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As the average age of the population rises, mental health professionals have become increasingly aware of the critical importance of personality in mediating successful adaptation in later life. Personality disorders were once thought to "age out," and accordingly to have an inconsequential impact on the lives of the elderly. But recent clinical experience and studies underscore not only the prevalence of personality disorders in older people, but the pivotal roles they play in the onset, course, and treatment outcomes of other emotional and cognitive problems and physical problems as well. Clearly, mental health professionals must further develop research methods, assessment techniques, and intervention strategies targeting these disorders; and they must more effectively integrate what is being learned from advances in research and theory into clinical practice. Inspired by these needs, the editors have brought together a distinguished group of behavioral scientists and clinicians dedicated to understanding the interaction of personality and aging. Offering a rich array of theoretical perspectives (intrapsychic, interpersonal, neuropsychological, and systems), they summarize the empirical literature, present phenomenological case reports, and review psychodynamic, cognitive-behavioral, and pharmacological treatment approaches. This comprehensive state-of-the-art guide will be welcomed by all those who must confront the complexity and the challenge of working with this population.
The older adult population is booming in the United State and across the globe. With this boom comes an increase in the number of older adults who experience psychological disorders. Current estimates suggest that about 20% of older persons are diagnosable with a mental disorder: Personality disorders are among the most poorly understood, challenging, and frustrating of these disorders among older adults. This book is designed to provide scholarly and scientifically-based guidance about the diagnosis, assessment, and treatment of personality disorders to health professionals, mental health professionals, and senior service professionals who encounter personality-disordered or "difficult" older adults.
With the book Borderline Personality Disorder in Older Adults: Emphasis on Care in Institutional Settings, Drs. Hategan, Bourgeois, and Xiong address an often underappreciated clinical problem that is likely increasing with the aging of the population. Geriatric patients with borderline personality disorder, like their younger counterparts, experience social and relationship challenges, comorbid psychiatric illness (including but not limited to substance use disorders), comorbid systemic illness, and are high utilizers of medical and social services. With the aging of the population worldwide, more older patients with chronic/progressive illnesses are to be found in various institutional settings such as skilled nursing facilities, rehabilitation units, and residential care, as well as in the general hospital. However, these patients' habitual patterns of behavior (including affective dyscontrol, externalizing of blame, "splitting" the external world into groups who are "all good" and "all bad") make the compromises and need for collectivity in institutional settings more challenging than for any other easily defined and demarcated patient group. The Editors have assembled a large team of authors and co-authors to produce a clinical handbook that addresses the clinical, social, and administrative needs of this particular group of patients. They include an overview of the development of the diagnosis of borderline personality disorder over several issues of the Diagnostic and Statistical Manual of Mental Disorders classification system; the epidemiology and comorbidity, personality and aging, clinical diagnosis and productive use of psychometrics; clinical interventions including psychotherapy, psychopharmacology and advanced somatic treatments; and chapters devoted to medical-legal matters, systems of care, therapeutic alliance, and palliative care approaches. In all chapters, the authors have endeavored to focus specifically on the challenges posed for the patient, the clinician, and the larger system for geriatric patients with borderline personality disorder. The authors and the editors hope that this volume summarizes the current clinical literature pertinent to the care of this population, with a focus on clinical encounters, clinical decision making, and techniques for interventions with patients and clinical systems of care to enhance the opportunities for favorable clinical outcomes for these patients, who typically have difficulty coping with the major existential challenges of old age, infirmity, and mortality. Greater awareness of borderline personality disorder in this population and greater clinician attunement to its understanding and management may serve the patient and the care system in this regard.
This is the second edition of the book that sparked the current wave of interest in schema therapy. Although schema therapy was originally developed by Jeff Young in the USA, it was not until unprecedented outcome data was published from pioneering Dutch clinical trials with BPD patients that the clinical CBT community took serious notice. Schema therapy has now become one of the most popular forms of contemporary CBT. It has parallels to the ‘third wave’ of contextual behavioural science in that it develops traditional CBT in new directions, but while contextual behavioural science priorities behavioural techniques based on acceptance and mindfulness, schema therapy is more cognitive and draws on elements of experiential learning, object relations and psychodynamic therapy in addition to traditional CBT. The first edition of this book has sold more than 3,000 copies at a steady rate of around 500 units per year since 2009.
Discover the latest research on the mental health concerns of older women Women are the primary consumers of mental health services, however, there is a paucity of research on their specific needs. Mental Health Issues of Older Women: A Comprehensive Review for Health Care Professionals presents a comprehensive overview for health care professionals, educators, and students on the study of mental health problems of aging women. This resource provides the latest research and informed perspectives by seasoned mental health clinicians. A wide range of mental health problems are explored, including dementia, cognitive impairment, alcohol abuse, schizophrenia, depression and anxiety disorders, traumatic and dissociative disorders, sexual and eating disorders, and personality disorders. Mental Health Issues of Older Women provides practicing therapists and counselors with a much-needed research update and a broad clinical perspective from respected experts. This book uses current psychiatric diagnoses as a framework to gain greater depth of understanding to address the mental health issues of older women. Students and health professionals will discover valuable information, inspiration, and encouragement in their work with middle-aged and older women who are facing mental health challenges. This volume provides extensive references. Topics in Mental Health Issues of Older Women include: the role of cognitive impairment in older persons assessment tools and treatment options for older women who display alcohol use problems schizophrenia in older women major depressive disorder among older women therapeutic options for anxiety disorders under-diagnosed and misdiagnosed incidents of PTSD a provocative look at dissociative identity disorder sexual problems with treatment options eating disorders with treatment approaches effective treatment options for borderline personality disorder Mental Health Issues of Older Women provides practitioners, educators, students, researchers, and administrators with an essential review of the latest research and current issues on the mental health problems of older women.
Borderline Personality Disorder in Adolescents is a comprehensive guide to BPD, offering an overview of the disorder, its treatment options, and advice on how to live with it day-to-day.
BORDERLINE PERSONALITY DISORDER Understanding Symptoms, Treatments, and Self-Help Strategies Unlock the mysteries of Borderline Personality Disorder (BPD) with the essential guide, "Borderline Personality Disorder: Understanding Symptoms, Treatments, and Self-Help Strategies." Whether you are grappling with BPD, supporting a loved one, or simply eager to gain a deeper understanding of this complex condition, this book is your ultimate resource. Discover key insights into the signs and symptoms of BPD, learn about the diagnostic process, and explore a range of effective treatment options, from cutting-edge psychotherapies like Dialectical Behavior Therapy (DBT) to the latest in medication management. This guide doesn’t stop at traditional treatments—it extends into holistic self-help strategies that integrate diet, exercise, and mindfulness to enhance your well-being and resilience. This book offers invaluable support for navigating interpersonal relationships affected by BPD, providing practical advice for those caring for someone with the disorder. You'll find a compassionate approach to dealing with the challenges BPD presents, ensuring you can offer support without losing sight of your own health. This guide is more than just a book; it’s a pathway to understanding and empathy, filled with actionable advice and deep insights. Grab your copy today, and equip yourself with the knowledge and tools needed to face BPD with confidence and hope.
Loss of mentalizing leads to interpersonal and social problems, emotional variability, impulsivity, self-destructive behaviours, and violence. This practical guide on MBT treatment of personality disorders outlines the mentalizing model of borderline and antisocial personality disorders and how it translates into an effective clinical treatment.