Dr. Livesley’s approach to treatment includes general strategies for managing core self and interpersonal pathology as well as specific strategies drawn from diverse theoretical approaches. The general strategies are centered on the development of a collaborative therapeutic relationship, the use of validation, monitoring and managing therapeutic disruptions, and creating and enhancing motivation. The targets for specific interventions include symptomatic domains such as self-harm behavior, symptoms associated with a concurrent axis I disorder, and the regulation and control of impulses and emotion.