PSY650 Week Four Treatment Plan
Behaviorally Defined Symptoms: Karen displays extreme emotional reactions at the hint of perceived
abandonment in a relationship. There is a history of unstable and intense interpersonal relationships,
impulsive behaviors, and recurrent suicidal gestures.
Diagnostic Impression: Borderline Personality Disorder
Long-Term Goal: Terminate self-harming behaviors (substance abuse, cutting, and suicidal behaviors).
Short-Term Goal: Reduce the frequency of maladaptive behaviors, thoughts, and feelings.
Intervention 1: Dr. Banks will outline the process of Dialectical Behavioral Therapy.
Intervention 2: Karen will commit to attending group behavioral skills training and individual
Intervention 3: Karen will participate in imaginal exposure to trauma, until the memories no
longer cause marked distressed.
For additional information regarding Karen’s case history and the outcome of the treatment interventions,
please see Dr. Bank’s session notes under Case 15 in Gorenstein and Comer’s (2015), Case Studies in