This issue of Psychiatric Clinics of North America, edited by Drs. Frank Yeomans and Kenneth Levy, will offer a comprehensive review of key topics of importance in the study of Borderline Personality Disorder. The series is led by our Consulting Editor, Dr. Harsh Trivedi of Sheppard Pratt Health System. This issue will explore the following topics: Conceptual models, Diagnosis and assessment, Differential diagnosis, Community and Clinical Epidemiology, Comorbidity, Longitudinal Course, Neuroscience and social cognition, Attachment, Psychotherapy and medication treatment research, Psychotherapy with children and adolescents, and Family and patient perspectives, among others.

Over the past decade, there has been a burgeoning of interest in understanding and treating borderline personality disorder, a disorder characterized by extreme emotional reactivity, impulsivity and serious interpersonal difficulties resulting in frequent loss of relationships. Individuals with borderline personality disorder comprise a substantial proportion of the psychiatric outpatient population, are often seen in emergency rooms and have major functional impairment (e.g. unemployment). Suicide occurs in 3-9% of the population. Furthermore, non-suicidal self injury (e.g. cutting without the intent to die), eating disorders and substance abuse are frequently seen in the context of borderline personality disorder. Not only do the individuals with the disorder suffer , their family members also experience distress and can feel burdened and overwhelmed. Once thought to be nonexistent or a 'grab bag' diagnosis, borderline personality disorder is now understood as a significant emotional disorder with its own neurobiological and psychosocial correlates. At the same time, the disorder is still poorly understood and stigmatized with limited resources available to the novice clinician and mental health professional trainees (e.g. psychiatry residents, psychology doctoral students, social work students). The aim of this primer on borderline personality disorder is to fill this void and provide an accessible, easy-to-use , clinically-oriented, evidenced-based guide for early stage clinicians. We present the most up to data about borderline personality disorder by leading experts in the field in a format accessible to trainees and professionals working with individuals with borderline personality disorder and their family members. The volume is comprehensive and covers the etiology of BPD, its clinical presentation and co-morbid disorders, genetics and neurobiology of BPD, effective treatment of BPD, the role of advocacy and special subpopulations (e.g.forensic)in the clinical management of BPD.

Until recently, borderline personality disorder has been the step-child of psychiatric disorders. Many researchers even questioned its existence. Clinicians have been reluctant to reveal the diagnosis to patients because of the stigma attached to it. But individuals with BPD suffer terribly and a significant proportion die by suicide and engage in non-suicidal self injury. This volume provides state of the art information on clinical course, epidemiology, comorbidities and specialized treatments

Acclaimed for its wisdom and no-nonsense style, this authoritative guide has now been revised and expanded with 50% new content reflecting a decade of advances in the field. Distinguished psychiatrist Joel Paris distills current knowledge about borderline personality disorder (BPD) and reviews what works in diagnosis and treatment. Rather than advocating a particular therapy, Paris guides therapists to flexibly interweave a range of evidence-based strategies, within a stepped-care framework. The book presents "dos and don'ts" for engaging patients with BPD, building emotion regulation and impulse control skills, working with family members, and managing suicidality and other crises. It is illustrated throughout with rich clinical vignettes. New to This Edition *Up-to-date findings on treatment effectiveness and outcomes. *Chapter on dimensional models of BPD, plus detailed discussion of DSM-5 diagnosis. *Chapter on stepped care, including new findings on the benefits of brief treatment. *Chapter on family psychoeducation and other ways to combat stigma. *New and expanded discussions of cutting-edge topics--BPD in adolescents, childhood risk factors, and neurobiology.

