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Community Housing & Therapy @cht-uk.bsky.social · 17/06/2026

Our closing keynote is from Professor Alison Leibling considering and conceptualising the ‘moral’ environment within prisons and using psychologically informed planned environments. #BIGSPD26

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Today at #BigSpd26 we're running a thought experiment: if you had £1 million to improve outcomes for people experiencing mental distress, how would you spend it? Click here app.sli.do/event/xgQMZa... or scan the QR code to join the conversation or share your ideas in the comments below.

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Thanks so much for sharing, Ad 🙏 #BIGSPD26

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Dr Mary Ryan and Dr Rachel Gibbons are our next keynote, helping us understand the patient/clinician role and whether it’s a helpful illusion or harmful delusion. Exploring how we might feel in our roles and how label change us alongside their work with the prejudice and stigma project #BIGSPD26

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We were indeed. All the way back in 2014! #BIGSPD26

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A quick opening from our co-presidents and now we’re into Raf Hamaizia’s keynote talk about lived experience & co-production: a bridge of mutual understanding. Raf kicks off his talk with sharing a video sharing parts of his journey through life, services and into lived experience working #BIGSPD26

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Dr Dan Warrender @danwarrender.bsky.social · 16/06/2026

Head down to the CHT stall in our exhibition hall while grabbing lunch or a coffee and share your thoughts and experiences of the label. Always a rich discussion point! #BIGSPD26

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I'll shortly be presenting on risk formulation through using the action/consequences model at #BIGSPD26 in Blackpool. To see more, a webinar where I discuss the model is here. (I start 12 minutes in) youtu.be/sC3CVq10XCM?...

youtu.be

Thoughtful & ethical approaches to risk for people with a diagnosis of personality disorder

YouTube video by Healthcare Improvement Scotland

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Ellie Wildbore @elliewildbore.bsky.social · 16/06/2026

And we’ll be joining @danwarrender.bsky.social for the lived experience discussion #BIGSPD26

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The Mental Elf @thementalelf.bsky.social · 16/06/2026

Here's the orthodoxy according to Ad de Jongh: NICE says psychological treatment for personality disorders should last at least a year. Yet almost half of patients don't respond well and about a third drop out. What if shorter, targeted therapy could work? #BIGSPD26

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Tamar @mizztea.bsky.social · 16/06/2026

Questions section about silos from audience for first speaker, who works with the Blackpool NHS service. She asked why the service isn’t well known outside its remit, and if it will be grown to link to other services later. #BIGSPD26 Hard to to do with NHS budgets!

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The Mental Elf @thementalelf.bsky.social · 16/06/2026

There's little evidence that DBT, MBT or Schema Therapy beat treatment as usual, and no evidence that longer treatments beat shorter ones for personality disorders, says Ad de Jongh #BIGSPD26

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The Mental Elf @thementalelf.bsky.social · 16/06/2026

Why focus on trauma? Childhood adversity isn't just a risk factor for personality disorders, says de Jongh, it may be a central driver. In one study each ACE raised borderline PD risk fivefold. Emotional abuse and neglect were the strongest predictors. #BIGSPD26

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The Mental Elf @thementalelf.bsky.social · 16/06/2026

An intensive 8-day trauma-focused programme (prolonged exposure + EMDR) for people with PTSD and borderline PD. One year on, 73% no longer met criteria for borderline PD. Dropout just 1%. We couldn't believe our research results, says Ad de Jongh #BIGSPD26

The Mental Elf @thementalelf.bsky.social · 16/06/2026

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We need to focus on Adverse Childhood Experiences, says de Jongh. Using Shapiro's Adaptive Information Processing. A negative self-image like 'I am worthless' isn't the cause of dysfunction but the result of unprocessed memories. Treat the memories, shift the symptoms. #BIGSPD26

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The Mental Elf @thementalelf.bsky.social · 16/06/2026

