SCHEMA THERAPY INSTITUTE MIDWEST
BASE treatment was designed to be a foundation for people who suffer from Borderline Personality Disorder that can help them to stay alive - to control the emotional reactivity and impulsivity that leads to self-injury, suicide attempts and repeated hospitalizations. This foundation consists of the first 3 months of intensive treatment (e.g. Day therapy) or 6 months of outpatient treatment 1-2 times per week. Once this foundation is established, further psychotherapeutic work can be done to deal with the interpersonal relationships, abandonment issues, emptiness and identity work that most people who have BPD usually struggle with. For this additional work,changing underlying core schemas that are a combination of cognitions, beliefs and emotional patterns, Schema Therapy (ST) is proving to be very effective. See the page on this treatment for more details.ST has been shown in a large scale study to lead to remission of BPD in a majority of people after two years of weekly individual psychotherapy sessions. The randomized controlled trial of 8 months of weekly Group Schema Therapy added to individual psychotherapy demonstrated very large improvements in reductions of BPD symptoms and improved overall functioning. The results of this study can be found in the Journal of Behavior Therapy and Experimental Psychiatry 2009. A pdf of this journal article is attached here. In addition, the treatment program had a greater than 90% approval rating from graduates.
PROMISING RESULTS FOR THE BASE SCHEMA THERAPY TREATMENT PROGRAM
Three pilot studies of the intensive 12 week version of Schema Therapy for BPD have been conducted: in Indianapolis at the former BASE Program at Larue Carter Hospital and in Mainz Germany at the University Clinic for Psychiatry and Psychotherapy. A pdf of the journal article can be accessed here.
In Indianapolis pilot study I with 40 Inpatients at Larue Carter, at the beginning of treatment, 86% were given a BPD diagnosis based on structured psychological tests. At the end of treament only 17% still tested as having BPD!! There were also significant reductions in self-injury, suicide attempts and frequency of hospitalization.
In addition, the treatment program had a greater than 90% approval rating from graduates.
BASE PROGRAM STORIES OF RECOVERY
"I was in and out of hospitals for over a decade. I hated them. I found them humiliating and frightening. The BASE program was unique because I was treated with respect. I felt empowered because I participated in my treatment. I was not punished for my symptoms. I was valued as an intelligent human being."
"For many years the chances of recovery from BPD seemed rather bleak. Many people diagnosed with BPD felt that the idea having a fufilling life was hopeless. The BASE program has allowed many to recover or be on a positive road to recovery. People with BPD now have hope and the strength to not only live healthy lives, but thrive. This page contains short stories and comments from people who have completed the inpatient BASE program. I hope after reading these you will share in the hope others with BPD have found."
" I had spent 13 years in the rotating door of psychiatric hospitalizations and hadTried three other programs in three different states. I had tried every type and combination of medications. I had even gone through ECT three times (30 treatments) My illness and behavior was out of control. I knew if I did not find something to help me, I would be permanently maimed from my personal self abuse or would be dead soon.I was desperate to find help, and I was terrified to sign myself into Larue Carter but it was the best thing I've ever done for myself. I left the program over three years ago. I have not had one hospitalization since."
DESPITE THE PROMISING RESEARCH FINDINGS DEMONSTRATING ITS EFFECTIVENESS AND THE POSITIVE EVALUATIONS OF OUR PATIENT-CONSUMERS THE ADMINISTRATION OF LARUE CARTER DECIDED IN 2011 TO CLOSE THE INPATIENT BASE PROGRAM AND BPD UNIT. THERE ARE NO LONGER ANY CERTIFIED SCHEMA THERAPISTS AT LARUE CARTER HOSPITAL.
Even in the 21st century with our improved understanding of Borderline Personality Diosrder - and its effective treatment stigma even among mental health proffessionals remains.
BASE SCHEMA THERAPY PROGRAM AT THE MIDTOWN ESKENAZI WESTSIDE CLINIC
THE MIDTOWN WESTSIDE CLINIC HAS BECOME THE HOME FOR THE CENTER FOR BPD TREATMENT & RESEARCH,
Dr. Fretwell is Medical Director there, Dr. Farrell is Research Director and Ida Shaw is Training & Supervision Director. The center is affiliated with the Indiana University School of Medicine and the IUPUI Department of Psychology.
The center is the US site of the International Multi-site randomized controlled trial of Group and Individual Schema Therapy for BPD. There are 14 sites in six countries with the USA, Germany, the Netherlands, Australia, United Kingdom and Greece with a total of 448 patients. Dr, Arnold Arntz, an internationally renowned psychotherapy research at the University of Amsterdam and Dr. Farrell are co-principal investigators of the trial. Dr. Fretwell is the US Site Director and Ida Shaw is the Supervision Director for all sites.
AT THIS TIME THE ONLY BASE-SCHEMA THERAPY TREATMENT PROGRAM IN THE USA IS AT MIDTOWN CMHC, WHERE IT IS EXPANDING AND DEMONSTRATING EFFECTIVENESS IN TERMS OF REDUCING ENROLLED PATIENTS' USE OF EMERGENCY SERVICES, THEIR HOSPITALIZATION FREQUENCY AND LENGTH AND BPD SYMPTOMS.
Personality Disorders are inflexible patterns of behavior that are not effective in a person's adult life. They develop from a combination of temperament or emotional sensitivity combined with invalidating emotional environments in which basic childhood needs have not been met. Schema Focused Therapy is a treatment that can free people of old maladaptive coping styles and help them be effective and fulfilled in their lives.
BORDERLINE PERSONALITY DISORDER
CAN BE TREATED