Christine A. Padesky,Ph.D.

There is growing evidence that cognitive behavioral therapy (CBT) is an effective treatment for personality disorders. One of the challenges cognitive therapists face is that most clients who meet diagnostic criteria for one personality disorder meet criteria for two or more personality disorders. Thus, it can seem difficult to envision a straightforward treatment protocol.

This workshop approaches this dilemma by teaching a cognitive therapy paradigm for treatment of personality disorders that Dr. Padesky and her colleague Dr. Kathleen Mooney have developed over the past fifteen years. This approach can be used with clients with diverse combinations of personality disorders and is usually implemented after standard CBT methods have been used to treat Axis I mood problems such as depression or anxiety. This approach can also be used with many chronic, treatment resistant problems if standard Axis I treatments have failed.

Rather than focusing on dysfunctional beliefs and behaviors, methods taught target construction of new belief systems and interpersonal behavior patterns. Concrete steps are outlined and demonstrated using client examples and live clinical demonstrations. Participants apply skills in common clinical situations via structured role-plays.

@Help clients recognize the benefits of personality change.
AGuide clients to construct a gnewh system of personality desirable to them.
BBuild new beliefs and interpersonal skills that strengthen and sustain the new personality system.

This workshop is designed especially for intermediate and advanced level cognitive therapists. Although beginning cognitive therapists are welcome to attend, knowledge of basic CT skills is assumed and protocols for treating Axis I disorders will not be taught.

By the end of this workshop, participants will be able to:
@Employ a structured interview to help clients compassionately conceptualize their gOLDh @@@@personality system

APractice constructive therapy methods to help clients develop a gNEWh system

BOrganize therapy interventions with an gOLDh / gNEWh conceptualization worksheet

CSet up and debrief behavioral experiments in ways that build and strengthen the new personality system

DAY 1 -

Day 1
Cognitive Theory and Practice Overview
Cognitive theory and profiles of personality disorders

The NEW Paradigm: A 4-Step Model

Step 1: Set the Stage for Personality Change
Find a common and compassionate language
Structured interview that helps clients conceptualize the gOLDh personality system
Identify pivotal underlying assumptions and core beliefs
Highlight reasons for change

Step 2: Client Construction of gNEWh Personality
Advantages of focus on the gNEWh
Clinical demonstration

Dialogue between Dr. Padesky and Dr. Kazuomi Inoue
Personality disorders: A Japanese perspective


Day Q
Step 2 continued: Client Construction of gNEWh Personality
Structured interview to help clients conceptualize a gNEWh personality system
Constructive methods that help clients envision more adaptive beliefs and behaviors
Include a strengths perspective
Use the gOLDh / gNEWh worksheet to maintain greater therapy focus

Step 3: gTest Driveh the New Model / Strengthen New Beliefs and Skills
Behavioral experiments that build more flexible interpersonal strategies
Make predictions based on the gOLDh and gNEWh systems
Maximize learning from naturally occurring events
Use continua, core belief logs, & behavioral experiments to strengthen NEW beliefs

Step 4: Prepare for Termination: Relapse Management
Review relevant client learning
Plan for continued experiments
Predict difficulties that might challenge NEW system
Construct active, specific plans to deal with potential challenges

Cognitive therapy^Cognitive behavioral therapy