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High Risk Adolescents and
their Families:
Understanding and Treating Borderline Personality Disorder
Friday, May 4, 2007
New Haven, Connecticut
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Sponsored by: |
The National Education Alliance for Borderline
Personality Disorder
in partnership with NARSAD
Yale University School of Medicine,
Department of Psychiatry
Yale-New Haven Psychiatric Hospital |
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Course Description |
The complex challenges associated
with BPD will be addressed in order to inform mental health
professionals, families and consumers of the most current
diagnostic and treatment options available, and other issues
of current interest to those affected by this disorder. |
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Statement of Need |
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Diagnosis and treatment
interventions of borderline personality disorder
should begin as soon as possible |
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Borderline Personality disorder
(BPD) is a severe and generally chronic disorder and
people who suffer from it are underserved. |
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Friends and families are often
bewildered and do not know how to help. |
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Treatment programs for those with
BPD need to be more readily available. |
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Families need access to programs
such as those already developed for several other
mental illnesses. |
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BPD presents patients, their
families, clinicians, and researchers with multiple
challenges. |
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Conference Objectives |
This conference on borderline
personality disorder will address the following objectives
and at the end of the conference, attendees will be better
able to identify, specify, and describe:
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Review family systems literature as it relates
to high-risk Adolescents |
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Review neurobiology as it relates to trauma and
problems of emotion dysregulation |
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Describe medication options for high-risk
adolescents |
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Present ©Family Connections, a program for
relatives |
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Describe modified DBT as it is applied to
suicidal and self-injurious adolescents and their
families |
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Present challenges and research regarding
psychiatric hospitalizations, suicidal behavior, and
self-injury |
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Conference Program |
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Moderator for
the day:
Seth R. Axelrod, PhD
Assistant Professor of
Psychiatry, Yale University School
of Medicine
IOP DBT/DBT S Team Leader, Yale-New
Haven Psychiatric Hospital |
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Welcome & Opening Remarks
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Perry D. Hoffman, PhD
President, National Education
Alliance for Borderline Personality
Disorder |
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Benjamin S. Bunney, MD
Charles B.G. Murphy Professor
Chairman, Department of Psychiatry
Yale University School of Medicine |
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BPD and the Family System
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To describe Borderline
Personality Disorder,
including DSM-IV diagnosis.
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To review family systems literature as it relates to personality pathology. |
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To introduce Integrative Relational
Psychotherapy (IRP), a dynamic new
approach to the diagnosis and
treatment of personality
disorders. |
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Jeffrey Magnavita, PhD
Connecticut Center for
Short-Term Psychotherapy
Founder, Clinical and Administrative
Director
Glastonbury Psychological Associates |
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Neurobiology and Childhood Trauma
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To understand the range
of sequelae
associated with a history of child
abuse. |
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To understand the role of genetic
and environmental modifiers of child
outcome. |
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Joan Kaufman, PhD
Associate
Professor of Psychiatry and Child
Study Center Departments of Psychiatry and Child
Study Center,
Yale University |
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Psychopharmacology of BPD
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The different types of
medication used in treating
BPD. |
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The symptoms and behaviors of BPD
that are the targets of biological
treatments. |
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The most common negative effects of
the frequently used medications for
BPD. |
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Thomas H. McGlashan, MD
Professor,
Department of Psychiatry Yale University School of Medicine |
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Family Support and
Perspectives
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Participants will be able
to identify the impact of borderline
personality disorder on family
members.
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Participants will identify the
influence family members have on
their relative with BPD. |
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Participants will understand the
need for a family program. |
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Participants will identify a set of
skills that target family member
well being. |
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Perry D. Hoffman,
PhD
President,
National Education Alliance for
Borderline Personality Disorder |
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DBT for Adolescents and
Their Families
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Participants will be able
to discuss the basis of DBT and the
rationale for adapting it for
adolescents. |
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Participants will be able to discuss
the Biosocial Theory of Borderline
Personality Disorder.
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Participants will be able to discuss
the modes/functions, goals, and
stages of DBT treatment.
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Alec Miller, PsyD
Associate Professor,
Director of Clinical Services,
PS8 School-Based Mental Health
Program
Dept. of Psychiatry & Behavioral
Sciences
Chief, Child and Adolescent
Psychology
Albert Einstein College of Medicine/Montefiore
Medical Center |
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Residential Adolescent DBT
Modifications and Outcomes
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To describe a DBT
residential program for adolescents
that provides DBT according to
protocol, while also modifying
certain features for strategic
reasons. |
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To present some basic outcome data
regarding psychiatric
hospitalizations, suicidal behavior,
self-injury, and post-discharge case
disposition. |
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To discuss with other participants
the unique challenges and joys of
providing DBT with adolescent
clients and their families. |
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Barent Walsh, PhD
Executive Director
The Bridge of Central Massachusetts,
Inc., Worcester, MA |
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Jennifer Eaton, MS
Director of DBT Services
The Bridge of Central Massachusetts,
Inc., Worcester, MA |
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Assessing Adolescent Suicide and
Self-injurious Behavior
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Present new information
about the current prevalence
and risk factors for
self-injurious behaviors. |
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Provide detailed information about
the evidence-based assessment of
self-injurious behaviors among
adolescents. |
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Describe how recent advances in the
assessment of self-injurious
behaviors might inform and improve
clinical assessment,
decision-making, and
treatment. |
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Matthew K. Nock, PhD, MD
Assistant Professor of Psychology
Harvard University
Research Scientist
Judge Bake Childrens Center,
Harvard University |
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Case Presentation with Expert
Consultation
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Describe a composite clinical case
of an adolescent psychiatric
inpatient presenting with high risk
and disruptive behaviors. |
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Describe challenges that occur with
treatment staff working with such
patients and their families. |
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Facilitate consolidation of new
learning from this conference
through application to this clinical
example. |
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Dwain Fehon, PsyD
Assistant Professor
Department of Psychiatry
(Psychology),
Yale University School of Medicine
Co-Service Manager
Adolescent Inpatient and Outpatient
Services,
Yale-New Haven Psychiatric Hospital |
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Alec Miller, PsyD
Matthew Nock, PhD
Barent Walsh, PhD
Jennifer Eaton, MS |
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