Full Course Description


Personality Disorders Certificate Course: Advanced Diagnosis, Treatment & Management

Program Information

Objectives

  1. Communicate the difference between personality disorder and psychiatric disorder as it relates to clinical treatment.
  2. Articulate the underlying structure of disordered personality and its clinical implications.
  3. Assess individuals with personality disorders to clinically distinguish and put to practical use in session.
  4. Explain why diagnosis is the critical element to effective clinical treatment for clients with personality disorders.
  5. Compare different types of personality disorders to accurately identify and inform clinical treatment interventions.
  6. Evaluate significant problems typically created by clients with personality disorders and utilize clinical strategies for symptom management.
  7. Implement the framework for successful treatment and management of clients with personality disorders.
  8. Compare the different intervention models as it relates to treatment outcomes.
  9. Demonstrate the most effective aspect of the intervention models to improve client level of functioning.
  10. Identify effective targeted interventions to improve treatment outcomes with personality disordered clients.
  11. Implement empirically validated treatment interventions for clients with personality disorders.
  12. Explore the management models of interventions for clients with personality disorders.
  13. Explain common co-occurring conditions in relation to assessment and treatment planning.
  14. Determine clinical interventions for reduction of self-harm behaviors.
  15. Recommend interventions to manage suicide risk in clients with personality disorders.
  16. Differentiate personality disorders in children and adolescents to inform the clinician’s choice of treatment interventions.
  17. Adapt treatment strategies for working with personality disorders in couples and familtherapy.
  18. Summarize clinical strategies for working with the significant others of individuals with personality disorders.

Outline

The Essentials of Advanced Assessment & Treatment Effectiveness: Fill in the missing pieces and create a treatment plan that works

  • The Distinction “Personality Disorder”
    • Why traditional models of mental health don’t fit
    • “Symptomatic” conditions vs. “characteristic” conditions
    • The underlying structure of disordered personality
    • What makes a personality disorder a chronic condition?
    • Why personality disordered people think “it’s everybody else”
    • Why “normal” talking with personality disordered people is ineffective
  • The Effects of a Personality Disorder
    • How personality disordered people create difficulties for themselves and others
    • The difference in life pattern between “normal” and “disordered” personality
    • How to predict the behavior of individuals with personality disorders
    • The type of chaos created by
      • Cluster A personalities
        • Paranoid Personality Disorder
        • Schizoid Personality Disorder
        • Schizotypal Personality Disorder
      • Cluster B personalities
        • Antisocial Personality Disorder
        • Borderline Personality Disorder
        • Histrionic Personality Disorder
        • Narcissistic Personality Disorder
      • Cluster C personalities
        • Avoidant Personality Disorder
        • Dependent Personality Disorder
        • Obsessive-Compulsive Personality Disorder
  • Assessment and Diagnosis of Personality Disorder
    • Why diagnosis is EVERYTHING in treatment of personality disorders
    • 5 steps to identify and diagnose a personality disorder
      • Effective, brief, and rapid identification
      • Tests and clinical instruments
  • Why the Etiology of Personality Disorders Matters in Treatment
    • The single biggest mistake clinicians make regarding etiology
    • Why misunderstanding etiology will disable interventions
    • What causes personality disorders - the definitive conclusion
  • Treating vs. Managing Personality Disorders
    • Predicting “treatability” of a personality disordered client
    • Critical preparation to determine the proper intervention approach
    • How to choose an intervention approach
    • The structure that makes all interventions effective
      • Two common techniques
    • Develop effective treatment goals for Cluster A, B, and C personalities

Advanced and Empirically Validated Intervention Approaches in Action: A step-by-step plan to implement the most appropriate treatment strategy

  • Select Intervention Based on “Treatability” Level of Client
    • Optimal functioning
      • Mentalization-Based Treatment
      • Transference-Focused Psychotherapy
      • Interpersonal Reconstructive Psychotherapy
      • Object Relations Developmental Psychotherapy
    • Adequate functioning
      • Dialectical Behavior Therapy
      • Schema-Based Treatment
      • Personality-Guided Psychotherapy
    • Targeted behavior improvement
      • Tactical Therapy
      • Strategic Therapy
      • Structural Therapy
    • Limitations and risks of the psychotherapeutic approaches
  • 4-Step Approach to Effective Personality Disorder Treatment
    • Engage the treatment relationship
    • Apply two fundamental treatment techniques
    • Determine category of treatment
    • Utilize approach based on client’s diagnosis and treatment goals
  • 3-Step Approach to Effective Personality Disorder Management
    • Foundation to inhibit disordered behavior
    • Implement contingency
    • Utilize approach specific to client’s diagnosis
  • 3 Must-Have Intervention Techniques for Personality Disorders
    • Behavioral Chain Analysis
    • Mentalizing interpretations
    • Problem-solving process confrontations

Special Issues with Personality Disorders

  • Interventions for Co-occurring Conditions
    • Typical co-occurring disorders for the 10 subtypes
    • Sequencing interventions for co-occurring conditions
    • Medication do’s and don’ts with personality disorders
  • Crisis Management: Self-Harm and Suicide Interventions
    • Fundamental misunderstandings
    • Physiological effects and motivations
    • Interventions to reduce or eliminate self-harm
    • Harvard’s three distinctions of suicidality
    • Interventions for chronic suicidal ideation
    • Treatment approaches for acute suicidality
  • Unique Considerations
    • Personality disorders in children and adolescents
      • Intervention modifications
    • Couples and family therapy interventions
      • Special procedures for interventions
    • Working with significant others of a personality disordered individual
      • Methods to help them stay out of difficulties
      • Coach for effective management
      • Self-care for significant others

Copyright : 10/09/2018

BONUS: Treating Personality Disorders: Advances from Brain Science and Traumatology

Program Information

Outline

  • Personality disorders in the US, prevalence and personal history

            Risk factors, therapeutic options

  • Diagnostic criteria for personality disorders

            Cluster characteristics

            Developmental characteristics

  • Narcissistic Personality Disorder

            Differential diagnostic criteria and defining characteristics

            Pathological v. healthy narcissism                 

  • Grandiose v. vulnerable narcissism
  • Continuum of disturbance and loss of self
  • Borderline Personality Disorder

            Differential diagnostic criteria and defining characteristics

            Boundary setting and treatment approaches

            Attachment and therapeutic relationship considerations

  • Antisocial Personality Disorder

            Differential diagnostic criteria and defining characteristics

            Victim v. perpetrator symptom expression

  • Psychopathy and personality characteristics
  • “No Solid Self”

            Complex therapeutic history

            Common underpinnings to varied personality diagnoses

            Relationship characteristics

  • Developmental processes underlying personality disorders

            Family systems

            Neurophysiological systems

  • Treatment approaches

            Determining level of intervention

            Self-regulation, positive regard, mirroring

            Creating attachment and inserting self into therapy

            Importance of non-verbal communication

            Language selection and techniques

  • Identifying meaning of disordered behavior and emotional regulation
  • Therapist self-regulation, necessity and strategies
  • Pictoral Coherence technique
  • “Undissociation” technique
  • General principles for therapeutic intervention

Objectives

  • Explore how to develop a therapeutic alliance in the face of mistrust, control issues, and rock solid defenses while staying out of power struggles
  • Explore how to work with the pathological dissociation typically present in personality disordered clients
  • Explore practical, effective interventions informed by neuroscience that help clients safely manage frightening symptoms, including violence and emotional meltdowns, and develop healthier boundaries and a more differentiated sense of self

Copyright : 03/25/2017