Borderline Personality Disorder: Overcoming Clinical Challenges using Dialectical Behaviour Therapy

Dr. Amanda Uliaszek, Psychologist

Master Dr. Uliaszek's 5-step crisis protocol for BPD: manage suicidality, repair alliance ruptures, reduce burnout using evidence-based DBT strategies

Excerpt:

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  • 2h30 of continuing education
  • 20 lessons that last from 5 to 15 minutes each
  • 1 certificate of achievement
  • 1 PowerPoint
  • 1 bibliography
  • 1 course evaluation
  • 7-day money back guarantee
  • Unlimited access
  • 97% of participants who completed the satisfaction survey declare they would recommend this course to a colleague

Overview

Crisis behaviors in borderline personality disorder often serve essential regulatory functions, yet they can threaten safety and strain therapeutic relationships. This paradox places clinicians in a position that requires both validation and active intervention, acceptance and change. The emotional intensity of this work can activate countertransference responses that, left unexamined, may inadvertently reinforce the very patterns that need addressing.

This course provides evidence-based strategies from Dialectical Behavior Therapy to navigate these clinical complexities. You will examine how stigma and invalidation create self-fulfilling cycles that increase crisis risk, and develop practical approaches for managing safety crises and alliance ruptures within session, grounded in radical behaviorism and mindfulness principles.

Throughout this training, you will:

  • Integrate the biosocial model and four domains of dysregulation into your clinical formulations
  • Implement a five-step crisis intervention protocol using validation and distress tolerance techniques
  • Apply chain analysis to assess function and develop collaborative safety plans
  • Strengthen alliance repair skills when boundaries are tested or ruptures occur

The course emphasizes practical integration rather than requiring full DBT implementation. You will use DBT skills modules as flexible tools that can be adapted across treatment modalities and settings — whether in private practice, hospital, or community mental health contexts. The focus is on refining your capacity to remain emotionally grounded during high-intensity moments while maintaining therapeutic precision.

By the end of this training, you will approach crisis behaviors with greater clinical confidence and reduced reactivity. You will have concrete methods for addressing suicidality, self-injury, and relational crises in real time — allowing you to sustain therapeutic presence and effectiveness even when sessions become unpredictable or emotionally demanding.

About the expert

Picture of Amanda Uliaszek

Dr. Amanda Uliaszek is an Associate Professor at the University of Toronto and Director of the STEPP Lab (Study and Treatment of Emotion Dysregulation and Personality Pathology Laboratory), where she leads internationally recognized research on borderline personality disorder and dialectical behavior therapy outcomes.

As a registered clinical psychologist in Ontario with specialized training in cognitive-behavioral and dialectical behavior treatments, Dr. Uliaszek bridges research innovation and frontline clinical practice. Her work focuses on the biosocial model of BPD, emotion dysregulation mechanisms, and evidence-based interventions that reduce suicide risk while improving therapeutic outcomes.

Dr. Uliaszek's clinical expertise addresses the real-world challenges clinicians face when treating BPD, including managing safety crises within session, repairing alliance ruptures in real time, and maintaining therapeutic effectiveness during high-intensity moments. She has developed practical crisis intervention protocols that can be integrated across treatment modalities and clinical settings without requiring full DBT program implementation.

Her current research portfolio includes developing BPD-BOOST, an anti-stigma intervention for individuals with BPD, and evaluating Family Connections, a DBT-based peer-led program for family members affected by suicide and BPD. Since establishing the STEPP Lab in 2011, she has maintained an active research program examining how stigma, invalidation, and therapeutic alliance dynamics impact treatment effectiveness for personality pathology.

Dr. Uliaszek emphasizes adaptable, evidence-based DBT strategies that clinicians can apply immediately in private practice, hospital, and community mental health contexts, helping practitioners maintain clinical confidence and reduce reactivity when sessions become unpredictable or emotionally demanding.

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Learning objectives

  1. Identify symptoms of borderline personality disorder (BPD) and associated stigmas
  2. Review the functionality of different crisis behaviors in BPD
  3. Understand the different modalities of dialectical behavior therapy (DBT) and differences with cognitive-behavioral therapy
  4. Implement DBT strategies to address crisis management with clients

Learning material

A theoretical course illustrated with clinical examples. This course is composed of videos of 5 to 15 minutes each. The PowerPoint of the course to download.

Syllabus

Borderline personality disorders often come with emotional, interpersonal, behavioral and self dysregulation which often manifest through crisis behaviors. To help alleviate the suffering associated with this complex condition, Dialectical Behaviour Therapy has proven highly effective.

This workshop, led by Dr. Uliaszek, a psychologist and researcher specialized in the field of BPD, will provide essential treatment guidelines to support your clients on their journey toward improved crisis management and healing.

First, the symptoms and dysregulation in BPD are reviewed to provide some understanding of the heterogenous presentation of the disorder. Second, BPD myths, stigma, and treatment difficulties are discussed to provide context and validation surrounding why some clinicians may be hesitant to work with those with BPD, as well as why crisis behaviors may be more primed to occur in those with BPD.

Third, two specific sets of BPD crisis behaviors are brought to focus: safety crises (suicide and non-suicidal self-injury) and relational crises (alliance ruptures and boundary violations). The functionality of these behaviors are described.

Fourth, dialectical behavior therapy (DBT) is introduced as a multi-model, cognitive-behavioral therapy-based intervention particularly apt at conceptualizing crisis behaviors in BPD. DBT skills group components are reviewed.

Finally, this workshop describes specific strategies for integrating components of DBT into any practice where crisis behaviors are occurring.



CE Credits

Download a certificate of successful completion.



Audience

This course is intended for mental health professionals.

Your comments

"This was a very helpful training."
A psychologist (Canada)

Registration

  • 2h30 of continuing education
  • 20 lessons that last from 5 to 15 minutes each
  • 1 certificate of achievement
  • 1 PowerPoint
  • 1 bibliography
  • 1 course evaluation
  • 7-day money back guarantee
  • Unlimited access

Legal notice

The courses offered by ASADIS are accredited by different professional organisations. In addition, ASADIS is approved by the Canadian Psychological Association to offer continuing education for psychologists. ASADIS maintains responsibility for the program.

The CPA’s approval of an individual, group, or organization as a CE Sponsor or Provider is restricted to the activities described in the approved application or annual report form. The CPA’s approval does not extend to any other CE activity the Sponsor or Provider might offer. In granting its approval, the CPA assumes no legal or financial obligations to Sponsors, Providers, or to those individuals who might participate in a Sponsor or Provider’s CE activities or programs. Further, responsibility for the content, provision, and delivery of any CE activity approved by the CPA remains that of the CE Sponsor or Provider. The CPA disclaims all legal liability associated with the content, provision, and delivery of the approved CE activity.

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