Share

cover art for is it autism or borderline personality disorder? (exploring psychiatric label stigma with dr. jay watts)

Back From The Borderline

is it autism or borderline personality disorder? (exploring psychiatric label stigma with dr. jay watts)

In this thought-provoking episode, Dr. Jay Watts and I dive into the unique challenges faced by women with autism and explore how common traits are often misunderstood or overlooked in psychiatric settings. We discuss why women are less likely to be diagnosed with autism, how “masking” and “camouflaging” can conceal autistic traits in women and girls, and the impact of these strategies on mental health. From “special interests” to subtle social cues, we explore how autism manifests differently in women—and why these differences matter in both diagnosis and treatment.


Dr. Watts also shares insights into the deeply misunderstood labels of BPD (Borderline Personality Disorder) and cPTSD, uncovering how trauma often underpins these traits and why individuals with these diagnoses experience chronic feelings of emptiness, self-doubt, and even suicidality. We discuss the often overlooked risks of DBT (Dialectical Behavior Therapy) and how crucial informed consent is in psychiatric treatment, particularly around therapy choices and medications. Dr. Jay Watts, a respected clinical psychologist, psychotherapist, lecturer, and mental health activist based in London, brings her expertise from decades in clinical practice and academic roles within the UK’s National Health Service.


Topics explored in this episode:


  • Why autism diagnoses are often missed in women
  • The impact of “masking” and “camouflaging” strategies on mental health
  • Identifying unique “special interests” in women with autism
  • The stigma surrounding BPD and cPTSD and its roots in trauma
  • Understanding the emotional toll of chronic emptiness and suicidality
  • Potential risks of DBT and the need for informed consent in psychiatric care


Tune in for an insightful discussion that challenges conventional perspectives on mental health diagnoses, autism, and trauma, and empowers listeners to seek deeper understanding and agency in their own mental health journeys.


JAY’S RECOMMENDED RESOURCES:

■ Follow Jay on Twitter @Shrink_at_Large

■ Jay’s articles about BPD and trauma can be found here

■ Protest letter about removing BPD from the diagnostic manual, ICD11 can be found here

A Simple Guide To Avoid Receiving A Diagnosis Of ‘Personality Disorder’


Enjoyed this episode? Explore more as a Premium Submarine. Dive deep into hundreds of hours of exclusive content on Patreon, including my original BPD recovery series, guided meditations, and much more. Click here to preview the premium collections you’ll unlock access to for as little as a couple of cups of coffee a month. Learn more and join at backfromtheborderline.com.


The information contained in this podcast episode is for educational and entertainment purposes only and is not intended as a substitute for treatment or consultation with a licensed mental health professional.

More episodes

View all episodes

  • sleeping with 100 men in a day: a psychological deep dive into sex, self-harm, and lily phillips

    03:55:34|
    You’ve seen the headlines, maybe even watched the documentary—but what’s missing from the noise surrounding Lily Phillips’ viral stunt is a truly nuanced conversation. In this nearly four-hour deep dive, we strip away the sensationalism to uncover the layers of complexity behind one of the most polarizing stories of the year. This isn’t about villainizing or victimizing. It’s about holding the tension of opposites, the messy intersection of choice, consequence, and survival. From the logistical chaos of Lily’s 100-men challenge to the emotional toll she could no longer hide, we leave no moment unexamined. What you’ll hear in this episode:    • A close look at sex as self-harm: How societal narratives and personal trauma intersect in ways that shape our most intimate choices.    • The myth of empowerment: Is the modern feminist ethos failing us? And what does empowerment look like when it’s wrapped in performance and commodification?    • Dissociation and identity: Through Lily’s own words, we unpack the ways detachment becomes a coping mechanism—and a tool for survival. This isn’t just about Lily. It’s a reflection on the systems we’ve built, the narratives we perpetuate, and the ways we consume each other in a hyper-connected world. If you’re looking for an unflinching, human-centered take that challenges the way we think about agency, exploitation, and empowerment, this is the conversation you’ve been waiting for.Click here to watch Josh Pieters’ original YouTube documentary.Craving more? Become a Premium Submarine. Join an exclusive community and unlock hundreds of hours of members-only content: full-length episodes, deep-dive series, guided meditations, and more—all for the cost of a couple of coffees a month. Start exploring at backfromtheborderline.com.
  • new age or new cage? (walking the tightrope of digital spirituality) [preview]

