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Borderline Personality Disorder,
Trauma, and Resiliency
Friday, May 2, 2008
New
Haven, CT
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Conference Sponsors |
National Education Alliance for Borderline Personality
Disorder
Yale University School of Medicine, Department of
Psychiatry
Yale-New Haven Psychiatric Hospital
Borderline Personality Disorder Resource Center |
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Purpose of the Conference |
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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Audience |
The Conference is for physicians, psychiatrists,
psychologists, social workers, family therapists,
counselors, nurses, emergency room personnel, law
enforcement personnel and agencies, educators, family
members, friends, and consumers. |
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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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Course description |
Presenters will offer current information on research
and best practice and family members and consumers will
share their experiences. Specific topics to be covered
are: associations of BPD with trauma and PTSD, varying
responses to trauma, family and consumer perspectives
and support, BPD recovery, dialectical behavior therapy
as applied to trauma, and trauma resiliency. Each
session allows time for questions and answers, and the
day will close with an interactive panel discussion that
will explore treatment options and the fostering of
resiliency in individuals with borderline personality.
This conference will provide a forum for professionals,
family members, and consumers to better understand the
disorder from various perspectives.
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Conference focus |
This conference will provide a forum for professionals,
family members, and consumers to better understand the
disorder from various perspectives. Presentations will
focus on:
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Overview of BPD diagnosis and theory |
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Associations of BPD with trauma and PTSD |
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Effects of prolonged and repeated trauma (Complex
PTSD) |
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Consumer and family perspectives |
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Family support options |
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BPD recovery and vocational
preparation |
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Fostering resiliency in trauma
survivors |
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Dialectical Behavior Therapy applied to complex
trauma |
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Continuing Education Credits: |
The May 2, 2008 Borderline Personality disorder, Trauma,
and Resiliency has been approved for 6.25 Continuing
Education Credit Hours by the National Association of
Social Workers, CT and meets the continuing education
criteria for CT Social Work Licensure renewal.
To receive a CE certificate at the end of the
conference, license number and request for CE's should
be included in the registration information, or at time
of sign-in / sign-out at the conference.
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| Conference Program |
| Moderator for the day: Seth R.
Axelrod, PhD |
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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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William H. Sledge, MD
George D and Esther S Gross Professor of
Psychiatry
Medical Director, Yale New Haven Psychiatric
Hospital
Assistant Chief of Psychiatry, Yale New Haven
Hospital |
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| Borderline Personality Disorder
and Trauma |
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Seth R. Axelrod, PhD |
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Objectives: |
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1) |
Familiarize attendees with diagnostic
criteria and leading models of BPD |
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2) |
Review relationships of BPD to trauma and
PTSD |
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3) |
Discuss controversies in conceptualizing BPD
as a trauma-related disorder |
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4) |
Review longitudinal course of BP |
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| BPD and Complex
PTSD |
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Judith Lewis Herman, MD |
There is an audio problem
in the initial 7.5 min. If desired, you may
fast forward and enjoy the remainder of this
presentation. |
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Objectives: |
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Introduce the concept of complex PTSD, and
review the conditions of prolonged and repeated
trauma under which it develops. |
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Present the descriptive overlap with BPD, and
review the evidence highlighting the specificity
of the association between childhood trauma and
BPD. |
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Discuss implications for the treatment |
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| Consumer and Family Perspectives
and Family Connections |
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Perry D. Hoffman, PhD |
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Objectives:
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Why families need help |
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Research and A Family Program: Family
Connections |
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| Thinking and
Rethinking BPD |
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Amanda Wang |
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Objective: |
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To
understand the impact of BPD as the disorder
left untreated impedes the course of a person’s
life |
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| The Connections
Place: A Portal for Hope |
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Dale Terilli
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Objective:
