TREATMENT IICan personality disorders be treated?More challenging than clinical disordersAxis II - seen as intrinsic and permanentIndividuals often don’t recognize problemTreatment of borderline personality disorderDialectical behavioral therapyCombines cognitive, behavioral, and psychodymaic approachesStagesIdentify dysfunctional behaviors and teach appropriate alternativesExplore past trauma to discover roots of emotional problemsHelp client develop self-respect and independent problem-solvingTreatment of antisocial personality disorderPoor insight, manipulative behavior, and lying make these patients difficultPsychotherapybehavioral therapy to reduce antisocial behaviorscognitive therapy to convince patient that fighting system is unsuccessfulrequires controlled in-patient settingDrug therapy can alleviate symptoms, but no long-term effectPrognosis for antisocial personality disorderEvidence indicates that therapy is ineffective or short livedOften antisocial behaviors diminish after age 40limited to behavioral aspectsFocus on childhood conduct disorder (a precursor) may be most effectiveHow should childhood disorders be treated?Treating childhood autismBehavioral reinforcement of specific behaviors has been found effectiveLack of social interest limits effectiveness of reinforcersLearning is very specific; little generalizationRequires full-time teacherFinancially and emotionally drainingTreating childhood autismVarious pharmacological treatments are being testedgluten-restricted dietSSRIs to reduce stereotyped behaviorLong-term prognosis is considered poorbetter with later onset, language skills, and higher IQTreating ADHDMethylphenidate (ritalin)CNS stimulantThought to act on multiple neurotransmittersDecreases distractibilityReduces negative behaviorsLesser long-term effectivenessSide effects, abuseTeaches lack of responsibilityBehavioral therapytime consuminglimited generalizationbest in conjunction with medication70% of individuals diagnosed with ADHD in childhood continue to meet criteria in adolescencesymptoms continue to have effects in adulthoodpsych 301, 10/13/3TREATMENT IICan personality disorders be treated?More challenging than clinical disordersAxis II - seen as intrinsic and permanentIndividuals often don’t recognize problemTreatment of borderline personality disorder Dialectical behavioral therapyCombines cognitive, behavioral, and psychodymaic approachesStagesIdentify dysfunctional behaviors and teach appropriate alternativesExplore past trauma to discover roots of emotional problemsHelp client develop self-respect and independent problem-solvingTreatment of antisocial personality disorder Poor insight, manipulative behavior, and lying make these patients difficultPsychotherapybehavioral therapy to reduce antisocial behaviorscognitive therapy to convince patient that fighting system is unsuccessfulrequires controlled in-patient settingDrug therapy can alleviate symptoms, but no long-term effectPrognosis for antisocial personality disorderEvidence indicates that therapy is ineffective or short livedOften antisocial behaviors diminish after age 40 limited to behavioral aspectsFocus on childhood conduct disorder (a precursor) may be most effectiveHow should childhood disorders be treated?Treating childhood autismBehavioral reinforcement of specific behaviors has been found effectiveLack of social interest limits effectiveness of reinforcersLearning is very specific; little generalizationRequires full-time teacherFinancially and emotionally drainingTreating childhood autismVarious pharmacological treatments are being testedgluten-restricted dietSSRIs to reduce stereotyped behaviorLong-term prognosis is considered poorbetter with later onset, language skills, and higher IQTreating ADHDMethylphenidate (ritalin)CNS stimulantThought to act on multiple neurotransmittersDecreases distractibilityReduces negative behaviorsLesser long-term effectivenessSide effects, abuseTeaches lack of responsibilityBehavioral therapytime consuminglimited generalizationbest in conjunction with medication70% of individuals diagnosed with ADHD in childhood continue to meet criteria in adolescencesymptoms continue to have effects in
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