BPD Family Support Group

Starting in February, the BPD Family Support Group will begin meeting on the first Tuesday of every month. The first support group meeting of 2017 is February 7. The meetings will continue to be located at The Children’s Board of Hillsborough County, 1002 E Palm Ave, Tampa, FL 33605 from 6-8 p.m. Please contact Jacki Krone at jackikrone@gmail.com or Pam Hernandez at pamh1224@gmail.com   BPD Family Support Group Who: If you have someone close to you, a family member, friend, or loved one- suffering from Borderline Personality Disorder and you would like to be a part of a group that offers encouragement and support, please join the support group When: First Tuesday of the month beginning Feb 7 at 6 p.m. Where: The Children’s Board of Hillsborough County Click here for a flyer:...

The Battle between DBT Treatment and Insurance Companies

By Lori Salmon, MSW Dialectical Behavior Therapy (DBT) is an evidence-based treatment that has been found to be the gold standard for those suffering from Borderline Personality Disorder.  One of the elements that make DBT so helpful is the comprehensive treatment modality that is provided to the client.  This involves individual sessions, group therapy, phone coaching calls, and team consultation, which is far from the traditional practices of providing only individual sessions.  The complexity of the BPD diagnosis warrants the intricacy of an effective treatment.  Although mental health providers can agree with this thought, there is a continual battle with insurance companies for reimbursement.  Insurance companies do not recognize the full DBT modality as a billable treatment.  They may cover just the individual sessions and not even the full rate at that.  With DBT being a relatively expensive treatment, there is a frustration as a service provider of wanting to offer the most effective treatment to those who needed it the most and watching the insurance company deny the clients a financial reimbursement.  In many cases, clients are left to pay out of pocket which is a difficult task for those on disability or even those who come from a two income household.  Increasing awareness and advocating for effective mental health services is needed to illustrate to the insurance companies that there is not a one size fits all treatment for every disorder.  Although mandated federal laws have increased insurance coverage, we are still a long way from the proper mental health coverage, especially for personality disorders.  Having insurance companies recognize the full DBT modality as billable services would not...

News and Research from the Annual 2015 ISITDBT conference

I recently returned from the International Society for the Improvement and Teaching of Dialectical Behavior Therapy   (ISITDBT) meeting in Chicago and wanted to share some of the impressive new research in the world of DBT.  There were over 400 attendees from all over the world; registration needed to be closed because of room capacity. After starting with mindfulness, there were three presentations on research happenings. Adapting DBT for Pre-Adolescent Children with Severe Emotional and Behavioral Dysregulation: Feasibility and Preliminary Efficacy Trials (Francheska Perepletchikova, Ph.D., Donald Nathanson, LCSW Weill Cornell Medical College)   Francheska and her group at Cornell has been working on adapting DBT for younger children and her manual is in the process of getting finalized and released.  How amazing it would be to be able to capture the younger children at risk and provide early intervention treatment for them and their families! Computerized Trans-Diagnostic Dialectical Behavior Therapy Skills Training for Emotion Dysegulation (Anita Lungu, Ph.D., Chelsey Wilks, M.S., Garret Zieve, B.Sc., Maya Krek B.Sc., Aleen Potts B.Sc., Hannah Lessing, B.Sc., Marivi Navarro, Ph.D., Marsha Linehan, Ph.D., University of Washington).  There are an estimated 45 million people in the world who suffer from a mental or behavioral disorder (WHO, 2012) and in the developed countries 44-70% of people with mental health problems don’t get treated and even worse, in the developing countries, 90% of people with mental health issues don’t get treatment.  Therefore, Anita along with help from Marsha Linehan and funding from the NIMH are in process of working on how to use technology to get treatment to more people.  Addressing the goal of creating effective computerized therapy...
The Missing Link:  Treating Trauma Disorders in individuals with BPD

The Missing Link: Treating Trauma Disorders in individuals with BPD

The Missing Link:  Treating Trauma Disorders in individuals with BPD By Kelly Turner, LCSW Trauma Disorders are a growing problem in the United States. Recent research indicates that in The United States, 1.8% of men and 5.2% of women are diagnosed with Post Traumatic Stress Disorder (PTSD) (Kessler et al., 2005). The prevalence of PTSD among those diagnosed with Borderline Personality Disorder (BPD) are much higher. In a recent study the comorbidity of PTSD in individuals diagnosed with PTSD was 30.2% (Pagura et al., 2010). At the same time, Dialectical Behavior Therapy (DBT) was showing poor remissions rates in PTSD with outcomes as low as 35% remission rates (Harned et al., 2008). We know that PTSD symptoms are related to BPD symptoms in individuals with comorbid diagnosis. The problem the field has been presented with is that evidence based treatments for PTSD come with exclusion criteria that include risks of suicide, self-injury, and substance use disorders.   These exclusion criteria have led clinicians to exclude BPD clients from evidence based trauma treatments. As clinicians, we were left with an individual that needed trauma treatment, but the belief was the treatment was not safe for them to participate in, yet we were struggling to make progress in treatment not being able to address the PTSD. Dr. Melanie Harned along with Dr. Marsha Linehan pioneered a treatment for these individuals that combined DBT along with Prolonged Exposure (PE), an effective treatment for trauma developed by Dr. Edna Foa. They combined the self-monitoring strategies in DBT (diary cards and pre/post session ratings) with the exposure principles in PE. Initial studies indicate that PE...

About those families….

FBPDA just hosted our second in the series of 3 informational events to the community about issues related to BPD.  On Weds. evening a group of us got together at the Children’s Board of Hillsborough County and viewed a film about family issues and options and then had a lively and open discussion.  People were able to critique the film, both positive and negative aspects of it, and speak their minds even if there were different perspectives or opinions, and there were lots of excellent points and insights and even personal sharing.  As a therapist, it warmed my heart to see the amount of recovery, growth and courage in that room, both from people who self-identified as having BPD, therapists, and the family members.   Although the turnout wasn’t as big as I personally had hoped, given that these are our first community events, it is a good opportunity to learn what works, what doesn’t so we can continue to adapt it to respond to the feedback.  We are working on about taking these events to other parts of the state so if you think your community would benefit from some education about BPD, contact us and we can arrange with you to come to your area. Our final educational event for this series is about Adolescents and BPD and is May 20th, from 6-8, also at the Children’s Board which is on 1002 East Palm Avenue, Tampa, FL 33605.  It is free and donations are accepted but not...