The Use of Dialectical Behavior Therapy and Prolonged Exposure to Treat Comorbid Dissociation and Self-Harm: The Case of a Client With Borderline Personality Disorder and Posttraumatic Stress Disorder

2015 ◽  
Vol 71 (8) ◽  
pp. 805-815 ◽  
Author(s):  
Hollie F. Granato ◽  
Chelsey R. Wilks ◽  
Erin M. Miga ◽  
Kathryn E. Korslund ◽  
Marsha M. Linehan
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Posttraumatic Stress ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Stress Disorder ◽  
Prolonged Exposure ◽  
Borderline Personality ◽  
Self Harm

Concurrent Dialectical Behavior Therapy and Prolonged Exposure Reduces Symptoms and Improves Overall Quality of Life for a Veteran With Posttraumatic Stress Disorder and Borderline Personality Disorder

2017 ◽  
Vol 16 (3) ◽  
pp. 216-233 ◽  
Author(s):  
Emily Scheiderer ◽  
Jessica A. Carlile ◽  
Allison C. Aosved ◽  
Alycia Barlow
Keyword(s):  
Quality Of Life ◽  
Posttraumatic Stress Disorder ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Stress Disorder ◽  
Prolonged Exposure ◽  
Borderline Personality

This article presents a case study illustration of integrated, concurrent dialectical behavior therapy (DBT) and prolonged exposure (PE), conducted within a Veterans Affairs health care system. Treatment in this case effectively reduced symptoms and improved overall quality of life. Based on clinical complexities encountered (e.g., substance use, nonsuicidal self-harm, treatment setting constraints), recommendations are provided for concurrent treatment of posttraumatic stress disorder and borderline personality disorder in veterans. Recommendations include consideration of flexibility in duration of pre-PE stabilization, modification of DBT phone coaching protocol, management of structural barriers to treatment access, full use of consultation, and coordination of clinician roles.

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