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Post-Traumatic Stress Disorder, Borderline Personality Disorder or Complex PTSD? Emerging Definitions and Treatment Directions

Post-Traumatic Stress Disorder, Borderline Personality Disorder or Complex PTSD? Emerging Definitions and Treatment Directions

Does this client have Post Traumatic Stress Disorder or do they have Borderline Personality Disorder? Can they have both? If so, what type of treatment is best suited to their needs? In this workshop, participants will explore new ways of understanding Complex PTSD and the application of research on the assessment of Complex PTSD versus Borderline Personality traits. Evidence-based interventions will be identified and applied to case studies during the sessions to better understand the wide array of treatment options. In addition, participants will consider approaches in treatment for borderline personality coping when there is a trauma history versus when coping strategies develop outside of life-threatening traumas. 

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Description

The diagnostic criterion for Post Traumatic Stress Disorder (PTSD) used in Canada does not clearly identify how the effects of very early trauma can shape trauma symptoms. It does not account for the potential impact of abuse and neglect experienced between birth and age six on identity, emotion regulation and on how relationships may be formed and maintained.  

This workshop explores a new way of understanding Complex PTSD that encompasses early and repeated exposures to abuse and neglect particularly by caregivers, how traumatic stress symptoms may be expressed given these circumstances and how early trauma also referred to as developmental trauma, can shape identity, emotion dysregulation and relationship instability. Participants will compare the symptom clusters of PTSD and Specified Trauma and Stress Related Disorder symptoms according to the DSM 5, to the ICD-11 diagnostic criterion for Complex PTSD and consider why these distinctions in diagnoses is important. There will be an opportunity for the application of current research on the assessment of Complex PTSD versus Borderline Personality traits, discuss evidence- based treatments best suited for these clients and how to sequence treatment that targets the needs of each client. 

Learning Outcomes 

  1. Define disorganization of self and describe its 3 components as defined in Complex PTSD. 
  2. Describe 2 characteristics of each of these types of traumatic stress: Intergenerational stress, Paediatric Medical Traumatic Stress & Traumatic Grief in Children and Youth. Consider how these may contribute to disorganization of self-symptoms.
  3. Name 4 key components of Borderline Personality Traits and discuss why individuals with these traits are so challenging to work with. 
  4. Define a trauma-informed framework for Dialectical Behaviour Therapy.
  5. Identify the types of interventions from Integrative Treatment for Complex Trauma for Adolescents. 

Who Should Attend  

This training is suitable for anyone working with youth identified as having borderline traits, cluster B traits, Borderline Personality Disorder with known or suspected early trauma. This may include: Psychologists, Psychotherapists, Group Home Workers, Child and Youth Workers, Clinical Supervisors. 

Course Dates & Format  

There are no scheduld dates for this course at this time, however, in-service is available.

This is a 6-hour training. This course consists of two 3-hour interactive virtual sessions using Zoom. 

Instructor:  Stephanie Rabenstein, M.Sc., RMFT, RP 

Stephanie Rabenstein is the senior clinician on the trauma team in the Child and Adolescent Mental Health Care Program at Children’s Hospital, London Health Sciences Centre. She is also an Assistant Professor in the Division of Child and Adolescent Psychiatry, Department of Psychiatry at Schulich School of Medicine & Dentistry at Western University where she trains medical students and Resident Physicians, social workers and family therapists in trauma informed therapies, as well as in play and family therapy. She is a Registered Psychotherapist and a Clinical Fellow and Approved Supervisor with the Canadian Association for Marriage and Family Therapy and the American Association for Marriage and Family Therapy and a Certified Play Therapist and Supervisor with the Canadian Association for Play Therapy. Her areas of clinical specialization include complex trauma in children, adolescents and families; persistent complex bereavement disorder in children; working with chronically suicidal adolescents and families of suicide survivors and suicide loss survivors; integration of Indigenous healing and western mental health practices in collaboration with Indigenous clinicians and has published in many of these areas. 

