Personality Couch

By Dr. Rebecca Houvener, Psy.D. LCPSociety & Culture Health & Fitness Mental Health Education Relationships

Personality Couch episodes

October 20 Ep 65: Histrionic vs Borderline Personality: Our Deep Dive
Histrionic vs Borderline Personality: Our Deep Dive | Ep 65
🎬In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) explore the confusing and speckled history distinguishing histrionic and borderline personality disorders, clarifying their differences and overlaps. We delve into DSM criteria, psychodynamic, and Millon’s perspectives to untangle these often confused diagnoses.
⚠️Note: this podcast does not constitute a professional relationship. If you're in need of professional help, please seek out appropriate resources in your area. ⚠️
Chapters:
00:00 Intro to Histrionic and BPD
00:35 Disagreement on HPD & BPD
01:26 Borderline as Personality Organization
01:57 DSM Borderline: 256 Variations
02:15 DSM Borderline is Histrionic at "Borderline Level Organization"
02:37 Research Outlining Diagnostic Problems
04:07 Brief Overview: HPD and BPD in DSM
05:19 BPD Criteria: Instability
05:57 BPD Criteria: Identity Disturbance
06:24 Identity Disturbance in Histrionic vs Borderline
07:48 BPD Criteria: Impulsivity
08:12 BPD Criteria: Self-Harm
08:31 BPD Criteria: Mood Swings
08:48 BPD Criteria: Feelings of Emptiness
09:07 BPD Criteria: Anger
09:41 BPD Criteria: Paranoia & Dissociation
09:55 Dissociation in Histrionic
10:25 HPD Criteria: Center of Attention
10:48 Distinguishing Attention (HPD) vs Attachment (BPD)
11:13 HPD Criteria: Inappropriate, Seductive Behavior
11:45 Histrionic Subtypes: Inhibited & Demonstrative
12:23 HPD Criteria: Rapidly Shifting & Shallow Emotions
13:06 HPD Criteria: Using Appearance for Attention
13:34 HPD Criteria: Impressionistic Speech
14:11 HPD Criteria: Dramatizing
14:39 HPD Criteria: Suggestibility
15:48 Attachment Needs in HPD vs BPD
17:01 How Do We Have 2 Overlapping DSM Diagnoses?
17:19 Psychodynamic’s Perspective: Borderline Organization vs Disorder
18:42 Hysteria as Axis I & BPD as Axis II
19:22 Dr. Theodore Millon’s Theory of BPD vs HPD
19:47 Borderline As A Defective Structure
21:06 Millon’s Passive-Active Polarity
21:21 Millon’s Self-Other Polarity
21:50 Interpersonally Imbalanced Spectra
23:46 Histrionics Actively Modify Environment
25:01 Borderline In Conflict with All Polarities
26:00 Histrionic vs Narcissistic Personality
27:00 Different Flavors of BPD
28:02 Summary and Ending

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📺Referenced Episode:
The 3 Most Unstable Personalities | Schizotypal, Borderline, & Paranoid | Ep 44: https://youtu.be/0kaFDQSt6x4
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30 min
October 06 Ep 64: The Schizoid Histrionic Romance
The Schizoid Histrionic Romance | Ep. 64
🎬In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) explore the intriguing dynamics between schizoid and histrionic personalities, focusing on their attraction, shared trauma, familial gender dynamics, and hypersensitivity. We explore how these opposites attract romantically, and how at healthy levels, they can meet each other’s unspoken needs.
⚠️Note: this podcast does not constitute a professional relationship. If you're in need of professional help, please seek out appropriate resources in your area. ⚠️
Chapters:
00:00 Intro to Histrionic and Schizoid
01:16 Histrionic Personality Defined
02:06 Schizoid Personality Defined
02:59 Similarities
03:11 Prolonged Trauma
04:14 Familial Gender Dynamics
06:03 Creativity & The Arts
06:33 “Consuming” Sense of Hunger
08:36 Intimacy Fears
09:53 Schizoid: Pizza Analogy
11:09 Histrionic: Opposite Gender as Overpowering
11:59 Hypersensitivity
12:42 Opposites: Introversion & Extroversion
13:26 How They Meet Each Other’s Needs
14:15 Unhealthy Patterns: Distancer-Pursuer Dynamic
15:05 Why Would a Schizoid Seek Out a Relationship Anyway?
16:12 Schizoids as Non-Solitary Turtles
17:11 How Histrionics Can Make Schizoids Feel Safe
17:54 How Histrionics Compliment the Schizoid
19:10 Doc Bok’s Personal Experience
20:32 Schizoid Lives Vicariously Thru Histrionic
22:12 They See Each Other’s Needs and Meet Them
22:57 The Crayon Box Analogy
26:46 Additional Dynamics Between Schizoid & Histrionic
27:40 When the Histrionic is Not Female
30:43 Summary & Conclusion
31:23 Call to Action: Share Your Stories!

