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Therapist Thread 🧵 The difficulty in treating 'self-hatred'. BPD, other PD's, autism, aspergers, gender dysphoric clients who often present with extreme self-hatred. They have a great need to avoid their subjective internal experience or deflect it with external anger of hatred
They may be there in therapy but emotionally avoid, highly dissociate &/ or use drugs & alcohol, are hostile ("I hate all people", "no-one can help me", Shame- prone, isn't regular with appointments, never had a role model that cared for them in their life #therapy #hatredofself
Patients who attack themselves verbally or other is distressing for the #therapist The client has often hidden the level of self hatred they have. They have adapted in ways to hide this from themselves & others. Some feel they are punished by fate or karma. Some can't show how
