2.25 CE Credits Available
Diagnosing Anorexia, Schizophrenia and Borderline Personality Disorder
by Jason Buckles
Schizophrenia, Anorexia, and Borderline Personality Disorder are often challenging for clinicians to treat, and an accurate diagnosis is key to establishing treatment. Through a series of discussions and clinical sessions, you’ll learn specialized skills for gathering information from clients while attending to the therapeutic relationship. By laying the foundation for a strong alliance, you’ll build better outcomes for clients struggling with these difficult disorders.
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Counselor-educator Jason Buckles believes that a diagnosis isn’t very useful if the client doesn’t return for therapy. Decades of clinical experience have taught him that diagnoses like anorexia, schizophrenia and borderline personality disorder require specialized skills and an understanding of cultural factors to both diagnose and treat. In this final installment of the series, The DSM-5 and Psychodiagnostic Interviewing, with TR Updates, clinical experts demonstrate a client-centered approach for navigating the lack of insight and psychotic thinking that can often be present with these disorders. You’ll learn how to confidently arrive at a working diagnosis while developing the rapport necessary for a successful course of therapy.

With both anorexia and schizophrenia medical information and contact with the treating physician is often necessary, while with borderline personality, symptoms may initially be masked and not emerge until months into therapy—making it important to obtain as much relevant clinical information as possible during the initial interview. You’ll watch Buckles and his colleague, Pauline Lucero, in sessions with a young man who has schizophrenia, an aspiring ballerina struggling with anorexia, and a woman with all the features we associate with borderline personality disorder. Buckles and Psychotherapy.net Founder, Victor Yalom, offer commentary before, during and after each vignette, highlighting how to effectively work with clients who may be resistant to opening up, unable to self-reflect or hostile to the therapist. They’ll share advice on working with ambivalence, cultivating awareness of cultural biases, and destigmatizing symptoms so you can create meaningful connections with clients throughout the diagnostic process.

Learn the specialized skills required to gather necessary information to accurately diagnose disorders that transcend medical and cultural factors, like Schizophrenia, Anorexia, and Borderline Personality Disorder, while establishing rapport with clients who are struggling.   

What therapists are saying…

“Perfect for anyone teaching diagnosis and psychopathology. The differential diagnoses in the vignettes are extremely useful for teaching students to think critically about the symptomatology they're seeing and how to parse out what they mean. The information is presented in a down-to-earth manner that is easy to understand.”

—Karyl Meister, PhD, Department of Counseling and Psychology, Northern State University
“This video is bound to be a significant and useful addition to any social worker, counselor, psychologist, and psychiatric nurse, and all mental health professionals who use the current version of the DSM. The vignettes bring to life the practice of diagnostic interviewing with an emphasis on therapeutic care of clients, and provides examples of how to interview clients toward a diagnostic discussion.”

—Carlos M Del Rio, PhD, Assistant Professor of Clinical Mental Health Counseling, Bellevue University
“More than just a summary of DSM-5-TR diagnostic criteria, this video demonstrates how a diagnostic assessment and interview look. The demonstrations are unique in that the voiceovers reveal what the internal monolog of the therapist might look like when hearing new variables and considerations from the client, which help conceptualize the case, assess rule outs, comorbidities, and determine a potential diagnosis.”

—Jerry L Mize, MA, Instructor and Online Undergraduate Program Coordinator, George Mason University
“As a counselor educator, I appreciated the clinical demonstrations of common assessment and diagnostic processes. This course will be a great addition to diagnosis and treatment planning classes, where there is limited time to comprehensively cover all areas of the DSM-5-TR. The discussions about changes in the TR and the slides with suicide risk and cultural-related diagnostic issues for the diagnoses were very helpful.”

—Elisabeth Simpson, PhD, Assistant Professor and Clinical Experience Coordinator, Methodist University
In Depth
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Volume 4 of The DSM-5 and Psychodiagnostic Interviewing, with TR Updates showcases clinical interviews of clients demonstrating symptoms associated with schizophrenia, anorexia, and borderline personality disorder. Clinical expert Jason Buckles and Psychotherapy.net Founder Victor Yalom discuss the criteria, suicide risk and cultural considerations for each diagnosis. Because these disorders are such serious, long-term disorders, Buckles notes the necessity of follow-up interviews, as well as input from medical personnel and family members or close associates, before confidently making these diagnoses, and shares tips on how to effectively communicate with care providers and family members. You’ll learn how to both attend to the client’s pace while directing the interview so that you obtain the critical information necessary to formulate a working diagnosis.

As in other videos in this series, Buckles and Psychotherapy.net Founder Victor Yalom add depth to the clinical demonstrations with their rich discussions, noting how diagnoses have changed over time, and the difficulties inherent in quantifying subjective terms or concepts such as functionality. Using voice-over commentaries, Buckles outlines a method for recording client accounts of their symptoms and experiences that captures key diagnostic elements in a way that is nonjudgmental, factual, and objective.

Viewers meet two individuals and one mother-son pair who all demonstrate the life struggles and critical details necessary to understand what these clusters of symptoms look like when they reach a diagnosable level. Of course, the interviews are not perfect, but we learn from that as well. With humor and insight, Buckles and Yalom note the omissions and discuss what the interviewer might have done differently, or what the interviewer might do in the next session.

You’ll learn how to destigmatize the symptoms and diagnoses and how to introduce the notion of continuing in therapy to address the disorder and improve the client’s overall mental health.

By watching this video, you will be able to:

Recognize the symptoms associated with schizophrenia, anorexia, and borderline personality disorder.

Gain skills in conducting a diagnostic interview with clients suffering from these disorders who also lack insight or the ability to self-report that sometimes accompanies some of these particular disorders.

Expand your differential diagnostic skillset and understanding of the overlapping and distinguishing features of these disorders.  

Length of video: 2:26:35

English subtitles available

Group ISBN-10 #: 1-60124-544-0

Group ISBN-13 #: 978-1-60124-544-1

Jason Buckles, PhD, earned his Bachelor’s in Psychology at New York University in 1992. While there he worked on psychiatric diagnostic projects at Bellevue Hospital and the New York Psychiatric Institute. He earned his Master’s in Counseling at The University of New Mexico in 2001 and PhD at The University of New Mexico in 2016. Buckles has a private mental health counseling practice and behavior consultation agency specializing in supports for people with intellectual disability and concurrent mental health diagnoses. From 2012 through 2016 he was the statewide clinical director of the New Mexico Department of Health—Bureau of Behavioral Support. Since late 2016 he has been the executive director of A Better Way of Living, an agency that provides life-wide supports for people with intellectual disability and concurrent behavioral and/or mental health conditions. He has taught psychiatric assessment and diagnosis at New Mexico Highlands University since 2002 and in the Special Education department at The University of New Mexico since 2015.




Jason Buckles was compensated for his/her/their contribution. None of his/her/their books or additional offerings are required for any of the Psychotherapy.net content. Should such materials be references, it is as an additional resource.

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Additionally, there is no commercial support for this activity. None of the planners or any employee at Psychotherapy.net who has worked on this educational activity has relevant financial relationship(s) to disclose with ineligible companies.

CE credits: 2.25

Learning Objectives:

  • List the symptoms associated with Schizophrenia, Anorexia, and Borderline Personality Disorders
  • Describe skills in conducting a diagnostic interview with clients suffering from these disorders
  • Revise your differential diagnostic skill set

Bibliography available upon request

This course is offered for ASWB ACE credit for social workers. See complete list of CE approvals here

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