Borderline personality disorder (BPD) is estimated to have a lifetime prevalence in the United States of approximately 1.4%–2.7%. It is characterized by a long-term pattern of instability in interpersonal relationships, unstable self-image, marked impulsivity, and/or affective instability. In addition, features can be evidenced by efforts to avoid real or feared abandonment, chronic feelings of emptiness, mood reactivity, recurrent self-injurious or suicidal behavior, other impulsive behaviors with potential for self-damaging effects, intense anger or difficulty with anger control, and transient paranoid ideation or stress-related dissociative symptoms. Although these manifestations can be quite heterogeneous, the lived experience of BPD can be associated with significant emotional pain and a diminished quality of life. Many individuals with BPD have co-occurring psychiatric or somatic conditions, and all-cause mortality is increased among those with BPD. Furthermore, the lifetime burden and psychosocial impairment associated with BPD can be substantial because it typically has an early onset and can persist for many years. These significant consequences support the need for early identification of BPD. Importantly, in contrast to many earlier views on BPD, treatment is effective, and symptoms can be reduced and managed. The American Psychiatric Association Practice Guideline for the Treatment of Patients With Borderline Personality Disorder reviews current evidence and provides evidence-based statements that are intended to optimize the treatment of BPD. The guideline focuses on evidence-based treatments and includes additional information on assessment and treatment planning, which are an integral part of patient-centered care. It describes approaches to implementing recommendations and suggestions in clinical practice. By providing up-to-date knowledge, the guideline aims to help clinicians feel more confident in their skills for treating patients with BPD, thereby improving the care and well-being of their patients.

"The second edition of Gabbard's Textbook of Psychotherapeutic Treatments provides up-to-date information on psychotherapies, including psychodynamic therapies, mentalization-based treatment, transference-focused therapy, cognitive-behavioral therapy, supportive psychotherapy, and interpersonal psychotherapy. The textbook also reflects social changes that have had profound impacts on how therapists practice, including the advancement of LGBTQ rights, calls for racial and social justice, and the COVID-19 pandemic"--

What Works with Children, Adolescents, and Adults? provides an up-to-date review of research on the effectiveness of psychotherapy and psychological interventions with children, adolescents, adults, people in later life, and people with intellectual and pervasive developmental disabilities. Drawing on recent meta-analyses, systematic reviews, and key research studies in psychotherapy, this volume presents evidence for: the overall effectiveness and cost-effectiveness of psychotherapy the contribution of common factors to the outcome of successful psychotherapy the effectiveness of specific psychotherapy protocols for particular problems. This comprehensive, user-friendly guide will inform clinical practice, service development and policy. It will be invaluable to psychotherapists, service managers, policymakers, and researchers. What Works with Children, Adolescents, and Adults? offers a review of the evidence base for three Handbooks published by Routledge: The Handbook of Child and Adolescent Clinical Psychology (Carr, 2006), The Handbook of Adult Clinical Psychology (Carr & McNulty, 2006), and The Handbook of Intellectual Disability and Clinical Psychology Practice (O’Reilly, Carr, Walsh, & McEvoy, 2007).

The subject of personality -- what makes each of us unique and different from one another -- has long been a topic of universal fascination. From a medical perspective, research on personality disorders has expanded with the advent of standardized diagnostic systems. This continuing and increased activity and progress in the field spurred the development of this third edition of The American Psychiatric Association Publishing Textbook of Personality Disorders. With an emphasis on updating the information most relevant to clinicians, this new edition features contributions from established experts in the field as well as a new generation of scientists. Dozens of tables, illustrative figures, and real-life case examples summarize the vast data that continue to accumulate in five key areas: Clinical concepts, including theories of personality disorders, as well as their manifestations, assessment, and diagnosis. This opening section also describes the Alternative DSM-5 Model for Personality Disorders in detail. Risk factors for, and the etiology and impact of, personality disorders. This section of the book examines data on prevalence, sociodemographics, and levels of functional impairment associated with personality disorders. It offers both a developmental and a genetic/neurobiological perspective and describes the symptomatic and functional outcomes of personality disorders. Treatment options across therapeutic modalities. A new, cutting-edge chapter argues for the early identification of borderline psychopathology in children and young adolescents, in an effort to prevent full-blown disorder later in life. Additional chapters delve into an array of individual psychotherapies, pharmacotherapeutic options, and group, family, and couples therapies. Guidance on forming and maintaining a therapeutic alliance and on avoiding boundary violations in treating patients with personality disorders is provided. Special problems, populations, and settings, including suicide, substance use disorders, antisocial behavior, personality pathology in general medical settings, and personality disorders among active-duty military. The usefulness of translational research to deepen understanding of the biopsychosocial nature of the personality disorders, particularly borderline personality disorder. This comprehensive textbook is an essential resource for clinicians looking to stay on the vanguard of a rapidly growing field.

