
Rose Skeeters interviews Robert Drozek about mentalization-based treatment and its role in recovery from borderline personality disorder.
In this episode, Rose Skeeters welcomes Bob Drozek, a leading expert in mentalization-based treatment (MBT), to discuss how understanding and improving mentalizing can support hope and recovery from borderline personality disorder (BPD). Listeners will gain insights into the foundational concepts of MBT and practical strategies for fostering better emotional and relational health. Key topics: Mentalization explained: Accessing, reflecting, and understanding mental states in oneself and others (00:00:41) The importance of mentalization in everyday life and therapy (00:55:27) How trauma, rejection, and intense emotions disrupt mentalizing abilities (01:26:00) The role of psychical equivalence mode—certainty about negative self-beliefs— in BPD (05:03:00) Differences between skills-based therapies like DBT and relational, reflective approaches like MBT (13:42:00) The structure of MBT treatment: Formulation, collaborative development, and tailored strategies (16:19:00) Tools to assess and enhance self-awareness, including worksheets for identifying mentalizing strengths and vulnerabilities (19:00:00) The certainty toolkit and overcoming rigid beliefs about oneself and others…
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