Complex Trauma Borderline Personality Disorder and EMDR? Mark McFetridge The Retreat York. April 30 th 2008. You’ll get labelled as a problem penguin if you do. If they don’t throw me a fish soon I’m gonna just act normal. Borderline Personality Disorder. How do you treat BPD?
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The Retreat York
April 30th 2008
If they don’t throw me a fish soon I’m gonna just act normal
How do you treat BPD?
You refer them! (from Herman 1994)
“Borderline - the word that strikes terror into the heart of the middle-aged comfort-seeking psychiatrist” (Yalom 1989)
“The most significant discrepancy between Borderline Personality Disorder and chronic PTSD is the absence in the criteria for BPD of a recognisable stressor in the patient’s history”
(Herman, Perry & van der Kolk 1989)
Major disturbances in:-
(Re-enactments of trauma?)
(Defence against the distress of recurrent intrusive memories of trauma?)
Episodic disturbances of:-
Alternating periods of :-
“Having that diagnosis resulted in me getting treated exactly the way I was at home. The minute I got that diagnosis people stopped treating me as though what I was doing had a reason. Good therapists were those who really validated my experience”
When survivors recognise the origins of their psychological difficulties in an abusive childhood environment, they no longer need attribute them to to an inherent defect of the self. The way is then open for for a new meaning to experience and a new, unstigmatised identity (Herman 1994)
That wasn’t so bad was it?