Preface
Acknowledgements
Section I: Background
Chapter 1. Introduction to good psychiatric management (GPM)
Section II: GPM manual: Treatment Guidelines
Chapter 2. Overall principles
Chapter 3. Making the diagnosis
Chapter 4. Getting started
Chapter 5. Managing suicidality and nonsuicidal self-harm
Chapter 6. Pharmacotherapy and comorbidity
Chapter 7. Split treatments
Section III: GPM Workbook: Case Illustrations
Chapter 8. Case illustrations
Section IV: GPM Video Guide: Demonstrations of the Approach
Chapter 9. Video demonstrations
Appendix A: Relation of GPM to other evidence-based treatments for
BPD
Appendix B: Common features of evidence-based treatments for
BPD
Appendix C: Safety Planning: An Example
Appendix D: Guidelines for Families
References
Index
This book shows how practitioners can apply evidence-based principles to the management of patients with BPD without having to refer patients to more specialized but less accessible clinics. It is a practical guide to real-world therapy. Joel Paris, M.D., Professor of Psychiatry, McGill University The handbook is a basic training manual in case management of Borderline Personality Disorder (BPD) and how to become confident in dealing with these patients. The premise of the book is to have all psychiatrists become 'good enough' to treat these patients first-hand. The authors have done an amazing job of packing together rich information regarding how to handle everyday challenges and solve dilemmas by making solid decisions. The handbook is a clear advantage beyond all other teaching material prepared so far of how to manage borderline patients. It represents a treasure trove of readily usable knowledge and it offers the reader immediately useful therapeutic tools for decisions. It is a handbook full of insight by two frontier researchers and clinicians in borderline personality disorders. Their wealth of clinical wisdom will empower the reader and case manager. I recommend this book to all psychiatric residents, the psychiatric staff in psychiatric departments, psychiatrist in private practice and to general practitioners, whose aim is to handle these patients in a professional way and to feel comfortable doing so. Erik Simonsen, M.D., Ph.D., Professor of Psychiatry, Roskilde University & Institute of Personality Theory and Psychopathology; Director, Unit of Psychiatric Research, Region Zealand, Denmark Overall, I find this Handbook to be extremely important and to fill an important gap in the literature on BPD. It provides a fairly straightforward guideline for treating BPD that is available to the typical mental health professional. That is a huge contribution. The evidence-based treatments can at times be intimidatingly prescriptive and require expensive, intensive training. This leaves the bulk of clinicians who do not have the time and money to get that training and yet have to take care of people with BPD (as it is so common) with a sense of uncertainty and inadequacy. The present Handbook helps clinicians build on their basic skill set to become empowered to treat this sometimes difficult group of patients. I therefore find it to be a major contribution that we need desperately in our field. Antonia S. New, M.D., Prof, Psych & Dir, Med Student Educ, Dept of Psych, Icahn Scl of Med at Mount Sinai; Co-Dir, Clin & Translational Research, Mntl Illness Research & Educ Ctr, James J Peters VAMC
John G. Gunderson, M.D., is Professor of Psychiatry, Harvard Medical School, and Director, BPD Center for Treatment, Research and Training, McLean Hospital, Belmont, Massachusetts.
Paul Links, M.D., M.Sc., F.R.C.P.C., is Professor and Chair, Department of Psychiatry, Schulich School of Medicine and Dentistry, The University of Western Ontario, and Chief of Psychiatry, London Health Sciences Centre and St. Joseph's Health Care, London, Ontario.
This is an excellent book for treating patients with BPD. There are too many useful features to enumerate, but what I found most interesting is the data that most BPD patients get better with "good enough" treatment and do not need to be managed through high-level tertiary care centers. This book provides clinicians with the guidelines and the confidence to treat borderline patients, including those who have not had training or supervision related to this problem. Of particular importance is that Dr. Gunderson's approach is flexible and pragmatic, in recognition of the fact that each clinical situation is different, and that he addresses many clinicians' fears of liability, suicidality, and hostile/negative borderline patient interaction that almost all of us have experienced. I highly recommend this book for anyone treating patients with borderline personality disorder.
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