Kristina Hallett – Rewiring the Brain: Treatment Techniques for Obsessive Compulsive, Narcissistic, Antisocial, and Borderline Personality Disorders

Outline

Part 1: The Development of Personality DisordersPart 1: The Development of Personality Disorders

• Biology and temperamentBiology and temperament
• Agency and a desire to be affiliatedAgency and a desire to be affiliated
• Anxiety and harm avoidanceAnxiety and harm avoidance
• Interpersonal Neurobiology – The concept of neural repair and neural integrationInterpersonal Neurobiology – The concept of neural repair and neural integration

Part II: Treatment StrategiesPart II: Treatment Strategies

I. Antisocial Personality DisorderI. Antisocial Personality Disorder

• Anxiety and APD Anxiety and APD
  • Develop harm avoidanceDevelop harm avoidance
  • Utilize active relaxationUtilize active relaxation
  • Anxiety in disguise: Find anxiety and tame Anger with the anger diaryAnxiety in disguise: Find anxiety and tame Anger with the anger diary
  • Anger escalator tools for anger managementAnger escalator tools for anger management
• Depression and the Antisocial PD Depression and the Antisocial PD
  • The hidden emotionThe hidden emotion
  • Cost-benefit analysis of behaviorsCost-benefit analysis of behaviors
  • Use HALT tips to modulate expressionUse HALT tips to modulate expression
• Interpersonal Relationship and APD Interpersonal Relationship and APD
  • Turn agency into positive pathsTurn agency into positive paths
  • Journaling to identify implicit memory to increase awarenessJournaling to identify implicit memory to increase awareness
  • Train the “wise mind” for better self-controlTrain the “wise mind” for better self-control
  • Storytelling for attunement and empathyStorytelling for attunement and empathy

II. Narcissistic Personality DisorderII. Narcissistic Personality Disorder

• Anxiety and NPD Anxiety and NPD
  • Diminish the intensity of harm avoidanceDiminish the intensity of harm avoidance
  • Teach appropriate assertivenessTeach appropriate assertiveness
  • Worry management strategiesWorry management strategies
  • Energy therapies and self-soothingEnergy therapies and self-soothing
  • Dispute irrational fears of humiliationDispute irrational fears of humiliation
• Depression and NPD Depression and NPD
  • Increase agencyIncrease agency
  • Accept responsibility for vicious circles of grandiosity and lossAccept responsibility for vicious circles of grandiosity and loss
  • Battle grandiosity by increasing achievementBattle grandiosity by increasing achievement
  • Improving awareness of and attunement to othersImproving awareness of and attunement to others
  • Mindfulness techniques and cost-benefit analysisMindfulness techniques and cost-benefit analysis
• Interpersonal Relationships and NPD Interpersonal Relationships and NPD
  • Using desire for affiliationUsing desire for affiliation
  • Reframe indifference to others and motivate connection with dialectical constructsReframe indifference to others and motivate connection with dialectical constructs
  • Genuine contributions: The path to legitimate self-worthGenuine contributions: The path to legitimate self-worth

III. Obsessive-Compulsive Personality DisorderIII. Obsessive-Compulsive Personality Disorder

• Anxiety and OCPD Anxiety and OCPD
  • Breaking the rule of harm avoidanceBreaking the rule of harm avoidance
  • Identify the conflict with inner valuesIdentify the conflict with inner values
  • CBT to change worry and ruminationCBT to change worry and rumination
  • Real self-focusing techniques to find feelingsReal self-focusing techniques to find feelings
  • Discharging anger – the underlying trigger of anxietyDischarging anger – the underlying trigger of anxiety
  • Learning to tolerate anxiety of making mistakesLearning to tolerate anxiety of making mistakes
  • Breaking free from “technology slavery”Breaking free from “technology slavery”
• Depression and OCPD Depression and OCPD
  • Increase positive agencyIncrease positive agency
  • Change derogatory self-talkChange derogatory self-talk
  • Interrupt and dispute compulsive behaviorInterrupt and dispute compulsive behavior
  • Prescribe fun!Prescribe fun!
• Interpersonal relationships and OCPD Interpersonal relationships and OCPD
  • Affiliation and angerAffiliation and anger
  • Mindfulness practices to increase attunement to othersMindfulness practices to increase attunement to others
  • ”I” statements and negotiation skills”I” statements and negotiation skills
  • Deflate resistance to increase self/other honestyDeflate resistance to increase self/other honesty
  • Systems therapy strategiesSystems therapy strategies
  • Eliminate passive aggressionEliminate passive aggression

IV. Borderline Personality Disorder:IV. Borderline Personality Disorder: The Quest for Connection The Quest for Connection

• Anxiety and BPD Anxiety and BPD
  • The forgetfulness of harm avoidanceThe forgetfulness of harm avoidance
  • Fill in skills deficits: Teach and practice conflict resolution skillsFill in skills deficits: Teach and practice conflict resolution skills
  • Ground techniques to increase emotional stabilityGround techniques to increase emotional stability
  • Journaling techniquesJournaling techniques
• Depression and the BPD Depression and the BPD
  • The forgetfulness of agencyThe forgetfulness of agency
  • Interrupt self-injurious behaviorInterrupt self-injurious behavior
  • EMDR practices to loosen the grip of the pastEMDR practices to loosen the grip of the past
  • Minimize catastrophic rumination w/CBTMinimize catastrophic rumination w/CBT
• Interpersonal Relationships Interpersonal Relationships
  • Craving affiliation and its destructive impactCraving affiliation and its destructive impact
  • Improve therapeutic relationshipsImprove therapeutic relationships
  • Relationship historiesRelationship histories
  • Practice assertiveness vs aggressionPractice assertiveness vs aggression

Limitations of the Research and Potential Treatment RisksLimitations of the Research and Potential Treatment Risks

• RCT’s, efficacy studies and related researchRCT’s, efficacy studies and related research
• Thinking outside the box, while maintaining a scientific basisThinking outside the box, while maintaining a scientific basis
• Tried and true treatment strategiesTried and true treatment strategies

Please Note: PESI is not affiliated or associated with Marsha M. Linehan, PhD, ABPP, or her organizations.Please Note: PESI is not affiliated or associated with Marsha M. Linehan, PhD, ABPP, or her organizations.