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Cognitive Remediation Therapy for borderline personality disorder: is it a feasible and acceptable treatment? A pilot study of two single cases

Published online by Cambridge University Press:  30 July 2014

Clare Reeder ,
Peter Stevens ,
James Liddement  and
Vyv Huddy
Clare Reeder*
Affiliation:
Department of Psychology, Institute of Psychiatry, King's College London, UK
Peter Stevens
Affiliation:
Department of Forensic Psychology, Bracton Centre, Oxleas NHS Foundation Trust, Dartford, Kent
James Liddement
Affiliation:
Department of Forensic Psychology, Bracton Centre, Oxleas NHS Foundation Trust, Dartford, Kent
Vyv Huddy
Affiliation:
Research Department of Clinical, Educational and Health Psychology, University College London, UK
*
*Address for correspondence: Dr C. Reeder, Institute of Psychiatry, De Crespigny Park, Denmark Hill, London, SE5 8AF, UK (email: clare.reeder@kcl.ac.uk).
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Abstract

Borderline personality disorder (BPD) is associated with problems in attention, memory, planning and cognitive flexibility, which may underpin aspects of behavioural dysregulation. Cognitive remediation (CR) is an individual psychological therapy which aims to improve thinking skills and thus positively impact everyday functioning. We aimed to assess the feasibility and acceptability of CR for two BPD patients who had not previously engaged with psychological therapy. Participants were assessed using neuropsychological, symptom and social functioning measures and then received up to 40 sessions of individual CR. They were re-assessed post-therapy and 3 months later, and rated their experience of CR. The participants reported increased self-esteem and improved memory. Neuropsychological tests showed executive functioning improvements post-therapy, which were partially maintained at follow-up. CR was a feasible and acceptable therapeutic approach for these two participants and may hold promise as a complementary therapeutic approach for BPD characterized by marked cognitive problems or difficulty in engaging in more emotionally focused psychotherapies.

Keywords

Borderline personality disordercase studiescognitive remediationneuropsychology
Type
Original Research
Information
the Cognitive Behaviour Therapist , Volume 7 , December 2014 , e12
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2014 

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