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Bibframe Work

Title
Handbook of good psychiatric management for borderline personality disorder and alcohol use disorder
Type
Text
Monograph
Contribution
Choi-Kain, Lois W (Editor)
Connery, Hilary Smith (Editor)
American Psychiatric Association Publishing (Issuing body)
Subject
Borderline Personality Disorder (MESH)
Alcohol-Related Disorders (MESH)
Comorbidity (MESH)
Combined Modality Therapy--methods (MESH)
Psychotherapy--methods (MESH)
Language
English
Classification
LCC: RC569.5.B67 (Assigner: dlc) (Status: used by assigner)
NLM: WM 190.5.B5 (Assigner: dnlm) (Status: used by assigner)
DDC: 616.85/852 full (Assigner: dlc)(Source: 23/eng/20240719)
Supplementary Content
bibliography
index
Content
text
Summary
"Borderline personality disorder (BPD) and alcohol use disorder (AUD) co-occur quite often. Nearly half of all patients meeting diagnostic criteria for BPD have a concurrent AUD, and more than half will have AUD sometime in their life. Yet no integrated treatments for this common set of conditions have been adequately tested or disseminated. While still among the most stigmatized disorders in psychiatry and medicine at large, BPD's prognosis has been radically transformed; despite the longstanding belief that it was not treatable, we now know that it is highly likely to remit over time and is responsive to numerous evidence-based psychotherapies. Alcohol use combines with the vulnerabilities of BPD bidirectionally to compound disabling symptoms, increase risk for death by suicide, and render treatment more challenging. But, like BPD, AUD is treatable. These facts about BPD and AUD make obvious the need for combined intervention. Good Psychiatric Management for Borderline Personality Disorder and Alcohol Use Disorder provides education and a general approach to clinical management. Good psychiatric management's (GPM's) multimodal approach naturally incorporates medication, individual therapies, clinical case management, family work, and mutual help groups. BPD and AUD share core features of diminished neurocognitive and emotional processing capacity and insufficient agency, self-esteem, and coherent sense of self, and they are both associated with diminished social networks. Multimodal treatment broadens social networks (multiple clinical professionals providing care alongside loved ones) to reduce risk factors for relapse, increase support, and enhance recovery from both disorders. Treatment emphasizes the development of different coping responses and more effective prosocial behaviors that are more likely to generate the interpersonal responses needed to build health in sense of self and relationships. GPM uses motivational interviewing that focuses on drinking behaviors as well as self-destructive behaviors related to BPD. This generalist intervention is meant to be "good enough," in the spirit of pediatrician and psychoanalyst Donald Winnicott discussing normal developmental transformations. GPM encourages clinicians to gradually foster tolerable challenges for patients in their lives outside of treatment so that they can develop a sense of capability to manage those challenges on their own"-- Provided by publisher.
Table Of Contents
Introduction to Good Psychiatric Management for Borderline Personality Disorder and Alcohol Use Disorder (GPM-AUD)
Overall Principles
Integrating Dynamic Deconstructive Psychotherapy Into Good Psychiatric Management
Making the Diagnosis
Setting the Framework
Managing Suicidality and Nonsuicidal Self-Injury
Pharmacotherapy for Co-occurring Borderline Personality Disorder and Alcohol Use Disorder
Multimodal Treatments
Level-of-Care Considerations for Patients With Substance Use Disorders and Borderline Personality Disorder
Putting It Together in the Real World : Tips for Adapting GPM-AUD to Your Clinical Setting
Case Example.
Authorized Access Point
Handbook of good psychiatric management for borderline personality disorder and alcohol use disorder
Admin Metadata
Status: new
Date: 2024-04-30
Agent:
Admin Metadata
Status: changed
Date: 2024-07-19T11:21:42
Description Modifier: United States, Library of Congress
Admin Metadata
Status: changed
Date: 2024-07-20T01:43:23.151247-04:00
Admin Metadata
Encoding Level: prepublication
Identified By: bf:Local, 23668714
Description Language: English
Description Authentication: Program for Cooperative Cataloging