This key new text on CBT for personality disorders offers a unique trainee guide to this complex area. The book provides a practical, hands-on overview of the treatment strategies for working with personality disorders, linking these with the theory of both cognitive and behavioral approaches. Covering the full range of personality disorders, this is the most rounded and introductory guide yet.

Key content includes:

  • Therapist self-care; avoiding pitfalls
  • Holding the CBT line in challenging circumstances, across a range of multi-disciplinary settings
  • Exploration of the therapeutic relationship and engagement strategies
  • Reflections on the evidence for CBT and personality problems
  • Chapter introductions and summaries, key learning points and reflective questions
  • Case examples and vignettes

This book is an important resource for anyone wishing to use their CBT training with clients presenting personality disorders.

Engagement Strategies

Engagement strategies

In this chapter you will learn about:

  • The stages of change.
  • Fundamental motivational interviewing strategies.
  • Advanced motivational interviewing strategies.

Motivation for Change

People with personality problems are often not very motivated to change. This could be because their problem behaviours result in too many rewards or because the familiarity of the current situation or it may be connected with being afraid of the unknown that change will bring. These clients are a challenge for psychological therapists.

In this chapter we will describe a strategy that will enable psychological therapists to understand the mechanisms underpinning lacking motivation (the stages of change model). The building blocks of motivation for change are discussed and methods on how to engage with clients so that these building blocks for motivation are strengthened and ...

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