Charged with updating the preeminent text on suicide, the new editors of The American Psychiatric Association Publishing Textbook of Suicide Risk Assessment and Management opted not to simply revise existing chapters, but instead to steer a bold course, expanding, reconfiguring, and remaking the third edition to reflect the latest research, nomenclature, and clinical innovations. The editorial team and contributors -- two-thirds of whom are new to this edition -- have taken the intersection of suicide with both mental health and psychosocial issues as their organizing principle, exploring risk assessment and epidemiology in special populations, such as elderly patients, college students, military personnel, and the incarcerated as well as patients with a variety of psychological disorders, including bipolar spectrum, personality, depressive, anxiety, posttraumatic stress, and other disorders and schizophrenia. In addition, the book discusses treatment options (such as cognitive-behavioral therapy, dialectical behavioral therapy, and pharmacotherapy) and settings (such as emergency services, outpatient, inpatient, and civil commitment) in detail, with clinical cases to contextualize the material. The new and revised content is extensive: A chapter on the influence of sleep and sleep disorders on suicide risk has been included that considers possible mechanisms for this link and discusses practical ways of assessing and managing sleep disorders to mitigate suicide risk. Nonsuicidal self-injury, the prevalence of which is particularly high among youth, is addressed in detail, differentiating it from and comparing it to suicide attempts, discussing risk assessment, considering safety interventions, examining treatment options, and exploring suicide contagion. No text on suicide would be complete without a serious exploration of the role of social media and the internet. The book presents an update on current research as it pertains to social networking and behavior, information access, and artificial intelligence and software, and includes suggestions for clinicians treating patients at risk for suicide. Physician-assisted dying (PAD), also referred to as "aid-in-dying," is arguably a form of suicide, and the book includes a thoughtful chapter considering the ethical and practical implications of PAD, the murky professional and legal obligations that may arise, the demographics of these patients, the settings and conditions under which PAD may occur, and the role of the attendant clinicians. A number of pedagogical features are included to help the reader learn and remember the material, including key clinical concepts and abundant case examples. Its diverse range of perspectives, broad relevance to a wide variety of clinicians, and absolutely authoritative coverage makes this new edition of The American Psychiatric Association Publishing Textbook of Suicide Risk Assessment and Management a worthy and indispensable successor.

Alcohol use disorder (AUD) is a major public health problem in the United States. The estimated 12-month and lifetime prevalence values for AUD are 13.9% and 29.1%, respectively, with approximately half of individuals with lifetime AUD having a severe disorder. AUD and its sequelae also account for significant excess mortality and cost the United States more than $200 billion annually. Despite its high prevalence and numerous negative consequences, AUD remains undertreated. In fact, fewer than 1 in 10 individuals in the United States with a 12-month diagnosis of AUD receive any treatment. Nevertheless, effective and evidence-based interventions are available, and treatment is associated with reductions in the risk of relapse and AUD-associated mortality. The American Psychiatric Association Practice Guideline for the Pharmacological Treatment of Patients With Alcohol Use Disorder seeks to reduce these substantial psychosocial and public health consequences of AUD for millions of affected individuals. The guideline focuses specifically on evidence-based pharmacological treatments for AUD in outpatient settings and includes additional information on assessment and treatment planning, which are an integral part of using pharmacotherapy to treat AUD. In addition to reviewing the available evidence on the use of AUD pharmacotherapy, the guideline offers clear, concise, and actionable recommendation statements, each of which is given a rating that reflects the level of confidence that potential benefits of an intervention outweigh potential harms. The guideline provides guidance on implementing these recommendations into clinical practice, with the goal of improving quality of care and treatment outcomes of AUD.

