BPD: Why It's Not Manipulation, It's Emotional Pain (Part 1)
RECOVERable: Mental Health and Addiction Experts Answer Your Questions
Release Date: 02/19/2026
RECOVERable: Mental Health and Addiction Experts Answer Your Questions
Can you tell if someone has an eating disorder just by looking at them? Dr. Elizabeth Wassenaar debunks the "healthy look" myth and explains why dieting is toxic to recovery. This episode explores the critical "Nine Truths" of eating disorders, the role of genetics, and why early intervention is vital for long-term health. Find mental health and addiction treatment near you: https://recovery.com/ In this deep-dive, host Terry McGuire continues the conversation with Dr. Elizabeth Wassena...
info_outlineRECOVERable: Mental Health and Addiction Experts Answer Your Questions
"You can have an eating disorder and not be in an underweight body." This powerful insight from Dr. Elizabeth Wassenaar, Regional Medical Director at the Eating Recovery Center, challenges everything we think we know about food, weight, and mental health. In this eye-opening episode of RECOVERable, host Terry Maguire sits down with Dr. Wassenaar to dismantle the dangerous myths surrounding eating disorders. Find mental health and addiction treatment near you: https://recovery.com/ Dr. W...
info_outlineRECOVERable: Mental Health and Addiction Experts Answer Your Questions
Can you outrun a traumatic childhood? Dr. Christina Bethell returns for Part 2 to explain why an Adverse Childhood Experience (ACE) score is an indicator of risk, not a predictor of destiny. As a national leader in population health and systems measurement, Dr. Bethell has reshaped how we understand the "toxic stress" that accumulates in the nervous system when childhood trauma is experienced without buffers. Find mental health and addiction treatment near you: https://recovery.com/ In this e...
info_outlineRECOVERable: Mental Health and Addiction Experts Answer Your Questions
Can you truly heal from a traumatic childhood? Dr. Christina Bethell explains why your past shapes you but doesn't have to define your future. In this episode of Recoverable, we dive deep into the groundbreaking research behind Adverse Childhood Experiences (ACEs) and the "medicine" of Positive Childhood Experiences (PCEs). Find mental health and addiction treatment near you: https://recovery.com/ We explore the 10-question ACEs screener and why factors like emotional neglect are often the ...
info_outlineRECOVERable: Mental Health and Addiction Experts Answer Your Questions
Are you feeling overwhelmed, angry, or disconnected after childbirth? You are not alone—nearly 20% of new mothers experience postpartum depression, yet many suffer in silence due to a paralyzing sense of shame. Find mental health and addiction treatment near you: https://recovery.com/ In this essential follow-up, host Terry McGuire continues the conversation with Dr. Karen Sheffield-Abdullah. Dr. Sheffield-Abdullah is a PhD, researcher, and nurse-midwife with over 20 years of experience speci...
info_outlineRECOVERable: Mental Health and Addiction Experts Answer Your Questions
Are you struggling with depression during pregnancy but afraid to talk about it? You are not alone, as up to 20% of women will experience a significant mood disorder during pregnancy or after birth. Find mental health and addiction treatment near you: https://recovery.com/ In this episode, host Terry McGuire sits down with Dr. Karen Sheffield-Abdullah. Dr. Sheffield-Abdullah is a professor, a nurse-midwife of 20 years, and a researcher specializing in Black maternal stress and anxiety. We div...
info_outlineRECOVERable: Mental Health and Addiction Experts Answer Your Questions
Description: How do you know when you’ve finally reached the point where you can't do it alone? For many, the realization doesn't come from a "lightbulb moment," but from the exhaustion of repeating the same mistakes while expecting different results. In Part 2 of our deep dive into the Levels of Care, host Terry McGuire and Dr. Sal Raichbach explore the psychological barriers to seeking help and the reality of life after the "rehab" doors close. Find mental health and addiction treatment ne...
