Melissa O’Neill – Borderline Personality Disorder and Co-Occurring Disorders: Effective Treatments for Complex Clients

Outline

Clinician’s Biases can provide a powerful impact in treatment of BPD and Co‐occurring disorders

• The core of BPD is relational and inevitably comes into the therapeutic relationship
• The question isn’t whether it’s impacting the therapeutic relationship but “How?”
• Clinicians can identify common traps within the relationship and strategies to stay engaged in the therapeutic relationship

Evidenced‐Based Approach to BPD and Co‐occurring Disorders – Dual Focused Schema Therapy

• How to assess and create change through the negative belief system
• Early relapse prevention planning is the key to changing the negative belief system

Evidenced‐Based Approach to BPD and Co‐occurring Disorders – DBT and ACT

• Shifting perspectives to see emotional dysregulation as a source of impulsivity that often leads to relapse
• Introduction DBT and ACT skills to address emotional dysregulation
  • Thought Diffusion
  • Distress Tolerance Skills
• Mindfulness Skills