Personality Disorders And Substance Abuse: A Case Study

Dialectical Behavior Therapy (DBT) is a comprehensive cognitive-behavioral treatment developed by Marsha M. Linehan for the treatment of complex, difficult-to-treat mental disorders. Originally, DBT was developed to treat individuals diagnosed with borderline personality disorder (BPD; Carson-Wong, Rizvi, & Steffel, 2013; Scheel, 2000). However, DBT has evolved into a treatment for multi-disordered individuals with BPD. In addition, DBT has been adapted for the treatment of other behavioral disorders involving emotional dysregulation, for example, substance abuse, binge eating, and for settings, such as inpatient and partial hospitalization. Dimeff and Linehan (2001) described five functions

Chapman, PhD, A. L., & Fraser, S. (2006, September). Dialectical Behavior Therapy: Current Indications and Unique Elements PDF file., (), 62-68.

According to the Diagnostic Statistic Manual 5 (DSM-5) substance use disorder is when the individual has a dependency on alcohol or drug, followed by penetrating craving and antisocial behavior to acquire the substance. The terms substance abuse and substance dependence refer to substance use disorder, which has been separated into three classifications as follows

These disorders focus on the evaluation which is to identify the psychological disorder that the client

Mr. Charles’ ability to maintain sobriety and learn a healthy lifestyle of recovery, taking into account that his drug dependence will only continue and possibly increase if untreated. Mr. Charles would benefit from an outpatient treatment program in order to become educated regarding the dangers of substance use/abuse. Mr. Charles will also be able to process his patterns of drug use and learn to recognize triggers that lead to his substance abuse. Mr. Charles will also be able to learn the effects and consequences of substance abuse and how to remain abstinent from drugs. While in group therapy, Mr. Charles will learn appropriate techniques to resist peer pressure to drug use as well as assist him in developing a supportive network to encourage him to maintain abstinence. The intervention would assist to minimize the possibility of Mr. Charles’ drug use from progressing into the late stages of chemical dependency.

While using Dialectical Behavior Therapy, it has a couple special theories. The biosocial theory deals with whenever the client is most likely born with a predisposition toward emotional vulnerability. The theory itself deals with how issues from borderline personality develops. When the client lives in an unstable environment, the structure of the home living can affect their mental minds. The client's mind can cause them to become very destructive and affect their relationships with others and most likely diagnose them with personality disorder. (Dialectical Therapy) “DBT draws mindfulness techniques from Zen Buddhism in order to use here-and-now presence of mind to help people in therapy objectively and calmly assess situations” (Dialectical

Overall borderline personality disorder is a disorder that is becoming more popular in the research community. It has been discovered that those with borderline personality disorder are at an increased risk of having a substance use disorder. This may be because of both disorders are often characterized by impulsivity. Future research should look for more links between substance use disorder and borderline personality disorder to allow others to understand why those with borderline personality disorder is so much more likely to have a substance use disorder than the general

Dialectical Behavior Therapy (DBT) is a comprehensive cognitive-behavioral treatment developed by Marsha M. Linehan for the treatment of complex, difficult-to-treat mental disorders. Originally, DBT was developed to treat individuals diagnosed with borderline personality disorder (BPD; Carson-Wong, Rizvi, & Steffel, 2013; Scheel, 2000). However, DBT has evolved into a treatment for multi-disordered individuals with BPD. In addition, DBT has been adapted for the treatment of other behavioral disorders involving emotional dysregulation, for example, substance abuse, binge eating, and for settings, such as inpatient and partial hospitalization. Dimeff and Linehan (2001) described five functions

According to Waltz (2003), Dialectical Behavior Therapy (DBT) focused is on recognizing accepting and moderating emotional responses in clients. Its main goal is to teach the patient skills to cope with stress, regulate emotions and improve relationships with others. DBT is designed for use by people who have urges to harm themselves, such as those who self-injure or who have suicidal thoughts and

Edward is an approximately 30 yo Caucasian male who lives in California. Edward presented in the interview as relaxed and confident, sitting with his arm stretched over the couch. Edward stated his main goal today was in the spirit of helping others by telling his prescription substance use disorder story.

However, an American psychologist, Marcha M. Lenehan develop a treatment called dialectical behavioral therapy, or DBT (Ogden, & Prokott, 2014). The dialectical behavior therapy is committed to helping those to develop tool to solve problems by searching for ways to reduce emotional suffering and build a life worth living. Its main goal is to teach the patient skills to cope with stress, regulate emotions and improve relationships with others. This therapy involves medications, such as antidepressant medications, antianxiety and antipsychotic drugs have also been used in treatment (Ogden, & Prokott,

The substance-related disorders are composed of two groups: the substance-use disorders (dependence and abuse) and the substanceinduced disorders (intoxication and withdrawal). Other substanceinduced disorders (delirium, dementia, amnesia, psychosis, mood disorder, anxiety disorder, sexual dysfunction, and sleep disorders) are included in the chapters with which they share symptomatology (e.g., substance-induced mood disorders are included in Chapter 6; substance-induced sexual dysfunction is included in Chapter 10, etc.).

C., 2014). A form of treatment called psychotherapy or talk therapy teaches individuals how to cope and function with their emotions and behaviors (Staff M. C., Mayo Clinic, 2013). There are four forms of psychotherapy, one is dialectical behavior therapy. DBT can be done in 3 ways: group, individuals and phone sessions (Staff M. C., Mayo Clinic, 2014). DBT helps individuals learn how to control their emotions and how to improve their relationships with themselves and others (Health) through means of “meditation-like exercises” (Staff M. C., Mayo Clinic, 2014). Mentalization-based therapy focuses on the individuals thought processes and helps them differentiate between their own thoughts and feelings from others around them (Staff M. C., Mayo Clinic, 2014). Transference-focused psychotherapy helps individuals learn to how to develop relationships by first developing a relationship with their therapist and taking what is learned from that and applying it to their outside relationships (Staff M. C., Mayo Clinic, 2014). Finally there is schema-focused therapy that combines all other forms of therapy and helps with changing the way the individuals express themselves by bringing attention to the positives and work on changing the negatives about themselves and their lives (Staff M. C., Mayo Clinic,

Dialectical Behavioral Therapy (DBT) is a form of psychotherapy that connects cognitive and behavioral methods as an approach to coping with painful emotions. The focus of this therapy is usually on individuals who react to emotional circumstances with extreme behaviors. Components of DBT include the practice of mindfulness as well as emotional regulation. DBT techniques can be beneficial for eating disorder treatment in that they allow individuals to better deal with conflict and stress while gaining increased control over negative thoughts and emotions (Astrachan-Fletcher & Maslar, 2009).

The Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5, American Psychiatric Association, 2013) defines personality disorders as a pattern of internal experience and behavior that greatly differs from what is normally expected in the person’s culture. They are also considered omnipresent and inflexible that is stable and causes both distress and impairment. Antisocial personality disorder is a severe disorder of personality. It is a disorder that helps compromise the dramatic, emotional, or erratic disorders, also known as the Cluster B disorders. The Cluster B disorders are also composed of borderline personality disorder, narcissistic personality disorder, and histrionic personality disorder. The