Re:Exposure therapy and Borderline Personality Disorder

Shawn:

Just curious whether the Feeny, Zoellner, & Foa (2002) study utilized the graduated hierarchy you mentioned in a previous post?

The issue whether and when trauma-focussed treatment can be initiated immediately is relevant regardless of the type of therapeutic approach utilized. I think in some cases stabilization can sometimes be dispensed with, but when to draw the line is a more difficult question. Some people would argue it is safer to proceed by frontloading with stabilizing types of treatment to be on the safe side. However, this makes it also more likely that trauma focussed treatment may be disbanded alltogether even when appropriate and necessary to reduce symptoms.

In the end that's an empirical question that will hopefully be answered someday. However, for the time being we will need to rely on clinical impressions and individual judgment of therapists and clients.

Replies:

Re:Exposure therapy and Borderline Personality Disorder, by Cahill, 02/12/03 One more thing for Ulrich, by Cahill, 02/12/03

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