Borderline personality disorder is a severe and complex psychiatric condition that, until recently, many considered nearly untreatable. But this optimistic guide to BPD provides information that will bring newfound hope to those who have this painful disorder, and to their family and friends.
People with borderline personality disorder have problems coping with almost everything, and therefore anything can provoke them to impulsive actions, angry outbursts, and self-destructive behaviors. Their personal relationships are simultaneously overly dependent and strained, if not openly hostile, and frequently explosive. Incorporating the latest research and thinking on the disorder, Johns Hopkins psychiatrists Francis Mark Mondimore and Patrick Kelly conceptualize it in an original way. They explain that symptoms are the result of biological and behavioral problems, extremes of temperament, and impaired psychological coping, all of which may have a relationship with traumatic life events.
The authors advocate a therapeutic approach incorporating compassion and optimism in the face of what is often a tumultuous disease. With proper treatment, people with borderline personality disorder can enjoy long remissions and improved quality of life.
Francis Mark Mondimore, M.D., is a psychiatrist and member of the faculty of the Johns Hopkins University School of Medicine. His books include Depression, the Mood Disease; Bipolar Disorder: A Guide for Patients and Families; and Adolescent Depression: A Guide for Parents, all published by Johns Hopkins. Patrick Kelly, M.D., is a child and adolescent psychiatrist and the director of pediatric psychosomatic medicine at the Johns Hopkins Hospital. His research interests include borderline personality disorder development in children.
AcknowledgmentsIntroductionI. Understanding the Problem1. The Clinical PictureFeatures of the Borderline DiagnosisMaking the Diagnosis of Borderline Personality DisorderThe Borderline Conundrum2. "Personality" and MoreUnderstanding "Personality"What Is a Personality Disorder?When Does "Personality" Become "Disorder"?Mood DisordersSelf-Destructive BehaviorsTraumatic ExperiencesThe Bigger PictureII. Causes3. The Four Faces of Borderline Personality DisorderThe Perspectives of Psychiatry4. What the Person Has: The Disease PerspectiveMood DisordersMajor Depressive DisorderDysthymic DisorderBipolar DisordersBorderline or Bipolar?Picturing Borderline Personality in the BrainGenetics5. The Dimensions of Borderline Personality DisorderMeasuring Personality TraitsThe Five-Factor Model of PersonalityTraits and "States"The "Personality" in Borderline PersonalityWhere Do Personality Traits Come From?Conclusions about Personality and the BorderlineDiagnosis6. Behaviors I: Addiction and Eating DisordersAlcohol and Drug AddictionEating Disorders7. Behaviors II: Self-Harming Behaviors and DissociationCutting and Other Forms of Self-MutilationWhy Do Individuals Self-Harm?Suicidal BehaviorDissociationDissociative "Disorders"Dissociation Symptoms in Borderline Personality Disorder8. The Life Story: Childhood Experiences, Development, TraumaChildhood Experiences and the Borderline DiagnosisBorderline Personality Disorder and PTSDLife Events in AdulthoodIII. Treatment9. Treating the DiseaseWhat Do Medications Treat in Persons with Borderline Personality Disorder?Antidepressant MedicationsMood-Stabilizing MedicationsAtypical Antipsychotic MedicationsAntianxiety Medications: Some Words of Caution10. Treating the BehaviorsStages of ChangeThe Talking Cure: PsychotherapyCognitive Behavioral TherapyCBT: A Closer LookDialectical Behavioral Therapy11. Understanding the Dimensions and Addressing the Life StoryPsychodynamic Therapies for Borderline Personality DisorderPsychotherapy for Borderline Personality Disorder: Summing Up12. Treatment Approaches: Putting It All Together13. Themes and VariationsGender DifferencesBorderline Personality Disorder in AdolescenceInternational and Cross-Cultural ConsiderationsIV. How to Cope, How to Help14. If You've Been Diagnosed with Borderline Personality DisorderDiagnosis, Diagnosis, DiagnosisAssembling Your Treatment TeamAcceptance and Committing to Getting BetterThe Role of HospitalizationThe Costs of AddictionLooking for Happiness in All the Wrong Places15. For Parents, Partners, Friends, and Co-workersGetting Someone into TreatmentSafety IssuesRecognizing and Addressing Abusive BehaviorsBorderline Personality Disorder in the WorkplaceGetting SupportEpilogueAppendix A: Resources and Further ReadingAppendix B: Theory and Development of the BorderlineConcept: A Primer for Students and TherapistsReferencesIndex