In this second conversation with Norwegian psychiatrist Hannah Spier, we’re diving into territory that most clinicians won’t touch: the rise of personality disorders among women, the feminization of therapy that’s made gatekeeping impossible, and why credentials alone won’t fix what’s broken in mental health care.

Hannah doesn’t hold back. After years treating patients in outpatient psychiatry, she’s watched the diagnostic manual get diluted, differential diagnosis disappear, and an entire generation of women get labeled with disorders they wear like badges of honor.

I’ll walk you through:

✅ Why Cluster B personality disorders (borderline, narcissism, histrionic, antisocial) are rising—and what’s fueling them

✅ How low agreeableness and high neuroticism create the “weaponized emotionality” we see everywhere now

✅ Why the self-esteem movement of the 90s and participation trophies set us up for narcissistic traits

✅ The feminization of therapy—why 85% female therapists means no incentive to gatekeep diagnoses

✅ How secondary gains (attention, accommodation, identity, redemption arcs) keep people sick

✅ Why feminism has trained women to overemphasize their own suffering and contributions in marriage

✅ The difference between relational aggression (women) and outward aggression (men)—and why both are equally destructive

Whether you’re a woman who’s been called “too much,” a therapist struggling with what you’re being taught to validate, or someone watching workplace bullying and campus protests wondering what’s happening to our culture—Hannah offers the kind of clinically-grounded, fearless perspective that’s nearly extinct today.

🔔 Remember: Not every struggle is a diagnosis. And a diagnosis you’ve incorporated into your identity can never be treated. Real compassion doesn’t remove truth—it holds both.

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Hannah’s relevant links:

Substack (Psychobabble with Spier): https://substack.com/@psychobabblewithspier?r=1rqrel&utm_medium=ios&utm_source=profile&shareImageVariant=image

Instagram: @psychobabblewithspier — https://www.instagram.com/psychobabblewithspier/

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🎥 Noteworthy Videos from Hannah — Recommended Watching:

▶️ How Dark Traits Express Themselves in Women — https://www.youtube.com/watch?v=4YOmG62tyl0

▶️ Why Women Get Away With Narcissism (3 Patterns You’ll Recognize) — https://www.youtube.com/watch?v=xXCRI6u1bl8

▶️ Still Selling Feminism: Our Response to Diary of a CEO — https://www.youtube.com/watch?v=vIys5zTk-xs