    33:35|
    In this episode, we’re exploring why more of us are forging our own spiritual paths, stepping away from organized religion and venturing into uncharted territories. We'll examine how this shift empowers us, yet also opens the door to self-deception and the allure of superficial, commercialized experiences disguised as spiritual enlightenment. With the rise of digital platforms, spirituality has never been more accessible or more customizable. From WitchTok rituals at midnight to quick-fix meditation apps, and Instagram influencers who mix timeless wisdom with modern hustle—it’s all just a click away. But in this vast digital landscape, how do we discern what’s genuinely transformative from what’s merely trendy? It's crucial to navigate this space with a critical eye. The freedom to choose our spiritual beliefs also exposes us to the risk of self-deception. How do we keep our spiritual compass steady, avoiding the pitfalls of commercialized enlightenment and superficial experiences? We're cutting through the noise to see what spirituality really looks like in the internet age. We’ll explore how this shift toward personal spiritual journeys can empower us, yet also leave us vulnerable to the shallow allure of the spiritual marketplace. If you've ever questioned the authenticity of your spiritual journey or wondered if you're evolving or just ensnared in attractive narratives, this episode is for you. Let’s dig deep and get real about what it means to seek enlightenment in our digital world. TIME STAMPS: 00:00 – 29:05.45: PART 1 (Exploration of modern spirituality's resurgence, balancing individual spirituality with discernment, understanding disenchantment and re-enchantment, rise of personalized spiritual practices via platforms like WitchTok, and historical shifts away from institutional religion towards more personal spiritual experiences.)29:05.45 – 01:01:42.02: PART 2 (Discussion on digital spirituality's risks including echo chambers, misinformation, and commercialization; exploring self-deception and the dangers of trivial spiritual practices in online spaces; strategies for balancing digital exploration with credible guidance; tips for discernment and critical thinking in spiritual content; envisioning a balanced digital spiritual framework that supports genuine growth.) Enjoyed this episode? Explore more as a Premium Submarine. Dive deep into hundreds of hours of ad-free exclusive content and full-length episodes on Patreon, including my original BPD recovery series, guided meditations, and much more. Click here to preview the premium collections you’ll unlock access to for as little as a couple of cups of coffee a month. Learn more and join at backfromtheborderline.com.The information contained in this podcast episode is for educational and entertainment purposes only and is not intended as a substitute for treatment or consultation with a licensed mental health professional.
  • new age or new cage? (walking the tightrope of digital spirituality) [premium exclusive]

    01:01:41|
    In this episode, we’re exploring why more of us are forging our own spiritual paths, stepping away from organized religion and venturing into uncharted territories. We'll examine how this shift empowers us, yet also opens the door to self-deception and the allure of superficial, commercialized experiences disguised as spiritual enlightenment.With the rise of digital platforms, spirituality has never been more accessible or more customizable. From WitchTok rituals at midnight to quick-fix meditation apps, and Instagram influencers who mix timeless wisdom with modern hustle—it’s all just a click away. But in this vast digital landscape, how do we discern what’s genuinely transformative from what’s merely trendy?It's crucial to navigate this space with a critical eye. The freedom to choose our spiritual beliefs also exposes us to the risk of self-deception. How do we keep our spiritual compass steady, avoiding the pitfalls of commercialized enlightenment and superficial experiences?Today, we're cutting through the noise to see what spirituality really looks like in the internet age. We’ll explore how this shift toward personal spiritual journeys can empower us, yet also leave us vulnerable to the shallow allure of the spiritual marketplace.If you've ever questioned the authenticity of your spiritual journey or wondered if you're evolving or just ensnared in attractive narratives, this episode is for you. Let’s dig deep and get real about what it means to seek enlightenment in our digital world.TIME STAMPS:00:00 – 29:05.45: PART 1 (Exploration of modern spirituality's resurgence, balancing individual spirituality with discernment, understanding disenchantment and re-enchantment, rise of personalized spiritual practices via platforms like WitchTok, and historical shifts away from institutional religion towards more personal spiritual experiences.)29:05.45 – 01:01:42.02: PART 2 (Discussion on digital spirituality's risks including echo chambers, misinformation, and commercialization; exploring self-deception and the dangers of trivial spiritual practices in online spaces; strategies for balancing digital exploration with credible guidance; tips for discernment and critical thinking in spiritual content; envisioning a balanced digital spiritual framework that supports genuine growth.)
  • the millennials who were groomed by the internet: my story, jay-z and diddy

