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This book brings together a series of experts and experienced clinicians to describe and discuss a series of BPD cases in a manner that emphasizes core descriptive and diagnostic features, generalizable principles and techniques, and key take-home messages for clinicians at all levels of experience. The book emphasizes consideration for the disorder from multiple perspectives to help identify effective responses to common clinical challenges and decision points.
To enhance interest, narrative, and readability, each chapter uses a consistent format to present a common clinical challenge along with an effective therapeutic response and discussion of relevant theoretical and empirically validated principles. Each chapter title contains a patient´s (fictionalized) name and a subheading identifying the clinical dilemma or approach to be illustrated. The text includes key points and chapter summaries to help pull together the most important takeaways as quick reference.
Borderline Personality Disorder is a vital resource for psychiatrists, psychologists, psychiatric nurses, general internists, social workers, and all medical professions working with patients suffering from Borderline Personality Disorder.

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Chapter 1: Organizing and shaping a treatment toward change

Brian A. Palmer, MD, MPH and Brandon T. Unruh, MD

Chapter 2: Stimulating Reflection and Curiosity

Robert P. Drozek, LICSW

Chapter 3: Approach to suicidal behaviors in BPD patients

Igor Weinberg, Ph.D.

Chapter 4: Navigating Intersession Contact

Karen Jacob, Ph.D.

Chapter 5: Managing mistrust, paranoia, and relationship rupture

Sara Rose Masland, Ph.D.

Chapter 6: BPD in the Emergency Department

Victor Hong, MD and Steven Bartek, MD

Chapter 7: Principles of Inpatient BPD Management

Zeina Saliba, M.D.

Chapter 8: Caring for a Patient with BPD on the Inpatient Medical Service

Stephanie H. Cho, MD

Chapter 9: BPD and Substance Use

Carl Fleisher, M.D.

Chapter 10: Medical Problems and Comorbidities

Claire Brickell, M.D.

Chapter 11: Managing Co-Morbidities and Appropriate Use of Psychopharmacology

James A. Jenkins, MD

Chapter 12: Engaging family to be productive participants in a BPD treatment

Maureen Smith, LICSW

Chapter 13: Addressing narcissistic problems in treatment for BPD

Benjamin McCommon, M.D.

Chapter 14: Narcissistic personality disorder with borderline features

Elsa Ronningstam, Ph.D.

Chapter 15: Providing consultation to determine level of care and organize treatment

Joan Wheelis, M.D.

Chapter 16: Early Diagnosis and Intervention in Adolescents

Owen Muir, M.D., and Carlene MacMillan, M.D.

Chapter 17: When less may be more: scaling limited treatment resources using a stepped-care model

Daniel Price, M.D.

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Brian A. Palmer, MD, MPH

Mayo Clinic



Brandon T. Unruh, MD

McLean Hospital

Harvard Medical School

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