Borderline Personality Disorder (June/July)

Date of Issue: 06/01/2020 | Volume: 18 | Number: 6&7

Issue Links:Learning Objectives | Editorial Information

Borderline personality disorder. Highly resistant depression. Dysphoric crises. These are among the most severe conditions we treat, and they aren’t very responsive to medications. This issue outlines psychotherapeutic tools that can be woven into a medication visit to turn things around for these patients.

In This Issue

In Brief

Brief Coverage of Psychiatric News

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Clinical Update

Take a Breather: A Mindful Tactic for Borderline Dysphoria

Topics: Agitation | Behavior therapy | Borderline Personality Disorder | BPD | Crisis intervention | Mindfulness | Psychotherapy | Self-injury | Therapy during medication appointment | Therapy with Med Management

Dysphoric states cause intense anxiety and an urgent need to get relief. They can drive patients to self-harm, substance abuse, and suicide. Greg Sazima describes a breathing technique that helps patients pass safely through these crises.

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Expert Q&A

A Pragmatic Approach to Borderline Personality Disorder

Topics: Borderline Personality Disorder | BPD | Brief psychotherapy | Psychotherapy | Therapy during medication appointment | Therapy with Med Management

You don’t need to be a psychoanalyst or DBT specialist to help patients with borderline personality disorder. Lois Choi-Kain developed a psychotherapeutic approach that can be woven into just about any psychiatric treatment, from the medication visit to the hospital wards.

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Clinical Update

The Modafinils in Bipolar Depression

Topics: ArModafinil | Bipolar Disorder | Borderline Personality Disorder | BPD | Modafinil | Novel Medications | Nuvigil | Personality Disorders | Provigil | Psychopharmacology

Provigil and Nuvigil, the modafinils, may not work for full depressive episodes, but they do something else in bipolar disorder that’s important to patients. This article explores their cognitive effects, as well as their potential to cause addiction and mania.

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Expert Q&A

When Further Medication Trials Seem Futile

Topics: Depression | Depressive Disorder | MAOIs | Patient relationship | Pramipexole | Psychiatric interviewing | Therapy during medication appointment | Therapy with Med Management | Treatment-Resistant Depression

Joe Goldberg believes we do a disservice by shuffling patients through medication trials that have little chance of working. He shares techniques to engage patients, motivate change, combat demoralization, as well as his top pharmacologic strategies for highly resistant depression.

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Research Update

Autism: The Goal Posts Have Moved

Topics: Autism | Autism Spectrum Disorder autism spectrum disorder | Diagnosis | Research Update

The mysterious rise in autism diagnoses has invited every type of conjecture, from vaccines to aging parents. By comparing it to the rate of schizophrenia, this study arrived at an answer that’s a little more mundane, but a lot less speculative.

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Research Update

Locked-In Syndrome and Quality of Life

Topics: Physician assisted suicide | Suicide

People can still find meaningful lives even in with the most debilitating medical disorders, including locked in syndrome. In this neurologic disorder, patients maintain full awareness but are unable to speak or move due to complete paralysis of nearly all voluntary muscles in the body.

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CME Post-Test

CME Post-Test - Borderline Personality Disorder, TCPR, June-July 2020

Topics: CME Post-Test

The post-test for this issue is available for one year after the publication date to subscribers. By successfully completing the test you will be awarded a certificate for 2 CME credits.

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