    02:12:02|
    The early internet was chaos—a digital Wild West with no rules, no boundaries, and no protection. It was a breeding ground for predators, a place where manipulation could flourish unseen. Millennials were the first generation to grow up online, left to navigate this unregulated landscape with no roadmap. We were told to look out for the creepy man in the van, but no one warned us about what happens when the man doesn’t need a van—when he’s behind a screen, building trust in ways no one knew to look for. In this episode of Back From the Borderline, I share my personal story of walking the edge of the music industry’s darkest realities—an experience that mirrors the cultural reckoning sparked by recent allegations against Sean “Diddy” Combs and Jay-Z. These stories aren’t isolated. They reflect how systemic power, celebrity worship, and the internet combined to create a perfect storm, leaving young people vulnerable in ways we’re only now beginning to understand. We’ll unravel how a culture that glamorized power and silence enabled these dynamics to thrive. It wasn’t just the internet or the industry—wider society had no problem with the way young women were sexualized and exploited, shrugging it off as the price of ambition or desire. Our parents may not have seen the full scope of what was happening, but the culture around them did—and stayed quiet. Now, decades later, the same generation that told us to stay silent is feigning outrage over the very scripts they helped normalize. This is a story about more than individual predators. It’s about systems designed to protect the powerful and the cultural blind spots that let exploitation flourish in plain sight. It’s also about how those systems are starting to crack. The same internet that once made us easy prey is now a tool for exposing the rot, amplifying survivors’ voices, and shining light on the shadows that have lingered too long. There’s no neat resolution here. But if anything, this conversation is a reminder: We were set up to believe nothing was wrong, and waking up to that is the first step toward reclaiming what was taken from us.Craving more? Become a Premium Submarine. Join an exclusive community and unlock hundreds of hours of members-only content: full-length episodes, deep-dive series, guided meditations, and more—all for the cost of a couple of coffees a month. Start exploring at backfromtheborderline.com.
  • anatomy of evil: h.h. holmes (how victorian vice shaped the mask of a gentleman killer) [preview]

    46:27|
    In this episode of "Anatomy of Evil," I peel back the velvet curtain of the Victorian era to reveal the disturbing world of H.H. Holmes, America’s first documented serial killer. His story isn't just a tale of murder and deception—it's a harrowing journey into the complexities of the human psyche. As we traverse the cobblestone streets of 19th century Chicago, I delve into Holmes's early life, exploring how a combination of societal pressures, inherent cunning, and emotional detachment molded a charming young boy into a master manipulator. From his upbringing during the paradoxical Victorian era—a time obsessed with both scientific progress and the macabre—to the pivotal moments that sparked his descent into infamy, we uncover the layers of influence that shaped his dual life. The heart of our exploration beats within the walls of the infamous "Murder Castle," a labyrinthine structure of Holmes's own design. Here, his darkest impulses were unleashed, turning adaptive survival strategies into lethal traps for his unsuspecting victims. As we dissect Holmes's methods and the chilling ease with which he lured his prey, a critical question emerges: How did society’s fascination with the grotesque and the unknown feed into Holmes’s narrative, and what does this macabre curiosity reveal about our own? This episode is more than a historical recount; it's a deep dive into the psyche of a man who was a product of his time yet disturbingly ahead of it. By understanding Holmes's life and crimes, we confront uncomfortable truths about the potential for evil within all societal frameworks. Join me as we journey through the dark corridors of history, examining how the shadows of the Victorian era mirror today's societal challenges. It's an exploration that promises not only to captivate but also to enlighten, urging us to remain vigilant against the darkness that can so easily grow in the unwatched corners of society. TIME STAMPS: 05:23.84 – 42:57.70: PART 1 (Explore H.H. Holmes's Victorian upbringing, his charismatic yet manipulative nature from an early age, and the development of his sinister survival strategies amidst a backdrop of rigid societal norms and emerging sciences.) 42:57.70 – 01:21:08.88: PART 2 (Delve into Holmes's infamous crimes from the construction of the Murder Castle to his psychological profile as a serial killer, and examine the media's role in sensationalizing his actions, reflecting on Victorian society and its influence on modern true crime fascination.) Enjoyed this episode? Explore more as a Premium Submarine. Dive deep into hundreds of hours of ad-free exclusive content and full-length episodes on Patreon, including my original BPD recovery series, guided meditations, and much more. Click here to preview the premium collections you’ll unlock access to for as little as a couple of cups of coffee a month. Learn more and join at backfromtheborderline.com.The information contained in this podcast episode is for educational and entertainment purposes only and is not intended as a substitute for treatment or consultation with a licensed mental health professional.
  • anatomy of evil: h.h. holmes (how victorian vice shaped the mask of a gentleman killer) [premium exclusive]