info_outlineRECOVERable: Mental Health and Addiction Experts Answer Your Questions
Navigating the world of addiction and mental health treatment can feel like learning a completely different language when you are already at your breaking point. How do you know if you need a "hospital level" of care or if weekly therapy is enough? In this episode of RECOVERable, host Terry McGuire sits down with behavioral health expert Dr. Sal Raichbach to demystify the "continuum of care" and explain exactly what happens at every stage of recovery. Find mental health and addiction treatmen...
info_outlineRECOVERable: Mental Health and Addiction Experts Answer Your Questions
Thoughts of suicide are not uncommon and can be a part of the human experience for many individuals at various points in their lives. In Part 2 of this series, host Terry McGuire welcomes back Dr. Sara Kohlbeck, PhD, a public health researcher specializing in suicide. This conversation focuses on the "invitations" people send when they are in distress and how to navigate the spectrum of suicidal thoughts with empathy and evidence-based tools. Find mental health and addiction treatment near y...
info_outlineRECOVERable: Mental Health and Addiction Experts Answer Your Questions
CONTENT WARNING: This episode discusses suicide and suicidal ideation, which may be difficult for some listeners; if you or someone you know is struggling, please reach out to a mental health professional or a crisis hotline like 988. "When you are suicidal, it is an incredibly isolating feeling. It’s feeling like nobody really understands." In this episode of RECOVER, host Terry McGuire sits down with Dr. Sara Kohlbeck, PhD, a distinguished suicidologist and public health researcher, to peel...
info_outlineStop the stigma. Sage Nestler, MSW, an LGBTQ+ mental health specialist and leading educator on BPD, joins the podcast to pull back the curtain on one of the most misunderstood mental health conditions. Often villainized or confused with narcissism, Borderline Personality Disorder is actually defined by intense emotional pain and a desperate search for relief. Sage shares his personal journey of being diagnosed after a mental breakdown and how he transitioned from fearing he was "evil" to becoming a specialized advocate for the BPD community.
Find mental health and addiction treatment near you: https://recovery.com/
In this deep-dive episode, Sage explains the fundamental characteristics of BPD, including mood dysregulation, an unstable sense of self, and the pervasive fear of abandonment that often sabotages relationships. We explore the specific nuances of "Quiet BPD," where emotional turmoil is turned inward through self-harm or eating disorders rather than external outbursts.
Sage also breaks down the power of Dialectical Behavior Therapy (DBT) and Acceptance and Commitment Therapy (ACT) in managing daily spiraling thoughts. Whether you are living with a diagnosis or supporting a loved one, this conversation offers essential tools for de-escalation, communication, and radical self-compassion. Learn more about Sage Nestler’s work and advocacy by visiting the National Education Alliance on BPD.
⏱️ Chapters:
00:00 – Introduction to Sage Nestler, MSW
01:38 – What is Borderline Personality Disorder?
02:36 – Understanding BPD Mood Dysregulation
03:29 – How BPD Impacts Sense of Self
04:30 – The Reality of BPD in Relationships
07:59 – BPD vs. Narcissism: Ending the Stigma
19:25 – Is it Dangerous to Self-Diagnose BPD?
20:45 – Quiet BPD vs. Traditional Symptoms
27:11 – Supporting Someone with BPD in Crisis
36:06 – What Causes BPD: Genetics vs. Trauma
❓ Questions the Video Answers:
- What is Borderline Personality Disorder?
- How do BPD mood swings feel on a daily basis?
- Is BPD the same as Narcissistic Personality Disorder?
- What is "Quiet BPD" and how is it diagnosed?
- Why do people with BPD have a fear of abandonment?
- What is "splitting" or black-and-white thinking?
- Can BPD be treated with medication?
- How does DBT help with emotional regulation?
- Why is BPD often misdiagnosed as Bipolar Disorder?
- What causes BPD: is it genetic or trauma-based?
- How should you support a partner with BPD during a crisis?
- Why is BPD more commonly diagnosed in those assigned female at birth?
- What is a "Favorite Person" in the context of BPD?
- How can someone with BPD manage impulsive behaviors?
- Why is there such a heavy stigma around BPD in the media?
#BPD #MentalHealth #QuietBPD