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Interventions for Antisocial Personality Disordered Behavior
1. Strengths Based
Biopsychosocial Approach to
Recovery from Narcissistic
Personality Disorder
Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC, NCC
Executive Director, AllCEUs
Recovery & Resilience International in partnership with AllCEUs.com
Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89
2. Objectives
Define Personality Disorders
List the characteristics of Narcissistic Personality
Examine the similarities between the behaviors of
certain personality disorders and addictions
Identify ways to address these behaviors and
thought patterns
Encourage clinicians to critically examine
behaviors in patients with addiction in order to
effectively differentially diagnose
Recovery & Resilience International in partnership with AllCEUs.com
Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89
3. Why I Care/How It Impacts Recovery
When personality disorders are viewed as pervasive & perpetual, it
Provides an “excuse for relapse”
Often derails treatment because patterns of behavior thought to be
due to the PD are essentially ignored
Personality Disordered & Addictive Behavior often look the same
Goals for recovery from both:
Honesty with self & others about thoughts/feelings/needs/wants
(Mindfulness)
Distress tolerance and the ability to self-soothe
Hope and faith in self/future/others through addressing cognitive
errors
Development of self esteem to eliminate need for external validation
Development of healthy, supportive relationships
Recovery & Resilience International in partnership with AllCEUs.com
Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89
4. Personality Disorders
Represent a cluster of behaviors that is pervasive
beginning before the age of 15.
Addictive behaviors also often begin before 15
Due to immature cognitive development, children tend
to be more egocentric, overgeneralize and think in
terms of dichotomies
From a survival perspective, most of these behaviors
make perfect sense when viewed through the eyes of a
child
Recovery & Resilience International in partnership with AllCEUs.com
Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89
5. Personality Disorders
Treatment
Since these behaviors formed the foundation for
further development patients must
Understand their function in the past
Identify how these behaviors and beliefs are faulty in the
present
Develop alternative skills
Be empowered to interface with the world with the
strengths, knowledge and tools of the adult
Recovery & Resilience International in partnership with AllCEUs.com
Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89
6. Addictions
Represent one way to cope with distress
Can begin early in life
Have overlapping symptoms with personality
disorders, especially Cluster B
Recovery & Resilience International in partnership with AllCEUs.com
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7. Addictions & Personality Disorders
Cluster A (Paranoid, Schizoid, Schizotypal)
Characterized by social awkwardness and withdrawal
Often co-occur with addictions
Cluster C (Obsessive-Compulsive; Dependent)
Characterized as anxious and fearful
May co-occur with addiction
Cluster B (Borderline, Narcissistic, Histrionic, Antisocial)
Characterized by dramatic, emotional, erratic behavior
Behavioral patterns overlap with addiction
Recovery & Resilience International in partnership with AllCEUs.com
Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89
8. Addictions & Personality Disorders
Cluster B (Borderline, Narcissistic, Histrionic, Antisocial)
Characterized by
Dramatic, emotional, erratic behavior
All or Nothing thinking
Hostility and Aggression
Hypersensitivity
Manipulative
Low Self-Esteem / Weak Self-Concept
Recovery & Resilience International in partnership with AllCEUs.com
Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89
9. Antisocial Personality Disorder
CORRUPT (3 criteria)
C: Conformity to law lacking
O: Obligations ignored
R: Reckless disregard for safety of self or others
R: Remorse lacking
U: Underhanded (deceitful, lies, cons others)
P: Planning insufficient (impulsive)
T: Temper (irritable and aggressive)
Recovery & Resilience International in partnership with AllCEUs.com
Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89
10. Addictions vs. Personality Disorders
Many behaviors characteristic of active addiction
Overlap with personality disorders
Begin in late childhood/early adolescence
Are pervasive
As people’s experiences and knowledge expanded, their
coping skills and behaviors remained relatively primitive
Recovery from both requires
Development of effective coping skills
Addressing cognitive distortions
Recovery & Resilience International in partnership with AllCEUs.com
Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89
11. Recovery Interventions
Dramatic, emotional, erratic behavior
Distress Tolerance
Mindfulness to identify and process the source of the distress
Coping skills
All or Nothing thinking
Awareness and elimination of cognitive distortions (CBT)
Hostility and Aggression
Understanding of the fight or flight response
Development of anger awareness and management skills
Recovery & Resilience International in partnership with AllCEUs.com
Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89
12. Addictions vs. Personality Disorders
Hypersensitivity esp. to rejection
Awareness of and addressing thinking errors
Awareness and addressing abandonment issues
Development of self-esteem
Manipulative
Interpersonal skill development (boundary setting,
communication skills)
Low Self-Esteem / Weak Self-Concept
Development of self-esteem and the ability to
internally validate
Recovery & Resilience International in partnership with AllCEUs.com
Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89
13. Summary
Most patients with addictions have traits associated with
personality disorders
These traits can be loosely classified into
Thinking errors the perception of a threat
Behavioral reactivity to escape or eliminate the threat
Important concepts in early recovery
Honesty with self and others (Mindfulness and Awareness)
Hope & faith (Identifying cognitive distortions and thinking errors to
encourage and empower)
Courage and discipline to remain constantly mindful, accept and
address thoughts and feelings, make conscious choices based on
facts
Recovery & Resilience International in partnership with AllCEUs.com
Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89
14. Summary cont…
A child growing up in an unstable, neglectful,
emotionally detached environment may develop
PD traits to survive
Addictions to numb the pain and escape from the lack of
control.
Behaviors characteristic of addictions and personality
disorders
Were learned and reinforced
Will always be in the recesses of the toolbox
Must be made less rewarding than alternative, healthy
behaviors
Recovery & Resilience International in partnership with AllCEUs.com
Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89