Q. Naturally I have BPD otherwise I wouldn't be sending this question(s) to you. I do not find my therapist very therapeutic in that our sessions are more like a "chit-chatty wrap session" a catch-up, of sorts between two people that only see each other occasionally. He agrees that I am BPD (a former therapist diagnosis, four maybe five years ago) additionally, claims to have experience with clients diagnosed this. (By the way he is a Ph.D.) I found him, or got his name from a former work associate, they are colleagues. Their professional liaison provides my therapist with a unique perspective into what goes on in my workplace (public school district). I continue to go to him because I know that he has this unique perspective and validates my reactions to the stress AND because he will write me an excuse for leave anytime I feel it is getting to be too much (again, he knows from his colleague that the stressors are real). While we do no actual real therapy having this safety net has truly helped my both subconsciously and unconsciously. I would benefit more from a different therapist I am sure but can't seem to let go of that safety net. Is that manipulation?, or do you consider this a sort of survival tactic that I have set up for myself? Recovery then seeming to be all my responsibility - without any help or guidance or strategies being given offered or whatever. I will add that, a lacking of truth, or maybe trust is a better word, subsequently exists as a result of this lacking in a therapeutic relationship. Naturally for me anyway, and probably for him as well.

A. What your therapist is performing is likely "supportive psychotherapy" - and it appears it has helped you a great deal.

In my experience, psychotherapy is rarely successful until the medications are right. I cannot possibly overstate this. It's like doing physical therapy on a damaged knee that needs surgery. It can help with some things, but the recovery will not be good until surgery is successful. The same holds true for the BPD and psychotherapy by having the patient on the correct medications first.

Please be careful of your language. You wouldn't describe yourself as a ruptured knee ligament. You wrote "I am BPD" - which you are not. You probably HAVE the BPD. It's not a minor point. You are not an illness.

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