-Loathing and Realize Why You're Wrong About You. Key Topics: 0:00: Introduction 4:05: Common features of BPD 15:16: Skill-building versus narrative work in therapy 22:10: What DBT looks like in practice 27:02: DBT skills: mindfulness, dialectic thinking, and opposite action 33:43: How to shift self-hatred 49:22: Stigmatization of BPD 53:25: BPD versus CPTSD 58:52: Recap Support the Podcast: We're on Patreon! If you'd like to support the podcast, follow this link. Sponsors Listen to Turning Points: Navigating Mental Health wherever you get your podcasts. Follow the show so you never miss an episode. Level up your bedding with Quince. Go to Quince.com/BEINGWELL for free shipping on your order and three hundred and sixty-five -day returns. If you are exploring whether you might be neurodivergent, check out Hyperfocus with Rae Jacobson. Skylight is offering our listeners $20 off their 10 inch Skylight Frame by going to myskylight.com/BEINGWELL. Go to Zocdoc.com/BEING to find and instantly book a top-rated doctor today. Sign up for a one-dollar-per-month trial period at shopify.com/beingwell. Learn more about your ad choices. Visit megaphone.fm/adchoices

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The Psychology of Manipulation: How to Become Manipulation Resistant

Dr. Rick and Forrest explore how to become more resistant to manipulation, discussing terms like gaslighting, DARVO, and love bombing. They talk about why cynicism doesn’t make you immune to manipulat...

17 Aug 1h 10min

What’s The Problem With Therapy Speak? August Mailbag

Terms like boundaries, gaslighting, triggers, trauma, and attachment are everywhere now. Dr. Rick and Forrest answer a listener question about the consequences - good and bad - of clinical language es...

10 Aug 1h 1min

Burnout: A Practical Guide for Normal People

Dr. Rick and Forrest explore burnout: what it is, why it’s so common, and what people can do about it. They begin by framing burnout as largely a structural problem that individuals are forced to mana...

3 Aug 1h 15min

The Grieving Body: How to Heal After Loss with Dr. Mary-Frances O'Connor

We all understand the emotional impact of grief, but its effects on the body are often overlooked. Forrest is joined by clinical psychologist and researcher Dr. Mary-Frances O’Connor to explore the ph...

27 Juli 1h 28min

Healing from Parentification: When the “Gifted Child” Grows Up

Some kids learn early on that the way to be loved is to be useful. They take on the emotional or practical care of their parents in a process known as parentification, and today Dr. Rick and Forrest e...

20 Juli 1h 15min

Understanding Dissociation and DID: What It's Really Like, and How People Recover w/ Dr. Milissa Kaufman and Dr. Lauren Lebois

Most of what people know about Dissociative Identity Disorder (DID) comes from movies and short videos, and those media portrayals often have little to do with what DID is actually like. To get the re...

13 Juli 1h 26min

From Insight to Action: How to Face the Fear You Keep Avoiding

Dr. Rick and Forrest continue last week’s conversation on avoidance coping, this time focusing on how to move from insight into meaningful action. They explore why self-awareness often isn’t enough to...

6 Juli 1h 15min

Breaking the Avoidance Loop: Why You Keep Repeating the Same Patterns

We all have patterns we can see clearly…and still can't seem to stop. Dr. Rick and Forrest explore how avoidance fuels these patterns, and how we can break the avoidance loop by updating our expectati...

29 Juni 1h 7min