Borderline Personality Disorder
Skills to manage your BPD
Borderline Personality Disorder clients experience * instability in their mood, that can change dramatically on a daily basis, * relationship difficulties -- distrust, fear of rejection and attachment problems, * prevailing feelings of emptiness and loneliness, * changeable self-concept depending on the situation, * behavioural dysregulation including self-harm, suicidal ideation and making suicide attempts. These are long-standing patterns that often originated in early childhood. Some people are genetically predisposed to experience intensive emotions so that in invalidating environments, they are especially likely to develop BPD. Our specialists deliver skills that enable BPD clients to reduce the intensity of the emotions they feel and use those skills to reduce risky behaviours. We have worked in the NHS, in the largest DBT Team in the UK. We work as a team and hold regular consult meetings to ensure that we remain non-judgmental and deliver the most effective support and treatment. We also have monthly supervision with an outside DBT expert.
How can we support you?
There is a long queue for NHS treatment for BPD clients. We are able to offer the same treatment as NHS offers but you will be seen within 7 working days of contacting us (yourself, or referred by your GP or Psychiatrist). We will arrange an assessment to understand better your difficulties and therapy needs. We practise DBT (Dialectical Behavioural Therapy) which is recognised throughout the world as being most effective. We can offer you three options:
(1) to join a weekly 1.5 hour DBT therapy group on-line for 20 weeks, with daily telephone coaching plus weekly individual therapy,
(2) group skills training only,
(3) individual therapy only.
The group therapy structure consists of 5 modules each lasting 4 weeks: Interpersonal Effectiveness, Emotional Regulation, Distress Tolerance and Mindfulness and "Middle Path".
For individual therapy, the therapist and client identify target behaviours that need to be increased or decreased. We follow a structured format.
Telephone coaching is available between 9.00 am and 9.00 pm. Its function is to assist clients to avoid risky behaviours by providing appropriate skills. This is not a crisis service, but to improve effectiveness in using skills. (In the event of crisis, a client should contact their GP or ambulance service, their local crisis team or Samaritans).
We adhere to the following assumptions:
Patients are doing the best they can and they want to improve.
Patients need to do better, try harder, and be more motivated to change.
The lives of suicidal borderline individuals are unbearable.
Patients must learn new behaviors in all relevant contexts, and cannot fail in therapy.
Therapists need support
Our therapists are non-judgemental; they accept you as you are and help you to change your unhelpful behaviours