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P0055 - Collaborating for change: Decreasing BPD environmental stressors. Teaching families to be adjuncts to treatment by applying DBT and mentalizing techniques

Published online by Cambridge University Press:  16 April 2020

V. Porr*
Affiliation:
Treatment and Research Advancements National Association for Personality Disorder, New York, NY, USA

Abstract

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Changing therapeutic perception of BPD families. Families of people with BPD can become effective agents of change as they spend a great deal of time with the person with BPD, truly love them, provide emotional and financial support, and are incredibly motivated to help. Family members are often dealing with apparently irrational or dangerous BPD behaviors without sufficient knowledge of appropriate means to prevent or avoid triggering dysregulations that can lead to crisis situations. Most people with BPD are not receiving treatment in the mental health system. They quit treatment about 70% of the time. By default, families are on the front lines. We need to treat the family environment in the absence of the patient. Research by McFarlane and Miklowitz on psychosocial interventions for families dealing with schizophrenia and Bipolar disorder demonstrates that family members who receive psychoeducational training can become adjuncts to treatment. With DBT training, families can play a crucial role in motivating the person with BPD to seek help, to continue in treatment and to reinforcing DBT therapeutic goals. BPD Family psychoeducation targets the following: Validating family's experience with BPD; neurobiology of BPD; CBT concepts, Avoiding “tough love” and “boundaries” ;Talking to the amygdala; Communicating with emotional language; Developing awareness of misunderstandings,Understanding Shame in BPD; Radically accepting the effects of BPD on the entire family, Grieving losses; DBT change strategies to develop independence and competency. TARA data will demonstrate how this program changes family attitudes, ultimately improving treatment outcome.

Type
Poster Session I: Personality Disorders
Copyright
Copyright © European Psychiatric Association 2008
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