    01:21:11|
    In this episode of "Anatomy of Evil," I peel back the velvet curtain of the Victorian era to reveal the disturbing world of H.H. Holmes, America’s first documented serial killer. His story isn't just a tale of murder and deception—it's a harrowing journey into the complexities of the human psyche.As we traverse the cobblestone streets of 19th century Chicago, I delve into Holmes's early life, exploring how a combination of societal pressures, inherent cunning, and emotional detachment molded a charming young boy into a master manipulator. From his upbringing during the paradoxical Victorian era—a time obsessed with both scientific progress and the macabre—to the pivotal moments that sparked his descent into infamy, we uncover the layers of influence that shaped his dual life.The heart of our exploration beats within the walls of the infamous "Murder Castle," a labyrinthine structure of Holmes's own design. Here, his darkest impulses were unleashed, turning adaptive survival strategies into lethal traps for his unsuspecting victims. As we dissect Holmes's methods and the chilling ease with which he lured his prey, a critical question emerges: How did society’s fascination with the grotesque and the unknown feed into Holmes’s narrative, and what does this macabre curiosity reveal about our own?This episode is more than a historical recount; it's a deep dive into the psyche of a man who was a product of his time yet disturbingly ahead of it. By understanding Holmes's life and crimes, we confront uncomfortable truths about the potential for evil within all societal frameworks.Join me as we journey through the dark corridors of history, examining how the shadows of the Victorian era mirror today's societal challenges. It's an exploration that promises not only to captivate but also to enlighten, urging us to remain vigilant against the darkness that can so easily grow in the unwatched corners of society. TIME STAMPS:05:23.84 – 42:57.70: PART 1 (Explore H.H. Holmes's Victorian upbringing, his charismatic yet manipulative nature from an early age, and the development of his sinister survival strategies amidst a backdrop of rigid societal norms and emerging sciences.) 42:57.70 – 01:21:08.88: PART 2 (Delve into Holmes's infamous crimes from the construction of the Murder Castle to his psychological profile as a serial killer, and examine the media's role in sensationalizing his actions, reflecting on Victorian society and its influence on modern true crime fascination.)
  • unplugging from the matrix: 10 arguments for deleting your social media right now

    01:15:52|
    If you’re not paying for the product, you are the product.” This incisive observation, often attributed to Andrew Lewis, lays bare the unsettling reality of our digital age. In this episode, we dissect Jaron Lanier’s book, "Ten Arguments for Deleting Your Social Media Accounts Right Now", uncovering how these platforms exploit our behaviors and data for profit.Lanier, a pioneer in virtual reality and a vocal critic of Silicon Valley, exposes the manipulative architectures of social media that commodify our attention and influence our perceptions. We explore how these digital landscapes are meticulously engineered to foster dependency, distort self-worth, and erode authentic human connections.This conversation challenges us to confront the pervasive influence of social media on our consciousness and societal norms. By examining Lanier’s compelling arguments, we consider the profound implications of our online engagements and the potential liberation found in reclaiming our digital autonomy. Prepare to question the true cost of “free” services and to envision a more intentional relationship with technology—one that honors personal sovereignty and fosters genuine connection.Resources:✧ Ten Arguments for Deleting Your Social Media Accounts Right Now by Jaron Lanier✧ The Social Dilemma (Netflix Documentary released in 2020)✧ Ground News (news platform that flags media bias)Enjoyed this episode? Explore more as a Premium Submarine. Dive deep into hundreds of hours of ad-free exclusive content and full-length episodes on Patreon, including my original BPD recovery series, guided meditations, and much more. Click here to preview the premium collections you’ll unlock access to for as little as a couple of cups of coffee a month. Learn more and join at backfromtheborderline.com.The information contained in this podcast episode is for educational and entertainment purposes only and is not intended as a substitute for treatment or consultation with a licensed mental health professional.
  • unplugging from the matrix: 10 arguments for deleting your social media right now [ad-free]