Present a job preparedness program specifically
designed for people who have been diagnosed with
Borderline Personality Disorder to overcome
barriers which have interrupted their vocational
journey. |
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| Beyond
Remission: Mapping BPD Recovery |
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Kiera Van Gelder, MFA
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Objectives: |
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Introduce a
developmental model of BPD recovery |
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Explore obstacles to BPD recovery with focus
on identity development and relationships |
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Define dialectics of BPD recovery and
resiliency |
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| Fostering
Resiliency |
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Steven M. Southwick, MD |
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Objectives: |
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Discuss definitions of resiliency from
trauma illustrated with case examples |
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Present biological, psychological, and
social factors that are implicated in the
expression of trauma resiliency |
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Explore lessons from the resiliency
literature as they might be applied to fostering
resiliency in individuals with BPD, their
families, and their mental health providers |
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| Applications
of Dialectical Behavior Therapy To
Trauma-Related Problems |
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Shireen L. Rizvi, Ph.D. |
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Objectives:
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Demonstrate the applicability of DBT principles
to case formulation and treatment planning for
individuals with trauma-related problems |
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How
to conceptualize trauma-related problems
according to the biosocial theory, stages of
treatment, and behavioral theory in DBT |
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How
to apply key DBT strategies (validation,
problem-solving, dialectical strategies) to
trauma-related problems |
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| Panel
Discussion: BPD, Complex PTSD, and Resiliency |
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Moderator:
Ellen Nasper, PhD |
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Panelists:
Judith L. Herman, MD, Shireen Rivzi, PhD, Steven
M. Southwick, MD, Kiera Van Gelder, MFA |
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Objectives: |
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Compare and contrast Complex PTSD with
Borderline Personality Disorder |
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Translate models of resiliency and treatment to
case material |
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Facilitate discussion between experts and
conference attendees |
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Conference Presenters |
Seth R. Axelrod, PhD is an assistant professor of the Yale
University School of Medicine Department of Psychiatry, team leader
of the DBT and DBT for Substance Use Disorders (DBT-SUD) at the
Yale-New Haven Psychiatric Hospital Intensive Outpatient Program,
and the Clinical Director of Parent Support Services, a newly
developed clinical research center and satellite of Connecticut
Mental Health Center (CMHC) that serves maltreated children and
their families involved in the DCF system. He received his PhD from
the University of Kentucky, completed internship training focusing
on DBT with the Connecticut Department of Mental Health and
Addiction Services, and obtained postdoctoral training in
personality disorders research at the Yale University School of
Medicine Department of Psychiatry. Dr. Axelrod enjoys teaching and
supervising mental health professionals of various disciplines and
providing training and consultation to schools and other mental
health agencies. He is the founder of the Connecticut DBT Network,
an organization that supports the development and practice of DBT
and that facilitates referrals to Connecticut DBT programs. Dr.
Axelrod is actively involved in research, and has published and
presented his work in the areas of DBT, personality disorders, and
posttraumatic stress disorder.
Judith Lewis Herman M.D. is Clinical Professor of Psychiatry at
Harvard Medical School and Director of Training at the Victims of
Violence Program at The Cambridge Hospital, Cambridge, MA. Dr.
Herman received her medical degree at Harvard Medical School and her
training in general and community psychiatry at Boston University
Medical Center. She is the author of two award-winning books:
Father-Daughter Incest (Harvard University Press, 1981), and Trauma
and Recovery (Basic Books, 1992). She has lectured widely on the
subject of sexual and domestic violence. She is the recipient of the
1996 Lifetime Achievement Award from the International Society for
Traumatic Stress Studies and the 2000 Woman in Science Award from
the American Medical Women's Association. In 2007 she was named a
Distinguished Life Fellow of the American Psychiatric Association.
Perry D. Hoffman, PhD is the President and a co-founder of the
National Education Alliance for Borderline Personality Disorder
(NEA-BPD). She has several grants from the National Institute of
Mental Health with a focus on families who have a relative with
borderline personality disorder. Dr. Hoffman is co-designer of the
12-week psycho-education course for families, Family Connections,
which is available in many locations both in the United States as
well as other countries. She is a co editor, with John G. Gunderson,
MD, of the book Understanding and Treating Borderline Personality
Disorder: A Guide for Professionals and Family Member and co editor
of Borderline Personality Disorder: Meeting the Challenges to
Successful Treatment currently in press. Dr. Hoffman, who is
intensively trained in Dialectical Behavior Therapy (DBT), has been
the director of several treatment programs in the New York area and
now is in private practice in New York City and Westchester County,
NY.