👩‍⚕️Work With Us!
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Personality Couch Links
🛋️Website
https://www.personalitycouch.com/
✍️Blog (& Podcast Episode References)
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33 min
September 22 Ep 63: The 6 Histrionic Subtypes Explained
The 6 Histrionic Subtypes Explained | Ep. 63
🎬In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) explore the 6 subtypes of histrionic personality, highlighting their behaviors, underlying motivations, and how they manifest in social and personal contexts. We start by investigating the mild category: the gregariously sociable with narcissistic features, and the appeasingly sociable with dependent and compulsive features. At the moderate level, we discuss the theatrically pleasuring subtype with masochistic features and the infantile pleasuring subtype with borderline features. We end by comparing and contrasting the two disorder level subtypes: the disingenuous histrionic with antisocial features and the tempestuous histrionic with negativistic and borderline features.
⚠️Note: this podcast does not constitute a professional relationship. If you're in need of professional help, please seek out appropriate resources in your area. ⚠️
Chapters:
00:00 Into & Definition of Histrionic
01:27 Brief Overview of Millon’s Personality Theory
01:37 Mild Subtypes | Normal Level
04:21 The Gregariously Sociable (Narcissistic Features)
04:46 Comparing & Contrasting Narcissistic &Histrionic Personality
07:01 The Appeasingly Sociable (Dependent & Compulsive Features)
09:11 Enneagram 2 Overlap?
09:21 Histrionic vs Dependent Personality
09:40 Comparing & Contrasting Mild Subtypes
10:11 Moderate Subtypes | Problematic Level
11:13 Theatrically Pleasuring (Masochistic Features)
12:09 Millon’s “Quintessential Histrionic”
13:41 Gender Dynamics in Histrionic vs Narcissistic Personality
14:13 Infantile Pleasuring (Borderline Features)
16:25 Comparing & Contrasting Moderate Subtypes
17:00 Severe Subtypes | Disorder Level
17:43 Disingenuous Histrionic (Antisocial Features)
19:55 Wait…Is This Type a Psychopath?!
22:20 Tempestuous Histrionic (Negativistic, Borderline Features)
24:22 Comparing & Contrasting the Severe Subtypes
24:54 Our Psychodynamic Thoughts
28:15 Summary & Ending

👩‍⚕️Work With Us!
https://www.questpsych.org/
Personality Couch Links
🛋️Website
https://www.personalitycouch.com/
✍️Blog (& Podcast Episode References)
https://www.personalitycouch.com/blog/histrionic-personality-subtypes

