psych 301 10 13 3 TREATMENT II Can personality disorders be treated More challenging than clinical disorders Axis II seen as intrinsic and permanent Individuals often don t recognize problem Treatment of borderline personality disorder Dialectical behavioral therapy Combines cognitive behavioral and psychodymaic approaches Stages Identify dysfunctional behaviors and teach appropriate alternatives Explore past trauma to discover roots of emotional problems Help client develop self respect and independent problem solving Treatment of antisocial personality disorder Poor insight manipulative behavior and lying make these patients difficult Psychotherapy behavioral therapy to reduce antisocial behaviors cognitive therapy to convince patient that fighting system is unsuccessful requires controlled in patient setting Drug therapy can alleviate symptoms but no long term effect Prognosis for antisocial personality disorder Evidence indicates that therapy is ineffective or short lived Often antisocial behaviors diminish after age 40 limited to behavioral aspects Focus on childhood conduct disorder a precursor may be most effective How should childhood disorders be treated Treating childhood autism Behavioral reinforcement of specific behaviors has been found effective Lack of social interest limits effectiveness of reinforcers Learning is very specific little generalization Requires full time teacher Financially and emotionally draining Treating childhood autism Various pharmacological treatments are being tested gluten restricted diet SSRIs to reduce stereotyped behavior Long term prognosis is considered poor better with later onset language skills and higher IQ Treating ADHD Methylphenidate ritalin CNS stimulant Thought to act on multiple neurotransmitters Decreases distractibility Reduces negative behaviors Lesser long term effectiveness Side effects abuse Teaches lack of responsibility Behavioral therapy time consuming limited generalization best in conjunction with medication 70 of individuals diagnosed with ADHD in childhood continue to meet criteria in adolescence symptoms continue to have effects in adulthood
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