25 | Borderline Conversation AWARE - Short vs Long Term

PROTECT | Suicide Prevention Training Podcast

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In the third of the 5 Critical Crisis Conversations, Manaan explores how the person's agenda of ensuring short term safety through admission may be quite different to the long term focus of resilience for the professional.
Both want safety but the route to it is different. Being able to show the similarity of the overarching goal amidst the dissimilarity of the immediate outcome is a critical conversation to have with the person in distress. If they are able to understand that the professional is not rejecting their needs or abandoning them and on the contrary is selecting a much longer harder route to walk with them one can bring the person on board for safety planning and taking charge of maintaining their safety. Or else a person with BPD will feel the pressure to prove the professional that they are in deep distress and the risk will escalate as the threats to harm oneself intensifies.

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