Ellen Nasper, PhD is an Assistant Clinical Professor at the Yale
School of Medicine Department of Psychiatry where she supervises
trainees and teaches courses on Dialectical Behavior Therapy and The
Psychosocial Consequences of Attachment Trauma. She is the Director
of Community Outpatient Services at the Central Avenue site of
Greater Bridgeport Community Mental Health Center, directs the
Dialectical Behavior Therapy program for the Southwest Community
Mental Health System, and provides consultation for the Department
of Mental Health & Addiction Services on developmental trauma
related issues. She coauthored The Return from Madness (Jason
Aronson, New Jersey, 1996) with Kathleen Deegan, M.D., which
explored the impact of the new antipsychotic medications on persons
recovering from severe and persistent psychotic disorders.
Shireen L. Rizvi, Ph.D. received her doctorate in clinical
psychology from the University of Washington. She studied borderline
personality disorder and DBT for more than five years under the
mentorship of Dr. Linehan and worked as a research therapist in Dr.
Linehan’s research lab, providing individual psychotherapy and
skills training. Her dissertation research focused on the use of the
DBT skill of “opposite action” to treat shame. She completed her
pre-doctoral clinical internship at the Boston Consortium in
Clinical Psychology and an NIMH postdoctoral fellowship at the
National Center for PTSD at the Boston VA Healthcare System. Dr.
Rizvi is currently Assistant Professor of Psychology at the New
School for Social Research in New York City. Dr. Rizvi has written
and presented numerous theoretical and research papers on BPD, DBT,
and trauma. Her areas of research and clinical expertise include
shame, treatment development, trauma, and assessment and treatment
of suicidal behaviors.
Steven M. Southwick, MD is Professor of Psychiatry at the Yale
Medical School and at the Yale Child Study Center, Adjunct Professor
of Psychiatry at the Mt. Sinai School of Medicine and Deputy
Director of the Clinical Neurosciences Division of the National
Center for Posttraumatic Stress Disorder. He is a recognized expert
on the psychological and neurobiological effects of extreme
psychological trauma. Dr. Southwick has served on the Board of
Directors of the International Society for Traumatic Stress Studies
and on the Editorial Board of the Journal of Traumatic Stress. He
has published extensively in the scientific literature on the
phenomenology and neurobiology of PTSD, the longitudinal course of
trauma-related psychological symptoms, memory for traumatic events,
treatment of PTSD and on neurobiological and psychological factors
associated with resilience to stress. He has worked with a wide
range of stress sensitive and stress resilient individuals including
combat veterans with PTSD, civilian children and adults with PTSD
and very high functioning stress-resilient prisoners of war and
active Special Forces soldiers. Dr. Southwick has been awarded
numerous research grants and has served on a number of federal grant
review committees. He has also won several awards for excellence in
teaching and clinical work.
Dale Terilli is Program Director at The Connections Place, a job
preparedness program in Manhattan for people with BPD who are
returning to the world of work. For more than three decades, she
worked at New York-Presbyterian Hospital in the Therapeutic Activity
Department. She was trained in DBT in 1996 and was the Admission
Coordinator and Treatment Coordinator in The Dialectical Behavior
Therapy Day Program. Her work in DBT also includes a Co-leader in
The DBT Family Group, coordinating the College Outpatient program
for BPD students, providing seminars to introduce professionals to
DBT, lectures to the community and other professionals, consulting
to WJCS for monthly DBT for the past four years. She was also the
Clinical Coordinator at the Mount Sinai Medical Center DBT
Outpatient Program. Ms. Terilli and Beth Elliott, PhD, The
Connections Place Director, have joined their skills in the planning
and implementation of the TCP.
Kiera Van Gelder, MFA is a writer, artist and educator. She is the
founder and director of Middle Path, Inc. a borderline personality
disorder advocacy and education organization. An international
speaker and presenter, Ms. Van Gelder is featured in the documentary
"Back from the Edge: Living with and Recovering from Borderline
Personality Disorder." She is on the board of directors of the New
England Personality Disorder Association and is the Massachusetts
Consumer Council Representative for the National Alliance on Mental
Illness. Ms. Van Gelder has pioneered a peer-facilitated
psychoeducation curriculum for BPD and is currently collaborating
with clinical communities to train staff and peer specialists on how
to support all those affected by the disorder.
Amanda Wang, organizer of a peer-led support group for BPD/SI in New
York City, is currently working on RethinkBPD, a venture designed to
define new solutions for this community. Ms. Wang's associate degree
from Pratt Institute in Digital Design and Interactive Media has
stood her in good stead to create RethinkBPD.org, a website aimed to
draw attention to the human side of the disorder. Her own
experiences speak to the need to understand, educate, and provide
access to proper treatment.
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