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30 min
September 08 Ep 62: Histrionic Personality | Our Psychodynamic Deep Dive
Histrionic Personality | Our Psychodynamic Deep Dive | Ep 62
🎬In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) explore the complex psychological and societal factors contributing to histrionic personality disorder, focusing on gender dynamics, childhood development, and cultural influences. We specifically explore the histrionic’s fear of overstimulation internally; how they seek out professions that have a stage; and how they view the self and their own gender as defective. We look at their defense mechanisms in depth, including: repression, conversion, sexualization, acting out, regression, and dissociation. We end the episode by positing the new wave of gender and sexual fluidity and non-conformity may be a new expression of the histrionic character.
⚠️Note: this podcast does not constitute a professional relationship. If you're in need of professional help, please seek out appropriate resources in your area. ⚠️
Chapters:
00:00 Intro to Histrionic and Gender Dynamics
02:00 How Does Histrionic Personality Start?
02:40 Histrionics as Creative Types
03:41 Main Emotions of Guilt, Shame, Anxiety
04:08 Histrionics Have Strong Oral Appetites
05:19 Oedipal Stage’s Impact on Histrionic Development
05:45 Freud’s “Male Anatomy Envy” = “P-envy”
06:47 Why Hysteria Came Back in DSM I (1952)
08:07 Sense of Self: Fearful, Inferior, Defective
08:19 Histrionic vs Narcissistic Personality
09:15 Enmeshment & Rescuing Dynamics
10:21 Emotional Expressiveness in Histrionics
12:37 Histrionic: The Game of Pretend
13:16 Histrionic Core Beliefs
14:13 Family Dynamics Contributing to Histrionic
15:45 The Histrionic Conflict With Sex and Culture
16:39 Exhibitionism Resolves the Conflict
17:29 Conflict About the Opposite Sex
18:46 Defense Mechanisms in Histrionic:
19:08 Repression
20:20 Conversion & “Glove Paralysis” Example
22:24 Sexualization
23:11 Acting Out
24:13 Regression
25:16 Dissociation
27:40 Our Thoughts
27:51 Empathy for the Histrionic’s Inner Child
28:45 Histrionic’s Male Counterpart: Antisocial?
29:10 Doc Bok’s Hypothesis About Gender & Sexuality Expression Today
31:43 Is the New Histrionic Rejecting Binary Gender and Sex?
33:27 Histrionic in Sexual Minorities
34:29 Society Creates Histrionic Characters
35:04 Evolution of Psychodynamic View of Histrionic

