C
Carla Sharp
Clinical psychologist
2
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Oct 5, 2026
Treating BPD Series, Episode 4: Mentalization-Based Treatment—From Reacting to Reflecting with Carla Sharp, PhD
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4:37

Abigail RosselHOST
So what is the role that mentalizing plays in borderline personality disorder, and why is it so important that there is a whole treatment built around it?

Carla SharpGUEST
It turns out that people with personality disorder, and that is across the board, all personality disorder, and in fact, all people with psychopathology have difficulties in mentalizing.

Carla SharpGUEST
So let's zoom in on personality disorder more broadly and BPD in particular, and there I'll quickly just talk about how mentalizing develops because then it'll make sense why people with BPD have the particular kind of mentalizing problems that they do.

Carla SharpGUEST
Mentalizing develops in the serve and return with your caregivers in the first instance.

Carla SharpGUEST
And with caregivers, I mean your mom and your dad, perhaps an older sibling, perhaps the nanny, perhaps the daycare staff, and even perhaps society at large.

Carla SharpGUEST
And what do I mean with serve and return? I mean when we're in an interaction with someone, there's a ping-pong game happening.
7 MINS LATER
Carla and Kiki
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2:16
K
1:36Kiki FehlingHOST
And today, we really just want to focus on giving people the information of what is this diagnosis, but in a non-stigmatizing way, which I think your developmental lens will probably be so helpful with.

Carla SharpGUEST
And I'll just put it out there and then we can sort of unpack it as we go along.

Carla SharpGUEST
So I really hope that your audience can come away today after this talk discussion, not being stuck anymore in a trait-based way of thinking about BPD.

Carla SharpGUEST
So let me start with the traits though, because that's where we all have a sort of common understanding of what BPD is.
13 MINS LATER