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    Borderline Personality Disorder: New Reasons for Hope

    Borderline Personality Disorder: New Reasons for Hope

    by Francis Mark Mondimore MD, Patrick Kelly MD

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    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.


    Francis Mark Mondimore, M.D., is a psychiatrist on the faculty of the Johns Hopkins University School of Medicine and director of the Mood Disorders Clinic at Johns Hopkins Bayview Medical Center. His books include Borderline Personality Disorder: New Reasons for Hope; Depression, the Mood Disease; and Adolescent Depression: A Guide for Parents, all published by Johns Hopkins.

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    Table of Contents

    Acknowledgments
    Introduction
    I. Understanding the Problem
    1. The Clinical Picture
    Features of the Borderline Diagnosis
    Making the Diagnosis of Borderline Personality Disorder
    The Borderline Conundrum
    2. "Personality" and More
    Understanding "Personality"
    What Is a Personality Disorder?
    When Does "Personality" Become "Disorder"?
    Mood Disorders
    Self-Destructive Behaviors
    Traumatic Experiences
    The Bigger Picture
    II. Causes
    3. The Four Faces of Borderline Personality Disorder
    The Perspectives of Psychiatry
    4. What the Person Has: The Disease Perspective
    Mood Disorders
    Major Depressive Disorder
    Dysthymic Disorder
    Bipolar Disorders
    Borderline or Bipolar?
    Picturing Borderline Personality in the Brain
    Genetics
    5. The Dimensions of Borderline Personality Disorder
    Measuring Personality Traits
    The Five-Factor Model of Personality
    Traits and "States"
    The "Personality" in Borderline Personality
    Where Do Personality Traits Come From?
    Conclusions about Personality and the BorderlineDiagnosis
    6. Behaviors I: Addiction and Eating Disorders
    Alcohol and Drug Addiction
    Eating Disorders
    7. Behaviors II: Self-Harming Behaviors and Dissociation
    Cutting and Other Forms of Self-Mutilation
    Why Do Individuals Self-Harm?
    Suicidal Behavior
    Dissociation
    Dissociative "Disorders"
    Dissociation Symptoms in Borderline Personality Disorder
    8. The Life Story: Childhood Experiences, Development, Trauma
    Childhood Experiences and the Borderline Diagnosis
    Borderline Personality Disorder and PTSD
    Life Events in Adulthood
    III. Treatment
    9. Treating the Disease
    What Do Medications Treat in Persons with Borderline Personality Disorder?
    Antidepressant Medications
    Mood-Stabilizing Medications
    Atypical Antipsychotic Medications
    Antianxiety Medications: Some Words of Caution
    10. Treating the Behaviors
    Stages of Change
    The Talking Cure: Psychotherapy
    Cognitive Behavioral Therapy
    CBT: A Closer Look
    Dialectical Behavioral Therapy
    11. Understanding the Dimensions and Addressing the Life Story
    Psychodynamic Therapies for Borderline Personality Disorder
    Psychotherapy for Borderline Personality Disorder: Summing Up
    12. Treatment Approaches: Putting It All Together
    13. Themes and Variations
    Gender Differences
    Borderline Personality Disorder in Adolescence
    International and Cross-Cultural Considerations
    IV. How to Cope, How to Help
    14. If You've Been Diagnosed with Borderline Personality Disorder
    Diagnosis, Diagnosis, Diagnosis
    Assembling Your Treatment Team
    Acceptance and Committing to Getting Better
    The Role of Hospitalization
    The Costs of Addiction
    Looking for Happiness in All the Wrong Places
    15. For Parents, Partners, Friends, and Co-workers
    Getting Someone into Treatment
    Safety Issues
    Recognizing and Addressing Abusive Behaviors
    Borderline Personality Disorder in the Workplace
    Getting Support
    Epilogue
    Appendix A: Resources and Further Reading
    Appendix B: Theory and Development of the BorderlineConcept: A Primer for Students and Therapists
    References
    Index

    What People are Saying About This

    Rachel Reiland

    Those who crave real answers about the debilitating complexities of borderline personality disorder will find them and then some in this well-crafted book. The authors avoid the subtle stigmatization of people who have BPD that is often found elsewhere. Instead, they offer compassion and hope. As one who has suffered from the illness, I can attest that their characterizations of what goes on in the heart and mind of someone with BPD are spot on. This is a great book!

    — Rachel Reiland, author of Get Me Out of Here: My Recovery from Borderline Personality Disorder

    Perry D. Hoffman

    This exceptionally well-written book explains the many complexities of borderline personality disorder and dismantles much of the confusion surrounding the disorder. The authors are to be commended for a book that serves everyone in the BPD community: patients, family members, and professionals alike.

    — Perry D. Hoffman, Ph.D., President, National Education Alliance for Borderline Personality Disorder

    Blaise Aguirre

    This thorough, compassionate, and readable discussion of Borderline Personality Disorder is essential reading for patients and family members. It will also be invaluable to both new and more experienced clinicians wanting to have the most up-to-date knowledge.

    — Blaise Aguirre, M.D., author of Borderline Personality Disorder in Adolescents: A Complete Guide to Understanding and Coping When Your Adolescent Has BPD

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    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.

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    Psychiatric Times - Joel Paris
    "The book is thoughtful, accurate, and user-friendly."

    Psychiatric Times
    The book is thoughtful, accurate, and user-friendly.

    — Joel Paris, MD

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