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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.
Brian A. Palmer, MD, MPH
Mayo Clinic
Brandon T. Unruh, MD
McLean Hospital
Harvard Medical School
Organizing and shaping a treatment toward change.- Stimulating Reflection and Curiosity.- Approach to suicidal behaviors in BPD patients.- Navigating Intersession Contact.- Managing mistrust, paranoia, and relationship rupture.- BPD in the Emergency Department.- Principles of Inpatient BPD Management.- Caring for a Patient with BPD on the Inpatient Medical Service.- BPD and Substance Use.- Medical Problems and Comorbidities.- Managing Co-Morbidities and Appropriate Use of Psychopharmacology.- Engaging family to be productive participants in a BPD treatment.- Addressing narcissistic problems in treatment for BPD.- Narcissistic personality disorder with borderline features.- Providing consultation to determine level of care and organize treatment.- Early Diagnosis and Intervention in Adolescents.- When less may be more: scaling limited treatment resources using a stepped-care model.
