Citation

Scheiderer E, Carlile JA, Aosved AC, Barlow A. Clin. Case Stud. 2017; 16(3): 216-233.

Copyright

(Copyright © 2017, SAGE Publishing)

DOI

10.1177/1534650116688557

PMID

unavailable

Abstract

This article presents a case study illustration of integrated, concurrent dialectical behavior therapy (DBT) and prolonged exposure (PE), conducted within a Veterans Affairs health care system. Treatment in this case effectively reduced symptoms and improved overall quality of life. Based on clinical complexities encountered (e.g., substance use, nonsuicidal self-harm, treatment setting constraints), recommendations are provided for concurrent treatment of posttraumatic stress disorder and borderline personality disorder in veterans. Recommendations include consideration of flexibility in duration of pre-PE stabilization, modification of DBT phone coaching protocol, management of structural barriers to treatment access, full use of consultation, and coordination of clinician roles.

Language: en