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Handbook of Good Psychiatric Management for Adolescents With Borderline Personality Disorder (Paperback)
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Handbook of Good Psychiatric Management for Adolescents With Borderline Personality Disorder (Paperback)
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Somewhere between 11% and 22% of adolescents seeking mental health
care in outpatient clinics-and between 33% and 49% of those in
inpatient units-meet the diagnostic criteria for borderline
personality disorder (BPD). Despite its high prevalence, however,
and the high social and economic costs that it entails, BPD remains
underdiagnosed, and sufficient training regarding its fundamentals
and clinical management is largely unavailable for mental health
professionals treating adolescents. It is precisely these essential
guidelines that clinicians will find in the Handbook of Good
Psychiatric Management for Adolescents With Borderline Personality
Disorder. Adapted from Dr. John Gunderson's good psychiatric
management (GPM), a resource-efficient generalist treatment for
adults with BPD, this manual uses GPM for adolescents (GPM-A) to
demystify BPD in young people, describing 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. Case
vignettes that feature key decision points propose alternative
interventions and demonstrate how to apply the book's concepts in a
variety of settings. Additionally, speech bubbles throughout the
handbook offer suggestions for how to phrase explanations and
interventions to communicate effectively with adolescent patients
at an appropriate level. Although the pragmatic GPM-A principles
outlined in this book are based on real-world experience and
bolstered by scientific evidence, they are not intended to be an
end point for treatment. They are, rather, a road map to provide
"good enough" care even in the absence of specialized treatments,
and clinicians are encouraged to adjust the lessons as needed for
their practice. The education provided in the handbook is meant to
be shared with patients, their families, schools, clinical teams,
and trainees as a resource for motivation in persevering with the
difficult but worthwhile investments in treatment.
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