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Working with Mental Illness in the Community Paula Mendenhall,  LMHC, LPHA
Learning Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object]
How Understanding May Help ,[object Object]
Mental Illness and  Community Safety ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mental Illness and  Incarceration “ When incarcerated, offenders with mental illnesses may present problems, particularly when they arrive in a disoriented or psychotic state. Once in jail, they remain longer than others with similar convictions. Often their condition deteriorates without appropriate treatment and issues concerning behavioral management arise. They may leave jail without supplies of needed medications, public benefits to pay their living costs or Medicaid for community-based mental health services. As a result, many simply recycle back into the criminal justice system."   BPD Today Newsletter www.borderlinepersonalitydisordertoday.com
Taking a  closer look Borderline Personality Disorder
BPD in a nutshell “ Borderline individuals are the psychological equivalent of third-degree-burn patients. They simply have, so to speak, no emotional skin. Even the slightest touch or movement can create immense suffering.”   Marsha Linehan “ The methods of self-harm that borderlines choose can be gruesomely creative. One psychologist related to me an incident of a woman who used fingernail clippers to pull off slivers of her skin.” “ BPD is a disorder that could be called the ‘I don’t fit in’ disorder”. “ Back from the Edge”, Borderline Personality Disorder Resource Center "Everyone talks about [BPD], but it usually seems that no one knows quite what to do about it.“ Duke University Psychiatrist
Emotional Chaos ,[object Object]
WHY  I FEEL SO BAD GRAPH  ,[object Object],[object Object],[object Object],TIME IN HOURS  1  2  3  4  5 I N T E N S I T Y NEW BASELINE
BPD ~ What to Look For ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
BPD Can Be Fatal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Facts of BPD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How Does BPD Cause Problems ,[object Object],[object Object]
You might be dealing with  BPD IF: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Linehan, Marsha M. 1993.  Skills Training Manual for Treating Borderline Personality Disorder . The Guilford Press, New York, NY.
Two levels of functioning: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
4 Subtypes of Behavior Styles ,[object Object],[object Object],[object Object],[object Object]
BPD – their perspective “ We are not making a rational decision to act inappropriately as such to involve law enforcement. Our brains have betrayed us and we have become out of control needing law enforcement to keep ourselves/and or those around us safe.” BPD Today Newsletter www.borderlinepersonalitydisordertoday.com
Taking a Closer Look PTSD and Trauma
PTSD  ~ TRAUMA VICTIMS ,[object Object],[object Object],[object Object]
Symptoms of Trauma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acute Stress Disorder vs. PTSD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Taking a Closer Look Schizoaffective Disorder
Symptoms of a psychosis ,[object Object],[object Object],[object Object],[object Object]
What are the symptoms of a psychotic disorder? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Schizoaffective Disorder ,[object Object],[object Object],[object Object],[object Object],[object Object]
Schizoaffective Disorder ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What Can You Do?
Assumptions that will help  with BPD ,[object Object],[object Object],[object Object],[object Object],Linehan, Marsha  M. 1993.  Cognitive-Behavioral Treatment of Borderline Personality Disorder , The Guilford Press, New York, NY.
Communicate ,[object Object],[object Object],[object Object],[object Object]
TIPS for Communicating Effectively ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Show Compassion   ,[object Object],[object Object],[object Object]
Strategies that are  NOT   Helpful: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Helping Trauma Victims ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Create a sense of safety ,[object Object],[object Object],[object Object],[object Object],[object Object]
Resources for Trauma Response ,[object Object],[object Object],[object Object]
Concerns related to  psychotic disorders ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Helping the Psychotic ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Resources :  There is Hope ,[object Object],[object Object],[object Object]
Contact Information Paula Mendenhall, LMHC, LPHA 3802 Erlich Rd., Tampa, FL -and- 4809 Trouble Creek Rd., New Port Richey, FL 727-534-6621 [email_address]
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Working With Bpd Ptsd

  • 1. Working with Mental Illness in the Community Paula Mendenhall, LMHC, LPHA
  • 2.
  • 3.
  • 4.
  • 5. Mental Illness and Incarceration “ When incarcerated, offenders with mental illnesses may present problems, particularly when they arrive in a disoriented or psychotic state. Once in jail, they remain longer than others with similar convictions. Often their condition deteriorates without appropriate treatment and issues concerning behavioral management arise. They may leave jail without supplies of needed medications, public benefits to pay their living costs or Medicaid for community-based mental health services. As a result, many simply recycle back into the criminal justice system." BPD Today Newsletter www.borderlinepersonalitydisordertoday.com
  • 6. Taking a closer look Borderline Personality Disorder
  • 7. BPD in a nutshell “ Borderline individuals are the psychological equivalent of third-degree-burn patients. They simply have, so to speak, no emotional skin. Even the slightest touch or movement can create immense suffering.” Marsha Linehan “ The methods of self-harm that borderlines choose can be gruesomely creative. One psychologist related to me an incident of a woman who used fingernail clippers to pull off slivers of her skin.” “ BPD is a disorder that could be called the ‘I don’t fit in’ disorder”. “ Back from the Edge”, Borderline Personality Disorder Resource Center "Everyone talks about [BPD], but it usually seems that no one knows quite what to do about it.“ Duke University Psychiatrist
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15. Linehan, Marsha M. 1993. Skills Training Manual for Treating Borderline Personality Disorder . The Guilford Press, New York, NY.
  • 16.
  • 17.
  • 18. BPD – their perspective “ We are not making a rational decision to act inappropriately as such to involve law enforcement. Our brains have betrayed us and we have become out of control needing law enforcement to keep ourselves/and or those around us safe.” BPD Today Newsletter www.borderlinepersonalitydisordertoday.com
  • 19. Taking a Closer Look PTSD and Trauma
  • 20.
  • 21.
  • 22.
  • 23. Taking a Closer Look Schizoaffective Disorder
  • 24.
  • 25.
  • 26.
  • 27.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40. Contact Information Paula Mendenhall, LMHC, LPHA 3802 Erlich Rd., Tampa, FL -and- 4809 Trouble Creek Rd., New Port Richey, FL 727-534-6621 [email_address]
  • 41.