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COURSE DESCRIPTION:
Patients with personality disorders frequently pose a special challenge in therapy, related, in part, to their rigid, negative, overgeneralized beliefs about themselves, others, and their worlds and the coping strategies they have developed to get along in life. "Standard" cognitive therapy often must be modified to forge a strong therapeutic alliance, to alleviate symptoms and help patients reach their goals. Therapy becomes especially difficult when patients' Axis II related beliefs become activated during treatment itself, leading these patients to employ their characteristic, dysfunctional coping strategies in the session. This course will describe the cognitive formulation for Axis II orders and demonstrate how to conceptualize individual patients. Variations to standard treatment will be delineated, including maintaining a strong therapeutic alliance, setting goals, structuring sessions, responding to dysfunctional cognitions and special techniques to reduce high levels of emotional distress. Finally, strategies to modify core beliefs will be presented.

PRESENTER BIO
Judith S. Beck, Ph.D.

Judith S. Beck, Ph.D., is the Director of the Beck Institute for Cognitive Therapy and Research in suburban Philadelphia and Clinical Associate Professor of Psychology in Psychiatry at the University of Pennsylvania. Dr. Beck directs the three major functions of the Beck Institute: education, clinical care, and research. She is a consultant for several NIMH research studies and often presents workshops on cognitive therapy for mood disorders, personality disorders and challenging patients. She is the author of the widely adopted textbook, Cognitive Therapy: Basics and Beyond. Her new book, Cognitive Therapy for Challenging Problems: What to Do When the Basics Don't Work will be published by Guilford Press in 2005. Beck is a Distinguished Founding Fellow and President Elect of the Academy of Cognitive Therapy.
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COURSE OBJECTIVES:
Upon completion of training, participants can be expected to demonstrate knowledge and familiarity on:

How to use conceptualize Axis II patients according to the cognitive model
How to vary standard elements of treatment
How to modify core beliefs

OUTLINE AND SCHEDULE:
Introduction       2 minutes
Course Objectives       1 minute
Techniques Used In CT for Axis II Patients       5 minutes
Dysfunctional Assumptions of Axis II Patients that Interfere with Treatment       5 minutes
General Cognitive Model       20 minutes
Typical Beliefs and Strategies       10 minutes
The Therapeutic Alliance       5 minutes
Techniques to modify core beliefs       7 minutes
Summary       5 minutes
Questions and Answers       15 minutes