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Borderline Personality Disorder in Psychotherapy and Counseling

Resources & References

An Online Course:
Borderline Personality Disorder in Psychotherapy and Counseling.

 

Resources for Clients and Their Families

National Alliance on Mental Illness (NAMI)

The National Education Alliance for Borderline Personality Disorders is an excellent place to start for therapists, clients, and their families. In addition to the following resources, it also lists occasional clinical trials for people with BPD.

Families: Engaging families in treatment is an often overlooked component of treating people with BPD. As with serious disorders such as schizophrenia and bipolar disorder, growing research indicates that a systems approach that includes psychoeducation for family members about a client's condition significantly reduces hospitalizations and relapses. The NEABPD runs a Family Connections program in cities around the United States. It's a 12-week program with a minimal charge that uses principles of dialectical behavior therapy to help family member relate to a member with BPD.

In addition to information on the Family Connections program, clients and families can also download for free a 16-page booklet, Family Guidelines, by John Gunderson and Cynthia Berkowitz that offers dozens of specific tips for helping to manage the home environment.

Although it's not part of the NEABPD site, families and therapists may also be interested in the STEPP program (Systems Training for Emotional Predictability and Problem Solving), a promising program to help families with someone who has BPD. The program offers a DVD for about $50 (including shipping) which walks family members through the STEPP program. (For a research article on STEPPS, see Blum, N, St. John, D, Pfohl, B, Stuart, S, McCormick, J, Allen, J, Arndt, S, and Black, DW (2008), Systems Training for Emotional Predictability and Problem Solving (STEPPS) for Outpatients With Borderline Personality Disorder: A Randomized Controlled Trial and 1-Year Follow-Up, American Journal of Psychiatry, 165: 468 - 478).

Also not part of the NEABPD website, but an online support group for family members of people with BPD

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Resources for Therapists

Marcia Linehan tells her own story of triumph and challenge with BPD

In a head-to-head clinical trial of dialectical behavioral therapy and a treatment following the American Psychiatric Association's general clinical guidelines for treating borderline personality disorder, both treatments were equally effective:
Dialectical behavior therapy compared with general psychiatric management for borderline personality disorder: clinical outcomes and functioning over a 2-year follow-up.
McMain SF, Guimond T, Streiner DL, Cardish RJ, Links, PS. American Journal of Psychiatry. 2012 Jun;169(6):650-61.

Between Verbalization and Reflection: Referential Activity and Narrative Processes in Borderline Personality Organization. Psychoanalytic Psychology, Górska, Dominika; Soroko, Emilia. Oct 31, 2016, http://dx.doi.org/10.1037/pap0000117

Borderline Personality Disorder Demystified. A good site for overviews of the signs and treatments for BPD, geared primarily toward clients and families but also for therapists.

Dialectical Behavior Therapy. Perhaps the therapy with the strongest empirical support for BPD. Therapists can order materials and receive information on DBT and on training.

Middle Path. A New England-based advocacy and resource center for BPD that presents causes, symptoms and treatments in a straightforward manner, well-suited for clients. It looks at BPD from both an object-relations and biopsychosocial perspective and believes that treatments that utilize both perspectives, such as mentalization and DBT, are the most effective.

Online support groups. A list of several online and in-person support groups for people with personality disorders

BPD World. This U.K. support center for people with BPD is founded by Joshua Cole, who himself has BPD. BPD World offers online support groups, blogs and chat rooms.

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Risk Management with Borderline Personality Disorder

 

Critique of BPD Diagnosis

Should We Abolish the Diagnosis of Borderline Personality?

 

References

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Choi-Kain, LW, Finch, EF, Jenkins, JA, Masland, SR, Unruh, BT (2017). What Works in the Treatment of Borderline Personality Disorder, Current Behavioral Neuroscience ReportsMarch 2017, Volume 4, Issue;1, pp 21–30

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