Clients with Cluster B Personality Disorders (Borderline, Antisocial, Histrionic, and Narcissistic) can be amongst the most challenging for therapists. Clinicians who are not properly trained can inadvertently make clients worse, and can even put themselves at risk for licensure board complaints. However, when equipped with a deeper understanding of these disorders and the most effective principles and techniques, it can be extremely rewarding to witness the positive ripple effects that occur in these clients and their families.
Join clinical psychologist and author, Dr. Richard Sears for a compassionate yet direct approach for working with these individuals using cutting edge, practical interventions that are grounded in theory.
In this recording you’ll learn:
- How even the most frustrating, maladaptive behaviours get conditioned and reinforced over time (and what to do about it)
- How to recognize and interrupt unhealthy thinking patterns
- Strategies to help free clients of struggles with thoughts, feelings, and unhealthy behaviours
- Interventions to manage stressful sessions and emotional chaos
- How to avoid getting pulled into a client’s “crisis of the week” drama
With solid principles and detailed case examples, Dr. Sears will bring these concepts and methods to life with passion and humour, giving you practical take-aways to use in your very next therapy session!
Continuing Professional Development Certificates
- PESI Australia, in collaboration with PESI in the USA, offers quality online continuing professional development events from the leaders in the field at a standard recognized by professional associations including psychology, social work, occupational therapy, alcohol and drug professionals, counselling and psychotherapy. On completion of the training, a Professional Development Certificate is issued after the individual has answered and submitted a quiz and course evaluation. This online program is worth 6.25 hours CPD for points calculation by your association.
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.
Financial: Dr. Richard Sears maintains a private practice and has employment relationships with the University of Cincinnati, 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.
- Differentiate diagnostically between the four Cluster B personality disorders to accurately inform the treatment planning process.
- Manage maladaptive, self-sabotage, manipulation, and negative attention seeking behaviours in clients to improve client level of functioning.
- Utilize treatment interventions based in cognitive approaches, including ABC records, challenging distortions, and Socratic dialogue for clients diagnosed with personality disorders.
- Employ mindfulness-based interventions to increase client’s psychological flexibility and decrease emotional intensity.
- Evaluate and address potential clinical issues including crisis management, countertransference, boundary setting, and self-care to improve clinical outcomes.
- Distinguish three strategies to improve client engagement and stay present in session.
What You Need to Know about Cluster B Diagnoses and Approaches
- Key features, diagnostic criteria, and differential diagnosis considerations
- Borderline Personality Disorder
- Narcissistic Personality Disorder
- Antisocial Personality Disorder
- Histrionic Personality Disorder
- Top indicators of PD not in the DSM-5®
- 5 things you probably never knew about Cluster B personality disorders
- Unique treatment considerations
Behaviour – Approach Maladaptive Behavior, Self-Sabotage, Manipulation, and Attention Seeking
- How to shift behaviours that have been conditioned over a lifetime
- Disrupting reinforcement
- 5 things you may be doing that inadvertently reinforce maladaptive behaviour and what to do instead
- Practical application of classical and operant conditioning concepts
- Roots of behavioural therapy and why it matters in treatment
- Psychoeducation: Increase clients’ insight into how their behaviour is reinforced
- Exposure techniques: Build distress tolerance and momentum toward healthier choices
- Chain analysis: Decrease hopelessness, improve awareness, and identify precipitating factors and choice points
- Case study – Sam, The Man Who Blames Everyone Else
Cognitive – Recognize and Interrupt Unhealthy Thinking Patterns
- Interventions to overcome the experience of negative emotion and negative beliefs about treatment
- Strategies to adapt cognitive techniques for Cluster B personality disorders
- ABC records
- Challenging Beliefs Worksheets
- Socratic dialogue
- Common cognitive distortions
- Why challenging your client’s thoughts can make things worse and what to do instead
- Case study – Martha, The Woman Who Confused her Thoughts and Memories with Reality
Mindfulness and Acceptance – Breaking Free of Distressing Thoughts, Feelings, and Behaviours
- Cognitive and behavioural mechanisms
- Increase psychological flexibility
- Decrease emotional intensity
- Focus on the bigger picture
- 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: Fostering the ability to stay present
- Observing the self: Developing a bigger sense of who you are
- Identifying values: Finding the “why”
- Taking committed action
- Case study – Arthur, The Loving, Self-Centered Father
Clinical Considerations for Working with Personality Disorder Clients
- Crisis management
- Suicidal ideation/gestures, self-injury
- Create a clear plan to keep clients safe and avoid personal liability
- What to avoid – documentation considerations and more
- 5 warning signs you need to check your boundaries
- Minimize boundary violations and avoid false reporting to licensure board
- Strategies to recognize and address countertransference
- 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
- Social Workers
- Addiction Counselors
- Marriage and Family Therapists
- Case Managers
- Other Mental Health Professionals