+
Related Flashcards
Related Topics
Cards In This Set
| Front | Back |
|
BPD?
|
Instability of interpersonal relationships, self img, and effects, marked impulsivity
|
|
BPD meets 5/9 of the following
|
-efforts to avoid abandonment-unstable interpersonal relations-unstable affect-unstable identity-chronic emptiness (2yrs)-impulsive-suicidal/parasuicidal behavior-problems with anger-paranoia/dissociation in response to major stressors
|
|
BPD is unstable across..
|
Emotions, thinking, behavior, relationships
|
|
Why is there stigma towards BPD?
|
-misinformation-media portrayals-causes misunderstood-symptoms frightening, confusing-society values being calm, in control, rational-hard to work with therapeutically
|
|
Common myths about BPD
|
-they're manipulative and attention seeking-they're violent and a high risk for harming others-they're crazy and irrational-its a life sentence-caused by bad parenting (rather just a mismatch)
-its untreatable |
|
Most likely to improve?
|
-impulsive, risky, self-damaging behaviors-severe paranoid thinking-unstable, stormy relationships
|
|
Least likely to improve?
|
Emotional symptoms, dissociative symptoms and negative beliefs, fears of abandonment
|
|
Bad parents?
|
Transaction between adverse childhood experiences and biologically based temperament features (emotional vulnerability, dysregulation, impulsivity)
|
|
Solution to difficulty of therapy?
|
-integrate CHANGE and ACCEPTANCE-develop HIERARCHY of treatment targets-add mods of therapy to target SKILLS DEFICITS-increase contact with therapist to promote GENERALIZATION of skills/change
|
|
Therapy components
|
-ind therapy-group skills training-telephone consultation-consultation team for therapists-ancillary modes: pharmacotherapy, hospitalization
|
|
Biosocial theory
|
Emotional vulnerability: sensitivity, reactivity, slow return to baseline+invalidating environment: reject communication of emotions and thoughts; oversimplifies the ease of problem solving; intermittently reinforces emotional escalation, abuse
|
|
Treatment stages
|
Pretreatment: commitment-stage 1 - increase behavioral control-stage 2 - increase emotional experiencing-stage 3 - problems in living-stage 4 - freedom and joy
|
|
Treatment targets
|
Decrease life threatening behaviors, therapy interfering behaviors, quality of life interfering behaviors, skills deficits
|
|
DBT skills cycle
|
Mindfulness, distress tolerance, emotion regulation, interpersonal effectiveness
|
|
TIP
|
Temperatureintense exerciseprogressive muscle relaxation
|
