Handbook of Good Psychiatric Management for Adolescents With Borderline Personality Disorder
Somewhere between 11% and 22% of adolescents seeking mental health care in outpatient clinics—and between 33% and 49% of those in inpatient units—meet the diagnostic criteria for borderline personality disorder (BPD). Despite its high prevalence, however, and the high social and economic costs that it entails, BPD remains underdiagnosed, and sufficient training regarding its fundamentals and clinical management is largely unavailable for mental health professionals treating adolescents.

It is precisely these essential guidelines that clinicians will find in the Handbook of Good Psychiatric Management for Adolescents With Borderline Personality Disorder. Adapted from Dr. John Gunderson's good psychiatric management (GPM), a resource-efficient generalist treatment for adults with BPD, this manual uses GPM for adolescents (GPM-A) to demystify BPD in young people, describing common problems that arise during each phase or aspect of treatment, from patient rejection of diagnosis and conflicts among clinicians providing care to nonadherence to medications and concerns about stigma.

Case vignettes that feature key decision points propose alternative interventions and demonstrate how to apply the book's concepts in a variety of settings. Additionally, speech bubbles throughout the handbook offer suggestions for how to phrase explanations and interventions to communicate effectively with adolescent patients at an appropriate level.

Although the pragmatic GPM-A principles outlined in this book are based on real-world experience and bolstered by scientific evidence, they are not intended to be an end point for treatment. They are, rather, a road map to provide "good enough" care even in the absence of specialized treatments, and clinicians are encouraged to adjust the lessons as needed for their practice.

The education provided in the handbook is meant to be shared with patients, their families, schools, clinical teams, and trainees as a resource for motivation in persevering with the difficult but worthwhile investments in treatment.

1138405741
Handbook of Good Psychiatric Management for Adolescents With Borderline Personality Disorder
Somewhere between 11% and 22% of adolescents seeking mental health care in outpatient clinics—and between 33% and 49% of those in inpatient units—meet the diagnostic criteria for borderline personality disorder (BPD). Despite its high prevalence, however, and the high social and economic costs that it entails, BPD remains underdiagnosed, and sufficient training regarding its fundamentals and clinical management is largely unavailable for mental health professionals treating adolescents.

It is precisely these essential guidelines that clinicians will find in the Handbook of Good Psychiatric Management for Adolescents With Borderline Personality Disorder. Adapted from Dr. John Gunderson's good psychiatric management (GPM), a resource-efficient generalist treatment for adults with BPD, this manual uses GPM for adolescents (GPM-A) to demystify BPD in young people, describing common problems that arise during each phase or aspect of treatment, from patient rejection of diagnosis and conflicts among clinicians providing care to nonadherence to medications and concerns about stigma.

Case vignettes that feature key decision points propose alternative interventions and demonstrate how to apply the book's concepts in a variety of settings. Additionally, speech bubbles throughout the handbook offer suggestions for how to phrase explanations and interventions to communicate effectively with adolescent patients at an appropriate level.

Although the pragmatic GPM-A principles outlined in this book are based on real-world experience and bolstered by scientific evidence, they are not intended to be an end point for treatment. They are, rather, a road map to provide "good enough" care even in the absence of specialized treatments, and clinicians are encouraged to adjust the lessons as needed for their practice.

The education provided in the handbook is meant to be shared with patients, their families, schools, clinical teams, and trainees as a resource for motivation in persevering with the difficult but worthwhile investments in treatment.

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Handbook of Good Psychiatric Management for Adolescents With Borderline Personality Disorder

Handbook of Good Psychiatric Management for Adolescents With Borderline Personality Disorder

Handbook of Good Psychiatric Management for Adolescents With Borderline Personality Disorder

Handbook of Good Psychiatric Management for Adolescents With Borderline Personality Disorder

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Overview

Somewhere between 11% and 22% of adolescents seeking mental health care in outpatient clinics—and between 33% and 49% of those in inpatient units—meet the diagnostic criteria for borderline personality disorder (BPD). Despite its high prevalence, however, and the high social and economic costs that it entails, BPD remains underdiagnosed, and sufficient training regarding its fundamentals and clinical management is largely unavailable for mental health professionals treating adolescents.

