CBT for Cluster B Personality Disorders: Techniques and Strategies You Need to Know

CPD

Handouts

Faculty

Richard Sears, PsyD, PhD, MBA, ABPP Related seminars and products

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Richard Sears, PsyD, PhD, MBA, ABPP, is a licensed psychologist in Cincinnati, Ohio, board certified in clinical psychology by the American Board of Professional Psychology (ABPP), runs a private psychology and consultation practice, and is the director of the Center for Clinical Mindfulness & Meditation. He has run hundreds of mindfulness groups and was lead clinician in the first brain scan study involving mindfulness with children and adolescents. He is also an adjunct professor in the University of Cincinnati psychology department, clinical research faculty at the UC Center for Integrative Health and Wellness, volunteer professor of psychiatry & behavioral neurosciences at the UC College of Medicine, and a former research/psychologist contractor with the Cincinnati VA Medical Center.

His most recent books include ACT with Anxiety (PESI); The ACT Flip Chart (PESI); Cognitive Behavioral Therapy & Mindfulness Toolbox (PESI); Mindfulness: Living Through Challenges and Enriching Your Life in the Moment (Wiley-Blackwell); Building Competence in Mindfulness-Based Cognitive Therapy (Routledge); and Mindfulness-Based Cognitive Therapy for PTSD (Wiley-Blackwell).

Dr. Sears is a sixth-degree black belt in Ninjutsu, and once served as a personal protection agent for the Dalai Lama with his teacher, Stephen K. Hayes. He has studied Eastern Wisdom for over 40 years, receiving ordination in three traditions, and transmission as a Zen master.

 

Speaker Disclosures:
Financial: Dr. Richard Sears maintains a private practice and has employment relationships with the University of Cincinnati College of Medicine, University of Cincinnati Center for Integrative Health and Wellness, Alliance Integrative Medicine, and Wright State University. He receives compensation as a consultant. Dr. Sears receives royalties as a published author. He receives a speaking honorarium, recording, and book royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Richard Sears is the founder and director of the Center for Clinical Mindfulness and Meditation and is a member of the American Board of Professional Psychology, the Academy of the American Board of Clinical Psychology, and the Association for Contextual Behavioral Sciences. He is a peer reviewer for Mindfulness and a book reviewer for John Wiley & Sons, Inc, and Routledge.

Objectives

1. Differentiate diagnostically between the four Cluster B personality disorders to accurately inform the treatment planning process.
2. Utilize treatment interventions based in cognitive and behavioral approaches, including exposure, chain analysis. ABC records and challenging distortions, for clients diagnosed with personality disorders.
3. Determine and address potential clinical issues including crisis management, countertransference, boundary setting and self-care.
4. Implement mindfulness-based interventions to increase clients’ psychological flexibility and decrease emotional intensity. 

Outline

What You Need to Know about Cluster B Diagnoses and Approaches

• Diagnostic criteria: borderline, antisocial, histrionic, narcissistic personality disorders
• Key features of each disorder – differential diagnosis considerations
• Top indicators of PD you won’t find in the DSM-5®
• 5 things you probably never knew about cluster B personality disorders
• How to avoid judgment and labeling and its importance

CBT Treatment Strategies and Techniques for Cluster B – Your Guide to Practical Application

Behavior – How to Approach Maladaptive Behavior, Self-Sabotage, Manipulation and Attention Seeking

• How to shift behaviors that have been conditioned over a lifetime
• Disrupting reinforcement
• 5 things you may be doing that actually reinforces maladaptive behavior
• Practical application of classical and operant conditioning concepts
• Roots of behavioral therapy
  • Psychoeducation: Increase clients’ insight into how their behavior is reinforced
  • Exposure techniques: Build distress tolerance and momentum toward healthier choices
  • Chain analysis: How to address a client’s feelings of hopelessness, improve awareness and identify precipitating factors and choice points
• Case study – Sam, The Man Who Blames Everyone Else

Cognitive – How to Recognize and Interrupt Unhealthy Thinking Patterns

• How to address negative beliefs about treatment, the experience of negative emotion and getting better
• How to adapt cognitive techniques specifically for Cluster B
  • ABC records and Challenging Beliefs Worksheets
  • Socratic dialogue
  • Common cognitive distortions
• Why challenging your client’s thoughts can make things worse
• Case study – Martha, The Woman Who Confused her Thoughts and Memories with Reality

Mindfulness and Acceptance - Break Free of Distressing Thoughts, Feelings and Behaviors

• How to increase psychological flexibility, decrease emotional intensity, and focus on the bigger picture
• Why mindfulness and relaxation are not the same thing
• Mistakes with mindfulness – inadvertently encouraging avoidance
• How to adapt mindfulness and acceptance techniques for Cluster B
  • Cognitive defusion: Stepping back from thoughts
  • Acceptance: Letting go of control
  • Mindfulness: Foster the ability to stay present
  • Observing the self: Develop a bigger sense of who you are
  • Identify values: Finding the “why”
  • Take committed action
• Case study – Arthur, the Loving, Self-Centered Father

Special Clinical Considerations for Personality Disorder Practitioners

• Crisis management: Suicidal ideation/gestures, self-injury
• Create a clear crisis management plan to keep clients safe and avoid personal liability
• What you need to avoid – documentation considerations and more
• 5 signs you need to check your boundaries
• Preventative measures - to avoid boundary violations and false reporting to licensure board
• Strategies for recognizing and addressing countertransference – being honest without getting lost
• Top 3 tips for staying present in session
  • Balance boundaries with compassion
  • Model presence with distress, not joining the emotional chaos
  • Internal messages - Not getting sucked in
• Exercise: People that bother me

Target Audience

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