Six percent of people in North America will develop borderline personality disorder (BPD) in their lifetime, and about 46% of them will have alcohol use disorder (AUD) at the same time. Alcohol use exacerbates the symptoms of both diseases, rendering treatment more challenging and increasing the risk of suicide. Integrated treatments have been lacking.
Good Psychiatric Management for Borderline Personality Disorder and Alcohol Use Disorder meets the urgent need for such an integrated approach. It provides clearly articulated descriptions of both BPD and AUD, outlining clinical patterns and how to diagnose them with confidence. Relying on general psychiatric principles with which most clinicians are already familiar, as well as up-to-date standards of care for both BPD and AUD, the handbook pays particular attention to areas of potential synergy, providing clinical logic for addressing complex, real-world cases.
Topics include the following:
• Progress assessment, psychoeducation, and goal setting;• Managing suicidality and nonsuicidal self-harm;• Pharmacotherapy;• Multimodal treatments, including mutual-help groups and family intervention; and• Level-of-care considerations.
The authors stress that, in the absence of evidence-based manualized therapy for treating BPD and AUD simultaneously, clinicians already have the tools to increase treatment retention, reduce the risk of suicide and death, and provide a sensible road map in the face of interpersonal, behavioral, and emotional challenges inherent to recovery for both conditions.
Innehållsförteckning
Table of Contents Preface Acknowledgements Chapter 1. Introduction to Good Psychiatric Management for Borderline Personality and Alcohol Use Disorder Chapter 2. Overall Principles Chapter 3. Integrating Dynamic Deconstructive Therapy into Good Psychiatric Management Chapter 4. Making the Diagnoses Chapter 5. Setting the Framework Chapter 6: Managing Suicidality and Nonsuicidal Self-Injury Chapter 7. Pharmacotherapy for Co-Occurring BPD and AUD Chapter 8. Multimodal Treatments Chapter 9. Level of Care Considerations for Patients with Substance Use Disorder and Borderline Personality Disorder Chapter 10. Putting it Together in Real-World Settings: tips for adapting GPM-AUD to your clinical setting Chapter 11. Case Illustration References Appendix
Om författaren
Lois W. Choi-Kain, M.D., M.Ed., is the Director of the Gunderson Personality Disorders Institute, Belmont, Massachusetts, and Associate Professor at Harvard Medical School, Boston, Massachusetts.
Hilary S. Connery, M.D., Ph.D., is the Clinical Director of the Division of Alcohol, Drugs, and Addiction at Mc Lean Hospital, Belmont, Massachusetts, and Assistant Professor of Psychiatry at Harvard Medical School, Boston, Massachusetts.
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