In this deeply compassionate episode of Holding Space, Dr. Christopher Barker returns to expand on the criteria for Borderline Personality Disorder (BPD)—focusing on one of the most misunderstood and sensitive topics: recurrent suicidal behavior and self-harm.

Dr. Barker draws a clear and vital distinction between suicidal intent and self-mutilation, explaining how self-harm is often a form of emotional regulation, not a desire to die. With clinical insight from over two decades of experience and training in Dialectical Behavior Therapy (DBT), he discusses why self-injury is addictive, what it provides for those who struggle with emotional pain, and how it connects to issues like co-regulation, trauma, and attachment.

He also highlights why people with BPD may engage in behaviors that can scare loved ones away, and why being trauma-informed and nonjudgmental is critical when offering support. Dr. Barker advocates for realistic, healthier alternatives to self-harm and stresses the importance of connection, coping strategies, and reaching out for help before emotional overwhelm becomes unmanageable.

Whether you're someone who self-harms, love someone who does, or simply want to understand the psychology behind these behaviors, this episode is raw, real, and filled with compassion.

📌 Future episodes will explore dissociation, affective instability, and the controversial idea of “relational borderline behavior.”

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