Summary: <p>Strengths Based Biopsychosocial Approach to Recovery from Addictions and Personality Disorders<br> Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC<br> Executive Director, AllCEUs<br> Podcast Host: Counselor Toolbox and Happiness Isn’t Brain Surgery</p> <p>Earn Counseling CEUs for this presentation is at <a href="https://www.allceus.com/member/cart/index/product/id/507/c/">https://www.allceus.com/member/cart/index/product/id/507/c/</a></p> <p>Objectives<br> ~ Define Personality Disorders<br> ~ Examine the similarities between the behaviors of certain personality disorders and addictions<br> ~ Identify ways to address these behaviors and thought patterns<br> ~ Encourage clinicians to critically examine behaviors in patients with addiction in order to effectively differentially diagnose<br> Why I Care/How It Impacts Recovery<br> ~ When personality disorders are viewed as pervasive & perpetual, it<br> ~ Provides an “excuse for relapse”<br> ~ Often derails treatment because patterns of behavior thought to be due to the PD are essentially ignored<br> ~ Personality Disordered & Addictive Behavior often look the same<br> ~ Goals for recovery from both:<br> ~ Honesty with self & others about thoughts/feelings/needs/wants (Mindfulness)<br> ~ Distress tolerance and the ability to self-soothe<br> ~ Hope and faith in self/future/others through addressing cognitive errors<br> ~ Development of self esteem to eliminate need for external validation<br> ~ Development of healthy, supportive relationships</p> <p>Personality Disorders<br> ~ Represent a cluster of behaviors that is pervasive beginning before the age of 15.<br> ~ Addictive behaviors also often begin before 15<br> ~ Due to immature cognitive development, children tend to be more egocentric, overgeneralize and think in terms of dichotomies<br> ~ From a survival perspective, most of these behaviors make perfect sense when viewed through the eyes of a child</p> <p>Personality Disordered/Addictive Behaviors<br> ~ Treatment<br> ~ Since these behaviors formed the foundation for further development patients must:<br> ~ Understand their function in the past<br> ~ Identify how these behaviors and beliefs are faulty in the present<br> ~ Develop alternative skills<br> ~ Be empowered to interface with the world with the strengths, knowledge and tools of the adult</p> <p>Addictions & Personality Disorders<br> ~ Cluster A (Paranoid, Schizoid, Schizotypal)<br> ~ Characterized by social awkwardness and withdrawal<br> ~ Often co-occur with addictions<br> ~ Cluster C (Obsessive-Compulsive; Dependent)<br> ~ Characterized as anxious and fearful<br> ~ May co-occur with addiction<br> ~ Cluster B (Borderline, Narcissistic, Histrionic, Antisocial)<br> ~ Characterized by dramatic, emotional, erratic behavior<br> ~ Behavioral patterns overlap with addiction</p> <p>Addictions & Personality Disorders<br> ~ Cluster B (Borderline, Narcissistic, Histrionic, Antisocial)<br> ~ Characterized by<br> ~ Dramatic, emotional, erratic behavior<br> ~ All or Nothing thinking<br> ~ Hostility and Aggression<br> ~ Hypersensitivity<br> ~ Manipulative<br> ~ Low Self-Esteem / Weak Self-Concept</p> <p>What environment might perpetuate these behaviors?<br> What about those with decent childhoods?</p> <p>Addictions & Personality Disorders<br> ~ Cluster B (Borderline, Narcissistic, Histrionic, Antisocial)<br> ~ Antisocial:<br> ~ Disregard for the rights of other people<br> ~ Impulsivity<br> ~ Hostility and/or aggression<br> ~ Deceit and manipulation<br> ~ Seem to lack empathy</p> <p>What environment might perpetuate these behaviors?<br> What about those with decent childhoods?</p> <p>Addictions & Personality Disorders<br> ~ Cluster B<br> ~ Histrionic<br> ~ Excessive emotionality and attention seeking<br> ~ May become enraged at perceived rejection<br> ~ Need to be the center of attention<br> ~ Inability to engage in au</p>
