Why DBT Fails in BPD Relationships: The Theory vs. Reality Gap

For the past 20 years, I’ve worked with countless men navigating relationships with women who exhibit Borderline Personality Disorder (BPD), Narcissistic Personality Disorder (NPD), Histrionic Personality Disorder (HPD), or other high-conflict personality traits. A recurring theme? The massive gap between what therapists claim should work and what happens in real life outside the therapy office.…