Individuals with borderline personality disorder have long been considered the most challenging clients presenting in the clinical setting. Many professionals continue to view them as untreatable. Emerging research suggests this is simply not the case. DBT has paved the way in pioneering new attitudes and outcomes when working with this population. Most practitioners are trained in dialectical behavior therapy. However, DBT is only one of several empirically supported treatments for BPD – Thus clinicians are now able to bring a more complex, integrative approach to bear on this once heavily stigmatized diagnosis. Leave this training with a comprehensive knowledge of a condition that was once considered untreatable and a broad repertoire of tools to add to your toolbox to compassionately and practically help this group of people discover their own life worth living.

Learning Objectives

• Master essential characteristics of BPD and develop language to educate
  your clients about their diagnosis in a way that minimizes their defensiveness

• Harness the therapeutic relationship to promote treatment compliance, model
  healthy attachment, and facilitate relational and schematic healing

• Distinguish key differential diagnosis considerations related to PTSD and
  Bipolar Disorder

• Identify 8 motivations for non-suicidal self-injury and strategies for appropriate
  intervention in response to each

• Develop a multimodal approach to BPD specific treatment that involves short-term symptom management skills as well as long-term treatment strategies.

• Identify the 3 components necessary for establishing session acuity protocol
  for effectively working with this population

• Integrate skills training, cognitive restructuring, and complex chain analysis to
  increase insight and fortify long term change

Outline
Why was There Ever an “Axis II”

• Clinical distinctions of personality pathology

• Process observations and assessment strategies

BPD in Everyday Language

• Making the Diagnosis

• Having “the talk” in a way that reduces client defensiveness and elicits buy-in

• Differential Diagnosis – Bipolar disorder and PTSD

Evidence Based Treatments

• Integrated treatment model

• DBT Skills Training

• Early Maladaptive Schemas

Skills Training Groups

• Distress Tolerance Skills

• Emotion Regulation Skills

• Cognitive Restructuring

• Interpersonal Effectiveness skills

Individual Treatment

• Session Acuity Protocol

• Diary Cards and Daily Logs

• Complex Chain Analysis

• Coping and Cue Cards

• Data Logs

• Integrated Case Study

 

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