👩‍⚕️Work With Us!
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Personality Couch Links
🛋️Website
https://www.personalitycouch.com/
✍️Blog (& Podcast Episode References)
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38 min
August 25 Ep 61: Histrionic Personality Disorder | The 8 DSM Criteria
Histrionic Personality Disorder | The 8 DSM Criteria | Ep. 61
🎬In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) explore the 8 criteria of histrionic personality disorder in the DSM. We discuss their tendency to engage in attention-seeking and seductive behaviors, coming across as emotionally shallow. Histrionic personalities also focus heavily on their appearance and use fluffy, impressionistic speech. Others perceive them as dramatic and suggestible - easily believing what others say regardless of the facts. They also tend to overestimate their connections to others, believing relationships are deeper than they actually are.
⚠️Note: this podcast does not constitute a professional relationship. If you're in need of professional help, please seek out appropriate resources in your area. ⚠️
Chapters
00:00 Introduction to Histrionic Personality Disorder
00:39 DSM I (1952) Histrionic Criteria
01:12 DSM II (1968) Histrionic Criteria
01:33 DSM III (1980) Histrionic Criteria
02:21 DSM III-R (1987) Histrionic Criteria
03:22 DSM IV (1994) Histrionic Criteria
03:35 DSM 5-TR Criteria Introduction
04:17 Criterion 1: Attention Seeking
05:27 Criterion 2: Seductive & Provocative Behavior
06:16 Criterion 3: Shifting & Shallow Affect
07:54 Criterion 4: Draws Attention Using Appearance
09:05 Criterion 5: Fluffy, Impressionistic Speech
09:59 Criterion 6: Dramatic & Theatrical
11:34 Criterion 7: Suggestibility
13:27 Criterion 8: Connection Overestimation
14:34 Lower Interpersonal Impairment
16:20 Our Thoughts
21:05 Summary & Ending
👩‍⚕️Work With Us!
https://www.questpsych.org/
Personality Couch Links
🛋️Website
https://www.personalitycouch.com/
✍️Blog (& Podcast Episode References)
https://personalitycouch.com/blog/histrionic-personality-disorder-diagnostic-criteria/
Podcast Episode Referenced: Hysteria, Histrionic, & the Demonization of Women | Ep. 60 : https://youtu.be/3KkVWJ4um-8
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22 min
August 11 Ep 60: Hysteria, Histrionic, & the Demonization of Women
Hysteria, Histrionic, & the Demonization of Women | Ep. 60
🎬In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) discuss the horrible and inhumane history of hysteria in medicine by investigating how Dr. Jean Martin Charcot used the Salpetriere Hospital in France as a “Museum of Living Pathology” to showcase his hypnotic and showman skills over hysterical women. We look at Freud’s contribution to hysteria and the oppressive, patriarchal society of the 1880s that led to these unexplained symptoms in women. We continue the discussion by walking through the DSM’s hysteria to histrionic personality evolution before sharing our own thoughts and opinions about this condition’s stigmatized name and the maltreatment of women in medicine throughout history.
⚠️Note: this podcast does not constitute a professional relationship. If you're in need of professional help, please seek out appropriate resources in your area. ⚠️
Chapters
00:00 Introduction & History of Hysteria
01:39 Hysteria as a Medical Condition (Charcot)
04:00 Could Men Have Hysteria?
04:33 Women & Society in 1880
06:14 Charcot Treats Hysterics at Salpetriere Hospital
06:51 Dermagraphism Defined
07:27 Charcot’s “Museum of Living Pathology”
09:25 Freud’s Contribution to Hysteria
11:58 Was Freud Hysterical?
14:47 The Societal Context for Hysteria
16:02 The Disappearance of Hysteria in the 1900s
16:46 WW I’s Impact on Hysteria
17:37 Advances in Medicine and Neuroscience
18:08 Hysteria Makes a Comeback in the DSM I in 1952!
20:04 DSM I (1952): Hysteria as Symptoms without Medical Basis
20:16 DSM II (1968) Hysterical Neurosis
20:34 Conversion Type
21:19 Dissociative Type
21:55 DSM II (1968) Hysterical Personality
23:24 Hysterical Personality vs Symptoms
23:47 DSM III Forward: Somaticization, Dissociation, Histrionic, & Borderline Personality
24:40 Our Thoughts
25:24 Is Antisocial the Masculine Histrionic Counterpart?
27:55 Did Freud & Charcot Know More Than They Let On?
29:40 Conclusion

