Borderline Personality Disorder

An Evidence-based Guide for Generalist Mental Health Professionals

Author: Anthony W. Bateman,Roy Krawitz

Publisher: Oxford University Press

ISBN: 0199644209

Category: Medical

Page: 240

View: 9064

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.
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Mentalization Based Treatment for Personality Disorders

A Practical Guide

Author: Anthony Bateman,Peter Fonagy

Publisher: Oxford University Press

ISBN: 019968037X

Category: Personality disorders

Page: 480

View: 5872

This practical guide on mentalization-based treatment (MBT) of personality disorders outlines the mentalizing model of borderline and antisocial personality disorders and how it translates into clinical treatment. The book, divided into four parts - the mentalizing framework, basic mentalizing practice, mentalizing and groups, and mentalizing systems - covers the aims and structure of treatment, outlines how patients are introduced to the mentalizing model so thattheir personality disorder makes sense to them, explains why certain interventions are recommended and others are discouraged, and systematically describes the process of treatment in both group andindividual therapy to support more stable mentalizing.
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Understanding Personality Disorders

Author: Duane L. Dobbert

Publisher: Rowman & Littlefield

ISBN: 1442206969

Category: Psychology

Page: 168

View: 5370

People with personality disorders are all around us, though many times we're not aware of those who are overly paranoid, obsessive-compulsive, antisocial, or overly dependent until it's too late. Indeed, many sufferers aren't aware themselves of their disorders and often go undiagnosed and untreated, leading to problems in their personal and professional lives. Here, Dobbert offers an introduction to the most common personality disorders, and a guide for those who work, live, or come in contact with sufferers on a daily basis.
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Borderline Personality Disorder

Author: Roy Krawitz,Wendy Jackson

Publisher: OUP Oxford

ISBN: 0191607088

Category: Health & Fitness

Page: 288

View: 8457

Borderline personality disorder (BPD) is a psychiatric condition that affects nearly 2% of the general population, predominantly women. Symptoms of BPD include impulsivity, mood swings, unstable intense relationships and feelings of chronic emptiness. Research on BPD has lagged behind that on other mental health conditions, such as depression and psychosis, primarily due to the lack of evidence of effective treatment but also due to the stigma historically associated with the condition. Fortunately this situation is changing, with improved treatments now available and improved clinician/organizational willingness to engage with those with a diagnosis of BPD. This candid book collaboratively co-authored by a person recovered from BPD and a BPD specialist therapist is written specifically for people with BPD (with support teams, including family, friends and clinicians also likely to benefit from reading the book). This authoritative and easily readable guide provides a compassionate understanding of the condition, plenty of in-depth practical recovery strategies and credible and realistic hope for recovery. The authors draw from the latest research and share years of personal and professional experience that brings the book alive. Review comments from Vice-President, National Education Alliance for BPD and Director, Middle Path (BPD advocacy organizations) include "most down-to-earth, accessible book for people with BPD" and "tremendous and potentially life-changing gift".
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Personality Disorder and Community Mental Health Teams

A Practitioner's Guide

Author: Mark Sampson,Remy McCubbin,Peter Tyrer

Publisher: John Wiley & Sons

ISBN: 0470030429

Category: Psychology

Page: 386

View: 6953

Practitioners in Community Mental Health Teams (CMHTs) frequently find that traditional forms of support are ineffective when offered to patients with personality disorder. This book considers the various difficulties encountered, with reference to current thinking about the origins, maintenance and treatment of personality disorder. Written by practitioners for practitioners, it provides a framework for developing effective care plans with minimal use of technical terms and jargon. Rather than promote an approach based on a single theoretical model, consideration is given to ways in which different approaches can be effectively combined within a multi-disciplinary team. The book is divided into two sections. The first outlines recent government initiatives relating to personality disorder and introduces key theories underlying psychological and biological treatments. The second focuses specifically on the role of the CMHT in relation to patients with these difficulties, including: the assessment of personality functioning developing coherent plans for treatment and support optimising the therapeutic relationship managing self-harming behaviour particular challenges faced by CMHTs, and how to overcome them the views of service users involving family, friends and carers. Personality Disorder and Community Mental Health Teams deals with the reality of services today. It is essential reading for all mental health practitioners in CMHTs working with people with personality disorder.
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Psychotherapy for Borderline Personality Disorder

