Abstract

The present response paper is one of a series describing various cognitive-behavioral approaches to treating a patient, Anna, who has been diagnosed with borderline personality disorder (BPD) and comorbid major depression ( Kuyken, 1999 ). Anna is a 26-year-old, married, mother of two young children, who recently began a new job. Our case conceptualization focuses on the role of maladaptive core beliefs ( A. T. Beck, Freeman, & Associates, 1990 ) and the avoidant/dependent subtype of BPD ( Layden, Newman, Freeman, & Morse, 1993 ). Three stages of treatment are described (assessment/conceptualization, intervention, and maintenance) from a cognitive therapy perspective, and a cognitive case conceptualization diagram ( J. S. Beck, 1995 ) is utilized to address three problems arising during therapy.

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