Borderline vs Complex PTSD (Deep Dive) (2017 Rerun)
Psychology In Seattle Podcast
Kirk Honda
4.5 • 1.3K Ratings
🗓️ 2 April 2026
⏱️ 3 minutes
🧾️ Download transcript
Summary
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Transcript
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| 0:00.0 | So, Bob, today I want to talk about the difference between complex post-traumatic stress disorder |
| 0:12.5 | and borderline personality disorder. |
| 0:16.2 | There's a lot of debate in the literature and among clinicians about whether or not they're even different |
| 0:24.0 | things or if they are in fact different. Complex PTSD and borderline personality disorder. |
| 0:31.1 | The reason why I want to talk with you about it, Bob, is for two reasons. One, is that you |
| 0:37.2 | specialize in the |
| 0:38.2 | treatment of people with borderline, and I'm guessing you've come across a lot of people |
| 0:42.1 | who also have complex PTSD. Is that true? I think we're getting right into the debate. Are they |
| 0:47.8 | one and the same? Well, you've, you've, the issue is, is you've treated a lot of people with |
| 0:52.2 | borderline. Yes. And the other reason is because patron Natasha wrote in and she said, what is the difference |
| 1:00.2 | between borderline personality disorder and complex PTSD? |
| 1:04.0 | I have several clients who have experienced attachment-related trauma and also experienced |
| 1:09.3 | traumatic events later in life. They tend to have |
| 1:12.0 | issues with trust. They are fearful of being betrayed, and they tend to interpret others as being |
| 1:17.7 | critical or rejecting. They have high levels of internalized self-directed anger. They are |
| 1:23.5 | extremely self-critical. They have black and white thinking styles about themselves and other |
| 1:27.9 | people. I am currently working with borderline personality sorter and complex PTSD clients in a similar |
| 1:34.3 | way. But I'm trying to work out whether it would be helpful to distinguish these diagnoses, |
| 1:39.3 | since they seem to be pretty similar. So that's what I want to talk about today with you, Bob, because you're |
| 1:46.5 | an expert in this field, and the listeners will benefit from your expertise. Welcome to the |
| 1:53.7 | Psychology in Seattle podcast. I'm your host, Dr. Kirkonda. I'm a therapist and a professor. Who are you, Bob? |
| 2:00.6 | I'm Bob Gettle. I'm a therapist, a friend of yours from graduate school way back when, and I practice here in Seattle. |
... |
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