Lesson 1Assessing comorbidities common with personality disorders: mood, anxiety, PTSD, substance use, ADHD, and when to refer for neurocognitive testingReviews common comorbidities with personality disorders, including mood, anxiety, PTSD, substance use, and ADHD. Addresses screening, differential diagnosis, sequencing of treatment, and indications for neurocognitive testing or specialty referral.
Screening for mood and anxiety disordersIdentifying PTSD and complex traumaSubstance use and addictive behaviorsRecognizing ADHD across the lifespanWhen to refer for neurocognitive testingTreatment sequencing with comorbidityLesson 2Assessing trauma and attachment patterns: using ACEs, childhood trauma questionnaires, and clinical interview techniquesProvides methods for assessing trauma and attachment patterns using ACEs, structured questionnaires, and clinical interviewing. Emphasizes 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 stabilizationConnecting trauma to current patternsLesson 3Cultural formulation and differential baseline personality expression: cultural identity, explanatory models, and bias reduction in assessmentExamines how culture shapes personality expression and assessment, including cultural identity, explanatory models, norms, and clinician bias. Provides strategies for cultural formulation, contextualizing symptoms, and avoiding pathologizing difference.
Eliciting cultural identity and affiliationsExploring cultural explanatory modelsNorms for emotion, behavior, and selfDistinguishing culture from pathologyRecognizing and managing clinician biasUsing cultural formulation interviewsLesson 4Collateral history gathering: consent, sources, how to elicit reliable information from family, primary care, past therapistsExplores 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 historyDetails 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, with 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 triggersFocuses on assessing real-world functioning in work, school, relationships, self-care, and risk. Emphasizes 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 listCovers how to organize interview data into a coherent diagnostic formulation, link symptoms to personality traits, prioritize a problem list, and communicate findings clearly to patients and teams to guide treatment planning and risk management.
Organizing data by domains and timelinesLinking traits, symptoms, and stressorsDrafting a multiaxial style formulationPrioritizing and structuring the problem listCommunicating formulations to patientsUpdating formulations over timeLesson 8Structured diagnostic instruments: SCID-5-PD, SCID-5-CV, IPDE — administration, scoring, interpretationIntroduces key structured diagnostic instruments for personality disorders, including SCID-5-PD, SCID-5-CV, and IPDE. Covers indications, administration, scoring, interpretation, and integrating results with clinical judgment.
Overview of major PD interview toolsIndications and contraindications for usePreparing patients and setting expectationsStandardized administration proceduresScoring, thresholds, and reliabilityIntegrating results with clinical judgmentLesson 9Mental status examination focused on personality features: affective lability, identity, cognition, empathy, reality testingDescribes how to conduct a mental status exam with emphasis on personality features, including affect regulation, identity, cognition, empathy, and reality testing. Highlights 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
