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Back from the Abyss: Psychiatry in Stories

The Delta Flight Attendant-- BPD and psychotherapy

Back from the Abyss: Psychiatry in Stories

Craig Heacock MD

Psychiatry, Bipolar, Suicide, Depression, Ketamine, Psychotherapy, Science, Psychedelics, Health & Fitness, Addiction, Medicine, Psychology, Mental Health

4.8452 Ratings

🗓️ 6 October 2019

⏱️ 52 minutes

🧾️ Download transcript

Summary

In psychotherapy, it’s the relationship itself that heals. In this episode of BFTA, Dr. H and his patient Jasmine explore their always complicated, often humorous, and at times very painful journey through the minefield of borderline personality disorder. A heads up on this episode— Jasmine and Dr. H discuss self-harm/cutting and suicidality in a very frank and perhaps unsettling manner. BPD overviewhttps://www.nami.org/Learn-More/Mental-Health-Conditions/Borderline-Personality-Disorder...

Transcript

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0:00.0

When was it that I first called you the Delta flight attendant?

0:08.2

I think that was probably about six months ago.

0:12.4

Yeah. What do you think of that? I love metaphors and comparisons. I remember liking that a lot when I said,

0:20.1

Jasmine, you're a Delta flight attendant.

0:22.6

I mean, to me, it's perfect. And to explain that, it's what we call the person that I present

0:30.7

to the world. Because to see me out just walking on any normal day, you think, wow, she's really compassionate.

0:39.5

She works in, you know, animal rescue, and she's, she's kind and she's smart and she's caring

0:45.0

and she's, you know, all of these wonderful things.

0:47.7

When on the inside, I am so far from that person that I can't even justify how those two

0:54.1

people exist in me.

0:57.2

And so the Delta Fly Intendant persona, as we call it, that's a very accurate one and one that

1:07.4

you and I love to joke about because people really don't get it when

1:11.4

they see me. I don't present myself in a way that people would realize what, what is going on

1:18.5

inside and what I'm actually like. Yeah. And it sounds exhausting. I've brought this up before that

1:23.6

you have mastered the flight attendant persona smiles and helpful and there the exits.

1:31.1

But I've also challenged you on that, that that's just exhausting.

1:35.2

It is.

1:35.5

I think to put on this persona for the world of what you think people need and want you to be

1:40.9

versus the kind of churning awfulness and loathing that you often carry around

1:47.8

inside. It is exhausting. You know, and I do the same thing with my parents at home. I try my heart is not to

1:54.7

let them see any of this because I don't want to deal with it. And so I just go home and put on a

1:59.9

smile and ask them if they want,

...

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