It is precisely these essential guidelines that clinicians will find in the Handbook of Good Psychiatric Management for Adolescents With Borderline Personality Disorder. Adapted from Dr. John Gunderson's good psychiatric management (GPM), a resource-efficient generalist treatment for adults with BPD, this manual uses GPM for adolescents (GPM-A) to demystify BPD in young people, describing common problems that arise during each phase or aspect of treatment, from patient rejection of diagnosis and conflicts among clinicians providing care to nonadherence to medications and concerns about stigma.

Case vignettes that feature key decision points propose alternative interventions and demonstrate how to apply the book's concepts in a variety of settings. Additionally, speech bubbles throughout the handbook offer suggestions for how to phrase explanations and interventions to communicate effectively with adolescent patients at an appropriate level.

Although the pragmatic GPM-A principles outlined in this book are based on real-world experience and bolstered by scientific evidence, they are not intended to be an end point for treatment. They are, rather, a road map to provide "good enough" care even in the absence of specialized treatments, and clinicians are encouraged to adjust the lessons as needed for their practice.

The education provided in the handbook is meant to be shared with patients, their families, schools, clinical teams, and trainees as a resource for motivation in persevering with the difficult but worthwhile investments in treatment.


Product Details

ISBN-13: 9781615373932
Publisher: American Psychiatric Association Publishing
Publication date: 06/08/2021
Pages: 330
Product dimensions: 6.00(w) x 9.00(h) x 0.56(d)
Age Range: 18 Years

About the Author

Lois W. ChoiKain, M.D., M.Ed., is Assistant Professor of Psychiatry at Harvard Medical School and Director of the Gunderson Personality Disorders Institute, McLean Hospital.

Carla Sharp, Ph.D., is Professor of Psychology in Clinical Psychology at the University of Houston.

Table of Contents

Contributors vii

Acknowledgment ix

Preface xi

1 Introduction to Good Psychiatric Management for Adolescents Lois W. Choi-Kain, M.D., M.Ed., DFAPA Carta Sharp, Ph.D. 1

2 Overall Principles Marcelo Brañas, M.D. Eduardo Martinho Jr., M.D., Ph.D. Marcos Croci, M.D. 19

3 Making the Diagnosis and Providing Psychoeducation Gabrielle Ilagan, B.A. Teresa Carreño, M.D. Lois W. Choi-Kain, M.D., M.Ed., DFAPA

4 Getting Started Teresa Carreño, M.D. Gabrielle Ilagan, B.A.

5 Managing Suicidality and Nonsuicidal Self-Injury Marcos Croci, M.D. Eduardo Martinho Jr, M.D., Ph.D. Marcelo Brañas, M.D. 79

6 Pharmacotherapy and Comorbidity Carl Fleisher, M.D. Sara Rose Masland, Ph.D. 103

7 Multimodal Treatments Sara Rose Masland, Ph.D. Carl Fleisher, M.D. 123

8 Ending Treatment Lois W. Choi-Kain, M.D., M.Ed., DFAPA Carla Sharp, Ph.D. 149

9 Case Illustrations 153

References 219

Appendix A Relation of Good Psychiatric Management for Adolescents to Other Evidence-Based Treatments for Adolescent Borderline Personality Disorder 247

Appendix B General Psychiatric Management Adherence Scale 275

Appendix C Online Good Psychiatric Management Training 281

Appendix D Guidelines for Families 283

Appendix E Online Psychoeducation Resources 299

Index 305

What People are Saying About This

Joel Paris

This book, written by experts in the field, sheds light on a mental disorder that is common in clinics but is often misdiagnosed, misunderstood, and mistreated. Clinicians looking for guidance about how to assess and treat these patients will find it here.

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