HOW THIS BOOK IS HELPFUL TO COUNSELORS
The Essential Family Guide to Borderline Personality Disorder: New Tools and Techniques to Stop Walking on Eggshells
(by Randi Kreger)
This book has been endorsed by a number of professionals, before it went to
Dr. Robert Freidel, Distinguished Clinical Professor of Psychiatry at Virginia Commonweath University;
Dr. Blaise Aguirre, medical director of the Adolescent Dialectical Behavioral Therapy Center at McLean Hospital;
Dr Jim Breiling, from the National Institute of Mental Health;
Dr. John Gunderson, Prof of Psychiatry at Harvard Medical School;
Dr. Debra Resnick, a specialist in Dailectical Behaviorial Therapy:
Dr. Freda Friedman, a DBT therapist.
Counselors will learn:
How to recognize the behavior pattern of
Borderline Personality Disorder (BPD), including:
Equating feelings with facts.
Jumping to negative conclusions without any supporting facts.
Assuming others are thinking poorly of them.
Catastrophizing. Thinking the worst-case scenario will happen no matter what.
Blaming others while being held accountable for nothing.
Quietly self-critical while repelling compliments.
Lying or blowing the truth out of proportion.
How to properly respond to a family member who has BPD.
To distinguish between Higher-functioning and Lower-functioning BPDs.
How a BPD spouse will argue like a young child, not be aware of his or her own emotions, overreact to either real or imagined rejection, and possibly be aggressively destructive toward self or others.
How the non-BPD spouse will be blamed for all the marital problems, be "damned-if-I-do" and "damned-if-I-don't", be pushed away by BPD spouse and then blamed when he backs off.
How medications can reduce BPD symptoms of depression, mood swings, dissociation, aggression, and impulsivity.
The value of Dialectical Behavioral Therapy (DBT) which accomplishes two opposite things: accepting the person with BPD, but teaching the BPD new skills, especially communication skills.
How to assess whether or not to treat a person with BPD, a very difficult disorder to treat.
Helping the non-BPD person:
Not give in to threats or isolation.
How to practice acceptance of the BPD.
How to set limits on how much damage to take from the BPD.
How not to become pre-occupied with preventing an outburst from the BPD.
How to set limits and boundaries for the BPD.
How to practice deep-breathing at the outset of a BPD's outburst.
How to respond to verbal abuse from the BPD.
The value of empathy and "intentional communication."
How to diffuse a situation using non-combative statements, keeping one's face soft and one's tone calm and neutral, using positive self-talk,
validating the BPD's feelings while standing firm by your limits.
How to use the least reinforcing scenario by standing still and remaining motionless.
Praising the BPD's good behavior.