Mentalization-based Treatment

Author: Anthony Bateman,Peter Fonagy

Publisher: Oxford University Press, USA

ISBN: 9780198527664

Category: Medical

Page: 381

View: 5569

Borderline Personality disorder is a severe personality dysfunction characterized by behavioural features such as impulsivity, identity disturbance, suicidal behaviour, emptiness, and intense and unstable relationships. Approximately 2% of the population are thought to meet the criteria for BPD. The authors of this volume - Anthony Bateman and Peter Fonagy - have developed a psychoanalytically oriented treatment to BPD known as mentalization treatment. With randomised controlled trialshaving shown this method to be effective, this book presents the first account of mentalization treatment for BPD. The first section gives an overview of BPD, including discussion of nosology, epidemiology, natural history, and psychosocial aetiology. It additionally summarises the present state of our research knowledge about effective psychotherapeutic treatments and use of medication. The second section outlines the authors' theoretical approach and contrasts it with other well known methods, including DBT, CAT, and CBT. In the extensive final section, the authors outline their clinical approach starting with how treatment is organised. A detailed account of the transferable features of the model is provided along with the main strategies and techniques of treatment. Numerous clinical examples are given to illustrate the core techniques and detailed information provided about how to apply aspects of the mentalization based treatment approach in everyday practice. Aimedat mental health professionals, along with counsellors, psychotherapists, and psychoanalysts, the book will be a valuable tool, providing an effective means of treating those suffering from Borderline Personality Disorder.
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Handbook of Good Psychiatric Management for Borderline Personality Disorder

Author: John G. Gunderson

Publisher: American Psychiatric Pub

ISBN: 1585625302

Category: Medical

Page: 180

View: 309

The diagnosis and treatment of patients with BPD can be fraught with anxiety, uncertainty, and complexity. How welcome, then, is the Handbook of Good Psychiatric Management for Borderline Personality Disorder, which teaches clinicians what to do and how to do it, as well as what not to do and how to avoid it. The author, a renowned researcher and clinician, has developed a new evidence-based treatment, Good Psychiatric Management (GPM) that comfortably utilizes cognitive, behavioral, and psychodynamic interventions that are practical and simple to implement. Because psychoeducation is an important component of GPM, the book teaches clinicians how to educate their patients about BPD, including the role of genetics and the expected course of the disease. This approach offers advantages both to practitioners, who become more adept at honest communication, and to patients, who are encouraged to have realistic hopes and to focus on strategies for coping with BPD in daily life. The book is structured for maximum learning, convenience, and utility, with an impressive array of features. Section I provides background on BPD, including the myths that sometimes discourage clinicians from treating these patients and that hamper the effective treatment of the disorder. Section II, the GPM Manual, provides a condensed and clear description of the most essential and specific GPM interventions that clinicians can learn from and use in everyday practice. Section III, the GPM Workbook, offers case vignettes which reference chapters from the manual. Each vignette has a number of "decision points" where alternative interventions are proposed and discussed. To further facilitate learning, a set of nine interactions is found in a series of online video demonstrations. Here, readers can see in vivo illustrations of the GPM model in practice. Finally, a set of appendices provides critical information, such as a comparison of GPM with other evidence-based treatments of BPD, scaling risk and response strategies, and family guidelines. Designed to be a basic case management text for all hospital, outpatient clinic, or office-based psychiatrists or mental health professionals who assume primary responsibility for the treatment of those with BPD, the Handbook of Good Psychiatric Management for Borderline Personality Disorder constitutes a breakthrough in the treatment of these often misunderstood patients.
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Person-Centered Diagnosis and Treatment in Mental Health

A Model for Empowering Clients

Author: Peter D. Ladd,AnnMarie Churchill

Publisher: Jessica Kingsley Publishers

ISBN: 1849058865

Category: Psychology

Page: 352

View: 4996

Clients with mental health conditions are often diagnosed and treated using a strictly medical model of diagnosis, with little input from the client themselves.This reference manual takes a person-centered, holistic approach to diagnosis and treatment, seeing the client as the unrecognized expert on their condition and encouraging their collaboration. Designed to complement the DSM-IV, the manual covers several different conditions including ADHD, depression, bulimia, and OCD, as well as mental health 'patterns' such as abuse, bullying, violence and loss. In each case, the client is involved in the diagnosis and treatment plan. the book features extended case studies, sample questions and treatment plans throughout.This will be an essential reference book for all those involved in mental health diagnosis and treatment, including psychologists, psychiatrists, mental health counselors, clinical social workers, school counselors and therapists.
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Schema Therapy for Borderline Personality Disorder