This issue of Psychiatric Clinics, guest edited by Drs. Rebecca Brendel and Michelle will discuss a number of important topics surrounding Psychiatric Ethics and impact on clinical practice. This issue is one of four each year selected by our series consulting editor, Dr. Harsh Trivedi of Sheppard Pratt Health System. Topics in this issue include: Ethics in Psychiatric Research, Ethical Aspects of Trauma Informed Care, Ethical Challenges in Addiction Psychiatry, Ethics in Child and Adolescent Psychiatry, Forensic Psychiatric Ethics, Geriatric Psychiatry Ethics, Ethics of emerging technologies, Ethical considerations in Psychiatric Genetics, Organizational Ethics, Suicide and the end of life, Psychiatry in public spaces, Autonomy and Multiculturalism, and Justice and Parity in Mental Health Treatment, among others.

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.

Learn the therapeutic skills you need to succeed in the nurse’s role in psychiatric care! Psychiatric Nursing, 7th Edition uses a practical approach to psychotherapeutic management that clearly explains how to manage and treat individuals with psychiatric disorders. It emphasizes the nurse’s three primary tools: you and your relationship with patients, medications, and the environment. This edition adds a new chapter on forensics along with coverage of the latest trends and treatments. Written by educators Norman Keltner and Debbie Steele, this text provides a solid, real-world foundation for the practice of safe and effective psychiatric nursing care. Unique! A practical, three-pronged approach to psychotherapeutic management includes: 1) the therapeutic nurse-patient relationship, 2) psychopharmacology, and 3) milieu management. Unique! Norm’s Notes offer helpful tips from the lead author, Norman Keltner, at the beginning of each chapter, making it easier to understand difficult topics. Nursing care plans highlight the nurse’s role in psychiatric care, emphasizing assessment, planning, nursing diagnoses, implementation, and evaluation for specific disorders. Case studies depict psychiatric disorders and show the development of effective nursing care strategies. Unique! Putting It All Together summaries are provided at the end of each psychopathology chapter. Clinical examples from the authors’ own experiences illustrate concepts with real-life clinical situations. Study Notes summarize each chapter’s important content. Learning objectives at the beginning of each chapter preview the important principles to follow. Critical thinking questions help you develop clinical reasoning skills. Family Issues boxes highlight the issues that families must confront when a member suffers from mental illness. Learning resources on the Evolve companion website include video lectures, psychotropic drug monographs, and NCLEX® exam-style review questions. Patient and Family Education boxes highlight information that the nurse should provide to patients and families. A glossary defines key terms, providing a handy reference at the back of the book. NEW! DSM-5 information is integrated throughout the text, along with updated content and NANDA content. NEW! Survivors of Violence and Trauma chapter focuses on psychiatric treatment for individuals with mental illness in sex trafficking and forensic environments, along with the social implications for individuals, families, and communities. NEW! Integration of QSEN competencies highlights the competencies relevant to psychiatric nursing care such as safety, communication, evidence-based practice and others. NEW! Additional NCLEX® examination-style review questions on the Evolve companion website cover concepts likely to appear on class tests and the NCLEX exam.

Over the past two decades considerable progress has been made in developing specialist psychosocial treatments for borderline personality disorder (BPD), yet the majority of people with BPD receive treatment within generalist mental health services, rather than specialist treatment centres. This is a book for general mental health professionals who treat people with borderline personality disorder (BPD). It offers practical guidance on how to help people with BPD with advice based on research evidence. After a discussion of the symptoms of BPD, the authors review all the generalist treatment interventions that have resulted in good outcomes in randomised controlled trials, when compared with specialist treatments, and summarise the effective components of these interventions. The treatment strategies are organised into a structured approach called Structured Clinical Management (SCM), which can be delivered by general mental health professionals without extensive additional training. The heart of the book outlines the principles underpinning SCM and offers a step-by-step guide to the clinical intervention. Practitioners can learn the interventions easily and develop more confidence in treating people with BPD. In addition, a chapter is devoted to how to help families - an issue commonly neglected when treating patients with BPD. Finally the authors discuss the top 10 strategies for delivering treatment and outline how the general mental health clinician can deliver these strategies competently.