Effectiveness of PTSD Treatment for Suicidal and Multi-diagnostic Clients (Apr. 2015 to Mar. 2018) Principal Investigator: Melanie Harned
Funding: NIH Planning Grant Program (R34) 1R34MH106598-01
The present pilot project aims to evaluate the feasibility, acceptability, safety, and effectiveness of this intervention when implemented in community agencies, as well as develop and test the methods needed to successfully transfer the intervention into routine clinical practice. The project will be conducted in collaboration with Community Behavioral Health (CBH), a large, nonprofit managed care organization that manages behavioral health services for Philadelphia County's more than 400,000 Medicaid recipients... read more  

Treating PTSD in Patients With Borderline Personality Disorder (Aug. 2009 to May 2013) Principal Investigator: Melanie Harned
Funding: NIH Planning Grant Program (R34) 1R34MH106598-01
The research proposed here is focused on the development of a protocol based on Prolonged Exposure therapy to treat PTSD in BPD patients that can be integrated into standard DBT, as well as the initial evaluation of this protocol's feasibility, acceptability, and efficacy. The treatment development and pilot testing process will occur in two phases, including measure development and standardization of the treatment protocol via clinical pre-testing (Phase 1); and pilot and feasibility testing of the intervention via a randomized controlled trial (RCT) comparing standard DBT + PTSD Protocol to standard DBT Only (Phase 2).... read more  

Meyers, L., Voller, E. K., McCallum, E. B., Thuras, P., Shallcross, S., Velasquez, T. & Meis, L. (2017).   Treating veterans with PTSD and borderline personality symptoms in a 12-week intensive outpatient setting: Findings from a pilot program.   Journal of Traumatic Stress, 30, 178-181  

Harned, M. S., Gallop, R. J., & Valenstein-Mah, H. R. (in press).   What changes when? The course of improvement during a stage-based treatment for suicidal and self-injuring women with borderline personality disorder and PTSD.   Psychotherapy Research.  

Harned, M. S., Ruork, A. K., Liu, J., & Tkachuck, M. A. (2015).   Emotional activation and habituation during imaginal exposure for PTSD among women with borderline personality disorder.   Journal of Traumatic Stress, 28, 253-257.  

Harned, M. S., Korslund, K. E., & Linehan, M. M. (2014).   A pilot randomized controlled trial of Dialectical Behavior Therapy with and without the Dialectical Behavior Therapy Prolonged Exposure protocol for suicidal and self-injuring women with borderline personality disorder and PTSD.   Behaviour Research and Therapy, 55, 7-17.  

Harned, M. S., Tkachuck, M. A., & Youngberg, K. A. (2013).   Treatment preference among suicidal and self-injuring women with borderline personality disorder and PTSD.   Journal of Clinical Psychology, 69,749-761.  

Harned, M. S., Korslund, K. E., Foa, E. B., & Linehan, M. M. (2012).   Treating PTSD in suicidal and self-injuring women with borderline personality disorder: Development and preliminary evaluation of a Dialectical Behavior Therapy Prolonged Exposure protocol.   Behaviour Research and Therapy, 50, 381-386.  

Scheiderer, E., Carlile, J. A., Aosved, A. C., & Barlow, A. (2017)   Concurrent Dialectical Behavior Therapy and Prolonged Exposure reduces symptoms and improves overall quality of life for a veteran with posttraumatic stress disorder and borderline personality disorder.   Clinical Case Studies, 16(3), 216-233.  

Carmel, A., Comtois, K. A., Harned, M. S., Holler, R., & McFarr, L. (2016).   Contingencies create capabilities: Adjunctive treatments in Dialectical Behavior Therapy that reinforce behavior change.   Cognitive and Behavioral Practice, 23(1), 110-120.  

Granato, H. F., Wilks, C. R., Miga, E. M., Korslund, K. E., & Linehan, M. M. (2015).   The use of Dialectical Behavior Therapy and Prolonged Exposure to treat comorbid dissociation and self-harm: The case of a client with borderline personality disorder and posttraumatic stress disorder.   Journal of Clinical Psychology, 71(8), 805-815.  

Harned, M. S. & Korslund, K. E. (2015).   Treating PTSD and borderline personality disorder.   In U. Schnyder & M. Cloitre (Eds.), Evidence Based Treatments for Trauma-Related Psychological Disorders (pp. 331-346). New York, NY: Springer Press.  

Harned, M. S. (2014).   The combined treatment of PTSD with borderline personality disorder.   Current Treatment Options in Psychiatry, 1, 335-344.  

Harned, M. S. (2013).   Treatment of posttraumatic stress disorder with comorbid borderline personality disorder.   In D. McKay & E. Storch (Eds.), Handbook of Treating Variants and Complications in Anxiety Disorders (pp. 203-221). New York, NY: Springer Press.  

Harned, M. S. & Linehan, M. M. (2008).   Integrating Dialectical Behavior Therapy and Prolonged Exposure to treat co-occurring borderline personality disorder and PTSD: Two case studies.   Cognitive and Behavioral Practice, 15(3), 263-276.  

Linehan, M. M. (2015).   DBT® Skills Training Manual (second edition).   New York: Guilford Press.    amazon 

Linehan, M. M. (2015).   DBT® Skills Training Handouts and Worksheets (second edition).   New York: Guilford Press.    amazon 

Linehan, M. M. (1993).   Cognitive-behavioral treatment of borderline personality disorder.   New York: Guilford Press.    amazon 

Foa, E. B., Hembree, E., & Rothbaum, B. O. (2007).   Prolonged exposure therapy for PTSD: Emotional processing of traumatic experiences.   New York: Oxford Press.    amazon 

Foa, E. B., Chrestman, K. R., & Gilboa-Schechtman, E. (2008).   Prolonged exposure therapy for adolescents with PTSD: Emotional processing of traumatic experiences.   New York: Oxford Press.    amazon 

For Borderline Personality Disorder and Comorbid PTSD, A New Psychotherapy Regimen   Psychiatry Weekly, Volume 7, Issue 19, October 8, 2012.