Psychobabble

Most treatments for Borderline Personality Disorder focus on emotional dysregulation. The goal is to reduce distress, self-harm, anxiety, and crises. But that misses the mark.
In this episode, I argue that modern psychiatry has adopted a model of Borderline Personality Disorder that is incomplete. By focusing almost exclusively on suffering, it neglects the maladaptive strategies harm others.
I also examine the striking contrast between how psychiatry approaches Borderline Personality Disorder—predominantly diagnosed in women—and Antisocial Personality Disorder, diagnosed predominantly in men. Why do we define one disorder primarily by the patient's suffering and the other by the harm inflicted on others? And what has this double standard done to treatment?
In the second half of the episode I outline what I believe a more realistic treatment model would look like.
If you've ever wondered why Borderline Personality Disorder remains so difficult to treat, this episode offers a very different way of thinking about the problem.

What is the real difference between a psychopath, a sociopath, and antisocial personality disorder? In this episode, I respond to Dr. Ramani's claim that "psychopaths are born and sociopaths are made" and explain why that framing is far too simplistic. I also explain why cold psychopaths unsettle us so much and how antisocial personality disorder fits into this.

In this episode, I break down the red flags of narcissism in women and why female narcissism is often much harder to recognize than male narcissism. Women are taught from very early on to speak the language of empathy, compassion, healing, boundaries, emotional safety and self-awareness. But that does not necessarily mean the underlying personality is agreeable, sacrificial or kind. In many cases, the narcissism is simply cloaked differently.
 
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Postpartum depression is real, and in some cases it can be severe and even dangerous. Mothers who are struggling deserve compassion, support, and proper care. But what happens when a normal, difficult transition into motherhood increasingly becomes viewed through the lens of pathology?
In this episode, I explore the rise of postpartum depression as a cultural phenomenon, the expansion of screening and diagnosis, and whether we are sometimes pathologizing experiences that previous generations understood differently. I also examine the role of feminism, women's media, and modern therapeutic culture in shaping how women anticipate and experience motherhood.
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Chapters: 00:00 Coming Up 00:14 Motherhood as a Risk State 01:35 The Rise of Postpartum Depression 02:37 From Motherhood to Pathology 03:02 Screening Mothers Everywhere 04:16 The Baby Blues vs Postpartum Depression 05:03 What the Data Actually Shows 06:54 Why Diagnoses Feel Validating 07:49 Anticipating Illness and Self-Fulfilling Prophecies 08:24 How Women's Media Shapes Expectations 08:48 "Women's Magazines Don't Just Report It, They Stage It" 10:03 The Isolation of Modern Mothers 11:47 Does Feminism Really Care About Mothers? 12:35 Final Thoughts

Is feminism really a movement for equality or could it be something else entirely? Evolutionary psychologist Dr Dani Sulikowski joins me to discuss if feminism may be best understood as a form of intrasexual competition between women. Let me know what you think in the comments.
Follow Dr. Dani Sulikowski:
https://x.com/DrDaniS
 https://substack.com/@drdanis
CHAPTERS:
01:05 Feminism as a form of female competition 02:02 How feminism suppresses female reproductive success 03:07 The attack on attractiveness and femininity 04:22 Body positivity and competitive strategies 04:39 "Feminism was always intersexual competition" 05:05 Was feminism ever about motherhood? 06:09 Ancient Rome and declining birth rates 07:43 My challenge: is this really about resentment? 09:40 Why feminism targets desirable men 12:33 "It's not suicidal empathy, it's homicidal virtue signalling" 21:56 Feminist mothers and transing children 29:35 Activism, status, and moral superiority 32:32 Competitive strategies vs evolutionary adaptations 33:35 The attack on masculinity and femininity 39:15 Does this theory remove female agency? 58:30 Final reflections 01:00:32 "That wasn't the answer I was hoping for"