Hannah Spier, MD

Let me get something off my chest. Becasue many comments are about how I could possible by an MD and talk the way I do. "No doctor would, so you must be fake."

Well, maybe they bloody well should! Maybe if we hadn't gone along with this trend of that "doctors should make you feel good," stroking your head while acting like a granny, we wouldn't be in a mental health crisis where Gen Z needs to bring their mothers to job interviews!

Nurses can make you feel comfortable. Doctors should be able to say what needs to happen to heal or prevent illness. And they are failing at this in psychiatry, becasue of exactly the attitude harbored by the folks accusing me of lacking compassion and being mean.

The reason I make epsiodes that get accused of demonizing victims, is becasue we cannot treat what we
A: DO NOT RECOGNIZE
B: MISUNDERSTAND

2 days ago (edited) | [YT] | 1,168

Hannah Spier, MD

This is Part 3 in our Borderline series!
In this episode we start the next stage of the journey: what actually makes a borderline personality develop.
I thought we had to tackle the most common assumption first, the idea that BPD is simply a trauma disorder.
What other popular beliefs about BPD do you hear all the time that you think we should examine next?

(I tried not banging the table this time, even when very irate..)

4 days ago | [YT] | 64

Hannah Spier, MD

Did you enjoy yesterday's episode on Borderline- red flags?
I am thinking about how best to go through "The Making of Borderline" as thorough as possible, and think I will first take a hard look at just the trauma narrative around BPD. Before going on to societal and parental influences.
Is it simply a trauma-response?

Let me know what you think.

1 week ago | [YT] | 618

Hannah Spier, MD

This is Part 2 of the Borderline series.
This is not about paranoia or being "mean" to women, this is meant as a screening tool, since clinicians are abandoning their posts in this regard.

Next episode: what actually creates this dynamic — and why it’s increasing culturally.

1 week ago | [YT] | 53

Hannah Spier, MD

Going live on Substack in 20 min!

The topic is psychiatric medications- when, how and how to taper successfully!

substack.com/@psychobabblewithspier?r=1rqrel&utm_m…

1 week ago | [YT] | 44

Hannah Spier, MD

I’m writing the next episode in our series “Borderline: The Epidemic” which will be «Red flags/ green flags», before we go on to discuss “The making of a Borderliner”. And I suddenly had a thought/ question:

What is/ is there a real difference between the “Borderline stare” and the “Gen-Z stare”?

My immediate thought is: Both are using a performative shut-down to dominate the room. Signalling that they aren't "too fragile" to engage.

Perhaps you guys can help me out!

2 weeks ago (edited) | [YT] | 475

Hannah Spier, MD

The series you requested is here. >

I read every single comment on the last community post. Your questions about BPD, ASPD, and the "Language of the Heart" were too complex for a single video, so I’m making it a masterclass series.

Part 1: The Female Version of Antisocial. >
We’re looking at Costly Signaling, Weaponized Therapy Speak, and the restoration of female agency. Thank you for the incredible suggestions—we’re going through all of them.

2 weeks ago | [YT] | 62

Hannah Spier, MD

Which issues or questions regarding Borderline/ Cluster B do you feel I have not addressed yet?

3 weeks ago | [YT] | 56

Hannah Spier, MD

Tomorrow at 3 pm eastern I’m running a live clinical case session on how to overcome anxiety!

This is a part of the paid tier on Substack for Psychobabble Insiders, more direct and more appropriate for this kind of discussion!

substack.com/@psychobabblewithspier?r=1rqrel&utm_m…

3 weeks ago (edited) | [YT] | 53

Hannah Spier, MD

1 in 5 boys? Who benefitted?

3 weeks ago | [YT] | 35