Childhood adversity is not just a risk factor for 'personality disorder', but it is a central driver, argues de Jongh. #BIGSPD26

The Mental Elf @thementalelf.bsky.social · 16/06/2026

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de Jongh explains how adverse childhood experiences can lead to latent vulnerability, which in turn lead to social thinning #BIGSPD26

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The Mental Elf @thementalelf.bsky.social · 16/06/2026

And here is how different treatments map to these experiences #BIGSPD26

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The Mental Elf @thementalelf.bsky.social · 16/06/2026

The TEMPO study looked at EMDR therapy for people with personality disorders, with and without PTSD (N=159). Remission of PD diagnosis rose from 44% to 65%, with a 5% dropout. #BIGSPD26 pmc.ncbi.nlm.nih.gov/articles/PMC...

pmc.ncbi.nlm.nih.gov

Checking your browser - reCAPTCHA

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The Mental Elf @thementalelf.bsky.social · 16/06/2026

Great to have you with us Holly! 😄

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Headline figure from Ad de Jongh's 6-day PSYTREC programme: 78% of people no longer met criteria for their primary personality disorder at 12-month follow-up. Improvements held across all PD clusters. #BIGSPD26

The Mental Elf @thementalelf.bsky.social · 16/06/2026

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To identify memories linked to specific symptoms, the following questions may be helpful, says de Jongh #BIGSPD26

Introduction: ‘You probably weren't born with these complaints, right?’

• NEGATIVE BELIEFS: Negative core beliefs and self-image issues (e.g., "I'm worthless")
‘What made you believe you're worthless?’
‘What experience currently (still) emotionally proves to you that you're worthless?’

• NEGATIVE FEELINGS: Feelings of emptiness, loneliness, or suicidal thoughts)
‘What caused this feeling?’ ‘What events have further exacerbated this feeling?’

• ANTICIPATORY FEAR: Fear of the future (e.g., fear of rejection or fear of abandonment)
‘What's the worst that can happen?’ ‘What does that disaster fantasy look like in your head?’

• FUNCTIONING IN INTERACTION WITH OTHERS: (e.g., not trusting others)
‘What happened that made you not trust others ‘What situations from your early childhood prove to
you, emotionally, that you can't trust people?’

• CONTROLING IMPULSES AND EMOTIONS:
‘What happened that made it difficult for you to control your emotions?’
‘What image should you conjure up that makes you feel that fear/anger/sadness/guilt to the fullest?’

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The Mental Elf @thementalelf.bsky.social · 16/06/2026

This is Ad de Jongh's big question for #BIGSPD26 Can short-term trauma-focused treatment help people with a personality disorder change? His answer: yes. Brief, intensive care delivering large and sustained gains, and a challenge to how we commission 'personality disorder' services.

static.klipy.com

Animated Colorful Question Marks

ALT: Animated Colorful Question Marks

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The Mental Elf @thementalelf.bsky.social · 16/06/2026

So that's Prof Ad de Jongh @adjongh.bsky.social making the case for brief trauma-focused treatment of 'personality disorders'. Key papers in the European Journal of Psychotraumatology & JAMA Network Open #BIGSPD26 Full Google Scholar list of publications here scholar.google.com/citations?us...

scholar.google.com

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Tamar @mizztea.bsky.social · 16/06/2026

We are now listening to Ad de Jongh, Professor at the University of Amsterdam. The man has written over 500 papers!!! His #BIGSPD26 discusses how CPTSD is a strong crossover with #PersonalityDisorder. He worked with a service to research and published.