Author: Arnoud Arntz,Hannie van Genderen

Publisher: John Wiley & Sons

ISBN: 1119965675

Category: Psychology

Page: 206

View: 9116

The book was first published in Dutch by Uitgeverij Nieuwezijds - this book is an English language translation, translated from the original Dutch Language version by Jolijn Drost. The book offers a conceptual model of BPD, a treatment model and an array of methods and techniques for treating BPD clients. It covers treatment planning, the therapeutic relationships, cognitive and behavioural techniques, specific strategies, behavioural pattern breaking and the termination of therapy. The appendices contain handouts for patients including a biographical diary, forms for homework assignments and problem solving and a positive self statement log.
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Stepped Care for Borderline Personality Disorder

Making Treatment Brief, Effective, and Accessible

Author: Joel Paris

Publisher: Academic Press

ISBN: 0128114223

Category: Psychology

Page: 202

View: 8908

Stepped Care for Borderline Personality Disorder: Making Treatment Brief, Effective, and Accessible synthesizes the latest research and treatment developments with an aim to make treatment for BPD more accessible to a wider range of patients. The book provides clinicians with innovative, brief and targeted intervention methods for the disorder, offering clinicians a vital guide to the management of patients who are difficult to treat. Acknowledging the early developmental roots of BPD, the book includes sections on BPD in adolescence, childhood precursors of the disorder, and other etiological considerations, also including a roadmap of potential pitfalls. Features 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 Acknowledges problems with, and provides solutions for, treatment access for BPD patients Addresses questions regarding the complex developmental trajectories of BPD Looks at diagnosis, etiology and stepped-care treatment of BPD
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Antisocial Behaviour and Conduct Disorders in Children and Young People

Recognition, Intervention and Management

Author: National Collaborating Centre for Mental Health (Great Britain)

Publisher: RCPsych Publications

ISBN: 9781908020611

Category: Medical

Page: 466

View: 1761

Antisocial behaviour and conduct disorders are the most common reason for referral to child and adolescent mental health services and have a significant impact on the quality of life of children and young people and their parents and carers. Rates of other mental health problems (including antisocial personality disorder) are considerably increased for adults who had a conduct disorder in childhood. This new NICE guideline seeks to address these problems by offering advice on prevention strategies and a range of psychosocial interventions.It reviews the evidence across the care pathway, encompassing access to and delivery of services, experience of care, selective prevention interventions, case identification and assessment, psychological and psychosocial indicated prevention and treatment interventions, and pharmacological and physical interventions.Readership: Intended for healthcare professionals in CAMHS, but this will also be useful to professionals in primary care (as there is much emphasis on recognition).
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Understanding and Treating Borderline Personality Disorder

A Guide for Professionals and Families

Author: John G. Gunderson,Perry D. Hoffman

Publisher: American Psychiatric Pub

ISBN: 9781585626571

Category: Medical

Page: 192

View: 4423

Understanding and Treating Borderline Personality Disorder: A Guide for Professionals and Families offers both a valuable update for mental health professionals and much-needed information and encouragement for BPD patients and their families and friends. The editors of this eminently practical and accessible text have brought together the wide-ranging and updated perspectives of 15 recognized experts who discuss topics such as A new understanding of BPD, suggesting that individuals may be genetically prone to developing BPD and that certain stressful events may trigger its onset New evidence for the success of various forms of psychotherapy, including Dialectical Behavior Therapy (DBT), in reducing self-injury, drug dependence, and days in the hospital for some groups of people with BPD Pharmacology research showing that the use of specific medications can relieve the cognitive, affective, and impulsive symptoms experienced by individuals with BPD, as part of a comprehensive psychosocial treatment plan New resources for families to help them deal with the dysregulated emotions of their loved ones with BPD and to build effective support systems for themselves Yet much remains to be done. Research on BPD is 20 to 30 years behind that on other major psychiatric disorders such as schizophrenia and bipolar disorder. Despite evidence to the contrary, much of the professional literature on BPD continues to focus on childhood trauma, abuse, and neglect as triggers for BPD -- to the detriment of both patient and family. Families of people with BPD must deal with an array of burdens in coping with the illness, often without basic information. The chapters on families and BPD give voice to the experience of BPD from the perspective of individuals and family members, and offer the hope that family involvement in treatment will be beneficial to everyone. Above all, this book is about the partnership between mental health professionals and families affected by BPD, and about how such a partnership can advance our understanding and treatment of this disorder and provide hope for the future.
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Restoring Mentalizing in Attachment Relationships

