Penn Psychiatry

Training Opportunities

Title: Approaching Borderline Personality Disorder in Treatment: How to Shift Your Perspective and Apply Evidence-Based Interventions

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Date: Friday January 19, 2024

Time: 1:00pm to 5:00pm EST

Length: 4 hours

Format: Virtual; Zoom video link will be sent to registrants 2 days before & morning of the event from jeremyty@pennmedicine.upenn.edu

Continuing Education Credits: 4 credits (cost for CE credit included in registration fee)

Cost:  

Licensed Professional:        $300 per person

PBTA Member                    $250 per person**

UPenn/UPHS Employee:    $100 per person*

Student/Trainee:                  $40 per person

Contact Jeremy Tyler, PsyD, jeremyty@pennmedicine.upenn.edu, about group rates

*Must provide Penn ID and Penn email on the registration page

**Please enter your PBTA discount code on the registration page

Course Description:

The American healthcare system receives patients with borderline personality disorder (BPD) with hesitation, fear, and negative judgment due to a historical pattern of clinical mishandling of the condition. Healthcare providers may be unsure of how to deliver services to individuals with BPD features, especially after being taught that these patients are manipulative, unpredictable, and difficult. This may lead to (1) patients feeling invalidated and experiencing negative health outcomes and (2) providers feeling frustrated and uncomfortable treating these patients. Hannah Sonnier, MS, LCSW and Lily Assad, PhD will lead a 4-hour workshop borrowing from their combined clinical and research experience with BPD patients to (1) help providers feel more confident in their understanding of BPD and (2) give providers evidence-based tools to implement in care. Participants will learn about treatment-interfering stereotypes related to BPD and conceptualize complex behaviors within the biosocial framework. Participants will learn and practice interventions informed by Dialectical Behavior Therapy – the gold standard evidence-based treatment for BPD – that they can implement with their own patients.

Learning Objectives:

• Identify three common judgmental and treatment-interfering myths about BPD.
• Describe the development of BPD within a biosocial framework.
• Explain the etiology and function of life-threatening behaviors.
• List three DBT-informed treatment-enhancing techniques to implement throughout treatment of patients with BPD.
• Apply three DBT-informed techniques in their work with their own patients.

About the Presenters:

Hannah Sonnier, MS, LCSW

Hannah Sonnier (she/her or they/them) is a Licensed Clinical Social Worker who received their MSW at the University of Pennsylvania School of Social Policy and Practice in 2019 and their Master's in Medical Sciences from the University of Kentucky in 2016. Hannah received intensive training and supervision in Dialectical Behavior Therapy (DBT) from Linehan Board Certified clinicians and has experience delivering comprehensive DBT as part of a formalized consultation team. They have provided DBT and DBT-informed therapy to support high-risk adolescents and adults in inpatient and outpatient settings to develop and strengthen distress tolerance, emotion regulation, interpersonal effectiveness, and mindfulness skill sets. They are passionate about helping patients build lives worth living regardless of diagnosis, trauma history, or systemic barriers. They believe in providing evidenced-based interventions that meet patients where they are at and promote self-directed growth, lasting behavioral change, and a strengthened trust in yourself and your abilities. 

Lily Assaad, PhD

Dr. Lily Assaad (she/her) is a postdoctoral fellow at the Outpatient Psychiatry Center within the Perelman School of Medicine. Dr. Assaad completed her clinical psychology residency at the University of Washington School of Medicine (specializing in DBT, PTSD, Insomnia, and OCD) and obtained her PhD from Purdue University (researching personality disorders and intimate relationships), both of which function within the Clinical Scientist model. In addition to publishing and presenting on her research extensively, Dr. Assaad has experience working at the University of Washington Medical Center, Harborview Medical Center, three clinics in the VA Illiana Health Care System (residential SUDs, PTSD, and behavioral health), three clinics at the Purdue Psychological Treatment and Research Center (Adult-, Child-, and Neuropsychological Assessment-focused), a randomized control trial (RCT), and Alpine Health’s Neuropsychological Assessment Clinic. Dr. Assaad is experienced in evidence-based assessment using numerous neuropsychological, cognitive, and personality measures. She also has expertise in the provision of full doses of empirically supported treatments (ESTs) within individual, couple, and group therapy formats. Such ESTs include Standard (i.e., full-model) DBT, PE, CPT, ExRP for OCD, ACT, BA, CBT for ADHD, CBT for Insomnia, EFT and IBCT for couples, and MI for SUDs. However, she primarily specializes in Standard DBT, PE, and CPT.

Moderators:

Jeremy Tyler, PsyD

Dr. Jeremy Tyler (he/him) is the Director of Psychotherapy at the Outpatient Psychiatry Center, a Licensed Clinical Psychologist, and Assistant Professor of Clinical Psychiatry at the Perelman School of Medicine. Dr. Tyler has 15 years of clinical experience spanning a broad range of clinical populations. Dr. Tyler completed his pre-doctoral internship at the Dallas VA Medical Center, with specializations in PTSD, Military Sexual Trauma, Substance Abuse, General Outpatient, and the Spinal Cord Injury. Dr. Tyler completed his postdoctoral fellowship at the University of Pennsylvania, Center for the Treatment and Study of Anxiety (CTSA), specializing in evidence-based treatments for OCD, PTSD, and anxiety disorders. Dr. Tyler is a proponent of evidence-based treatment and an expert in exposure-based cognitive behavioral therapy. He is engaged in research on OCD, PTSD, and Anxiety Disorders, with an emphasis on understanding the role of transdiagnostic mechanisms involved in the treatment of OCD, PTSD, and anxiety disorders, with a particular interest in the role of anxiety sensitivity, perfectionism and emotion regulation. Dr. Tyler is highly involved in clinical teaching in the School of Medicine and regularly engages in teaching locally, nationally, and internationally.

