Antisocial, Borderline, Narcissistic and Histrionic: Effective Treatment for Cluster B Personality Disorders

CPD

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Faculty

Daniel J. Fox, Ph.D. Related seminars and products

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Daniel J. Fox, PhD, is a licensed psychologist in Texas, international speaker, and multiple-award winning author. He has been specializing in the treatment and assessment of individuals with personality disorders for over 20 years in the state and federal prison system, universities, and in private practice. His specialty areas include personality disorders, ethics, burnout prevention, and emotional intelligence. He has published several articles and books in these areas and is the author of the award-winning Narcissistic Personality Disorder Toolbox, The Clinician's Guide to Diagnosis and Treatment of Personality Disorders, the award-winning Antisocial, Borderline, Narcissistic and Histrionic Workbook: Treatment strategies for Cluster B Personality Disorders, The Borderline Personality Disorder Workbook, and Complex Borderline Personality Disorder.

Dr. Fox has been teaching and supervising students for over 20 years at various universities across the United States, some of which include West Virginia University, Texas A&M University, University of Houston, Sam Houston State University, and Florida State University. He works in the federal prison system, is an adjunct assistant professor at the University of Houston and maintains a private practice that specializes in the assessment and treatment of individuals with complex psychopathology and personality disorders. Dr. Fox has given numerous workshops and seminars on ethics and personality disorders, personality disorders and crime, treatment solutions for working with clients along the antisocial, borderline, narcissistic, and histrionic personality spectrum, emotional intelligence, managing mental health within the prison system, and others. Dr. Fox maintains a website of various treatment interventions focused on working with and attenuating the symptomatology related to individuals along with the antisocial, borderline, narcissistic, and histrionic personality spectrum (www.drdfox.com).

 

Speaker Disclosures:
Financial: Dr. Daniel Fox maintains a private practice and has employment relationships with the Federal Detention Center and the University of Houston. He receives royalties as a published author. Dr. Daniel Fox receives a speaking honorarium, recording and book royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Daniel Fox has no relevant non-financial relationships.

Objectives

1. Determine how the changes with the DSM-5® impacts diagnosis and treatment of the Cluster B Personality Disorders.
2. Analyze 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 behaviours with your clients diagnosed with Antisocial Personality Disorder in session to make therapeutic progress.
5. Employ CBT techniques to clarify behaviours, values and goals with clients diagnosed with Narcissistic Personality Disorder.
6. Integrate 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.

Outline

The Personality Mystique

• DSM-5® criteria
• Treatment errors and misdiagnoses
• Core and/or surface structure and the role of the clinical disorders
• Differential diagnoses
• Five central components to accurate diagnosis
• Insulate your clients against risk factors

Antisocial Spectrum

• Oppositional defiance to psychopath
• Attachment
• Manage and avoid in-session violence and threats
• Secondary gains, suicide attempts and threats
• Overcome blockades – manipulation, threats, power struggles and more
• Symptom presentation and risk analysis to self and other
• Interpersonal theory techniques for compliance
• Balance transference and countertransference
• Lessen destructive behaviours
• Cognitive-behavioural experiential techniques to lessen pathology
• Psychotropic medications
• Case studies and treatment exercises

Narcissistic Spectrum

• Narcissistic presentation and the environmental context
• Attachment and pathological narcissism
• Tackle the veneer of perfectionism
• Overcome blockades – power struggle, absent empathy, excessive criticism
• The narcissistic/borderline client
• Interpersonal strategies for empathy engagement
• CBT techniques to clarify behaviours, values and goals
• Tactics to avoid arguing
• Motivational Interviewing to overcome resistance
• Prevent sabotage
• Build a sense of true self
• Case studies and treatment exercises

Histrionic Spectrum

• Moody to excited to histrionic: the erratic client
• Attachment
• Coquettish behaviour, avoidance drama, inauthenticity
• Dangers of the histrionic client
• Link between emotions and behaviour
• Interpersonal strategies to encourage expression of true self
• Enhance sense of self and lessen the “spotlight”
• Motivational Interviewing techniques
• DBT techniques
• Interpersonal strategies to build positive relationships
• Strengthen self-initiative and independent action
• Psychotropic medications
• Case studies and treatment exercises

Borderline Spectrum

• Symptom presentation along the spectrum
• Attachment
• Feeling identification and behavioural control
• Manage self-harm and suicidality
• Rage-ful outbursts, self-mutilation, boundary violations
• Create stability and build therapeutic collaboration
• Develop true sense of self and lessen maladaptive need for attention
• Facilitate pattern recognition
• Lessen the impact of maladaptive patterns
• Underlying wishes and fears
• Build DBT core mindfulness skills
• DBT techniques to dissolve the distraction and focus on the “genuine relationship”
• Calm interpersonal upheavals with DBT
• DBT emotion regulation skills
• Psychopharmacology and applicability
• Case studies and treatment exercises

Limitations of the Research and Potential Risks

Target Audience

• Counselors
• Social Workers
• Psychologists
• Psychotherapists
• Psychiatrists
• Therapists
• Addiction Counselors
• Marriage and Family Therapists
• Case Managers
• Nurses
• Other Mental Health Professionals