Treating personality disorders with TCC

Art Freeman, a therapist specialising in TCC, adopts a no-nonsense, yet relatable style in his work with 40-year-old Alfred (played by Dutch actor Hank Grashuis), whose grief over a recent break-up reveals troubling symptoms as well as the underlying presence of a personality disorder. By modifying his initial assessment after examining the client's dominant patterns, Freeman empathically responds to Alfred's narcissistic need to 'give it all or nothing' within his relationships. At the same time, the client agrees to explore new ways to increase - rather than decrease - his ability to control his anger, alcohol consumption, relationships and emotions. While using some of the classic TCC interventions aimed at helping the client to linking thoughts, emotions and behaviour, Freeman still manages to stay tuned in to Alfred, even in the moments when he handles his own counter-transference (signalled by voice-over comments). This allows him to construct aalliance based on trust with the client, who eventually feels safe enough to commit to continuing therapy.