Borderline Per Dis transcript.docx - 00:00NARRATOR Few...

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00:00NARRATOR Few situations are as challenging for a therapist who has been confronted by a suicidal patient. 00:05Marsha M. Linehan Because the one thing you reminded to start listening on now. You should like those, because we have to start working on what sense you are to be suicidal. 00:20NARRATOR The threat of self-destruction is only one of many extreme behaviors associated with perhaps the most perplexing of all psychological conditions, borderline personality disorder. 00:35Understanding Borderline Personality Disorder The Dialectical Approach with Marsha M. Linehan , PhD 00:45NARRATOR How prevalent is borderline personality disorder. One in four psychiatric in-patients meet criteria. These patients experience intense emotional pain that is overwhelming and often incapacitating. In turn, therapists unable to effectively reduce that pain, may also be overwhelmed by their own emotions and respond inappropriately to these patients, becoming either too distant or too close which only exacerbates the problem. 01:10Marsha M. Linehan It’s one of the worst things about treating borderlines is that it's very easily not to get along with them, because they make you so mad. They have to deal with the reality that you have good reason to be furious at them so you fell completely justified on the one hand and you can panic on the other hand, because they might kill themselves when you are not getting along. And so, you somehow have to bring these two things together to be somewhat reasonable on how you approach things. So that’s when you call a… 01:35NARRATOR Marsha Linehan is Professor of Psychology and Director of the Suicidal Behaviors Clinic at the University of Washington in Seattle . Dr. Linehan has been researching the complex nature of borderline personality disorder for more than 20 years. Trying to understand why these patients have such difficulty overcoming their impulsive and self-destructive behaviors. 02:00Marsha M. Linehan , PhD Professor of Psychology University of Washington The people who meet criteria for borderline are people who often are very difficulty to trade. Um… Both because we don’t have treatments that are effective and because people who meet their criteria are just inherently difficult to treat. 02:20Cognitive-Behavioral Treatment of Borderline Personality Disorder Cognitive-Behavioral Therapy Dialectical Behavior Therapy NARRATOR Recently Dr. Linehan published a book based on her findings. The book presents a treatment model for borderline personality disorder that is based on cognitive-behavioral therapy. But Dr. Linehan has added to that model, creating a treatment approach she calls Dialectical Behavior Therapy or DBT. Data from her clinical studies indicate that DBT is effective in the treatment of these patients. Outcome that has generated a great deal of interest from the therapeutic community.

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