EnglishHard
kiwifarms.net
- Joined
- Feb 2, 2025
Genuine question, from someone who’s interested but not properly educated: isn’t CBT uniquely bad at dealing with personality disorders? Isn’t your pessimistic prognosis perhaps colored by an overreliance on CBT?It’s actually not treatable just like with NPD. It’s not like with bipolar where you can just load them up with anti-psychotics to control their erratic and often violent outbursts. Not even cognitive behavioral therapy works on these fuckers. They can have all the information and have gone through years of CBT and 9/10 still never change. NPDs remain a slave to their insatiable need for dominance and the destruction of those who love them. They don’t change. They get better at hiding it and that generally doesn’t last either.
BPDs remain a slave to their emotions and impulses. They genuinely believe that they are victims and that their suffering is unique. You can’t rationalize with them about it either. If you point out that others have faced far greater hardships in life and managed to overcome, they’ll simply respond with “yeah, but that’s them. I’m not living their life. I’m living my life.” And go on believing that they are uniquely traumatized by life somehow. Fortunately for BPDs they can and often do age out of it, but many have already destroyed their lives beyond repair by that point. Sucks to suck I guess.
With NPD, I get what you’re talking about — most of them just don’t want to do the work (because it would imply they’re flawed, and they have a hard time accepting that).
I know there are degrees to everything, but what you’re saying goes against what I’ve gathered from other sources. I was told once that DBT was developed because CBT just couldn't adress PDs.