There are two teams offering interventions to service users at the Personality Disorder Service.
The Community Team provides care coordination via the Structured Clinical Management model. This is an eclectic, evidence-based model aimed at working in a structured way towards service users' goals, improving daily functioning, and supporting service users with social care needs in a way that is consistent with the Care Programme Approach (CPA).
The Therapies Team offers Mentalisation Based Treatment (MBT), Schema-Informed Therapy (ST), and Dynamic Interpersonal Therapy (DIT). These are evidence-based therapeutic approaches for the treatment of difficulties associated with the diagnosis of personality disorder. MBT focuses on improving the capacity to understand one’s mind and the mind of others in the service of improving relationships, ST focuses on changing unhelpful blueprints that develop during early life and have an impact on a person’s sense of self and relationships, DIT focuses on patterns in relating to oneself and others.
Service users may be offered one of the interventions above following a comprehensive assessment of their difficulties, and mutual agreement over which approach will be best suited to their goals.18+
Service users who have difficulties in daily functioning, emotional instability and difficulties in interpersonal relationships. Service users must meet the diagnostic criteria for a personality disorder.
As a result of destabilising/difficult/traumatic early life experiences and an emotionally sensitive temperament a person can develop very intense, inflexible and unhelpful patterns of relating to other people and themselves. These patterns develop in childhood and persist over time causing someone to become overwhelmed with unbearable feelings and to often engage in impulsive or self-destructive behaviours as a way of coping. As a result they will experience severe difficulties managing the demands of daily living and will have frequent emotional crises.
The personality 'disorder' only refers to the set of intense and unhelpful personality traits that create significant problems for the person. That person will still have many other personality traits that make them a unique and interesting individual and which create no problems for them in their daily lives.
After referral, service users may be offered an initial assessment to consider their current circumstances, review their mental health and social care needs, develop a psychological understanding of their difficulties, and develop a treatment plan. Service users may be offered any of the interventions listed above.