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Ellie Wildbore @elliewildbore.bsky.social · 16/06/2026

@danwarrender.bsky.social explaining the action/consequences model of containing risk in the symposium at #BIGSPD26

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Ellie Wildbore @elliewildbore.bsky.social · 16/06/2026

The difference between containing and tolerating risk explained #BIGSPD26

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Ellie Wildbore @elliewildbore.bsky.social · 16/06/2026

The jelly in question…. #BIGSPD26

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Dr Sarah @sarahpsyc.bsky.social · 11/06/2026

I’ve been super quiet on here (sorry). My use of social media has massively reduced in the last 12 months; however, I will be posting here over the next week for #BIGSPD26 in Blackpool! Keep an eye on the hashtag, as lots of others will be posting too. Can’t wait ❤️

The Mental Elf @thementalelf.bsky.social · 16/06/2026

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Our next keynote speaker at #BIGSPD26 is Prof Ad de Jongh @adjongh.bsky.social on: The effectiveness of brief trauma-focused treatment for personality disorders. Can short, trauma-focused therapy really shift a PD diagnosis? Here's what he's planning to cover. THREAD below 👇🏽

1. Current treatments for personlity
disorders
2. The critical role of ACEs
3. Theoretical framework
4. A trauma-focused approach
5. Results of our RCT
6. Case conceptualisation
6. Processing the memory
7. Results of PSYTREC (EMDR and CBT)
8. Closure and questions

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Mike Haslam @mbhaslam.bsky.social · 15/06/2026

I (@hoppypelican.bsky.social )will be speaking later so I’ll hand over to the elves but @danwarrender.bsky.social talks us through his Action/Consequences model which supports clinicians to think about and formulate risk - are we doing more good than harm or more harm than good? #BIGSPD26

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On the eve of #BIGSPD26, I'm delighted to announce the publication of a 2nd paper from my PhD, exploring the mental health crisis encounter from dual perspectives of those delivering & receiving care This paper describes the novel concept: the Reciprocal Insecurity Paradox doi.org/10.1111/nin....

doi.org

The Reciprocal Insecurity Paradox: A Phenomenological Analysis of the Crisis Encounter Between the Mental Health Nurse and Service User With Complex Emotional Needs

While research is emerging, there remains an inadequate focus upon the experiences of those delivering and receiving care specifically for service users with complex emotional needs (CEN) within Cris...

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Next up we have @adjongh.bsky.social media hi will be exploring the effectiveness of brief trauma focused treatments for personality disorder #BIGSPD26

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The Mental Elf @thementalelf.bsky.social · 16/06/2026

Annette’s Acute Therapy Service manages to create change within a short time frame, decreasing bed days and proving a huge injection of understanding and validation to the service-users they serve. Their patient feedback shows the relational aspect is the most important. #BIGSPD26

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The hashtag for the 2026 @bigspd.bsky.social conference here in Blackpool is #BIGSPD26

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Ellie Wildbore @elliewildbore.bsky.social · 16/06/2026

Our first keynote speaker for #BIGSPD26 is Annette Jones, Consultant Clinical Psychologist and Clinical Lead for the CEN pathway for LSCFT. Annette takes us through what is ‘More than a seaside story’ - providing consistency and trust to diverse demographics in such a huge area.

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@fik-t.bsky.social and @garylamph.bsky.social kicking off this years @bigspd.bsky.social conference in Blackpool. Follow #BIGSPD26 to keep up with what’s happening at the conference!

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The Mental Elf @thementalelf.bsky.social · 16/06/2026

The @bigspd.bsky.social Co-Presidents Fi Kuhn-Thompson (Midlands Partnership University NHS FT) and Gary Lamph (Keele University / Midlands Partnership University NHS FT) are welcoming us all to #BIGSPD26 and introducing us to the history of the Blackpool illuminations.

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Dr Gary Lamph PhD @garylamph.bsky.social · 16/06/2026

Were awaiting our opening address to kick off #BIGSPD26 Our live reporting elves will be helping to disseminate conference content and open up discussion to get stuff #BeyondTheRoom alongside @thementalelf.bsky.social in the almost sunny Blackpool!

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Really looking forward to opening up this years @bigspd.bsky.social conference in Blackpool, learning lots, making new connections and networking with colleagues in our field of practice. #BIGSPD26

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