2.6 Borderline Personality Disorder (Good Psychiatric Management)

14 snips

Jan 18, 2024

Dr. Lois Choi-Kain discusses the prevalence, naturalistic course, and treatments for borderline personality disorder (BPD) and introduces the "Good Psychiatric Management" (GPM) model. The topics covered include challenges faced by BPD patients, the need for sustainable treatment approaches, the significance of listening and understanding patients, and the use of an interpersonal hypersensitivity model in treatment.

Ask episode

AI Snips

Chapters

Transcript

Episode notes

INSIGHT

Personality and Disorder

Personality is like skin, it's the way others see us and how we see ourselves.
A personality disorder occurs when personality traits cause significant distress, impairment, and life disruptions.

INSIGHT

BPD Prevalence

Borderline Personality Disorder (BPD) is as common as other major mental illnesses, affecting 1-3% of the general population.
It's more prevalent in treatment settings, with 20-25% of inpatients meeting the criteria.

ANECDOTE

Frequent Flyers

Patients with BPD are often labeled "frequent flyers" due to repeated hospital visits.
This reflects their desire for help and the difficulty in finding effective BPD treatment.

Get the Snipd Podcast app to discover more snips from this episode

Get the app

Dr. Lois Choi-Kain, Director of the Gunderson Personality Disorders Institute at McLean Hospital and Associate Professor of Psychiatry at Harvard Medical School, introduces us to borderline personality disorder (BPD).

We discuss the prevalence, naturalistic course, and treatments for BPD. We explore BPD using the “Good Psychiatric Management” (GPM) model, which is intended to empower clinicians of all disciplines to manage patients with BPD effectively. We discuss the principles of GPM and walk through some examples of how it might be used in the clinical setting.

Book: Applications of Good Psychiatric Management for Borderline Personality Disorder: A Practical Guide (Check your academic library!)

References:

(11:30) Grant BF, Chou SP, Goldstein RB, et al. Prevalence, correlates, disability, and comorbidity of DSM-IV borderline personality disorder: results from the Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions. J Clin Psychiatry. 2008;69(4):533-545.
(12:30) Trull TJ, Jahng S, Tomko RL, Wood PK, Sher KJ. Revised NESARC personality disorder diagnoses: gender, prevalence, and comorbidity with substance dependence disorders. J Pers Disord. 2010;24(4):412-426.
(15:00) Gregory R, Sperry SD, Williamson D, Kuch-Cecconi R, Spink GL Jr. High Prevalence of Borderline Personality Disorder Among Psychiatric Inpatients Admitted for Suicidality. J Pers Disord. 2021;35(5):776-787.
(20:45) Kernberg O. Borderline personality organization. J Am Psychoanal Assoc. 1967;15(3):641-685.
(29:30) Choi-Kain LW, Finch EF, Masland SR, Jenkins JA, Unruh BT. What Works in the Treatment of Borderline Personality Disorder. Curr Behav Neurosci Rep. 2017;4(1):21-30.
(33:00) Skodol AE, Gunderson JG, Shea MT, et al. The Collaborative Longitudinal Personality Disorders Study (CLPS): overview and implications. J Pers Disord. 2005;19(5):487-504.
(33:00) Temes CM, Zanarini MC. The Longitudinal Course of Borderline Personality Disorder. Psychiatr Clin North Am. 2018;41(4):685-694.

Support our partners:

⁠⁠⁠Simplepractice.com/bootcamp⁠⁠⁠

⁠⁠⁠Beat The Boards⁠⁠⁠ (enter referral code BOOTCAMP at checkout)