Archives for Borderline Personality Disorder

Does Mindfulness Based Therapy Decrease Depression and Anxiety?

We have written extensively in this blog and in our books about the strong scientific evidence that supports cognitive behavioral therapy (CBT) as one of the most effective treatments for both anxiety and depression. CBT is so well studied and validated that frankly, we can’t imagine why it shouldn’t be the foundation of most treatment plans.

At the same time, we’ve regularly recommended mindfulness techniques such as meditation, yoga, and mindful acceptance to our clients (and we practice what we preach). Mindfulness oversimplified involves focusing on and accepting the present moment. Throughout the years we’ve attended numerous continuing education classes to learn more about mindfulness techniques. Mindfulness is a part of Dialectical Behavior Therapy (DBT), Mindfulness Based Cognitive Therapy (MBCT), Acceptance and Commitment Therapy (ACT) and Mindfulness Based Stress Reduction (MBST). Wow, that’s a bunch of initials.

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Life's Biggest Challenges: Are You A "Coper" or a "Victim"?

In my over thirty years in clinical practice, I have run into many challenging problems and issues. These challenges included severe treatment-resistant depression, debilitating obsessive compulsive disorder, and extreme cases of borderline personality disorder among many others. In the vast majority of cases, most clients eventually manage to get much better. But the most vexing issue I have ever dealt with did not involve a diagnosis at all--in the usual sense. It has nothing directly to do with anxiety, depression, eating disorders, or behavioral problems. It is not listed as a symptom of any particular personality disorder.

However, before I tell you what it is, I’d like to ask therapists, counselors, and clients what problems they have found to be the most difficult to deal with in their lives. What issues put up the greatest fight when you’ve tried to confront them? What, if anything, has confounded you and left you feeling stuck over and over again? Did you finally manage to move ahead?  If so, how did you do it?

I’d love to know!
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Borderline Personality Disorder and Anxiety

When the topic of Borderline Personality Disorder (BPD) comes up, you’ll probably hear the conversation focusing on the issue of anger and rage. Indeed, people who suffer from BPD often struggle with explosive emotional flare-ups. Those episodes capture everyone’s attention.

Other symptoms of BPD such as self-harm, impulsive actions, and unstable relationships stand out as well. However, people with BPD also suffer greatly from profound anxiety. Some people with BPD describe their anxiety as excruciatingly painful and debilitating. Quite often their anxiety centers on deep fears of abandonment. They believe that others will inevitably leave them and, once that happens, they will be left totally unable to cope.

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Personality Disorders Disappearing?

The Diagnostic and Statistical Manual of Mental Disorders IV (DSM IV), a book that defines and describes the symptoms of emotional problems, has been in the revision process for years. Health professionals (and insurance companies) routinely use the manual to guide diagnosis and treatment. Recently, considerable attention has been given to the proposed changes in preparation for the fifth edition of the book (to be released in 2013). The possible changes to the section on personality disorders will certainly generate much discussion and controversy.

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What Does Dialectical Mean?

More than a couple of decades ago, Marsha Linehan, Ph.D. developed a unique approach to the treatment of Borderline Personality Disorder (BPD) which she chose to call “Dialectical Behavior Therapy” or DBT. Research has established that DBT appears to help reduce some of the worst problems associated with BPD (such as repeated suicidal behaviors, therapy interfering behaviors, etc.).

If you want more information about DBT, consider starting with Wikipedia. In addition, Marsha Linehan, Ph.D. among others have since written a number of great books for professionals and laypersons alike which you can look up on Amazon. We included many elements of DBT in our book Borderline Personality Disorder For Dummies although we mostly tried to integrate the best techniques we could find from everywhere.

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Do You Have Borderline Personality Disorder?

In the past several decades, we've watched the treatment of Borderline Personality Disorder (BPD) evolve from a virtually hopeless status with no clear answers as to what may work, to a far more sophisticated and hopeful array of possibilities (see our earlier blog on Increasing Hope for the Treatment of Borderline Personality Disorder). Have you ever wondered or worried that you might have BPD? The actual, current approach to diagnosing BPD is quite complex, but the four components that most folks with BPD...
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Beyond Mindfulness

My wife, Dr. Smith, and I are big fans of mindfulness approaches to therapy and we've included discussions of mindfulness in most of our self help books within the For Dummies series (including Borderline Personality Disorder For Dummies). In brief, Mindfulness is typically described as involving focused attention on experiences in the present moment as well as acceptance and openness to whatever the present entails. Experiences are observed and noticed rather than evaluated and judged.

A real advantage of taking a Mindful approach to...
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