Female Personality Disorder Service

The Female Personality Disorder Service within Priory specialises in the care and treatment of women with EUPD whose risk of suicide and severity of symptoms is such that treatment can only be delivered safely in an inpatient setting. Most patients will be in treatment as in-patients for 12-24 months: the duration of treatment varying with the person’s particular and individualised needs.

Dialectical Behaviour Therapy Programme

DBT is a comprehensive programme of care providing multiple treatment modalities that address the key skills and motivational deficits presented by patients with a diagnosis of EUPD. The programme has the following components:

  • Skills training (normally delivered within a group setting)
  • Individual DBT psychotherapy to help patients identify and solve problems in changing their behaviour
  • Ward milieu designed to generalise new skills into the patient’s behavioural repertoire.
  • Access to DBT skills coaching either on the ward or via telephone consultation.
  • Consultation meetings where the therapists receive supervision and consultation on their clinical work

The DBT Programme delivered at Priory hospitals consists of the following three stages:

  • Pre-treatment-this is where the patient is orientated to the treatment, and prepared to undertake the therapy.
  • Stage 1-this stage centres on the stabilisation of the individual with a focus on decreasing parasuicidal behaviours and increasing behavioural skills
  • Stage 2-the second phase of therapy is commenced when the individual is able to regulate their affect and keep themselves safe. This stage focuses on emotionally processing the past, which is particularly relevant to individuals with complex PTSD or history of trauma.

Priory’s goals and outcomes for its personality disorder patients include:

  • An improved level of functioning to cope independently with an improved quality of life, outside of the clinical environment
  • To understand how their personal behaviour can lead to risks to themselves
  • To be able to identify and manage “risk” situations
  • To understand their condition better to access support from community services when required
  • To be accessing age-appropriate leisure and social activities in the community
  • To enjoy healthy relationships
  • To be seeking or engaging in meaningful productive activity, i.e. voluntary work, work placements or paid employment
  • To access community services to maintain a healthy, active lifestyle
  • To move forward to a future which is planned.