In this episode of The Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) help differentiate between paranoid and borderline personality disorders. We explore the similarities and differences between these two disorders, discussing their core characteristics, emotional responses, symptoms, and how our own intuition helps us more than we realize. We specifically look at the instability unique to these two personality disorders and how both express anger, shame, and fear. As both disorders can have fleeting episodes of psychosis, we also discuss how delusions can show up in each, but how their triggers are vastly different. We further discuss our own personal experiences treating both disorders and ways we use our intuition to guide diagnosis. We end by highlighting the need for empathy in treatment and welcome other providers to reference this information or to contact us directly if in need of a consultation.

To schedule a consultation, please visit the practice website for more information! www.questpsych.org

Chapters 00:00 Intro to Paranoid vs Borderline Personality Disorders 01:59 What is an Unstable Personality Structure? 03:34 Borderline Personality Symptoms Explained 06:50 Paranoid Personality Symptoms Explained 08:30 Comparing and Contrasting BPD and Paranoid PD 08:32 Anger 11:40 Shame 13:03 Fear 14:15 Paranoia & Psychotic Episodes 15:54 Fluidity vs. Rigidity 17:21 Using Intuition with Paranoid and Borderline Personalities 17:35 Dramatic Narratives 19:44 Dependent and Avoidant Attachment Dynamics 23:35 Countertransference 25:20 How they Present to Treatment 26:31 Suicidality & Trauma 28:47 Summary, Learning, and Conclusion

In this episode of The Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) reveal the complex, dangerous, and often misdiagnosed Paranoid Personality Disorder (PPD). We discuss the rising prevalence of PPD in the post-pandemic world, the clinical challenges in identifying and treating these individuals, and the critical differences between Paranoid Personalities and narcissism. We believe you’re seeing more of these types in your circles as well, and we want you to be equipped with knowledge so you can best protect yourself! Thus, we unpack not only the DSM-5-TR characteristics of Paranoid Personality Disorder, but we also reveal our clinical experience with these types. We include common themes such as: lack of trust, severe gastrointestinal issues, sadomasochism, medical self-sabotage, shedding identities, and the paranoid character’s unique relationship with aggression towards the same-sex. We reveal why we think this type is popping up even more in our circles, what the pandemic had to do with it, and how you can identify these types to keep yourself safe!

Chapters 00:00 Intro & Dangers of the Paranoid Personality 04:10 Clinical Observations & Post-Pandemic Trends 08:20 Defining Paranoid Personality Disorder 16:35 Warning Signs of PPD Beyond the DSM 27:00 Comparing Paranoid Personality and Narcissism 29:25 Why the Post-Pandemic Narcissist?

In this episode of The Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) unveil the darkest aspects of personality, focusing on narcissism at its most severe forms. We explore the spectrum of personality types that range from mildly unpleasant to dangerously malignant, discussing examples and case studies that illustrate their risk in relationships. We specifically unpack narcissistic and paranoid personality disorders, malignant narcissism, antisocial personality disorder, psychopathy and sociopathy, and sadistic personalities. While further exploring the characteristics, overlaps, and distinctions among these disorders, we end with a discussion about terrorism and extreme manifestations of sadism.

Chapters 01:02 Stone’s Spectrum of Darkness 01:23 Level 1: Negative Traits 04:35 Level 2: Narcissistic & Paranoid Personality Disorders 07:23 Paranoid Personality Disorder 10:48 Level 3: Malignant Narcissism 13:47 Level 4: Antisocial Personality Disorder 15:08 Antisocial vs Narcissistic Personality Disorder 17:24 Antisocial Personality vs Psychopath 18:38 Level 5: Psychopathy 21:27 Level 6: Sadistic Personalities 28:54 Summary & Closing