There are two main 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 Dialectical Behaviour Therapy (DBT), Mentalisation Based Treatment (MBT), Schema Therapy (ST), and Dynamic Interpersonal Therapy (DIT). We also run a young people's DBT group. These are evidence-based therapeutic approaches for the treatment of difficulties associated with the diagnosis of personality disorder. DBT mainly focuses on reducing impulsive and self-destructive behaviours, 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 focusses 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 bests suited to their goals.
We have links with a third team, the Psychologically Informed Consultation and Training (PICT) team, who work indirectly with the networks around service-users. You can find out more about the PICT team on their own web-page, here.18-65
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.
After referral, service-users will be offered an initial assessment to consider their current circumstances, review their mental health and social care needs, to develop a psychological understanding of their difficulties, and develop a treatment plan. Service users may be offered any of the interventions listed above.
Several of our C&I trainee doctors recently made a video about the diagnosis of Borderline Personality Disorder. You can watch the video here.