The John Munroe Group is one of the few centres in the UK to offer an individualized and comprehensive assessment, treatment and recovery programme for service users presenting with a history of complex psychological and emotional trauma, which is present in the majority of individuals with a diagnosis of Personality Disorder, adopting an integrated therapeutic model in order to provide enhanced and appropriate care.
The psychological therapy we provide is responsive, evidence-based and well-defined, with treatment adopting a phase-oriented approach, the principal goals of which are:
1. Establishing safety, stabilization and symptom reduction.
2. Confronting, working through and integrating traumatic memories.
3. Achieving integration and rehabilitation.
Originating from the formulation process described above, the models of psychological therapy which may be provided as a constituent of an overall treatment programme include:
In view of the complexity and chronicity of the trauma-related conditions we are likely to be treating, a combination of the above approaches is likely to be optimal – hence the integrative psychological approach we foster. For many of our service users who are unable to verbalise or give a full narrative of their trauma history, especially if they have been in services for a long time, the adoption of gentle and empowering techniques, such as artmaking and mindfulness-based approaches, can be critical in developing a secure interpersonal environment within which self-soothing and affect regulation techniques can be generated. Promoting awareness of automatic processes and unhelpful patterns which may be operating as a result of trauma is also an important objective of therapy and this 'externalising' (moving from implicit, habitual mentalisation to explicit controlled mentalisation) can be done either with verbal or nonverbal modalities or through a combination of both..