Anaya Kellogg, LCSW, DBT-Linehan Board Certified Clinician

Anaya Kellogg (Erika Anaya Kellogg) is a Licensed Clinical Social Worker at the Penn Outpatient Psychiatry Center.  Anaya also serves as the Director and Educational Supervisor for the DBT Training Program in the Department of Psychiatry at Penn Medicine.  Anaya is a board certified DBT Clinician through the DBT-Linehan board of Certification. Anaya's expertise is in Dialectical Behavioral Therapy (DBT), which she applies in treatment for adults experiencing suicidal ideation and non-suicidal self-injury. In addition to her clinical work, Anaya is an instructor for psychiatry residency and received the Dean's Award for Excellence in Medical Student Teaching by an Allied Health Professional in the Perelman School of Medicine in 2023. 

Target Audience:

This presentation is intended for licensed mental health professionals and graduate student trainees with some clinical experience. The instructional level of this presentation is INTERMEDIATE. Formal training ins DBT is NOT required for this training.

Continuing Education:

• Philadelphia Behavior Therapy Association is approved by the American Psychological Association to sponsor continuing education for psychologists*. Philadelphia Behavior Therapy Association maintains responsibility for this program and its content.
• This program provides one (4) hours of CE credits.
• PBTA is also an authorized provider of CE credits for Professional Counselors, Marriage and Family Therapists, and Clinical Social Workers licensed in the state of Pennsylvania.
• ZOOM VIDEO LINK WILL BE SENT TO  REGISTRANTS 2 DAYS BEFORE & MORNING OF EVENT from jeremyty@pennmedicine.upenn.edu
• Full attendance with video display is required to obtain CE credit for this program. APA guidelines do not permit PBTA to issue partial CE credits. No refunds are provided for CE programs.
• Contact PBTAcontinuingeducation@philabta.org if you need any learning accommodations no later than one week before event.
• * PBTA offers CE to ALL licensed psychologists in the U.S.A., including those licensed in the state of New York. If you are not licensed as a psychologist & do not practice in PA -- essentially if you are not certain about whether or not CE credits from an APA-sponsored CE provider meets criteria for ongoing education for your specific board,  please inquire with your respective licensing board to confirm.  
• All events are Eastern Time Zone 

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References:

Chun, S., Harris, A., Carrion, M., Rojas, E., Stark, S., Lejuez, C., ... & Bornovalova, M. A. (2017). A psychometric investigation of gender differences and common processes across borderline and antisocial personality disorders. Journal of Abnormal Psychology, 126(1), 76.

Conway, C. C., Hopwood, C. J., Morey, L. C., & Skodol, A. E. (2018). Borderline personality disorder is equally trait-like and state-like over ten years in adult psychiatric patients. Journal of Abnormal Psychology, 127(6), 590.

Foxhall, M., Hamilton‐Giachritsis, C., & Button, K. (2019). The link between rejection sensitivity and borderline personality disorder: A systematic review and meta‐analysis. British Journal of Clinical Psychology, 58(3), 289-326.

Hennings, J. M. (2020). Function and psychotherapy of chronic suicidality in borderline personality disorder: Using the reinforcement model of suicidality. Frontiers in Psychiatry, 11, 199.

Jowett, S., Karatzias, T., & Albert, I. (2020). Multiple and interpersonal trauma are risk factors for both post‐traumatic stress disorder and borderline personality disorder: A systematic review on the traumatic backgrounds and clinical characteristics of comorbid post‐traumatic stress disorder/borderline personality disorder groups versus single‐disorder groups. Psychology and Psychotherapy: Theory, Research and Practice, 93(3), 621-638.

Keuroghlian, A. S., Gunderson, J. G., Pagano, M. E., Markowitz, J. C., Ansell, E. B., Shea, M. T., ... & Skodol, A. E. (2015). Interactions of borderline personality disorder and anxiety disorders over 10 years. The Journal of Clinical Psychiatry, 76(11), 9240.

Lee, S. S., Keng, S. L., & Hong, R. Y. (2023). Validating the biosocial model of borderline personality disorder: Findings from a longitudinal study. Development and Psychopathology, 1-11.

Lee, S. S., Keng, S. L., Yeo, G. C., & Hong, R. Y. (2022). Parental invalidation and its associations with borderline personality disorder symptoms: A multivariate meta-analysis. Personality Disorders: Theory, Research, and Treatment, 13(6), 572.

Ng, F. Y., Bourke, M. E., & Grenyer, B. F. (2016). Recovery from borderline personality disorder: A systematic review of the perspectives of consumers, clinicians, family and carers. PloS One, 11(8), e0160515.

Taylor, P. J., Jomar, K., Dhingra, K., Forrester, R., Shahmalak, U., & Dickson, J. M. (2018). A meta-analysis of the prevalence of different functions of non-suicidal self-injury. Journal of Affective Disorders, 227, 759-769.