Borderline, Narcissistic, Antisocial and Histrionic Personality Disorders: Effective Treatments for Challenging Clients – Gregory Lester

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Watch Dr. Gregory Lester as he delivers an intensive workshop recording designed to provide you with the knowledge, skills, and abilities to identify and treat your most difficult personality disordered clients. Better understand your clients with Antisocial, Narcissist, Histrionic and Borderline Personality Disorder and make a breakthrough in clinical treatment.

• Manage the manipulative and possibly violent Antisocial Personality Disorder in-session.
• Overcome the Narcissistic Personality Disorder trait of perfectionism and combat their need to overpower you as the therapist.
• Better understand your clients diagnosed with Histrionic Personality Disorder whose intense emotions and need for attention will test your patience and compassion.
• Help the Borderline Personality Disorder client deal with their explosive emotions, self-harm tendencies and cravings for chaos.

Case studies and video examples will be used to illustrate client symptom presentation, treatment, and management of each Cluster B client type. You will explore various modalities that are effective with antisocial, narcissistic, histrionic, and borderline personality disorders, such as Motivational Interviewing, Cognitive-Behavioral, Interpersonal, and Dialectical therapies. Each of these theories will be explored to provide you with solid and useable skills to include in your daily practice.

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1. Determine how the changes with the DSM-5® impacts diagnosis and treatment of the Cluster B Personality Disorders.
2. Identify and diagnose clients with antisocial, narcissistic, histrionic and borderline Personality Disorders to effectively inform your choice of treatment interventions.
3. Utilize case studies to differentiate symptom overlap, effective treatment and emotional management of each Cluster B Personality Disorders client type.
4. Manage the manipulative and potentially violent behaviors with your clients diagnosed with Antisocial Personality Disorder in session to make therapeutic progress.
5. Implement CBT techniques to clarify behaviors, values and goals with clients diagnosed with Narcissistic Personality Disorder.
6. Incorporate techniques to decrease explosive emotions, self-harm tendencies and cravings for chaos for clients diagnosed with Borderline Personality Disorder.
7. Utilize MI and DBT techniques with clients diagnosed with Histrionic Personality Disorder to help manage cognition and improve emotional regulation.

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Understanding Personality Disorders

• Updates to DSM-5® and future changes
• The real purpose of diagnosis
• Treatment errors and misdiagnosis
• Core vs. surface structures
• Four central components to diagnosis

Antisocial Character

• Understanding psychopathology
• Developmental progress in childhood
• Oppositional defiance
• Attachment and family of origin
• Primary defenses and affects
• Importance of personal power
• Managing in-session violence
• Suicide attempts and threats
• Blockades – manipulation and power struggles
• Risk analysis to self and other
• Interpersonal theory techniques
• Transference and countertransference
• Lessen destructive behaviors
• Cognitive-behavioral techniques
• Psychopharmacology and applicability
• Case studies and treatment exercises
• Differential diagnoses

Borderline Character

• Symptom presentation along the spectrum
• Attachment and family backgrounds
• Feeling identification and behavioral control
• Manage rage, boundaries, self-mutilation and suicidality
• Facilitate pattern recognition, create stability, and build therapeutic collaboration
• Develop true sense of self and lessen maladaptive need for attention
• Underlying wishes and fears
• Build DBT core mindfulness skills
• DBT techniques to dissolve distraction, calm interpersonal upheavals, and focus on the “genuine relationship”
• DBT emotion regulation skills
• Psychopharmacology and applicability
• Case studies and treatment exercises
• Differential diagnoses

Narcissistic Character

• Narcissism and environmental contexts
• Attachment and family backgrounds
• Primary defenses and affects
• Tackle the veneer of perfectionism
• Blockades – power struggles, empathy and criticism
• The narcissistic/borderline client
• Interpersonal strategies for empathy
• CBT techniques to clarify behaviors, values and goals
• Tactics to avoid arguing
• Motivational interviewing to overcome resistance
• Prevent sabotage
• Build a sense of true self
• Psychopharmacology and applicability
• Case studies and treatment exercises
• Differential diagnoses

Histrionic Character

• Moody to excited to flamboyant: the erratic client
• Attachment and family backgrounds
• Primary defenses and affects
• Coquettish behavior, avoidance drama, inauthenticity
• Dangers of the histrionic client
• Link between emotions and behavior
• Interpersonal strategies for expression of true self
• Enhance sense of self and lessen the “spotlight”
• Motivational interviewing techniques
• DBT techniques
• Interpersonal strategies for positive relationships
• Strengthen self-initiative and independent action
• Psychopharmacology and applicability
• Case studies and treatment exercises
• Differential diagnoses

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