Lisa Duval is a licensed clinical psychologist who has worked with children, teens, and families for over 30 years. She is also the mother of a "fiercely gender questioning" 18 year-old daughter, who has been male-identified for the last 5 years. She works with ROGD teens in an exploratory, empowering, feminist, and body positive way, affirming their beatiful, complicated selves but not simply their trans identities.      We start with Lisa describing the old DSM multi-axial system, which was actually discarded in the current version, version 5. In Axis 2 we had cognitive and personality disorders, including borderline personality disorder. Listeners often ask me and Stella about potential links between borderline personality constellations and gender issues, so we were really excited to speak with Lisa about this. For starters, Lisa shares why borderline personality disorder should rarely ever be diagnosed in teens, though sometimes you might hear psychiatrists say a child has some “borderline traits”. We delve into how common, and almost quintessential, these traits are as a part of normal adolescent development.     Lisa then explains a fascinating theory: not only are kids with these traits perhaps more vulnerable to ROGD, but also that aspects of gender identity ideology iatrogenically create borderline dynamics in dysphoric kids. In other words, gender ideology and a dogmatic affirmation approach could be causing and exacerbating these borderline traits. We also have a chance to explore the overlap between expressions of Autism and Borderline, and Lisa comments on a previous discussion we had about this with Dr Susan Bradley in EP 65. At the end of the episode, Lisa shares a really interesting way she that and her clients have been able to circumvent the issue of picking a new cross-sex name while exploring gender identity.