Treating Trauma with Plain Old Therapy

Author: Jon G. Allen

Publisher: American Psychiatric Pub

ISBN: 1585624187

Category: Medical

Page: 301

View: 1040

The essence of "plain old therapy," according to Jon G. Allen, is a mindful relationship between the patient and a trusted clinician who recognizes and understands the patient's trauma and connects with the nature and magnitude of his or her suffering. In Restoring Mentalizing in Attachment Relationships: Treating Trauma With Plain Old Therapy, Allen, a clinical psychologist with widely respected expertise in trauma, makes a research-based case for the virtues of the healing relationship created and nurtured through traditional psychotherapy. Though in recent years therapy has become just one of many treatment options for posttraumatic stress disorder and other trauma-related illnesses, the author argues that it remains the best. The book provides a conceptual framework for treating trauma patients and illuminates relationship factors that are empirically associated with positive outcomes. Patients who have suffered broken and dysfunctional attachments will benefit from its emphasis on trust, compassion, and true connection. Mental health clinicians of diverse theoretical orientations -- be they psychiatrists, psychologists, or social workers, in training or practice -- will benefit from its emphasis on what works, as will their patients.
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Systems Training for Emotional Predictability and Problem Solving for Borderline Personality Disorder

Implementing STEPPS Around the Globe

Author: Donald W. Black,Nancee Blum,Adjunct Instructor of Psychiatry Nancee Blum, MSW

Publisher: Oxford University Press

ISBN: 0199384428

Category:

Page: 224

View: 7876

Borderline personality disorder (BPD) is a potentially severely debilitating psychiatric diagnosis that may affect up to 2% of the general population. Hallmarks of BPD include impulsivity, emotional instability, and poor self-image, and those with BPD have increased risk for self-harm and suicide. 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. A five-month long program easily learned and delivered by therapists from a wide range of theoretical orientations, STEPPS combines cognitive behavioral therapy, emotion management and behavioral skills training, and psychoeducation with a systems component that involves professional care providers, family, friends, and significant others of persons with BPD. The book provides a detailed description of the program, reviews the body of evidence supporting its use and implementation, and describes its dissemination worldwide and in different settings. Empirical data show that STEPPS is effective and produces clinically important improvement in mood and behavior, while reducing health care utilization. Unique among programs for BPD, STEPPS has been exhaustively studied in correctional systems (both prisons and community corrections), where it is shown to be as effective as in community settings. This volume will be a valuable guide to those in psychiatry, psychology, social work, nursing, and the counseling professions who treat people with BPD.
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CBT for Occupational Stress in Health Professionals

Introducing a Schema-Focused Approach

Author: Martin R. Bamber

Publisher: Routledge

ISBN: 113544661X

Category: Political Science

Page: 280

View: 1197

The costs of occupational stress in terms of sickness absence, ill-health-related retirement, litigation and lost productivity are increasing, putting strain on economies across the world. The fact that health care work is inherently more stressful than many other occupations makes it vital that the problem of occupational stress among health professionals is addressed. CBT for Occupational Stress in Health Professionals goes beyond simply defining the problem and fills a gap in the current literature by providing clear and concise individual treatment interventions. In three parts, the book covers: an overview of stress in the occupational context the standard CBT approach to assessment, formulation and treatment a new schema-focused approach to treating occupational stress. The schema-focused approach presented here provides powerful tools for treating a range of work-related problems for which standard CBT approaches are ineffective. Case studies are presented throughout the book to illustrate the therapeutic approaches described. This book will be of huge benefit to clinical and organizational psychologists, psychiatrists, mental health workers, counsellors and anyone else involved in treating occupational stress. It will also have much to offer those who manage people suffering from stress, human resource workers and those who are experiencing work-related stress.
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Dramatherapy for Borderline Personality Disorder

Empowering and Nurturing people through Creativity

Author: Nicky Morris

Publisher: Routledge

ISBN: 1351811134

Category: Psychology

Page: 162

View: 2330

Dramatherapy for Borderline Personality Disorder: Empowering and Nurturing People Through Creativity demonstrates how dramatherapy can empower those individuals struggling to live with borderline personality disorder, and help them embrace and control the emotional inner chaos they experience. ? Based on current research into the aetiology, symptoms and co-morbid disorders associated with BPD (and emotionally unstable personality disorder), this book demonstrates the effectiveness of dramatherapy for individuals and groups on specialist personality disorder wards and in mixed diagnosis rehabilitation units. It also reveals a creative approach for making dramatherapy work in harmony with approaches such as dialectical behaviour therapy and cognitive behaviour therapy. ? Aimed at those working with service users, and utilising a range of case studies and clinical vignettes, Dramatherapy for Borderline Personality Disorder provides an insight into the potential of dramatherapy, which will be welcomed by mental health professionals.
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Stepped Care for Borderline Personality Disorder

