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

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.

Table of Contents:
Chapter 1. An Overview of GPM: Origins and Directions A - Clinical Services Chapter 2. Inpatient Psychiatric Units Chapter 3. Emergency Departments Chapter 4. Consultation Liaison Service Chapter 5. Generalist Adult Outpatient Psychiatry Practice Chapter 6. College Mental Health Services B - Providers Chapter 7. Social Workers Chapter 8. Primary Care Providers Chapter 9. Psychopharmacologists Chapter 10. Psychotherapy Supervisors C - Implementation and Integration Chapter 11. Implementation of GPM in Ten Sessions Chapter 12. Implementation of GPM for Narcissistic Personality Disorder (NPD): Good Enough or Not Good Enough? Chapter 13. Integration with Dialectical Behavior Therapy Chapter 14. Integration with Mentalization-Based Treatment Chapter 15. Integration with Transference-Focused Psychotherapy Chapter 16. The Past and Future of GPM Conclusion

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.

Review :
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