Seminar Detail

2-Day: Antisocial, Borderline, Narcissistic and Histrionic: Effective Treatment for Cluster B Personality Disorders AND Cognitive Behavioral Therapy for Post-Traumatic Stress Disorder and Complex Trauma
Wednesday, March 4, 2020 - Thursday, March 5, 2020

Course Description:


Join national trainer, Charles Jacob, Ph.D., as he delivers an intensive workshop and seminar designed to provide you with the knowledge, skills, and abilities to accurately identify and treat your most difficult personality disordered clients. Better understand your clients with Antisocial, Narcissistic, Histrionic and Borderline Personality Disorder client and make a breakthrough in clinical treatment.
  • Manage the manipulative and possibly violent Antisocial Personality Disorder in-session.
  • Overcome the Narcissistic Personality Disorder trait of perfectionism and combat their need to overpower you as the therapist.
  • Better understand your clients diagnosed with Histrionic Personality Disorder whose intense emotions and need for attention will test your patience and compassion.
  • Help the Borderline Personality Disorder client deal with their explosive emotions, self-harm tendencies and cravings for chaos.
Case studies and video examples will be used to illustrate client symptom presentation, treatment, and management of each Cluster B client type. You will explore various modalities that are effective with antisocial, narcissistic, histrionic, and borderline personality disorders, such as Motivational Interviewing, Cognitive-Behavioral, Interpersonal and Dialectical therapies. Each of these theories will be explored to provide you with solid and useable skills to include in your daily practice.

Stop being stuck and frustrated with your Cluster B Personality Disorder clients! Sign up for this seminar today!


Post-traumatic stress disorder and complex trauma are regular aspects of every clinician’s practice; and yet, so few are aware of what works and what doesn’t work in helping clients move forward with their lives. This seminar pulls from cutting-edge research to help you identify effective CBT-focused interventions to help clients cope in the aftermath of immediate trauma and in the effective resolution of extensive traumatic histories.

Through role playing exercises and case examples, you will learn how to help clients to effectively resolve complex trauma histories. This seminar will go into advanced training in CBT-themed treatment of trauma, particularly exposure-based practices for PTSD.

A history of extensive trauma exposure (e.g., abuse and neglect, domestic violence, community violence) can lead to substance abuse, mood disorders, and mental health concerns in adulthood. This seminar will cover a variety of CBT-themed interventions to help clients reduce symptomology and reclaim their lives.

Dr. Jacob will help you understand how and when to use CBT in the treatment of trauma. This seminar will also provide a thorough overview of interventions that DON’T work. In working with trauma, the line between effective and harmful interventions can be thin, and this seminar will help you keep your clients (and your practice) safe!
Register for one or both days:

Day 1: Antisocial. Borderline, Narcissistic and Histrionic

Day 2: Cognitive Behavioral Therapy for PTSD and Complex Trauma

  1. Determine how the changes with the DSM-5® impacts diagnosis and treatment of the Cluster B Personality Disorders.
  2. Identify and diagnose clients with antisocial, narcissistic, histrionic and borderline Personality Disorders to effectively inform your choice of treatment interventions.
  3. Utilize case studies to differentiate symptom overlap, effective treatment and emotional management of each Cluster B Personality Disorders client type.
  4. Manage the manipulative and potentially violent behaviors with your clients diagnosed with Antisocial Personality Disorder in session to make therapeutic progress.
  5. Implement CBT techniques to clarify behaviors, values and goals with clients diagnosed with Narcissistic Personality Disorder.
  6. Incorporate techniques to decrease explosive emotions, self-harm tendencies and cravings for chaos for clients diagnosed with Borderline Personality Disorder.
  7. Utilize MI and DBT techniques with clients diagnosed with Histrionic Personality Disorder to help manage cognition and improve emotional regulation.

  1. Analyze the assessment and historical concepts of PTSD and how to use CBT to conceptualize clients’ presenting concerns as it relates to case conceptualization.
  2. Evaluate the risk factors of complex trauma and use CBT interventions to improve client level of functioning.
  3. Integrate CBT-focused techniques to use with PTSD and complex trauma and put to practical use in-session.
  4. Analyze exposure-based treatment for trauma, clinical assessment, and treatment issues as it relates to treatment outcomes in trauma counseling.
  5. Assess treatments that may cause harm when working with trauma as well as alternate interventions supported by current research (CBT and otherwise) as it relates to clinical practice.
  6. Utilize mindfulness and CBT in the prevention and management of vicarious trauma in clients.