Making Treatment Brief, Effective, and Accessible

Author: Joel Paris

Publisher: Academic Press

ISBN: 0128114223

Category: Psychology

Page: 202

View: 6220

Stepped Care for Borderline Personality Disorder: Making Treatment Brief, Effective, and Accessible synthesizes the latest research and treatment developments with an aim to make treatment for BPD more accessible to a wider range of patients. The book provides clinicians with innovative, brief and targeted intervention methods for the disorder, offering clinicians a vital guide to the management of patients who are difficult to treat. Acknowledging the early developmental roots of BPD, the book includes sections on BPD in adolescence, childhood precursors of the disorder, and other etiological considerations, also including a roadmap of potential pitfalls. Features 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 Acknowledges problems with, and provides solutions for, treatment access for BPD patients Addresses questions regarding the complex developmental trajectories of BPD Looks at diagnosis, etiology and stepped-care treatment of BPD
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Mentalization-Based Treatment for Personality Disorders

A Practical Guide

Author: Anthony Bateman,Peter Fonagy

Publisher: Oxford University Press

ISBN: 0191669911

Category: Medical

Page: 480

View: 5509

Mentalizing - the ability to understand oneself and others by inferring mental states that lie behind overt behaviour - develops within the context of attachment relationships. It is crucial to self-regulation and constructive, intimate relationships, both of which are impaired in personality disorders because of sensitivity to losing mentalizing at times of anxiety and attachment stress. Loss of mentalizing leads to interpersonal and social problems, emotional variability, impulsivity, self-destructive behaviours, and violence. This practical guide on mentalization-based treatment (MBT) of personality disorders outlines the mentalizing model of borderline and antisocial personality disorders and how it translates into clinical treatment. The book, divided into four parts - the mentalizing framework, basic mentalizing practice, mentalizing and groups, and mentalizing systems - covers the aims and structure of treatment, outlines how patients are introduced to the mentalizing model so that their personality disorder makes sense to them, explains why certain interventions are recommended and others are discouraged, and systematically describes the process of treatment in both group and individual therapy to support more stable mentalizing. People with personality disorders commonly have comorbid mental health problems, such as depression and eating disorders, which complicate clinical treatment. Therefore, the book advises the clinician on how to manage comorbidity in treatment. In addition, mentalizing problems in families and social systems, for example, schools and mental health services are also covered. A families and carers training and support guide is provided as families and others are often neglected during the treatment of people with personality disorder. The book is a valuable guide for all mental health workers on how to effectively treat personality disorders.
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Mentalizing in Clinical Practice

Author: Jon G. Allen,Peter Fonagy,Anthony Bateman

Publisher: American Psychiatric Pub

ISBN: 1585623067

Category: Medical

Page: 403

View: 494

This timely and ambitious book helps clarify the meaning and clinical applications of the mentalization construct. The authors propose that mentalizing is the central corrective process of all psychotherapies.
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Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE)

Patient Workbook

Author: Sudie E. Back,Edna B. Foa,Therese K. Killeen,Katherine L. Mills,Maree Teesson,Bonnie Dansky Cotton,Kathleen M. Carroll,Kathleen T. Brady

Publisher: Oxford University Press

ISBN: 0199334528

Category: Psychology

Page: 128

View: 365

Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE) is a cognitive-behavioral psychotherapy program designed for patients who have posttraumatic stress disorder (PTSD) and a co-occurring alcohol or drug use disorder. COPE represents an integration of two evidence-based treatments: Prolonged Exposure (PE) therapy for PTSD and Relapse Prevention for substance use disorders. COPE is an integrated treatment, meaning that both the PTSD and substance use disorder are addressed concurrently in therapy by the same clinician, and patients can experience substantial reductions in both PTSD symptoms and substance use severity. Patients use the COPE Patient Workbook while their clinician uses the Therapist Guide to deliver treatment. The program is comprised of 12 individual, 60 to 90 minute therapy sessions. The program includes several components: information about how PTSD symptoms and substance use interact with one another; information about the most common reactions to trauma; techniques to help the patient manage cravings and thoughts about using alcohol or drugs; coping skills to help the patient prevent relapse to substances; a breathing retraining relaxation exercise; and in vivo (real life) and imaginal exposures to target the patient's PTSD symptoms.
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