When you restrict your eating in any way, your body adapts by entering starvation mode. Starvation mode is an evolutionary and biologically driven physiological mechanism designed to keep you alive. In cave person years, when food was not plentiful, the body would adapt by slowing down metabolism and digestion, reducing heart rate, and conserving...

    Despite the leaps and bounds the field has made, in large part due to the life work of people like Marsha Linehan, I am still disappointed (and concerned) by the prevalent judgement and emotion dysregulation that persists among healthcare practitioners when they hear the term borderline personality disorder (BPD). Eyes roll, sighs suddenly...

Dialectical behavior therapy (DBT) is guided by a number of core assumptions about the nature of human behavior and about the process of treatment. Over the next few weeks, I will describe each in turn. One that is high on my list right now, however, is the treatment assumption that clients cannot fail DBT. People often...

A mother sent me the attached “holiday song” stating the following: “these are the lyrics of a song that (my grade 3 child) is learning to sing for their Christmas concert. It doesn’t sound right to me and I wanted your professional opinion.” So I read the lyrics. And then I read them again. And...

Dealing with your Self-Critic

Let’s talk about the self-critic that sits on your shoulder or lives in your head or floats about during the day. You know, the one that says: “I am not enough. I am not smart enough. I’m not thin enough. I am ugly. I am a failure. I should have known better. Everyone hates me....

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