The Personality Mystique
  • DSM-5® criteria
  • Treatment errors and misdiagnoses
  • Core and/or surface structure and the role of the clinical disorders
  • Differential diagnoses
  • Five central components to accurate diagnosis
  • Insulate your clients against risk factors
Antisocial Spectrum
  • Oppositional defiance to psychopath
  • Attachment
  • Manage and avoid in-session violence and threats
  • Secondary gains, suicide attempts and threats
  • Overcome blockades – manipulation, threats, power struggles and more
  • Symptom presentation and risk analysis to self and other
  • Interpersonal theory techniques for compliance
  • Balance transference and countertransference
  • Lessen destructive behaviors
  • Cognitive-behavioral experiential techniques to lessen pathology
  • Psychotropic medications
  • Case studies and treatment exercises
Narcissistic Spectrum
  • Narcissistic presentation and the environmental context
  • Attachment and pathological narcissism
  • Tackle the veneer of perfectionism
  • Overcome blockades – power struggle, absent empathy, excessive criticism
  • The narcissistic/borderline client
  • Interpersonal strategies for empathy engagement
  • CBT techniques to clarify behaviors, values and goals
  • Tactics to avoid arguing
  • Motivational Interviewing to overcome resistance
  • Prevent sabotage
  • Build a sense of true self
  • Case studies and treatment exercises
Histrionic Spectrum
  • Moody to excited to histrionic: the erratic client
  • Attachment
  • Coquettish behavior, avoidance drama, inauthenticity
  • Dangers of the histrionic client
  • Link between emotions and behavior
  • Interpersonal strategies to encourage expression of true self
  • Enhance sense of self and lessen the “spotlight”
  • Motivational Interviewing techniques
  • DBT techniques
  • Interpersonal strategies to build positive relationships
  • Strengthen self-initiative and independent action
  • Psychotropic medications
  • Case studies and treatment exercises
Borderline Spectrum
  • Symptom presentation along the spectrum
  • Attachment
  • Feeling identification and behavioral control
  • Manage self-harm and suicidality
  • Rage-ful outbursts, self-mutilation, boundary violations
  • Create stability and build therapeutic collaboration
  • Develop true sense of self and lessen maladaptive need for attention
  • Facilitate pattern recognition
  • Lessen the impact of maladaptive patterns
  • Underlying wishes and fears
  • Build DBT core mindfulness skills
  • DBT techniques to dissolve the distraction and focus on the “genuine relationship”
  • Calm interpersonal upheavals with DBT
  • DBT emotion regulation skills
  • Psychopharmacology and applicability
  • Case studies and treatment exercises


  • Concepts & definition
  • An historical perspective of trauma
  • High-risk characteristics
  • Early life trauma
  • ”On Going” vs. “Single Event” trauma
Complex Trauma
  • History and assessment
  • Risk factors
  • Long-term implications
The Traumatized Brain
  • Activation and hyper-arousal of threat response system
  • The sensitized brain through conditioned traumatic cues
  • Dissociation and the importance of freeze discharge: Neuroception, bodily reactions and biological changes
Timing, Techniques, and Research Support for CBT-Focused Interventions
  • When to use CBT and when to use other techniques
  • Prochaska’s stages
  • Problems with critical incident stress debriefing
  • Problems with recovered memory techniques and dissociation
  • Narrative Therapy and CBT in resolving complex trauma
    • Writing exercises
    • In-session activities
CBT in Managing Crisis, Crisis Intervention and Client Safety
  • Essentials and risk factors
  • CBT to keep your clients safe: Intervention techniques
    • Matching versus calming
    • Breathing exercises
    • CBT and safety planning
  • Specifics of assessment and crisis planning
  • Concerns and criticism regarding safety contracts
  • Role playing exercises/case examples
PTSD and Complex Trauma CBT Interventions
  • Essentials of Exposure-based Treatment
    • Current research regarding exposure
    • Exposure-based treatment in managing symptoms of PTSD
  • Assessment and treatment issues in CBT-themed trauma treatment
  • Overview of specific assessments of trauma and PTSD
    • Structured assessment methods vs. less formal assessment methods
  • Critical incident stress debriefing techniques
  • Interfering with the natural process of coping
  • Recovered memory techniques and the treatment of dissociation
  • Role playing exercises/case examples
Target Audience

  • Counselors
  • Social Workers
  • Psychologists
  • Psychotherapists
  • Therapists
  • Addiction Counselors
  • Marriage and Family Therapists
  • Case Managers
  • Nurses
  • Other Mental Health Professionals


Charles Jacob, Ph.D., is a psychologist with over 15 years of clinical experience conducting and overseeing the delivery of mental health services to individuals with severe mood and personality disorders as well as their families. He is past president of the Pennsylvania branch of the American Counseling Association and maintains a robust private practice in the suburbs of Philadelphia as a licensed psychologist, professional counselor and marriage and family therapist.

In addition to training in Dialectical Behavior Therapy for the treatment of borderline personality disorder, Dr. Jacob is an expert in Cognitive Therapy and a highly regarded clinician and scholar. He is a recipient of PCA’s David W. Hall Advocacy Award, and has been a featured interview in Counseling Today as well as NPR’s The Pulse.

Dr. Jacob is a full-time faculty member in the Human Development Quantitative Methods Division at the University of Pennsylvania’s Graduate School of Education. He received his Ph.D. from The Pennsylvania State University and completed a year of additional training at the Center for Cognitive Therapy at the University of Pennsylvania.

Speaker Disclosures:

Financial: Charles Jacob is in private practice. He receives a speaking honorarium from PESI, Inc.

Nonfinancial: Charles Jacob is a member of the Pennsylvania Counseling Association; American Counseling Association; and the American Mental Health Counseling Association.
Breakdown for Continuing Education Credits by Event
[+] [-] Antisocial, Borderline, Narcissistic and Histrionic: Effective Treatment for Cluster B Personality Disorders
[+] [-] Cognitive Behavioral Therapy for Post-Traumatic Stress Disorder and Complex Trauma
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