The Zanarini Rating Scale for BPD is a nine-item, validated, clinician-based diagnostic interview. It assesses the severity of DSM-IV-based Borderline Personality Disorder symptoms. This scale also measures meaningful changes in symptoms over time. The 0-4 points rating ranges from No Symptoms (0) to Severe Symptoms (4) for the following categories: Affective: Inappropriate anger / frequent angry acts; chronic feelings of emptiness; mood instability Cognitive: Stress-related paranoia / dissociation; severe identity disturbance based on false personal beliefs Impulsive: Self-mutilation and/or suicidal efforts; two other forms of impulsivity Interpersonal: Unstable interpersonal relationships; frantic efforts to avoid abandonment
Author: Director Laboratory for the Study of Adult Development McLean Hospital Belmont Massachusetts Associate Professor of Psychology Harvard Medical School Boston Massachusetts Mary C Zanarini, Ed.D
The McLean Screening Instrument-BPD is a 10-item, yes/no, self-report patient screening scale. It is used with an undiagnosed population to identify people who need further evaluation for BPD. The scale demonstrates strong sensitivity (the degree to which it correctly identifies patients who do have the disorder), as well as strong specificity (the degree to which it correctly identifies patients who do not have the disorder).
In the Fullness of Time debunks the common myth that BPD is incurable, drawing on the findings of the NIMH-funded study, the McLean Study of Adult Development, which has found that BPD has the best symptomatic outcome of all major mental illnesses.
Systems Training for Emotional Predictability and Problem Solving (STEPPS) brings together research findings and information on implementation and best practices for a group treatment program for outpatients with BPD.
Applications of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders provides clinicians with a "how to" guide for using the UP to treat a broad range of commonly encountered psychological disorders in adults.
Though much progress has been made in developing specialist psychosocial treatments for borderline personality disorder (BPD), the majority of people with BPD receive treatment within generalist mental health services. This is a practical evidence-based guide on how to help people with BPD with advice based on research evidence.
The revised and expanded third edition of the bestselling guide to understanding borderline personality disorder—with advice for communicating with and helping the borderline individuals in your life. After more than three decades as the essential guide to borderline personality disorder (BPD), the third edition of I Hate You—Don’t Leave Me now reflects the most up-to-date research that has opened doors to the neurobiological, genetic, and developmental roots of the disorder, as well as connections between BPD and substance abuse, sexual abuse, post-traumatic stress syndrome, ADHD, and eating disorders. Both pharmacological and psychotherapeutic advancements point to real hope for success in the treatment and understanding of BPD. This expanded and revised edition is an invaluable resource for those diagnosed with BPD and their family, friends, and colleagues, as well as professionals and students in the field, and the practical tools and advice are easy to understand and use in your day-to-day interactions with the borderline individuals in your life.
Over the past decade, there has been a burgeoning of interest in understanding and treating borderline personality disorder, a disorder characterized by extreme emotional reactivity, impulsivity and serious interpersonal difficulties resulting in frequent loss of relationships. Individuals with borderline personality disorder comprise a substantial proportion of the psychiatric outpatient population, are often seen in emergency rooms and have major functional impairment (e.g. unemployment). Suicide occurs in 3-9% of the population. Furthermore, non-suicidal self injury (e.g. cutting without the intent to die), eating disorders and substance abuse are frequently seen in the context of borderline personality disorder. Not only do the individuals with the disorder suffer , their family members also experience distress and can feel burdened and overwhelmed. Once thought to be nonexistent or a 'grab bag' diagnosis, borderline personality disorder is now understood as a significant emotional disorder with its own neurobiological and psychosocial correlates. At the same time, the disorder is still poorly understood and stigmatized with limited resources available to the novice clinician and mental health professional trainees (e.g. psychiatry residents, psychology doctoral students, social work students). The aim of this primer on borderline personality disorder is to fill this void and provide an accessible, easy-to-use , clinically-oriented, evidenced-based guide for early stage clinicians. We present the most up to data about borderline personality disorder by leading experts in the field in a format accessible to trainees and professionals working with individuals with borderline personality disorder and their family members. The volume is comprehensive and covers the etiology of BPD, its clinical presentation and co-morbid disorders, genetics and neurobiology of BPD, effective treatment of BPD, the role of advocacy and special subpopulations (e.g.forensic)in the clinical management of BPD.
Diagnosing Borderline Personality Disorder (BPD) in young people has long been a tough call for clinicians, either for fear of stigmatizing the child or confusing the normal mood shifts of adolescence with pathology. Now, a recent upsurge in relevant research into early-onset BPD is inspiring the field to move beyond this hesitance toward a developmentally nuanced understanding of the disorder. The Handbook of Borderline Personality Disorder in Children and Adolescents reflects the broad scope and empirical strengths of current research as well as promising advances in treatment. This comprehensive resource is authored by veteran and emerging names across disciplines, including developmental psychopathology, clinical psychology, child psychiatry, genetics and neuroscience in order to organize the field for an integrative future. Leading-edge topics range from the role of parenting in the development of BPD to trait-based versus symptom-based assessment approaches, from the life-course trajectory of BPD to the impact of the DSM-5 on diagnosis. And of particular interest are the data on youth modifications of widely used adult interventions, with session excerpts. Key areas featured in the Handbook: The history of research on BPD in childhood and adolescence. Conceptualization and assessment issues. Etiology and core components of BPD. Developmental course and psychosocial correlates. Empirically supported treatment methods. Implications for future research, assessment and intervention. The Handbook of Borderline Personality Disorder in Children and Adolescents is a breakthrough reference for researchers and clinicians in a wide range of disciplines, including child and school psychology and psychiatry, social work, psychotherapy and counseling, nursing management and research and personality and social psychology.
Explore and understand new approaches in Borderline therapy. Borderline Personality Disorder (BPD) lags far behind other disorders such as schizophrenia in terms of research and treatment interventions. Debates about diagnosis, etiology, neurobiology, genetics, medication, and treatment still persist. Borderline Personality Disorder: Meeting the Challenges to Successful Treatment brings together over two dozen of the field’s leading experts in one enlightening text. The book also offers mental health providers a view of BPD from the perspectives of sufferers as well as family members to foster an understanding of the experiences of relatives who are often devastated by their loved ones’ struggles with this common disorder. Although there has been an increasing interest in BPD in terms of research funding, treatment advancement, and acknowledgment of family perspective over the last decade, the fact remains that the disorder is still highly stigmatized. Borderline Personality Disorder: Meeting the Challenges to Successful Treatment provides social workers and other mental health clinicians with practical access to the knowledge necessary for effective treatment in a single volume of the most current research, information, and management considerations. This important collection explores the latest methods and approaches to treating BPD patients and supporting their families. This useful text also features handy worksheets and numerous tables that present pertinent information clearly. Chapters in Borderline Personality Disorder: Meeting the Challenges to Successful Treatment include: an overview of Borderline Personality Disorder confronting myths and stereotypes about BPD biological underpinnings of BPD BPD and the need for community - a social worker’s perspective on an evidence-based approach to managing suicidal behavior in BPD patients Dialectical Behavior Therapy supportive psychotherapy for borderline patients Systems Training for Emotional Predictability and Problem Solving (STEPPS) Mentalization-based Treatment fostering validating responses in families Family Connections: an education and skills training program for family member wellbeing and much more! Full of practical, useable ideas for the betterment of those affected by BPD, Borderline Personality Disorder: Meeting the Challenges to Successful Treatment is a valuable resource for social workers, psychologists, psychiatrists, and counselors, as well as students, researchers, and academics in the mental health field, family members, loved ones, and anyone directly affected by BPD.
