Measures for Assessing BPD in Clinical Practice

Patients score higher on measures of personality pathology when depressed than when in remission (e.g., Hirschfeld et al., 1983), so the clinician who needs to plan treatment for the depressed patient and suspects BPD or any other PD should proceed with assessment knowing that there may be an overendorsement of PD characteristics.

Structured diagnostic interviews for Axis II disorders, essential in most clinical research, are too time-consuming and require more training than is practical for most clinicians. Fortunately, a number of screening questionnaires give an approximate idea of whether a patient meets criteria for BPD, and can then be followed up with more rigorous assessment if desired. In the first author's (C. J. R.) own clinical practice, all new patients are routinely administered the screening questionnaire for the Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II; First, Gibbon, Spitzer, Williams, & Benjamin, 1996). If the Patients who endorse questions related to five or more DSM-IV criteria for BPD are then administered the BPD section of the SCID-II interview itself. Another commonly used questionnaire is the Personality Diagnostic Questionnaire-Revised (PDQ-R; Hyler, Oldham, Kellman, & Doidge, 1992). Information from such measures should be combined with that from collateral sources and the clinician's own behavioral observations.

Exploring EFT

Exploring EFT

EFT stands for Emotional Freedom Technique. It works to free the user of both physical and emotional pain and relieve chronic conditions by healing the physical responses our bodies make after we've been hurt or experienced pain. While some people do not carry the effects of these experiences, others have bodies that hold onto these memories, which affect the way the body works. Because it is a free and fast technique, even if you are not one hundred percent committed to whether it works or not, it is still worth giving it a shot and seeing if there is any improvement.

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