The Lawrence E. Lifson, MD, Psychotherapy Conference: Pre-Conference Institute: Treatment of Borderline Personality Disorder
John Gunderson, MD
This course will describe an empirically validated treatment approach, General Psychiatric Management (GPM) (McMain et al., AJP, 2009). GPM’s emphasis is on psychoeducation (about genetics and prognosis) and involves integration of medication strategies that are practical, flexible, and commonsensical. Listening, validation, judicious self-disclosures, and admonishments create a holding and containing relationship in which not only the therapist’s concerns but also the therapist’s limitations are made explicit. Techniques and interventions that facilitate the patient’s trust and willingness to become a proactive collaborator will be described. Guidelines for dealing with common, and usually most burdensome issues regarding management of suicidality and self-harm (e.g., intersession crises, threats as a call-for-help, and excessive use of ERs or hospitals) will be reviewed. How and when therapists can usefully integrate group, family, or other psychotherapies will also be presented.
- Explain the diagnosis to patients and families and establish reasonable expectations for change (psychoeducation)
- Manage the problem of recurrent suicidality and self-harm while limiting personal burden and liability
- Expedite alliance building by way of using medications and homework
- Know when to prioritize Borderline Personality Disorder (BPD) treatment and when to defer until a comorbid disorder is resolved
|8:45am-9:00am||Welcome and Overview, James Walton, MD|
|12:30-1:45pm||Lunch (on your own)|
Beth Israel Deaconess Department of Psychiatry Foundation, Inc./Contact Hours: 6
Physicians: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American Psychoanalytic Association and the Boston Psychoanalytic Society and Institute is accredited by the ACCME to provide continuing medical education for physicians.
The American Psychoanalytic Association designates this Live Activity for a maximum of 19 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- The Pre-Conference Institute: A maximum of 6 AMA PRA Category 1 Credit(s)™
- Psychodynamic Psychotherapy 2015: A maximum of 13 AMA PRA Category 1 Credits(s)™
The Royal College of Physicians and Surgeons of Canada recognizes conferences and workshops held outside of Canada that are developed by a university, academy, hospital, specialty society or college as accredited group learning activities.
Through an agreement between the American Medical Association and the European Union of Medical Specialists, physicians may convert AMA PRA Category 1 Credit™ to an equivalent number of European CME Credits® (ECMECs®). Information on the process of converting AMA PRA Category 1 Credits™ to ECMECs® can be found at: www.eaccme.eu.
IMPORTANT DISCLOSURE INFORMATION FOR ALL LEARNERS: None of the planners and presenters of this CME program have any relevant financial relationships to disclose.
Psychologists: William James College is approved by the American Psychological Association to sponsor continuing education for psychologists. William James College maintains responsibility for these programs and their content.
Social Workers: Application for social work continuing education credits has been submitted. Please contact William James College at 617-244-1682 or by email at firstname.lastname@example.org for the status of social work CE accreditation.
Nurses: These programs meet the specifications of the Board of Registration in Nursing (244 CMR).
Mental Health Counselors: William James College is an NBCC-Approved Continuing Education Provider (ACEPTM) and may offer NBCC-approved clock hours for events that meet NBCC requirements. The ACEPTM solely is responsible for all aspects of the program. This program meet the criteria for 19 clock hours.
Educators: William James College is approved by the Commonwealth of Massachusetts to offer Professional Development Points (PDPs). (Provider Number 5-0416-999).
Licensed Marriage and Family Therapists: These activities have been certified by FDA/CE Certifications and the Massachusetts Association for Marriage & Family Therapy Inc. for professional continuing education.
vJohn Gunderson, MD, is Professor of Psychiatry (part-time), Harvard Medical School, and Director, Psychosocial Research and the Borderline Personality Disorder Center at McLean Hospital. His seminal studies on diagnosis, psychodynamics, treatment, and treatment pathogenesis of borderlines helped transform the diagnosis from a psychoanalytic construct into an empirically validated and internationally recognized disorder. He chaired the DSM-IV working group on personality disorders and has led major NIMH-funded studies, including those on the longitudinal stability and family transmission on borderlines. Dr. Gunderson has been responsible for conceptualizing the borderline core problem as one of interpersonal hypersensitivity; pioneering the collaborative involvement with diagnostic category and compassionate attitudes towards their families; and writing/revising the major textbook on treatment of the borderline. Two of his ground-breaking books areHandbook of Good Psychiatric Management for Borderline Personality and Borderline Personality and Mood Disorders: Comorbidity and Controversy. Most recently, he has written a manual for an empirically validated model of treatment for borderlines called Good Psychiatric Management (GPM), which advocates for evaluation of the level of care that they receive. In honor of these achievements, McLean Hospital opened a residential treatment center in Cambridge named the Gunderson Residence