According to Dr. Anita Federici, new research shows that 40%-50% of people diagnosed with borderline personality disorder, don’t have BPD at all. The potential reasoning behind misdiagnosis? A fundamental misunderstanding of and lack of awareness around the concept of “emotional overcontrol.” On today’s episode, we dive into these new findings. Researcher, clinical psychologist, personality, and eating disorder specialist Dr. Federici has over 20 years of experience in her field. Not only that, she owns a practice in Ontario, which offers a fully adherent Dialectical Behavior Therapy (DBT) program, as well as a Radically Open DBT (RO-DBT) program for those who struggle with emotional overcontrol. Below are some of the concepts Anita and I cover during this episode:        ■ The difference between emotional undercontrol (UC) vs. overcontrol (OC) and how these concepts are changing the way BPD (and complex trauma) is viewed, diagnosed and treated  ■ Anita’s experience meeting and working with Dr. Marsha Linehan, the creator of Dialectical Behavior Therapy (insert me hardcore fangirling at this point of the episode like the massive nerd that I am)■ New neuroscientific research (from the last 5-6 years) regarding the BPD brain■ How identity diffusion relates to emotion dysregulation■ Dr. Thomas Lynch and his incredible contributions to BPD research: the connection between “Quiet BPD,” emotional overcontrol, and masking behaviors■ How to determine if your temperament sways more towards overcontrol or undercontrol (spoiler alert: the answer lies in childhood)■ How society teaches us to suppress big emotions (and reinforces/rewards more “socially acceptable” perfectionistic behavior)■ How a new form of DBT therapy for individuals with emotional overcontrol, Radically Open DBT (RO-DBT), has drastically changed assessment procedures and treatment recommendations■ How clinging TOO tightly to diagnostic labels can keep us stuck (and why it’s important to think dialectically about diagnoses)■ Anita’s thoughts on mental health professionals deliberately withholding diagnosis information/hypotheses from their patients   ■ Understanding why it is not legal for registered psychotherapists/social workers to communicate formal diagnoses■ Is there a “cure” for BPD? (Painting a realistic – and optimistic – picture of hope, recovery, and remission)■ Why people suffering with complex trauma SEEK chaos (fighting the boredom & emptiness that comes with recovery and how to manage these feelings)■ Exploring the concept of “emotional leakage” in overcontrolled individuals■ How to make sure a DBT program/provider is “fully adherent” and what those treatment programs look like■ Anita provides a realistic explanation behind much of the BPD stigma and misunderstanding that exists in the mental health community Anita’s recommended resources: (Marsha Linehan’s Behavioral Tech Website) (Official YouTube page for the DBT clinic at Rutgers University directed by Shireen Rizvi) Connect with Anita: Join the Discord, follow the podcast on IG, and support us on Patreon: