Personality Disorders Flashcards
Borderline Personality Disorder is characterized by what?
Unstable relationships; poor self-image; lack of emotional regulation
Considerations for Borderline Personality Disorder are?
- Create a strong therapeutic alliance
- Monitor personal reactions; be compassionate; process transference
- Collaborate with professionals as appropriate
- Be firm, consistent, and reliable; set boundaries; take an active approach
- Address suicidal and self-destructive behaviors
- Establish a detailed treatment plan
- Assess for comorbidity and trauma
Treatments for BDP include
Dialectical Behavior Therapy (DBT), Schema Therapy (ST), Psychodynamic, Cognitive Analytic Therapy (CAT), STEPPS group therapy
SSRIs and Antipsychotic medication for BDP are used to treat what?
Specific Symptoms- not the disorder itself
DBT is effective to reduce what in BPD?
Self-injurious and suicidal symptoms
What does DBT teach clients with BPD?
Adaptatively cope with emotions
What treatment for BPD explores schemas formed early in life and attempts to modify maladaptive representations of these relationships?
Schema Therapy
What does psychodynamic treatment do when treating clients with BPD?
Postulates relational problems are carried from childhood into adulthood; thus, the goal is to develop stable sense of self and relationships
What is Mentalization-based psychotherapy based on?
Attachment Theory
What is Transference-Focused Psychotherapy?
Manualized treatment that
focuses on object relations theory
Psychodynamic treatment is used to put emphasis on what in regards to BPD?
Personality Development
Explain Cognitive Analytic Therapy (CAT)
Brief collaborative therapy based on cognitive therapy, elements of cognitive
psychology and psychodynamic psychotherapy
Which Personality Disorder is characterized by blatant disregard and violation of the rights of others?
Antisocial Personality Disorder (ASPD)
Counselor Considerations for Antisocial Personality Disorder include:
- Utilize external motivations to facilitate the change process, as well as motivational interviewing and enhancement techniques
- Establish a supportive, yet structured approach to treatment
- Seek appropriate consultation and supervision
- Fully assess antisocial behaviors, personality function, possible comorbid mental disorders, and treatment needs
ASPD treatment includes:
Schema Therapy, Mentalization-Based Therapy (MBT), and CBT
Medications for clients with ASPD are used to treat secondary symptoms such as
anxiety, depression, impulsivity, irritability
What is the goal of schema therapy with ASPD clients?
To heal maladaptive schema and enhance adaptive coping styles
Techniques for Schema Therapy include:
re-scripting, chair work, journaling, and flash cards