Borderline Personality Disorder

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. Thetreatment 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 thesestrategies competently.

A 350-word review is not enough to do this book justice. Written by two psychiatrists, one with a psychodynamic and the other a behavioural orientation, the book succeeds in outlining different psychological and pharmacological approaches to the treatment of borderline personality disorder in a harmonius and enlightened way.,, This book is highly recommended and I consider the authors to have achieved what they set out to do: instill hope in all of us working with patients with borderline personality disorder and, in so doing, instil hope in patients themselves., This book presents a fairly short but effective treatment guideline for borderline personality disorder. It is definitely a top-down recommendation for how to structure the treatment, what goals are important, how to deal with crisis, etc., I have just now come across your book, and it is absolutely excellent! There is a real need to move BPD treatment from specialty clinics to more general care If we give people the impression that the only treatment is DBT or MBT, we will deny them the likelihood of doing well with something more practical that still applies the right principles, reserving more resource-intensive models for the sickest patients. Congratulations!

Anthony W. Bateman is Consultant Psychiatrist and Psychotherapist, Halliwick Unit, Barnet, Enfield, and Haringey Mental Health Trust, Visiting Professor University College, London and Consultant to the Anna Freud Centre, London. He developed mentalization based treatment with Peter Fonagy for borderline personality disorder and studied its effectiveness in research trials. An adapted version is now being used in other psychiatric disorders and in the treatment offamilies and adolescents. He was an expert member of National Institute for Clinical Excellence (NICE) development group for treatment guidelines for Borderline Personality Disorder in UK. He is President of the European Society for the Study of Personality Disorders (ESSPD).He has authored several books including 'Psychotherapy for Borderline Personality Disorder: Mentalization based treatment' and 'Mentalization Based Treatment for Borderline Personality Disorder: A practical guide' (with Peter Fonagy).Roy Krawitz is a psychiatrist and Honorary Clinical Senior Lecturer (Auckland University) specializing for the last 20 years in working with people with borderline personality disorder (BPD), and is a director and trainer of a company providing DBT training. Roy has published research demonstrating the effectiveness of his generalist borderline personality disorder trainings (125 two-day trainings), the clinical effectiveness of his past therapy, and the clinical effectiveness of the DBTservice in which he works. Roy is the author of 14 scientific articles and 5 other books on BPD (including client and clinician guides published by Oxford University Press in four languages in total).