Evidence based Group format
● Psychoeducational ● Manual-driven
● Cognitive behavioral+ skills training
● Confronts early schemas (cognitive filters)
● Systems approach ● Includes support team
For more about a
developer, click on a
Nancee S. Blum,
STEPPS is the Trademark of: N.S. Blum, N.E. Bartels, D. St. John, B. Pfohl, 2002. All rights reserved
STAIRWAYS is the Trademark of N. Blum, D. St. John 2004. All rights reserved..
Bruce M. Pfohl, MD
Don St. John,
Norman E. Bartels,
Be sure to REFRESH
Revised 12/1/2020
The Next Step
Treatment Programs for Borderline
Personality Disorder and Emotional
Intensity Difficulties
Managing Emotional Intensity -
A Resource for Younger People
Managing Emotional
Intensity - Early Intervention
Second Edition
IMPORTANT SPECIAL NOTICE In accordance with current guidance and regulations and with best practices in mind, effective immediately, we are working from
home, and suspending our regular shipping procedures, which require routine visits to the local post office. For the foreseeable future we will use only shipping services
we can access entirely online. Unfortunately those services increase the cost of shipping, both in the US, and to non US destinations.  In addition to the higher cost, we
have also found delivery times, especially outside of the US to be substantially longer— a result of the discontinuation of many flights. In an attempt to offset these
shipping issues, we are offering the delivery of program files via email. If you can accept large email files, and wish to take delivery by email, let us know when you place
your order. The facilitator guideline section of the program will be encrypted, and a password will be required to open them. You will be provided with a password via a
separate email.  The cost of this service will be the same as the standard cost of shipping—$9.00 USD, for any destination. If you still want to receive the files via
physical mail, let us know that as well, and we will quote a delivery fee. We hope this is a short time situation. We will remove this post as soon as the situation permits.
In the meantime, we wish you the best of health.
Wear a mask. Wash your hands, and stay home!
For information
about training on
program, click