304 | Facilitating CPRT With Challenging Parent Dynamics

Episode summary

In this episode, I respond to a question from Tess in Illinois about coaching parents with personality disorders—specifically borderline and narcissism—within the CPRT (Child-Parent Relationship Therapy) framework. This is a tough but important topic because it forces us to examine fit, expectations, and how to approach CPRT when cognitive or relational barriers are present.

I walk through how to vet parents for CPRT, what makes someone a good candidate, and how personality disorders can complicate the process. I also talk about the critical need for patience: some parents are essentially rewiring their entire parenting approach, and ten weeks isn't always enough. Finally, I encourage clinicians to hold clear and kind conversations, maintain realistic expectations, and remember that transformation is possible—even when it's slow.