Six percent of people in North America will develop borderline personality disorder (BPD) in their lifetime, and about 46% of them will have alcohol use disorder (AUD) at the same time. Alcohol use exacerbates the symptoms of both diseases, rendering treatment more challenging and increasing the risk of suicide. Integrated treatments have been lacking. Good Psychiatric Management for Borderline Personality Disorder and Alcohol Use Disorder meets the urgent need for such an integrated approach. It provides clearly articulated descriptions of both BPD and AUD, outlining clinical patterns and how to diagnose them with confidence. Relying on general psychiatric principles with which most clinicians are already familiar, as well as up-to-date standards of care for both BPD and AUD, the handbook pays particular attention to areas of potential synergy, providing clinical logic for addressing complex, real-world cases. Topics include the following: • Progress assessment, psychoeducation, and goal setting;• Managing suicidality and nonsuicidal self-harm;• Pharmacotherapy;• Multimodal treatments, including mutual-help groups and family intervention; and• Level-of-care considerations. The authors stress that, in the absence of evidence-based manualized therapy for treating BPD and AUD simultaneously, clinicians already have the tools to increase treatment retention, reduce the risk of suicide and death, and provide a sensible road map in the face of interpersonal, behavioral, and emotional challenges inherent to recovery for both conditions.
This book is a complete guide to using the evidence-based Good Psychiatric Management (GPM) approach for the treatment of BPD. The book demystifies the disorder, supplying treatment guidelines, case studies, and online video demonstrations of core techniques needed to deliver effective short-term, intermittent, and non-intensive therapeutic care.
"Handbook of Good Psychiatric Management for Adolescents With Borderline Personality Disorder uses good psychiatric management for adolescents to demystify borderline personality disorder in young people. The book describes common problems that arise during each phase or aspect of treatment, from patient rejection of diagnosis and conflicts among clinicians providing care to nonadherence to medications and concerns about stigma. The pragmatic principles outlined in this book are based on real-world experience and bolstered by scientific evidence and provide a road map to provide "good enough" care even in the absence of specialized treatments"--
This guide distills the latest scientific research on borderline personality disorder (BPD) into a useful guide for any generalist practitioner who wants a basic skill set to effectively manage patients with BPD. This book serves as a practical road map for clinicians from all corners of the clinical universe: the primary care provider, the emergency room doctor, the social worker, the psychopharmacologist, the psychotherapy supervisor, the dialectical behavior therapy specialist, and the generalist in an outpatient clinic, as well as other practitioners. Emphasizing GPM's efficacy and arguing for its relevance and utility across diverse patient populations, clinical settings, and practitioner roles, this volume provides helpful how-to advice and wisdom for managing patient care. The book is not about lengthy intensive interventions; it is about management strategies (i.e., calming, encouraging, advising) to enable patients with BPD to pursue productive lives.
Through dozens of tables, illustrative figures, and real-life case examples, established experts in the field, as well as a new generation of scientists, examine clinical concepts; risk factors for and impact of personality disorders; treatment options (including a new chapter on early identification of borderline psychopathology in children); special populations; and future directions for the field.
This book brings together a series of experts and experienced clinicians to describe and discuss a series of BPD cases in a manner that emphasizes core descriptive and diagnostic features, generalizable principles and techniques, and key take-home messages for clinicians at all levels of experience. The book emphasizes consideration for the disorder from multiple perspectives to help identify effective responses to common clinical challenges and decision points. To enhance interest, narrative, and readability, each chapter uses a consistent format to present a common clinical challenge along with an effective therapeutic response and discussion of relevant theoretical and empirically validated principles. Each chapter title contains a patient’s (fictionalized) name and a subheading identifying the clinical dilemma or approach to be illustrated. The text includes key points and chapter summaries to help pull together the most important takeaways as quick reference. Borderline Personality Disorder is a vital resource for psychiatrists, psychologists, psychiatric nurses, general internists, social workers, and all medical professions working with patients suffering from Borderline Personality Disorder.
Synthesizing the latest research and treatment developments, Stepped Care for Borderline Personality Disorder: Making Treatment Brief, Effective, and Accessible aims to make treatment for borderling personality disorder (BPD) more accessible by providing clinicians with innovative brief and targeted intervention methods. Focusing on integrative treatment models, it offers clinicians a vital guide to the management of patients who are difficult to treat. Acknowleding the early developmental roots of BPD, the book includes sections on BPD in adolescence, childhood precursors of the disorder, and a broad range of etiological factors. It looks at the pitfalls clinicians face when trying to treat BPD, and offers a roadmap to avoiding them. - Brief and targeted methods of integrative treatment for BPD patients - Makes treatment more accessible to a wider range of patients - Provides clinicians and researchers with a review of the current BPD literature - Offers solutions to the problem of treatment access for BPD patients - Addresses questions regarding the complex developmental trajectories of BPD - Presents a model of stepped care treatment of BPD and describes research on its effectiveness
It is difficult to improve on a classic, but the fifth edition of Psychodynamic Psychiatry in Clinical Practice does just that, offering the updates readers expect with a deft reorganization that integrates DSM-5® with the author's emphasis on psychodynamic thinking. The individual patient is never sacrificed to the diagnostic category, yet clinicians will find the guidance they need to apply DSM-5® appropriately. Each chapter has been systematically updated to reflect the myriad and manifold changes in the 9 years since the previous edition's publication. All 19 chapters have new references and cutting-edge material that will prepare psychiatrists and residents to treat patients with compassion and skill. The book offers the following features: Each chapter integrates new neurobiological findings with psychodynamic understanding so that clinicians can approach their patients with a truly biopsychosocial treatment plan. Excellent writing and an intuitive structure make complicated psychodynamic concepts easy to understand so that readers can grasp the practical application of theory in everyday practice. The book links clinical understanding to the new DSM-5® nomenclature so that clinicians and trainees can adapt psychodynamic thinking to the new conceptual models of disorders. New coverage of psychodynamic thinking with relation to the treatment of patients on the autism spectrum addresses an increasingly important practice area. Posttraumatic stress and dissociative disorders have been combined to allow for integrated coverage of primary psychiatric disorders related to trauma and stressors. A boon to clinicians in training and practice, the book has been meticulously edited and grounded in the latest research. The author firmly believes that clinicians must not lose the complexities of the person in the process of helping the patient. Psychodynamic Psychiatry in Clinical Practice, Fifth Edition, keeps this approach front and center as it engages, instructs, and exhorts the reader in the thoughtful, humane practice of psychodynamic psychiatry.