Training Title:
Retired ~ Borderline Personality Part A

Clock Hours: 2

Objectives:
• Develop an understanding of the etiology and treatment of The Borderline Personality Disorder. • Describe the main psychotherapeutic interventions.

Description:
People with Borderline Personality Disorder are probably the most challenging of all the patients most of us see. Showing a profound lack of integration of their personal identity, some cling to their therapists, refusing to leave when the session is over; two out of five will quit treatment prematurely. They act out just when things start to be improving, and are seen by most clinicians as confusing, upsetting, draining, and notoriously difficult to treat. Yet many BPD patients eventually make modest, or even splendid recoveries. While it's still not clear what the pure, hard core of the disorder is, it is likely to be a mixture of a surprisingly strong genetic and predisposition consisting of the traits of impulsivity, aggressively and emotional intensity, plus environmental factors. Some have experienced neglect, sexual abuse, and trauma in childhood, but newer research shows that this is not a prerequisite for the disorder. Treatment approaches range from fairly classic psychoanalytic and its variants such as self psychology and object relations theory, to biological, to cognitive behavioral therapy and its variant, dialectical behavior therapy, to EMDR and Neuro Feedback therapy. In working with the borderline personality, the same arguments hold as in the treatment of many disorders. The insight and relational oriented approaches view the cognitive behavioral approach and medication as "quick fixes" and don't last. The research based cognitive behavioral approaches view the insight and relational approaches as basically a bunch of unsubstantiated palaver.

Approval Bodies