Have you ever had a friend not text you back, and you’re certain that they’re mad at you? This is often a disruption in the process of mentalization: the ability to recognize that our thoughts and feelings might not be facts. Mentalization is a process we can all struggle with, but it’s particularly important for people who have Borderline Personality Disorder (BPD).

About our Guest: Robert Drozak is a clinical social worker, the clinical director of the Mentalization-Based Treatment Clinic at McLean Hospital, and a teaching associate in the Department of Psychiatry at Harvard Medical School. His new book, Mentalization: Utilizing Reflection to Heal from Borderline Personality Disorder, is the first book about Mentalization-Based Treatment aimed at a general audience. 

Key Topics: 

0:00: Intro: what is mentalization?

5:12: Ways mentalization can go wrong

13:25: Borderline Personality Disorder as a deficit in mentalization

22:13: How mentalization is shaped in childhood

28:54: The alien self

32:23: Developing an MBT formulation

42:03: MBT in the therapy room

54:40: Challenging your beliefs and assumptions

1:11:21: How to get out of pretend mode

1:21:37: Addressing problems with interoception

1:30:00: Recap

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