The video for this presentation is available on our Youtube channel: https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c= Reviews the characteristics of ASD and compares them with the characteristics of active addiction. Dr. Snipes then examines potential functional reasons these behaviors may have developed in childhood and ways to address them in the adult patient. Unlimited Counseling CEUs for $59 https://www.allceus.com/ Specialty Certificate tracks starting at $89 https://www.allceus.com/certificate-tracks/ Live Webinars $5/hour https://www.allceus.com/live-interactive-webinars/ Patreon: https://www.patreon.com/CounselorToolbox Help us keep the videos free for everyone to learn by becoming a patron. Pinterest: drsnipes https://www.youtube.com/user/allceuseducation Nurses, addiction and mental health counselors, social workers and marriage and family therapists can earn continuing education credits (CEs) for this and other course at: View the New Harbinger Catalog and get your 25% discount on their products by entering coupon code: 1168SNIPES at check out AllCEUs has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6261. Programs that do not qualify for NBCC Credit are clearly identified. AllCEUs is solely responsible for all aspects of the programs. AllCEUs is also approved as an education provider for NAADAC, the States of Florida and Texas Boards of Social Work and Mental Health/Professional Counseling, the California Consortium for Addiction Professionals and Professions. Our courses are accepted in most states through those approvals.

1. Strengths Based
Biopsychosocial Approach to
Recovery from Antisocial
Personality Disorder
Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC, NCC
Executive Director, AllCEUs
Recovery & Resilience International in partnership with AllCEUs.com
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2. Objectives
 Define Personality Disorders
 List the characteristics of Antisocial 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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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