👩‍⚕️Work With Us!
https://www.questpsych.org/
Personality Couch Links
🛋️Website
https://www.personalitycouch.com/
✍️Blog (& Podcast Episode References)
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Facebook
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31 min
July 28 Ep 59: OCPD vs Schizoid Personality
Obsessive Compulsive Personality Disorder vs Schizoid Personality | Ep. 59
🎬In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) unpack the nuanced differences and overlaps between obsessive-compulsive personality disorder (OCPD) and schizoid personality disorder(SzPD). We investigate each personality’s core drives, emotional experiences, and defense mechanisms, using a psychodynamic lens to capture these very different (yet similar) personalities.
⚠️Note: this podcast does not constitute a professional relationship. If you're in need of professional help, please seek out appropriate resources in your area. ⚠️
Chapters
00:00 Intro & Definitions
01:27 OCPD Defined
02:20 Schizoid Defined (DSM)
02:48 Schizoid Defined (Psychodynamic)
03:10 OCPD vs Antisocial
04:04 OCPD vs Narcissism
04:52 OCPD vs Schizoid (DSM)
05:40 OCPD vs Schizoid (Psychodynamic)
05:54 OCPD vs Schizoid (Nancy McWilliams)
06:52 Emotionality & Flatness
07:55 Therapeutic Approach
09:52 Differing Inner Needs (PDM)
10:06 OCPD Child: Orderly, Aggressive, Irritable
10:25 Schizoid Child: Sensitive, Shy, Overstimulated
11:02 Emotions in OCPD: Anger, Guilt, Anxiety, Shame, Fear
11:32 Emotions in Schizoid: Emotional Pain, Overstimulation
12:10 Defense Mechanisms in OCPD
13:03 Defense Mechanisms in Schizoid
13:57 Maladaptive Beliefs (PDM)
14:12 OCPD: Feelings Are Dangerous
14:25 Schizoid: Dependency & Love Are Dangerous
15:16 OCPD: Others Are Less Precise
16:01 Schizoid: Others Are Impinging and Dangerous
16:44 Internal Conflicts (PDM)
16:51 OCPD: To Comply or Defy
17:13 Schizoid: Fearing Yet Yearning for Closeness
17:29 Are Schizoids Afraid?
17:45 Millon’s OC-Schizoid Mixed Subtypes
18:02 Affectless Schizoid
20:53 Parsimonious Constricted Compulsive
23:23 Our Thoughts
24:10 Enneagram 5 & Schizoid
24:38 Enneagram 1 & OCPD
24:54 Enneagram 6 & OCPD
25:54 Is OCPD a Core Personality?
27:18 Problems with Therapy & Self-Discovery in OCPD
28:39 Summary & Closing

