Instructions
Psychotherapeutical Treatments
1. Pursue dialectical behavioral therapy (DBT). This therapy focuses on managing emotions, stabilizing relationships and dealing with stress. A good workbook for the client to use is called "Don't Let Your Emotions Run Your Life" by Scott Spradlin. It can be ordered from Amazon.com or any online bookstore.
2. If you are comfortable doing so, attempt to use schema-focused therapy. This therapy attempts to look at the client's life and negate the false beliefs created by earlier events.
3. Practice transference-focused therapy. This therapy utilizes the relationship between the client and the therapist as a symbol for all other interactions the client experiences.
4. Set clear limits and boundaries with the client at all times. The client will fight those limits, but he needs them to feel safe. These limits will also help the therapist not to become burned out.
Medical Intervention
5. Refer your client to a medical provider if there is an accompanying mood problem or anxiety.
6. Encourage your client to maintain proper medication management. Some of the medications the client may be prescribed include antidepressants, anti-anxiety medications and anti-psychotics. Be aware of possible side effects, to better encourage and assist the client with the medication regimen.
7. If the client becomes unstable to the point of being a danger to herself or others, seek hospitalization. Be sure to document and clearly identify the danger to increase the chance of admittance, especially in the case of a resistant client.
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