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THE PSYCHOLOGY OF PERSONALITY DISORDERS
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Author Topic: What to look for in a therapist (qualifications, other)?  (Read 37682 times)
Auspicious
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« Reply #30 on: April 13, 2010, 08:35:02 AM »

You wouldn't see a nurse as a "clinician" and talk about their talent, while arguing that the MD/DO doesn't mean squat. 

No ... on the other hand, I've been a patient of nurse practitioners - an even nurses - who seemed to know much more what they were doing than some MDs. At least in some areas.

And I know for sure who I'd rather have give me a shot or draw blood ...

Interesting discussion - I think there are some good points all around.
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an0ught
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« Reply #31 on: April 13, 2010, 12:47:40 PM »

No ... on the other hand, I've been a patient of nurse practitioners - an even nurses - who seemed to know much more what they were doing than some MDs. At least in some areas.

And I know for sure who I'd rather have give me a shot or draw blood ...

As long as we seek THE ONE solution we are bound to fail. The question is not who is the best but who is the best for what task? So what are the basic tasks. I really don't know but since I'm not a trained professional I don't have to stop   and refer you to one. So here we go:

1) diagnosis

2) individual therapy

3) DBT therapy in a structured format

4) medication

5) clinical treatment of severe episodes

I suspect the questions one would need to ask are very different in each case. For e.g. diagnosis the ability to form a relationship quickly, emotional self awareness and a very good clue about BPD vs. bipolar and other stuff. Plus a good idea about the possible courses of action. But while analytical capabilities are helpful a lot more important later is the ability to lead the BPD sufferer through change and sustain the relationship. Whether you find both capabilities in the same person expressed to a greater extent is not so clear.

When it comes to Ph.D.'s in psychology it is at least in my country a good indicator that the person has a grasp on basic statistics. Whether that is relevant or not for treatment - I doubt it. But is may be an indication of abstract thinking and that is useful considering the games that are played with us by our SOs.
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« Reply #32 on: January 23, 2011, 04:15:32 PM »

I have a therapist that I have been talking to, but have decided that she is not what I need.  She listens well, but I know that she does not understand the hell my family is going through.   She insists that to "fix" this, that I need to sit down with the unBPD and tell her that I would like us to "fix" this, so that the family can be whole again.  My DS has tried talking his unBPD wife into going to therapy, or couples therapy or group therapy and her answer is, ALL of you are crazy and ALL of you need to go.  I am the only sane person.   Well, folks, NO SHE IS NOT!  She is the one that has brought all this hell into our lives.  So, back to my question.  I need to find a therapist who is familiar with BPD.   I live in North Carolina.  Any suggestions?
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Cherokeeflower
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« Reply #33 on: April 21, 2011, 07:12:42 AM »

Is there a good reference site for therapists who specialize in BPD and the people that care about them?
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« Reply #34 on: September 24, 2011, 10:18:08 PM »

Hi

  I am a long term member but I wanted to post something I think is important for everyone so Im posting it here. I recently read a post from a non having issues with their BPD's current Therapist. For those of you who have followed my story my exBPD ended up a disaster because of his own T.But here is the substance of what I want to get out there. I also don't want to make any sweeping generalizations so read carefully- this applies to Many but not ALL therapists. The goal of this post is to help people CHoose wisely.

  Many  therapists, including but not limited to MSWs. PsycD, PHds, Addiction counselors etc.. DO NOT have training in extreme psychopathology especially BPD. However I suspect that many of these same people are reluctant to turn away a patient let alone a BPD who is easily develope a dependency on them. More importantly BPDs are absolute masters at both perceiving and portraying themselves as victims inducing rescue fantasies in their therapists. The result is that some T's will fail to properly dx the BPD and in many many instances will only re-inforce the BPDs persecution complex. Its becomes a seriously maladaptive cycle wherein the BPD traingulates using the T to get whatever they want; whether its antipathy towards the Non or med changes or just validation that nothing is wrong with them. Herein the real problem- what use is a T who is just taking money in exchange for ratifying a mentally ill person's denial. If anything these serious countertransferance abuses lead to only more difficult. In my own case- it was a disaster and my ex BPD is probably a whole lot worse for his T.

  I dont know how many people will read this but... someone posted that while a non has little rights talking about the BPD with their T, we are completely within our own rights to ask the T exactly what was his/her training, education and precise experience working with BPDs. If they don't answer- you got a huge red flag that the person your BPD is seeing to help - may in fact only be hurting them. So here are some suggestions

a) Find out about credentials, training and education regarding the types of mental health issues they deal with

b) You have an absolute right to know how much experience the T has with BPDs.

c) Check with the local dept of ed to make sure their licenses are real and up to date

d) A great resource is the National Degree Clearinghouse data base which keeps diploma records

e) Ask about the experience the T has with CBT, DBT, Transferance Based therapy and anything else that applies

SSD
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« Reply #35 on: September 25, 2011, 11:16:26 AM »

Some therapists are versed in DBT but don't necessarily sponsor the skills workshops required to be a 'certified' dbt therapist.  The other day, I found a DBT teacher who is not certified to teach due to this workshop limitation.  He mentioned that therapists who do 'trauma' work are often trained in DBT.  Perhaps you can google 'trauma' therapist.  Hope this helps. 
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sosadandone
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« Reply #36 on: September 25, 2011, 08:04:21 PM »

I dont want to generalize but really "trauma therapy". Sounds like PTSD psychobabble to me

I wonder if Linehan keeps a list of approved Ts/

That would seem the only way to go

Otherwise a BPD is a T's wet dream; someone willing to come as often as possible keep paying just dont ever tell them the truth

A psych I dated once joked; First I tell pts they wont get better until my youngest graduates prof school

And those are the good ones

Caveat EMptor
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« Reply #37 on: November 07, 2011, 04:52:20 PM »

How do you find a Dialectical Behavior Therapist? We are in Arkansas - I can't seem to find any information.

We are also only an hour to an hour and a half from Tulsa Oklahoma.

Thanks.
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« Reply #38 on: November 11, 2011, 10:21:16 AM »

It isn't always easy to find a provider, so here are some places to look:

Psychology Today has a good therapist look up: www.therapists.psychologytoday.com/rms/prof_search.php

Insurance companies often have lists of providers, with specialties and profiles listed, that you can access online (if you are a member of that insurance group).

DBT Self Help has announced it is partnering with another group to provide a comprehensive list of DBT therapists (still pending as of the time of this post but apparently coming soon):

Quote
A Worldwide DBT Database will be available for anyone who is looking for a DBT therapist or group in their area. This database will be provided in partnership with GoodTherapy.org. The actual database and search engine will be available on this website. DBT therapists and Centers offering DBT groups will find a coupon for 2 months free listing which they can use to sign up via GoodTherapy.org.

The current list of resources (soon to be replaced) is here: www.dbtselfhelp.com/html/resources.html

Your local NAMI affiliate may have resources for referrals.
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Randi Kreger
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« Reply #39 on: November 18, 2011, 09:50:03 PM »

I came across a therapist who was very astute with a BPD/NPD comorbid diagnosis and I asked her her advice to find more like her.She said that private therapists screen out axis ll patients and are inexperienced, so your best bet to find someone with a great deal of experience (which is what you want most of all) is to find people who have experience at places where:1) they did not have a choice as to clients 2) they were most likely to get clients with axis ll (PD) disorders.So where?1) Free or low cost clinics2) People with experience in prisons or domestic abuse and things like that. Some 30% of people in prisons have BPD and I am sure they are crawling with narcissists and antisocials as well. Look at Brandon Marshall, the new face of BPD.
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