Training Fee

Group Registration: Save 20% off individual fees with a group registration of 4 or more participants. Download the group registration form HERE.

Continuing Education Information  

6 CECs with OAMHP 

Licensing boards and professional organizations will grant Continuing Education credits for attendance at their discretion when participants submit the course outline and certificate.  

In-Service  

This is available as an in-person or virtual in-service training and customized to suit your needs. 

Categories: In Service, Online, Trauma Assessment & Treatment, Trauma Focused Intervention Tags: Assessment, Children, Complex Trauma, DBT, Diagnosis, PTSD, Stephanie Rabenstein, Treatment, Youth
Training Calendar
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  • November 2025

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0 events, 26
1 event, 27
2025-10-27
Therapeutic Crisis Intervention (TCI): Trainer Certificate (7th Edition)
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Therapeutic Crisis Intervention (TCI) is a systems-based, trauma-informed crisis prevention and intervention model that assists organizations in preventing crises from occurring, de-escalating potential crises, managing acute crisis phases, […]

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2025-10-27
Therapeutic Crisis Intervention (TCI): Trainer Certificate (7th Edition)
1 event, 29
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2 events, 30
2025-10-27
Therapeutic Crisis Intervention (TCI): Trainer Certificate (7th Edition)
1:00 pm - 4:00 pm
Compassionate Leadership: Fostering Self-Care and Well-Being in Staff Teams and Organizations
October, 30 @ 1:00 pm - 4:00 pm
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1 event, 31
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Therapeutic Crisis Intervention (TCI): Trainer Certificate (7th Edition)
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1 event, 12
1:00 pm - 4:00 pm
Addressing Trauma and Attachment in the Classroom Environment
November, 12 @ 1:00 pm - 4:00 pm
Addressing Trauma and Attachment in the Classroom Environment

Teaching children who come into our spaces with big stories can be challenging. When we do not know how to respond, we often fall back to unhelpful […]

1 event, 13
2025-11-13
Trauma-Informed Practice
Trauma-Informed Practice
November, 13 @ 1:00 pm - November, 14 @ 4:00 pm
Trauma-Informed Practice

The prevalence of childhood trauma in our communities is staggering, and the implications for mental health and substance use profound. It is estimated that around 3 in […]

1 event, 14
2025-11-13
Trauma-Informed Practice
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1 event, 20
2025-11-20
Confronting Suicidal Ideation and High Risk Behaviour
Confronting Suicidal Ideation and High Risk Behaviour
November, 20 @ 1:00 pm - November, 21 @ 3:00 pm
Confronting Suicidal Ideation and High Risk Behaviour

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1 event, 21
2025-11-20
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0 events, 22
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1 event, 25
2025-11-25
In Between the Missing and Murdered: The Need for Indigenous Led Responses to Human Trafficking
In Between the Missing and Murdered: The Need for Indigenous Led Responses to Human Trafficking
November, 25 @ 1:00 pm - November, 26 @ 4:00 pm
In Between the Missing and Murdered: The Need for Indigenous Led Responses to Human Trafficking

Indigenous girls, two-spirit and trans women are the most vulnerable population for human sex trafficking, they access mainstream services the least, and present with the most complex […]

1 event, 26
2025-11-25
In Between the Missing and Murdered: The Need for Indigenous Led Responses to Human Trafficking
1 event, 27
2025-11-27
Serving the Mental Health Needs of Persons with a Developmental Disability
Serving the Mental Health Needs of Persons with a Developmental Disability
November, 27 @ 9:30 am - November, 28 @ 9:30 am
Serving the Mental Health Needs of Persons with a Developmental Disability

Individuals with a developmental disability are at higher risk of experiencing mental health problems.  Often their mental health problems go undiagnosed because they are attributed solely to […]

