In this episode of PD², Chris engages in a candid conversation with Kevin, who shares his journey from being homeless in London to navigating life with a diagnosis of antisocial personality disorder. Kevin recounts his challenging upbringing in Liverpool, the struggles he faced after being thrown out by his parents, and his initial experiences in London, where he found temporary refuge with a friend's family. As the discussion unfolds, Kevin reflects on the feelings of alienation he experienced throughout his life, particularly in relation to his mental health struggles and the prejudice associated with his diagnosis. He emphasises the importance of understanding and compassion in mental health care, highlighting the prejudices he has faced from medical professionals and society at large.

The conversation delves into the complexities of labelling mental health conditions, with Kevin advocating for a shift in terminology from 'disorder' to terms that reflect trauma and personal experiences. He shares anecdotes illustrating the misunderstandings and biases he has encountered, particularly in healthcare settings, and the impact these experiences have had on his sense of self-worth and belonging. Ultimately, Kevin's story is one of resilience, as he seeks to find his place in a world that often misunderstands those with mental health challenges. In this episode, Chris and Kevin delve into the complexities of mental health, particularly focusing on the dynamics of therapy and the impact of childhood experiences on adult behaviour. Kevin shares his personal journey through therapy, highlighting the challenges of navigating emotions and relationships, especially in a group setting where individuals with antisocial personality disorder come together. He reflects on the importance of understanding one's past and how it shapes present interactions, emphasising the need for a supportive environment that encourages open dialogue and emotional growth.

The conversation also critiques the concept of 'safe spaces' in therapy, arguing that true healing comes from confronting uncomfortable truths rather than avoiding them. Kevin discusses the role of his therapist, Dr. Jessica Yakely, and the significance of having a supportive partner in his recovery journey. The episode concludes with a call for better parenting practices and community support to prevent the development of severe mental health issues stemming from childhood trauma, advocating for a return to family values and open communication.

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Summary

In the inaugural episode of PD Squared, host Chris welcomes psychiatrist Jessica Akely, who specialises in forensic psychotherapy at the Portman Clinic. Jessica explains the nature of forensic psychotherapy, which involves treating individuals who have encountered legal issues, often stemming from violent or sexual behaviours. She emphasises the importance of voluntary participation in therapy, noting that patients who come willingly tend to benefit more from the treatment. The conversation delves into the complexities of working with individuals diagnosed with antisocial personality disorder, highlighting the challenges of motivation and the stigma surrounding mental health treatment for this demographic.

As the discussion progresses, Jessica shares insights about the effectiveness of group therapy, particularly for men dealing with aggression and violence. She describes how these groups foster meaningful connections among participants, often referred to as the 'family they never had.' The episode also touches on the systemic prejudices faced by individuals with personality disorders, the challenges of communication within mental health services, and the need for a more compassionate, trauma-informed approach to care. Jessica advocates for better training and understanding among professionals to improve treatment outcomes for those with complex mental health needs.

Takeaways

Patients benefit more when they come to therapy voluntarily.

Group therapy can create meaningful connections among individuals with similar struggles.

Stigma and prejudice against personality disorders persist in mental health services.

Long-term therapy is often necessary for individuals with complex trauma histories.

Mentalization-based treatment can help individuals understand their emotions and behaviours.

Chapters

00:00 Introduction to Forensic Psychotherapy

04:04 The Role of Group Therapy

10:18 Prejudice and Stigma in Mental Health

20:18 Challenges in Communication and Care

29:43 The Importance of Trauma-Informed Care

39:29 Good Clinical Practice and Training

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Summary

In this episode, Chris interviews Naomi Salisbury, the ex-CEO of Self Injury Support, who shares her extensive experience in mental health services and advocacy for individuals with personality disorders. The conversation delves into the discrimination and prejudice faced by those labelled with personality disorders, particularly in mental health settings. Naomi discusses her personal experiences and those of the individuals she supports, highlighting the systemic issues that perpetuate discrimination and the lack of understanding surrounding these diagnoses. She emphasises the need for a more compassionate and curious approach in mental health services, advocating for a shift from punitive measures to supportive, person-centred care that acknowledges the complexities of trauma and mental health.

Keywords

personality disorder, mental health stigma, self-harm support, trauma-informed care, mental health services, discrimination, advocacy, emotional support, peer support, systemic issues

Takeaways

'The removal of curiosity is a huge problem.'

'If you don't know something, just say you don't know.'

'It's about relationships and connecting with people.'

'The system is set up to gatekeep and keep people out.'

'We need to invest in the emotional and psychological level of who gets into these jobs.'

'Being validated and believed at any life stage is crucial.'

'It's not about labelling; it's about understanding the trauma.'

'We need to treat people as individuals, not templates.'

'The tone of communication in mental health services can be hostile.'

Chapters

00:00 Introduction to Naomi Salisbury and Self Injury Support

02:20 Experiences of Prejudice in Mental Health Services

05:45 The Impact of Labels on Seeking Help

14:13 The Role of Curiosity in Mental Health Care

25:27 The Need for Systemic Change in Mental Health Services

35:45 The Importance of Validation and Support

45:35 Exploring the Future of Mental Health Services

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