BORDERLINE PERSONALI TY 55 15. Monitor Medication Compliance (15) A. The client's compliance with prescribed medications was monitored, and effectiveness of the medication on his/her level of functioning was noted. B. The client reported that the medication has been beneficial in stabilizing his/her mood, and he/she was encouraged to continue its use. C. The client reported that the medication has not been beneficial in stabilizing his/her mood; this was re flected to the prescribing clinician. D. The client reported side effects of the medication that he/she found intolerable; these side effects were relayed to the physician. 16. Use Strategies to Manage Maladaptive Behaviors, Thoughts, and Feelings (16) A. Validation, dialectical strategies, and problem-solving strategies were used to help the client manage, reduce, or stabilize maladaptive behaviors, thoughts, and feelings. B. Therapeutic techniques as described in Cognitive-Behavioral Treatment of Borde rline Personality (Linehan) were used to help the client manage his/her symptoms. C. Validation was consistently used to help the client manage, reduce, and stabilize maladaptive behaviors, thoughts, and feelings. D. Dialectical strategies, such as metap hor or devil's advocacy, were used to help the client manage, reduce, or stabilize maladaptive behaviors, thoughts, and feeling. E. Problem-solving strategies, such as behavioral analysis, cognitive restructuring, skills training, and exposure, were used to help the client manage, reduce, or stabilize his/her maladaptive behaviors, thoughts, and feelings. F. It was noted that the client has decreased maladaptive behaviors (e. g., angry outbursts, binge drinking, abusive relationships, high-risk sex, uncont rolled spending), maladaptive thought patterns (e. g., all-or-nothing thinking, catastrophizing, personalizing), and maladaptive feelings (e. g., rage, hopelessness, abandonment). 17. Conduct Skills Training (17) A. Group skills training was used to teach r esponses to identified problem behaviors. B. Individual skills training was used to teach the client responses to identified behavioral problem patterns. C. The client was taught assertiveness for use in abusive relationships. D. The client was taught c ognitive strategies for identifying and controlling financial, sexual, and other impulsivity. E. The client has participated in skills training for specific behavioral problems, and the benefit of this treatment was reviewed. F. The client has not partic ipated in group skills training and was redirected to do so. 18. Teach Skills for Regular Use (18) A. Behavioral strategies were taught to the client via instruction, modeling, and advising. B. Role-playing and exposure exercises were used to strengthen the client's use of behavioral strategies. C. The client was provided with regular homework assignments to help incorporate the behavioral strategies into his/her everyday life. D. The client was reinforced for his/her regular use and understanding of be havioral strategies. 