1 event, 28
2025-11-27
Serving the Mental Health Needs of Persons with a Developmental Disability
0 events, 29
0 events, 30
0 events, 1
1 event, 2
1:00 pm - 4:00 pm
Advanced Skills for Brief Therapy Practitioners: Managing Complex and High-Risk Issues
December, 2 @ 1:00 pm - 4:00 pm
Advanced Skills for Brief Therapy Practitioners: Managing Complex and High-Risk Issues

This advanced course will enhance the knowledge and skills of mental health professionals practicing Brief/Short-Term Therapy with clients who are managing complex circumstances, including trauma, risk, grief, […]

1 event, 3
1:00 pm - 4:00 pm
Ambiguous Loss: A Framework to Understand and Respond
December, 3 @ 1:00 pm - 4:00 pm
Ambiguous Loss: A Framework to Understand and Respond

Ambiguous loss often leads to complicated grief that is overlooked or invalidated by society. Three primary types of ambiguous loss include: physical absence with psychological presence (e.g., […]

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October, 27
October, 27 @ 8:45 am - October, 31 @ 5:00 pm

Therapeutic Crisis Intervention (TCI): Trainer Certificate (7th Edition)

October, 27
October, 27 @ 8:45 am - October, 31 @ 5:00 pm

Therapeutic Crisis Intervention (TCI): Trainer Certificate (7th Edition)

October, 27
October, 27 @ 8:45 am - October, 31 @ 5:00 pm

Therapeutic Crisis Intervention (TCI): Trainer Certificate (7th Edition)

October, 27
October, 27 @ 8:45 am - October, 31 @ 5:00 pm

Therapeutic Crisis Intervention (TCI): Trainer Certificate (7th Edition)

October, 30 @ 1:00 pm - 4:00 pm

Compassionate Leadership: Fostering Self-Care and Well-Being in Staff Teams and Organizations

October, 27
October, 27 @ 8:45 am - October, 31 @ 5:00 pm

Therapeutic Crisis Intervention (TCI): Trainer Certificate (7th Edition)

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November, 12
November, 12 @ 1:00 pm - 4:00 pm

Addressing Trauma and Attachment in the Classroom Environment

November, 13
November, 13 @ 1:00 pm - November, 14 @ 4:00 pm

Trauma-Informed Practice

December, 2
December, 2 @ 1:00 pm - 4:00 pm

Advanced Skills for Brief Therapy Practitioners: Managing Complex and High-Risk Issues

December, 3
December, 3 @ 1:00 pm - 4:00 pm

Ambiguous Loss: A Framework to Understand and Respond

November, 13
November, 13 @ 1:00 pm - November, 14 @ 4:00 pm

Trauma-Informed Practice

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November, 20
November, 20 @ 1:00 pm - November, 21 @ 3:00 pm

Confronting Suicidal Ideation and High Risk Behaviour

November, 20
November, 20 @ 1:00 pm - November, 21 @ 3:00 pm

Confronting Suicidal Ideation and High Risk Behaviour

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November, 25
November, 25 @ 1:00 pm - November, 26 @ 4:00 pm

In Between the Missing and Murdered: The Need for Indigenous Led Responses to Human Trafficking

November, 25
November, 25 @ 1:00 pm - November, 26 @ 4:00 pm

In Between the Missing and Murdered: The Need for Indigenous Led Responses to Human Trafficking

November, 27
November, 27 @ 9:30 am - November, 28 @ 9:30 am

Serving the Mental Health Needs of Persons with a Developmental Disability

November, 27
November, 27 @ 9:30 am - November, 28 @ 9:30 am

Serving the Mental Health Needs of Persons with a Developmental Disability

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December, 2
December, 2 @ 1:00 pm - 4:00 pm

Advanced Skills for Brief Therapy Practitioners: Managing Complex and High-Risk Issues

December, 3
December, 3 @ 1:00 pm - 4:00 pm

Ambiguous Loss: A Framework to Understand and Respond

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