Applications of Good Psychiatric Management for Borderline Personality Disorder: A Practical Guide

by Lois W. Choi-Kain MD MEd (Editor), John G. Gunderson MD (Editor)

Overview

Practitioners encounter patients with borderline personality disorder (BPD) with surprising frequency; indeed, 1 in 10 emergency room visits and 1 in 20 primary care appointments are estimated to involve people with BPD. Applications of Good Psychiatric Management for Borderline Personality Disorder: A Practical Guide was written not for the psychiatrist engaged in lengthy and complex psychotherapy with these patients but for the generalist who needs the basic skills to deliver good care to this sizeable patient population in need of help. This guide condenses the vast expanse of the latest scientific research and describes the use of good psychiatric management (GPM) with different patient populations, in conjunction with different modalities, for different professions, and in different treatment settings. Constructed carefully by two leading psychiatrists in the field of BPD, the book is designed for maximum utility with stand-alone chapters offering clear guidelines for managing BPD. Topics and features include the following: • Case vignettes, which are designed to make the book practical and eminently useful, provide "decision points" where alternative interventions are proposed and discussed, demonstrating how to apply the concepts outlined in the chapter. Although the authors review the relative merits of these interventions, the presentation promotes active learning and the ability to adapt to unpredictable clinical realities. • Challenges to implementing GPM that are specific to a particular treatment setting -- consultations, inpatient and outpatient settings, emergency departments, and colleges -- are directly addressed so the guidelines are immediately relevant to the target audience of each chapter.• Clinicians from a variety of fields, including social workers, primary care providers, psychopharmacologists, and training supervisors, care for patients with BPD, and the book makes concrete suggestions about how to apply GPM in a range of practice types.• Implementation of GPM in a brief format and how it can be applied to other personality disorders is also addressed. It explains how GPM can be integrated with other evidence-based treatments for BPD, such as dialectical behavior therapy, mentalization-based treatment, and transference-focused psychotherapy.

Written in a down-to-earth style, this case management text will appeal to the resident on call, the specialist, and the generalist. Above all, Applications of Good Psychiatric Management for Borderline Personality Disorder: A Practical Guide addresses the challenges specific to different treatment contexts to help busy clinicians provide informed, effective care for their patients with BPD.

Product Details

ISBN-13:	9781615372539
Publisher:	American Psychiatric Association Publishing
Publication date:	04/19/2019
Sold by:	Barnes & Noble
Format:	eBook
Pages:	410
Sales rank:	840,742
File size:	3 MB
Age Range:	18 Years

About the Author

Lois W. Choi-Kain, M.D., M.Ed., is Assistant Professor in Psychiatry in the Department of Psychiatry, Medical and Program Director of Gunderson Residence at McLean Hospital in Belmont, and Director of McLean Hospital Adult Borderline Center and Training Institute of Harvard Medical School in Boston, Massachusetts.

John G. Gunderson, M.D., is Professor of Psychiatry, Emeritus, at Harvard Medical School in Boston and Consultant in Psychiatry at McLean Hospital in Belmont, Massachusetts.

Table of Contents

PrefaceChapter 1. An Overview of Good Psychiatric Management: Origins and DirectionsPart I: Clinical ServicesChapter 2. Inpatient Psychiatric UnitsChapter 3. Emergency Departments Chapter 4. Consultation-Liaison ServiceChapter 5. Generalist Adult Outpatient Psychiatry PracticeChapter 6. College Mental Health ServicesPart II: ProvidersChapter 7. Social WorkersChapter 8. Primary Care ProvidersChapter 9. PsychopharmacologistsChapter 10. Psychotherapy SupervisorsPart III: Implementation and IntegrationChapter 11. Implementation of Good Psychiatric Management in Ten SessionsChapter 12. Implementation of Good Psychiatric Management for Narcissistic Personality Disorder: Good Enough or Not Good Enough?Chapter 13. Integration With Dialectical Behavior TherapyChapter 14. Integration With Mentalization-Based TreatmentChapter 15. Integration With Transference-Focused PsychotherapyPart IV: ConclusionChapter 16. Conclusion: The Future of Good Psychiatric ManagementAppendix A: Additional ResourcesAppendix B: Stepped Care ModelAppendix C: Interpersonal Coherence Model

What People are Saying About This

Glen O. Gabbard

Borderline personality disorder has long been one of the most vexing conditions encountered by mental health practitioners. This new volume by Choi-Kain and Gunderson has provided a systematic, clearly written guidebook that is a model of clarity for clinicians. It anticipates the common problems that will present themselves and offers wise and practical solutions for them. It is a marvelous contribution to the field. If you can only buy one book on the subject of borderline personality disorder, this is the one you want.

Editorial Reviews

Reviewer: Hannah E Williams, M.D.(Pine Rest Christian Mental Health Services)
Description: This book elucidates a more accessible treatment methodology for patients with borderline personality disorder (BPD) geared toward general practitioners. It is organized into sections for clinical service setting, provider type, implementation and integration of the treatment modality, and a conclusion. It contains tables, figures, case vignettes with discussion questions, and sample treatment protocols for application.
Purpose: The identified aim is to outline treatment approaches for patients with BPD that are more accessible to, and implementable by, a wide range of clinical providers. The current treatment of BPD focuses on specialized care, and the authors point out that a general and practical approach is more likely to reach patients. Given the number of clinical encounters devoted to these patients, it is a worthy goal to provide high-quality care in multiple settings. The authors achieve this with their well thought out layout and approachable, practical advice.
Audience: The authors identify the audience as general practitioners who are likely to have contact with BPD patients. They identify these groups as general psychiatrists, social workers, residents, emergency medicine providers, and primary care providers. The book is well organized to meet the needs of these audiences, so they can quickly find sections pertinent for them. There is a wide variety of contributors who are recognized experts in the area of BPD.
Features: Several features make this book particularly useful as a practical guide. The case examples with decision point questions in each chapter help place the material into a clinical context. The cases are realistic and do well in terms of pointing out key areas of care. The appendixes offer online training options for clinicians as well as additional resources. Given the goal of making management of BPD accessible, the offer of free courses on GPM (good psychiatric management) online adds to the diversity of resources. This makes it clear that the authors truly want to make treatment of BPD more practical for nonspecialists.
Assessment: Although the book is lengthy, the division of sections pertaining to treatment settings and provider types makes it widely relevant to providers working with patients with BPD. The authors are successful in their goal of reaching the generalist audience with this approach. This is a first edition, but it does expand upon a comparable book intended specifically for mental health professionals, Handbook of Good Psychiatric Management for Borderline Personality Disorder, Gunderson and Links (American Psychiatric Association Publishing, 2014). Overall, this book makes a strong contribution to resources for generalists working with the BPD population.

Doody's Review Service

Although the book is lengthy, the division of sections pertaining to treatment settings and provider types makes it widely relevant to providers working with patients with BPD. The authors are successful in their goal of reaching the generalist audience with this approach. This is a first edition, but it does expand upon a comparable book intended specifically for mental health professionals, Handbook of Good Psychiatric Management for Borderline Personality Disorder, Gunderson. Overall, this book makes a strong contribution to resources for generalists working with the BPD population

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