The Most Challenging Cluster B Personality Disorders: When Drama And Emotion Dysregulation Predominate

The Most Challenging Cluster B Personality Disorders: When Drama And Emotion Dysregulation Predominate

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In this seminar recording, expert and author, Sharon Freeman Clevenger (MSN, PMHMSN-BC, CARN-AP) delivers an intensive workshop designed to provide you with the most practical information, knowledge, skills, and abilities to accurately identify and work with the clients who exhibit traits of borderline, narcissistic and antisocial personality disorders.


The Personality Mystique

  • What is Personality? Overview and Case Example
  • ICD-10 and DSM-5® criteria: What is the difference? And does it matter?
  • Using diagnostic criteria accurately and avoid common mistakes
  • Core beliefs: What are the most common core beliefs for each of the Cluster B disorders
  • Understand the role of core beliefs: how to identify them, interrupt them and work with them with Borderline, Narcissistic and Antisocial disorders
  • What else could these behaviours mean? When the client seems to have more than one disorder.
  • What to do when you experience a strong emotional reaction to the client: Countertransference recognition and interruption
  • Attachment issues, suspiciousness and lack of intimacy as it relates to Cluster B
  • Developing confidence in diagnosis of Cluster B disorders
  • Practice makes perfect: How simple techniques improve the clients ability to respond to stressors


Antisocial Personality Disorders

  • Predictors of Antisocial Personality disorder in Childhood
  • Case Example: Antisocial Personality Disorder
  • The Common Overlap criteria with other disorders
  • When charm and charisma are danger signs
  • Common impediments to change processes
  • How to determine if you have to intervene when inappropriate or dangerous language is used by the client
  • “Put down the rope” when you feel like you are in a “tug of war”
  • What is happening in the brain that may influence antisocial behavior
  • Using CBT and Motivational Interviewing with the reluctant, or oppositional client
  • Common Psychotropic Medications used with Antisocial disorders and the risks of some of them


Narcissistic Spectrum

  • Narcissistic disorders: Typologies
  • Case Example: Antisocial Personality Disorder
  • The Common Overlap criteria with other disorders
  • Couples and Narcissism: Who do they choose as partners? Overview of dangers and common presentations in couple’s therapy
  • Common impediments to change processes
  • Do Narcissists know they are Narcissists? And is it important?
  • “Thin skinned” perfectionism and hypersensitivity
  • Can you develop empathy in someone who lacks empathy?
  • Using CBT and Motivational Interviewing techniques to set goals with a Narcissist
  • Using CBT techniques to interrupt and modify common thought patterns and behaviors
  • How to recognize and discontinue debates, arguments and power struggles


Borderline Personality Disorder

  • Is this just one disorder? Borderline as a Spectrum Disorder
  • Childhood predictors: Attachment, trust and intimacy
  • What is happening in the brain that may influence emotion dysregulation and impulsive behavior
  • Using ATRs, CBT and DBT effectively and what is the difference?
  • Developing motivation for change: Understanding Incremental Change targets
  • Safety: How to manage emotional dysregulation, threats and anger
  • What does Countertransference have to do with it?
  • Using a therapeutic collaboration with your client to increase stability
  • Core beliefs common in Borderline Individuals: How to identify and modify these
  • The Five Skill Sets for Borderline Personality Disorder
  • Couples and Family issues with Borderline Personality Spectrum
  • Addressing fear of abandonment
  • Common Psychotropic Medications: Polypharmacy, comorbid conditions and associated risks

  • Diagnosis: Understand common mistakes in using both the ICD-10 and DSM-5® criteria in ways that make sense for conceptualization of Cluster B disorders.
  • Develop methods for describing and discussing highly emotional disorders to the individual, and their family members
  • Use automatic thought records to uncover the core beliefs that a person operates under in order to reduce intensity of triggers, emotions and reactions in the short term and the long term
  • Learn how to break down symptoms into target components in ways that are manageable and have a higher chance of success
  • Identify the most common impediments to change with Cluster B personality disorder clients
  • Learn about the most commonly used psychotropic medications with each disorder and the rationale for using them
  • Evaluate and interrupt suicidal thinking and planning using the most up to date techniques
  • Utilize the most up to date methods of documentation of suicidal ideation response for the patient’s safety, and for your peace of mind

Sharon Freeman Clevenger (MSN, PMHMSN-BC, CARN-AP) is the Founder and CEO of the Indiana Centre for Cognitive Behaviour Therapy in Fort Wayne, Indiana. She is an associate faculty member in Psychology and Biology at Indiana/Purdue Universities and former member of the Executive Board of Directors of the International Association for Cognitive Psychotherapy. In addition to achieving national certification as an Advanced Practice Psychiatric Clinical Nurse Specialist with prescriptive authority, she has senior level international certification as an Advanced Practice Certified Addiction Nurse through the International Society of Nurses on Addictions (IntSNA) and is former President of NAADAC, The Association for Addiction Professionals. Sharon has lectured to professional and military/law enforcement audiences worldwide. She has authored more than 50 chapters and articles and has been a guest expert on the TV show, The Doctors, in the USA.


She is the co-editor for both the therapist manual and patient handbook of Overcoming Depression: A Cognitive Behaviour Approach (Oxford University Press, 2009), senior editor and author of Living and Surviving in Harm’s Way: The Psychological Treatment Manual for Pre-and Post-Deployment of Military Members(Routledge, 2008), Behind the Badge: A Psychological Treatment Handbook for Law Enforcement Officers, (Routledge, in Press) and senior editor and author of Cognitive Behaviour Therapy in Nursing Practice (Springer Publishers, 2005). Sharon has a Master’s in Advance Practice Psychiatric Mental Health Nursing, a Masters in Counselling in Psychology and is currently pursuing a Doctor of Health Sciences at the Huntington College of Health Sciences in Knoxville, TN, USA.

This online workshop will give you instant access to 5 hours of video content, accessible via streaming on our website. You can view the course content in your own time, there is no time limit on access.


A certificate of completion will be generated upon finishing the course and completing a short evaluation quiz. Please consult your professional organisation/association to confirm whether you are able to claim any CPD points/hours for this online workshop.