Impulsivity as a common process across borderline personality and substance use disorders

2005 ◽  
Vol 25 (6) ◽  
pp. 790-812 ◽  
Author(s):  
Marina A. Bornovalova ◽  
C.W. Lejuez ◽  
Stacey B. Daughters ◽  
M. Zachary Rosenthal ◽  
Thomas R. Lynch
Author(s):  
Timothy J. Trull ◽  
Lindsey K. Freeman ◽  
Tayler J. Vebares ◽  
Alexandria M. Choate ◽  
Ashley C. Helle ◽  
...  

2021 ◽  
Vol 12 ◽  
Author(s):  
Frank D. Buono ◽  
Kaitlyn Larkin ◽  
David Rowe ◽  
M. Mercedes Perez-Rodriguez ◽  
Matthew E. Sprong ◽  
...  

Treatment of borderline personality disorder (BPD) with comorbid substance use disorder can be challenging due to symptom overlap and limited assessment methods. Preliminary evidence has shown promising effectiveness of dialectical behavioral therapy (DBT) for BPD with comorbid substance use disorders. The current study compared the benefits of a 28-day transitional DBT treatment program for individuals with BPD with and without substance use disorders through evaluating the changes in coping skills, generalized anxiety, and depression symptom scales at admission and discharge. A total of 76 patients were split into two groups: Group 1 consisted of individuals with BPD without substance use disorders (n = 41), and Group 2 involved individuals with BPD and a substance use disorder (SUD) (n = 35). A univariate general linear model showed significant differences between the two groups in improvement of coping skills and depressive symptoms. After a 28-day transitional DBT treatment program there were significant decreases from severe to moderate depression scores in both groups. Our findings support the effectiveness of DBT treatment in patients with comorbid BPD and SUD.


2015 ◽  
Vol 146 ◽  
pp. e276-e277
Author(s):  
Lauren R. Few ◽  
Colleen A. Sloan ◽  
Nicholas G. Martin ◽  
Timothy J. Trull ◽  
Arpana Agrawal ◽  
...  

Author(s):  
Seth R. Axelrod

This chapter discusses Dialectical Behavior Therapy for Substance Use Disorders (DBT-SUD), which expands standard comprehensive DBT to treat individuals with co-occurring Borderline Personality Disorder (BPD) and SUDs—a particularly high-risk population. It explores the compassionate formulation of addictive behaviour that underlies the treatment model, and describes the DBT-SUD treatment structure, e.g., addictions-focused skills and guidelines for targeting substance use within the DBT treatment target hierarchy. It covers strategic modifications of DBT-SUD as applied to the DBT case management strategies, and specific suggestions for overcoming common addictions treatment obstacles. It reviews the challenges of synthesizing replacement drug medications and drug toxicology screening with DBT, working with individuals who are prescribed potentially addictive medications, and avoiding substance use contagion among group members. It reviews research supporting DBT-SUD and preliminary studies of DBT-SUD with non-BPD populations, and suggests that DBT-SUD modifications can help to better target substance use within general DBT practice settings.


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