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September 29, 2021 23 min

On this episode of Beyond the Balance Sheet, Dr. Blaise Aguirre, MD, a child adolescent psychiatrist, and Associate Professor in Psychiatry at Harvard Medical School speaks with Diana to discuss borderline personality disorder. Dr. Aguirre addresses the reluctance in diagnosing borderline personality disorder and dives into what effective treatment modalities there are for borderline personality disorder. Tune in as Dr. Aguirre discusses how emotional temperament can be genetic and shares the tips he has for parents who have a child with borderline personality disorder. 


  • [03:35] Dr. Aguirre explains why clinicians are so reluctant to diagnose borderline personality disorder.  
  • [07:20] There are a few theories around treatment for borderline personality disorder. Dr. Aguirre dives into the importance of regulating emotions and relationships.
  • [11:40] The tools that Dr. Aguirre recommends for fixing any problem. 
  • [15:50] Are financial resources an advantage for people with a borderline personality disorder?  
  • [18:10] Tips for parents who have a child with borderline personality disorder. 

  • When there are no quick treatments for a mental health disorder, therapists can be very reluctant to diagnose someone with it. 
  • People with a borderline personality diagnosis at 22 may not have that diagnosis at 30.
  • Sixty percent of emotional temperament is genetic. People with borderline personality disorder tend to have family members with this condition.
  • The first step to fixing any problem is to understand exactly what the problem is. 





    Blaise Aguirre, MD, a child and adolescent psychiatrist. He is an Associate Professor in Psychiatry at Harvard Medical School. He is a trainer in, and specializes in, dialectical behavior therapy (DBT) for borderline personality disorder and associated conditions. He is the founding medical director of 3East continuum of care, an array of programs for teens and young adults that uses DBT to target self-endangering behaviors as well as the symptoms of borderline personality disorder (BPD) traits. Dr. Aguirre has been a staff psychiatrist at McLean Hospital since 2000 and is nationally and internationally recognized for his extensive work in the treatment of mood and personality disorders in adolescents. He is an Associate Professor in Psychiatry at Harvard Medical School and he lectures regularly all around the world. 

    Dr. Aguirre is the author or co-author of many books including:

  • Borderline Personality Disorder in Adolescents, 
  • Mindfulness for Borderline Personality Disorder, 
  • Coping with BPD, and former Amazon # 1 Bestseller DBT For Dummies
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