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This manual, edited by experts on BPD, provides a framework for implementing a stepped care model in settings where access to specialized treatments is limited. The authors contend that the principles of good psychiatric management (GPM) represent a basic foundation that all clinicians can learn and that combined with dialectical behavior therapy (DBT), one of the most effective newer treatment modalities, progress can indeed be realized.
In the aftermath of upheaval -- How the pandemic has transformed psychotherapy : remote treatment -- Interpersonal psychotherapy : life-event-based therapy -- Life crises : grief, role disputes, role transitions -- Depression -- Posttraumatic stress -- Anxiety and other distressing symptoms -- Termination -- Dealing with post-catastrophe-resilience.
Excessive shame can be associated with poor psychological adjustment, interpersonal difficulties, and overall poor life functioning. Consequently, shame is prevalent among individuals undergoing psychotherapy. Yet, there is limited guidance for clinicians trying to help their clients deal with shame-related concerns. This book explores the manifestations of shame and presents several approaches for treatment. It brings together the insights of master clinicians from different theoretical and practice orientations, such as psychodynamics, object relations, emotion-focused therapy, functional analysis, group therapy, family therapy, and couples therapy. The chapters address all aspects of shame, including how it develops, how it relates to psychological difficulties, how to recognize it, and how to help clients resolve it. Strategies for dealing with therapist shame are also provided, since therapist shame can be triggered during sessions and can complicate the therapeutic alliance. With rich, detailed case studies in almost every chapter, this book will be a practical resource for clinicians working with a broad range of populations and clinical problems.
Whereas psychoanalysis and psychodynamic therapy have traditionally avoided focusing too much on specific symptoms or problems--lest they interfere with free association--this new guide articulates the value of more active and symptom-focused interventions. Having worked on focused psychodynamic treatments of panic disorder, depression, trauma, and behavioral change, Fredric Busch, M.D. expands on that work here, articulating how a focused approach can be adapted for patients in general. Drawing on a wealth of case vignettes, the book describes how to apply Problem-Focused Psychodynamic Psychotherapy (PrFPP) to symptoms, personality issues, behavioral problems, and relationship difficulties. It provides novice and experienced clinicians alike with the tools they need to help patients identify problem areas and understand how specific dynamics emerge in different contexts and overlap in contributing to issues. The psychodynamic techniques readers will glean in these pages demonstrate how to rapidly address core difficulties, expanding patients' self-reflective capacities and the identification of their own dynamics--even in the case of short-term interventions.
"Handbook of Good Psychiatric Management for Adolescents With Borderline Personality Disorder uses good psychiatric management for adolescents to demystify borderline personality disorder in young people. The book describes 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. The pragmatic principles outlined in this book are based on real-world experience and bolstered by scientific evidence and provide a road map to provide "good enough" care even in the absence of specialized treatments"--
What if, rather than being dispensers of medication, mental health clinicians and primary care clinicians treating mental disorders were collaborators with patients in the prescribing relationship? To prescribe more effectively and to achieve health equity, Warren Kinghorn and Abraham Nussbaum argue, it's necessary--and in Prescribing Together, they offer a roadmap for making it a reality. In these pages, readers will find practical introductions to key concepts, from cultural formation and structural competency to collaborative deprescribing, and profiles, enlivened by personal anecdotes, of a diverse group of accomplished clinicians that offer evidence-based strategies for building strong alliances in the context of 13 mental disorder categories, including generalized anxiety disorder, major depressive disorder, borderline personality disorder, and neurocognitive disorders. By focusing on how, rather than what, to prescribe, this book makes room for patients' lived experiences and interpersonal and social contexts, returning to them a sense of agency and empowering them to set meaningful goals and to be active participants in their own flourishing.