Women's Personality Disorder - locked

Hereward Wake is a specialist comprehensive dialectical behaviour (DBT) unit, specifically for the treatment of women over the age of 18 with a diagnosis of borderline personality disorder (BPD). 

A locked service for women aged over 18 with borderline personality disorder, complex mental health needs, and challenging behaviour.

With trained DBT therapists, a British Isle DBT trainer and one of the first Society for DBT accredited therapists, Hereward Wake has established expertise in treating BPD. The DBT programme is unique in that it is delivered through a complete risk managed pathway of care, creating a sense of momentum and motivation for patients.

Admission criteria

Women over the age of 18 who have:

  • severe emotional and behavioural difficulties but with a primary diagnosis of borderline personality disorder
  • problem behaviours that are likely to include: self- harm, suicidal behaviour, problems in interpersonal relationships, substance misuse, self- neglect, fire setting and non-compliance with prescribed medication
  • treatment resistance
  • been detained under either civil or criminal provisions of the Mental Health Act 1983 (amended 2007)
  • a high risk to themselves or others.

Treatment and care

DBT is cognitive behavioural therapy (CBT) designed for individuals with complex needs. It integrates strategies from CBT with strategies of accepting reality as it is ‘in the moment’ (mindfulness).

Our treatment programme includes all five functions of a comprehensive DBT programme:
• enhancing capabilities - twice weekly skills training groups
• enhancing motivation - weekly individual therapy sessions
• ensuring generalisation - skills coaching
• structuring the environment - homework groups community meetings and staff training
• DBT consultation - (with peer group supervision) for the DBT therapists delivering treatment.

Next steps

At the point of discharge, patients on Hereward Wake will have successfully gained skills through the structured DBT programme. This enables them to address the cycle of behaviours and suffering associated with BPD in order to make a successful transition back into the community.

Our Location