👩‍⚕️Work With Us!
https://www.questpsych.org/
Personality Couch Links
🛋️Website
https://www.personalitycouch.com/
✍️Blog (& Podcast Episode References)
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30 min
July 14 Ep 58: The 6 Obsessive Compulsive Personality Subtypes
The 6 Obsessive Compulsive Personality Subtypes | Ep. 58
🎬In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) unpack the 6 subtypes of OCPD according to Dr. Theodore Millon. At the mild level, we explore the Conscientiously Reliable (Dependent Features) and the Perfectionistically Reliable, while at the Moderate level, we look at Bureaucratically Constricted (Narcissistic Features) and the Parsimoniously Constricted (Schizoid, Avoidant Features) . We conclude by discussing the more severe subtypes like Puritanical Compulsive (Paranoid Features) and the Bedeviled Compulsive (Negativistic) before sharing our thoughts and experiences in clinical practice.
⚠️Note: this podcast does not constitute a professional relationship. If you're in need of professional help, please seek out appropriate resources in your area. ⚠️
Chapters
00:00 Intro & Definition of OCPD
01:34 When Perfectionism is Valuable
03:17 Compulsive Overlaps with All Personalities
06:13 Intro to Millon’s Personality Theory
06:27 The Mild Obsessive Compulsive Personality
07:31 Conscientiously Reliable
10:17 Perfectionistically Reliable
12:12 Our Personal and Clinical Experience
14:16 Comparing & Contrasting Mild Obsessive Compulsive Subtypes
15:15 The Moderate Obsessive Compulsive Personality
16:33 The Bureaucratically Constricted
19:31 Parsimoniously Constricted
21:00 Millon’s Case Named Jane
22:38 The Severe Obsessive Compulsive Personality
23:15 Puritanical Compulsive
27:27 Bedeviled Compulsive
31:28 Comparing & Contrasting the 3 Severity Levels
32:28 Summary & Ending
👩‍⚕️Work With Us!
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Personality Couch Links
🛋️Website
https://www.personalitycouch.com/
✍️Blog (& Podcast Episode References)
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34 min
June 30 Ep 57: OCPD: Secrets Inside the Psyche
psychologists Doc Bok and Doc Fish) explore the inner conflict in those with OCPD: to comply or to defy. We look at defense mechanisms and early attachment (and even potty training!) that drives their fixated behavior.
⚠️Note: this podcast does not constitute a professional relationship. If you're in need of professional help, please seek out appropriate resources in your area. ⚠️
Chapters
00:00 Intro & Definition of OCPD
02:47 Obsessive vs Compulsive Defined
04:04 OCPD vs OCD: Ego-syntonic vs ego-dystonic
05:29 The Internal Dysfunction in OCPD
05:58 The Role of Potty Training in Developing OCPD
08:31 Why is Potty Training Connected with Personality?
10:38 The Central Conflict of Defying or Complying
14:16 Defense Mechanisms in OCPD
14:20 Reaction Formation Defined
15:29 Isolation of Affect
16:21 Emotional Exceptions: Righteous Anger & Shame
18:21 OCPD vs Schizoid
19:36 OCPD vs Psychosis
20:26 Compulsive Behavior of Undoing
20:53 When Compulsive Behavior is Pathological (and Not)
21:58 Compulsivity and Omnipotent Control
22:46 Thoughts Behind Compulsive Behavior
24:28 Our Thoughts & Clinical Experience with OCPD
25:23 The “Compulsive Personality Shell”
26:31 Compulsive Flavors in Other Personalities
28:32 Summary & Conclusion
👩‍⚕️Work With Us!
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Personality Couch Links
🛋️Website
https://www.personalitycouch.com/
✍️Blog (& Podcast Episode References)
https://personalitycouch.com/blog/obsessive-compulsive-personality-disorder-diagnostic-criteria/
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30 min
June 16 Ep 56: Obsessive Compulsive Personality Disorder DSM Symptoms
🎬In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) explore the straightforward history of this condition, looking at fun names in history like anankastic and ambitendency. We also unpack the evolution of OCPD in the DSM, highlighting how our own compulsivity shows up in the naming and renaming of the disorder throughout history. We look in detail at the 8 criteria in the DSM and share our thoughts and criticisms about the DSM’s portrayal of this condition.
⚠️Note: this podcast does not constitute a professional relationship. If you're in need of professional help, please seek out appropriate resources in your area. ⚠️
Chapters
00:00 Intro & History of OCPD
00:35 The Term “Zwang”
01:21 The Term “Anankastic”
02:08 The Term “Psychasthenia State”
02:31 Freud’s Anal Character
02:57 OCPD vs OCD
04:17 The Terms: Sensitive, Insecure, Ambitendency
04:33 The Terms: Hoarding Orientation, Obsessive Character, Rigid Styles
05:53 History of OCPD in the DSM
06:05 OCPD in the DSM I
06:31 OCPD in the DSM II
07:08 New OCPD Criteria in the DSM III
09:07 New OCPD Criteria in the DSM III-R
11:10 OCPD in the DSM IV
12:06 OCPD in the DSM 5
13:04 Criterion 1: Order, Perfectionism, Control
15:44 Criterion 2: Extreme Perfectionism
17:51 Criterion 3: Work Focused
21:15 Criterion 4: Inflexible Values
23:11 Criterion 5: Hoarding
24:33 Criterion 6: Controlling
26:03 Criterion 7: Financially Stingy
26:59 Criterion 8: Rigidity
27:44 Our Thoughts & Opinions
30:11 Summary & Conclusion
👩‍⚕️Work With Us!
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Personality Couch Links
🛋️Website
https://www.personalitycouch.com/
✍️Blog (& Podcast Episode References)
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#mentalhealthpodcast #personalitydisorder #personalitydisorders #personalitytypes #personalitypsychology #personality #clinicalpsychology #mentalhealthprofessionals #mentalhealth #narcissism #psychology #psychopathology #DSM #psychodynamic #psychoanalysis #personalitydevelopment #personalitytrait #personalitytraits #ocpd #obsessivecompulsive #perfectionism #perfectionismrecovery #rigidity #compulsive #compulsivebehavior #mentalhealthawareness
33 min

About Personality Couch

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We all encounter personality conflict on a regular basis, whether we know it or not. From funky, can’t-quite-put-my-finger-on-it dynamics with that one friend or family member, to the big blowup drama at work with the last person you’d expect, it all comes down to personality.