Lesson 1Assessing comorbidities common with personality disorders: mood, anxiety, PTSD, substance use, ADHD, and when to refer for neurocognitive testingDis lesson review common comorbidities wid personality disorders, including mood, anxiety, PTSD, substance use, and ADHD. E address screening, differential diagnosis, sequencing of treatment, and when to refer for neurocognitive testing or specialist help.
Screening for mood and anxiety disordersIdentifying PTSD and complex traumaSubstance use and addictive behavioursRecognising ADHD across di lifespanWhen to refer for neurocognitive testingTreatment sequencing wid comorbidityLesson 2Assessing trauma and attachment patterns: using ACEs, childhood trauma questionnaires, and clinical interview techniquesDis provide methods for assessing trauma and attachment patterns using ACEs, structured questionnaires, and clinical interviewing. E stress pacing, safety, dissociation screening, and linking trauma to current personality functioning.
Using ACEs and similar screening toolsChildhood trauma questionnaires in depthInterviewing for attachment experiencesAssessing dissociation and fragmentationPacing, safety, and stabilisationConnecting trauma to current patternsLesson 3Cultural formulation and differential baseline personality expression: cultural identity, explanatory models, and bias reduction in assessmentDis examine how culture shape personality expression and assessment, including cultural identity, explanatory models, norms, and clinician bias. E provide strategies for cultural formulation, contextualising symptoms, and avoiding pathologising difference.
Eliciting cultural identity and affiliationsExploring cultural explanatory modelsNorms for emotion, behaviour, and selfDistinguishing culture from pathologyRecognising and managing clinician biasUsing cultural formulation interviewsLesson 4Collateral history gathering: consent, sources, how to elicit reliable information from family, primary care, past therapistsDis explore ethical and practical steps in obtaining collateral history, including consent procedures, selecting appropriate informants, structuring questions, and reconciling discrepancies to enhance reliability and reduce bias in personality assessment.
Obtaining and documenting informed consentSelecting appropriate collateral informantsStructuring collateral interviews for clarityManaging conflicting collateral informationAddressing confidentiality and privacy limitsLesson 5Comprehensive psychiatric history: developmental, trauma, attachment, education/employment, legal, substance use, treatment historyDis detail components of a comprehensive psychiatric history tailored to personality pathology, including developmental milestones, trauma, attachment, education and work, legal issues, substance use, and prior treatments, wid attention to chronology and context.
Developmental milestones and temperamentFamily environment and attachment historyEducational and occupational trajectoryLegal, financial, and housing historySubstance use patterns and consequencesPrior treatments and response patternsLesson 6Functional assessment: occupational, social, interpersonal functioning, activities of daily living, risk triggersDis focus on assessing real-world functioning in work, school, relationships, self-care, and risk. E stress linking functional impairments to personality traits, identifying triggers, and using findings to guide level of care and interventions.
Assessing occupational and academic rolesEvaluating social and intimate relationshipsActivities of daily living and self-careIdentifying risk triggers and patternsLinking traits to functional impairmentUsing functioning to guide treatmentLesson 7Documenting and synthesizing findings into a diagnostic formulation and problem listDis cover how to organise interview data into a coherent diagnostic formulation, link symptoms to personality traits, prioritise a problem list, and communicate findings clearly to patients and teams to guide treatment planning and risk management.
Organising data by domains and timelinesLinking traits, symptoms, and stressorsDrafting a multiaxial style formulationPrioritising and structuring di problem listCommunicating formulations to patientsUpdating formulations over timeLesson 8Structured diagnostic instruments: SCID-5-PD, SCID-5-CV, IPDE — administration, scoring, interpretationDis introduce key structured diagnostic instruments for personality disorders, including SCID-5-PD, SCID-5-CV, and IPDE. E cover indications, administration, scoring, interpretation, and integrating results wid clinical judgment.
Overview of major PD interview toolsIndications and contraindications for usePreparing patients and setting expectationsStandardised administration proceduresScoring, thresholds, and reliabilityIntegrating results wid clinical judgmentLesson 9Mental status examination focused on personality features: affective lability, identity, cognition, empathy, reality testingDis describe how to conduct a mental status exam wid emphasis on personality features, including affect regulation, identity, cognition, empathy, and reality testing. E highlight language for documentation and implications for diagnosis.
Observing affective range and stabilityAssessing identity and self-conceptEvaluating thought content and styleAssessing empathy and perspective takingReality testing and micropsychotic signsDocumenting personality-relevant findings
