In this behind-the-scenes episode, I take you inside my clinical thinking as I explore what actually drives borderline emotional dysregulation. We look at how failures in internal holding and object constancy lead to external regulation through relationships, why this creates intense relational dynamics marked by rage, splitting, and blame, and how early trauma collapses the past into the present. I close by sharing a clinical stance — how to stay grounded in the person’s lived experience without retraumatizing them, while still gently widening reality.
If you are interested in a consultation or seeking virtual therapy services, Dr. Mazzella is accepting new patients. Please click here for more detailed information.
Want to go deeper? Join me in Office Hours — an open space where we explore psychoanalytic ideas together, answer your questions, and connect theory to real life experiences. Reserve your spot here
Next Meeting: March
Contact me Directly with observations, questions or comments:
thenarcissismdecoder@gmail.com
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Dr. Mazzella’s personal website: drmazzella.com
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