"This edition offers new perspectives on suicide at a variety of levels, such as the medical and social use of destigmatizing and more precise language. In addition, chapter authors review research that identifies additional suicide risk factors and their clinical implications. Current issues related to suicide are also discussed, including nonfatal, self-injurious behavior; physician-assisted suicide; and teaching suicide risk assessment and management during psychiatric residency. This third edition also examines the increased rates of suicide among specific populations, including children, adolescents, and college students, and makes recommendations regarding suicide risk management in these populations"--

Examine personality psychopathology from diverse perspectives and explore multiple research and treatment approaches with The American Psychiatric Publishing Textbook of Personality Disorders. Capture the multifaceted range of nonpathological human behavior and develop a judicious understanding of the extremes of behavior that are called personality disorders. No other textbook today matches the clinically useful scope and relevance of Textbook of Personality Disorders. Its comprehensive coverage of theory, research, and treatment of personality disorders, incorporating illustrative case examples to enhance understanding, reflects the work of more than 70 expert contributors who review the latest theories, research findings, and clinical expertise in the increasingly complex field of personality disorders. The deeply informative Textbook of Personality Disorders is organized into six main sections: Basic concepts -- Summarizes definitions and classifications of personality disorders, building on broader international concepts and theories of psychopathology and including categorical and dimensional models of personality disorders Clinical evaluation -- Discusses manifestations, problems in differential diagnosis, and patterns of comorbidity; the most widely used interviews and self-administered questionnaires; and the course and outcome of personality disorders. Etiology -- Includes an integrative perspective (personality disorders, personality traits, and temperament); epidemiology (one in ten people has a personality disorder) and genetics; neurobiology; antecedents of personality disorders in children and adolescents; attachment theory and mentalization therapy in borderline personality disorder; and the complex and variable interface between personality disorders and sociocultural factors Treatment -- Covers levels of care and the full range of therapies, from psychoanalysis to pharmacotherapy; includes detailed information on schema therapy, dialectical behavior therapy (specifically developed for self-injuring/suicidal patients with borderline personality disorder), interpersonal therapy, dynamically-informed supportive psychotherapy, group treatment, family therapy, psychoeducation, the therapeutic alliance, boundary issues, and collaborative treatment Special problems and populations -- Addresses suicide, substance abuse, violence, dissociative states, defensive functioning, gender and cross-cultural issues, and patients in correctional and medical settings New developments and future directions -- Offers perspectives on brain imaging and translational research and asserts that the closer working relationship between clinical psychiatrists and behavioral neuroscientists -- with neuroimaging techniques as the common ground -- will result in more promising models to enhance our understanding of the neuroscience and molecular biology of personality disorders Offering both a wealth of practical information that clinicians can use right away in their daily practice and an up-to-date review of empirical research, The American Psychiatric Publishing Textbook of Personality Disorders is the definitive reference and clinical guide not only for seasoned clinicians but also for psychiatry residents, psychology interns and graduate students, and social work, medical, and nursing students.

Providing clinically useful information for mental health professionals encountering patients at risk, The American Psychiatric Publishing Textbook of Suicide Assessment and Management calls on the authority of 40 expert contributors reflecting a wide range of clinical and forensic experience.

This guide distills the latest scientific research on borderline personality disorder (BPD) into a useful guide for any generalist practitioner who wants a basic skill set to effectively manage patients with BPD. This book serves as a practical road map for clinicians from all corners of the clinical universe: the primary care provider, the emergency room doctor, the social worker, the psychopharmacologist, the psychotherapy supervisor, the dialectical behavior therapy specialist, and the generalist in an outpatient clinic, as well as other practitioners. Emphasizing GPM's efficacy and arguing for its relevance and utility across diverse patient populations, clinical settings, and practitioner roles, this volume provides helpful how-to advice and wisdom for managing patient care. The book is not about lengthy intensive interventions; it is about management strategies (i.e., calming, encouraging, advising) to enable patients with BPD to pursue productive lives.