Integrated Treatment for Co-Occurring Disorders: Personality Disorders and Addiction

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Routledge, Apr 27, 2011 - Psychology - 254 pages
Integrated Treatment for Co-Occurring Disorders addresses a complex client population, which presents service providers with significant professional challenges. Underlying personality disorders compromise treatment effectiveness for medical, other psychiatric, or trauma services, as well as the ability these individuals have in adhering to probation, parole, or court-ordered treatment requirements. A co-occuring substance use disorder amplifies the difficulties experienced by personality-disordered individuals, exacerbates the precarious nature of their relationships, and raises the skill level needed by service providers attempting to help them. There can be significant professional satisfaction in working effectively with the interplay of addiction and disorders of personality. The book brings focus to the specifics of assessment and treatment for this type of co-occurring disorder and suggests that greater adaptability, fewer self-sabotaging behaviors, and an abstinent lifestyle are all possible. Recovery from both disorders is the journey these individuals take toward greater maturation, reliable impulse control, and coping skills that are not dependent upon the evasion of the demands of living or use of substances to manage stress or uncomfortable affect. Recovery is possible, and service providers can assist these clients on their path to wellness.
 

Contents

Preface xv
Integrated Treatment for Individuals with CoOccurring Personality
Definition and Criteria for Substance Use Disorders 6
The SelfCreated World Altered Reality of PPD 21
Treatment Provider Guidelines 24
Recovery Activities for Individuals with PPD and Addiction 29
Schizotypal Personality Disorder and Substance
Antisocial Personality Disorder and Substance
Personality Disorder as Primary Diagnosis or Secondary
Integrated Treatment for CoOccurring Personality Disorders
PassiveAggressive Negativistic Personality Disorder
Personality Disorders and Addiction 205
References 211
Index 223
Engaging in Treatment 104
Disorders 31

Borderline Personality Disorder and Substance
Histrionic Personality Disorder and Substance
Drugs of Choice for HPD 103
Disorders 8

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About the author (2011)

Sharon C. Ekleberry, MSW, LCSW, LSATP, is the director of the Community Services Board Transformation Initiatives in Fairfax County, Virginia. She has over 30 years of experience as a clinician, supervisor, and trainer specializing in Axis II co-occurring disorders (personality disorders and addiction).

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