    01:15:51|
    Have you considered the invisible strings that might be pulling at your attention, shaping your beliefs, and subtly guiding your daily decisions? Today's episode plunges into the thought-provoking insights of Jaron Lanier's "Ten Arguments for Deleting Your Social Media Accounts Right Now." Lanier, not just a tech pioneer but a critical philosopher in digital ethics, challenges us to see beyond the surface of routine likes and shares.This episode is more than just a critique—it's a deep dive into the hidden mechanisms that social media platforms use to manipulate and monetize our interactions. We'll explore Lanier's perspective on how these digital environments are designed not only to capture but to capitalize on our attention, often at the cost of our mental health and personal autonomy.Get ready to confront some uncomfortable truths: Are your social media habits supporting a system that undermines genuine human connection? How might your life change if you reclaimed the hours spent in these digital landscapes? By the end of our journey today, you'll be equipped with critical insights that could empower you to take control of your digital life, align your online presence with your deepest values, and perhaps inspire a more mindful approach to technology. Join me as we unpack the realities of our digital engagements and consider what a healthier interaction with technology could look like.Resources:✧ Ten Arguments for Deleting Your Social Media Accounts Right Now by Jason Lanier✧ The Social Dilemma (Netflix Documentary released in 2020)✧ Ground News (news platform that flags media bias)
  • “when trauma becomes your identity, that’s a dangerous thing” [preview]

    31:43|
    What's shaping our identities today? It seems like 'trauma' is the word on everyone's lips. From personal battles to cultural debates, the concept has infiltrated our conversations and our consciousness. But when did our traumas start defining us? In this episode, inspired by a revealing interview from the Financial Times with Bessel van der Kolk, we unravel how trauma is not just a personal ordeal but a cultural phenomenon that's shaping our very fabric. Van der Kolk, a pioneering psychiatrist whose life's work has centered on understanding trauma, argues that our darkest experiences do more than just linger—they shape our identity. Through his insights, we'll explore the profound impact that trauma has on our personal lives and societal structures. From childhood adversities to the collective traumas of societies, van der Kolk’s perspectives challenge us to rethink our approaches to mental health. Diving deeper, this episode examines van der Kolk's critiques of modern psychiatric methods and his advocacy for alternative healing modalities. Why does he believe that traditional talk therapies often fall short, and how might practices like MDMA-assisted therapy or yoga offer more profound healing? We'll dissect the science and the stories behind these methods, understanding their potential to rewrite the narratives of trauma in our bodies and minds. Moreover, we connect these themes to broader societal shifts witnessed in recent years—from the isolation heightened by digital communication to the global rise of trauma as a ubiquitous topic. How has our understanding of trauma changed in the wake of the pandemic and social media's ascendancy? What does this mean for our future as individuals and communities trying to heal? Join me as we navigate the treacherous waters of trauma with Bessel van der Kolk, whose insights challenge us to not just recognize but truly transform our wounds into wisdom. This episode isn’t just about understanding the scars that trauma leaves; it's about learning how to rise above them. How do we acknowledge the pain without letting it anchor our entire existence? How do we move from being victims of our past to architects of our future? Tune in as we explore these poignant questions, discovering pathways not just to survive but to thrive beyond our past pains.✧ Source Article: Psychiatrist Bessel van der Kolk: ‘When trauma becomes your identity, that’s a dangerous thing’ via the Financial TimesEnjoyed this episode? Explore more as a Premium Submarine. Dive deep into hundreds of hours of ad-free exclusive content and full-length episodes on Patreon, including my original BPD recovery series, guided meditations, and much more. Click here to preview the premium collections you’ll unlock access to for as little as a couple of cups of coffee a month. Learn more and join at backfromtheborderline.com.The information contained in this podcast episode is for educational and entertainment purposes only and is not intended as a substitute for treatment or consultation with a licensed mental health professional.