Integrated Treatment for Co-Occurring Disorders addresses a complex client population, which presents service providers with significant professional challenges. Underlying personality disorders compromise treatment effectiveness for medical, other psychiatric, or trauma services, as well as the ability these individuals have in adhering to probation, parole, or court-ordered treatment requirements. A co-occuring substance use disorder amplifies the difficulties experienced by personality-disordered individuals, exacerbates the precarious nature of their relationships, and raises the skill level needed by service providers attempting to help them. There can be significant professional satisfaction in working effectively with the interplay of addiction and disorders of personality. The book brings focus to the specifics of assessment and treatment for this type of co-occurring disorder and suggests that greater adaptability, fewer self-sabotaging behaviors, and an abstinent lifestyle are all possible. Recovery from both disorders is the journey these individuals take toward greater maturation, reliable impulse control, and coping skills that are not dependent upon the evasion of the demands of living or use of substances to manage stress or uncomfortable affect. Recovery is possible, and service providers can assist these clients on their path to wellness.
Table of Contents
Integrated Treatment for Individuals with Co-Occurring Personality and Substance Use Disorders. Cluster A: The Paranoid Personality Disorder (PPD) and Substance Use Disorders. Cluster A: The Schizoid Personality Disorder (SPD) and Substance Use Disorders. Cluster A: The Schizotypal Personality Disorder (StPD) and Substance Use Disorders. Cluster B: The Antisocial Personality Disorder (APD) and Substance Use Disorders. Cluster B: The Borderline Personality Disorder (BPD) and Substance Use Disorders. Cluster B: The Histrionic Personality Disorder (HPD) and Substance Use Disorders. Cluster B: The Narcissistic Personality Disorder (NPD) and Substance Use Disorders. Cluster C: The Avoidant Personality Disorder (AvPD) and Substance Use Disorders. Cluster C: The Dependent Personality Disorder (DPD) and Substance Use Disorders. Cluster C: The Obsessive-Compulsive Personality Disorder (OCPD) and Substance Use Disorders. The Depressive Personality Disorder (DpPD) and Substance Use Disorders: Appendix B in the DSM-IV-TR. Passive-aggressive (Negativistic) Personality Disorder (PAPD) and Substance Use Disorders: Appendix. Final Thoughts and Future Directions. References. Index.
Sharon C. Ekleberry, MSW, LCSW, LSATP, is the director of the Community Services Board Transformation Initiatives in Fairfax County, Virginia. She has over 30 years of experience as a clinician, supervisor, and trainer specializing in Axis II co-occurring disorders (personality disorders and addiction).