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Working with BPD doesn’t require less empathy or more distance—it requires more skill, reflection, and willingness to confront our own biases. When clinicians respond to this diagnosis with fear, avoidance, or moral judgment, we reinforce stigma and undermine ethical care. People with BPD are not ‘manipulative’ or ‘untreatable’; they are responding to profound emotional pain in predictable, treatable ways. If we are committed to evidence-based practice, then examining how we talk about—and treat
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