My Work With Borderline Patients

This text contains descriptions of how to work with borderline patients.

Published in 1993, Relationship Management of The Borderline Patient is a valuable contribution to the field of Family Therapy.

Management of Countertransference with Borderline Patients is an open and detailed discussion of the emotional reactions that clinicians experience when treating borderline patients. This book provides a systematic approach to managing countertransference that legitimizes the therapist's reactions and shows ways to use them therapeutically with the patient.

People with borderline personality disorder (BPD) can be intensely caring, warm, smart, and funny—but their behavior often drives away those closest to them. If you're struggling in a tumultuous relationship with someone with BPD, this is the book for you. Dr. Shari Manning helps you understand why your spouse, family member, or friend has such out-of-control emotions—and how to change the way you can respond. Learn to use simple yet powerful strategies that can defuse crises, establish better boundaries, and radically transform your relationship. Empathic, hopeful, and science based, this is the first book for family and friends grounded in dialectical behavior therapy (DBT), the most effective treatment for BPD.

Contrary to popular belief, borderline personality disorder is NOT a life sentence! If you live with borderline personality disorder (BPD), you already know how painful it can be. But take heart - recovery is possible! The Big Book on Borderline Personality Disorder offers advice from someone who's been there and speaks from inside BPD, with empathy, care and insight. Author Shehrina Rooney shrugs off the stigma, busts myths, and translates the diagnostic criteria into everyday language. She explains the brain science of emotion dysregulation and shares her favorite strategies and skills for weathering the storm. The Big Book on Borderline Personality Disorder includes special chapters for family and loved ones, men with BPD, and anyone newly diagnosed. The author gives readers strategies for coping with BPD in the workplace and as a parent. In short, this book covers everything you (or your parents or therapist) could possibly want to know about BPD. This book gives you the information and tools to reclaim your life. With warmth and humor, Shehrina Rooney shows you how you can find contentment, stability, and the freedom to enjoy each day as it comes.

Treating borderline patients is one of the most challenging areas in psychotherapy because of the patient's extreme emotional expressions, the strain it places on the therapist, and the danger of the patient acting out and harming himself or the therapeutic relationship. Many clinicians consider this patient population difficult, if not impossible, to treat. However, in recent years dedicated experts have focused their clinical and research efforts on the borderline patient and have produced treatments that increase our success in working with borderline patients. Transference-Focused Therapy (TFP) is psychodynamic treatment designed especially for borderline patients. This book provides a concise and comprehensive introduction to TFP that will be useful both to experienced clinicians and also to students of psychotherapy. TFP has its roots in object relations and it emphasizes that the transference is the key to understanding and producing change. The patient's internal world of object representations unfolds and is lived in the transference with the therapist. The therapist listens for and makes use of the relationship that is revealed through words, silence, or, as often occurs in the case of individuals with some borderline personality disorder, acting out in subtle or not-so-subtle ways. This primer offers clinicians a way to understand and then use the transference and countertransference for change in the patient.

The Borderline Personality Disorder Survival Guide is organized as a series of answers to questions common to BPD sufferers: What is BPD? How long does it last? What other problems co-occur with BPD? Overviews what we currently know about BPD make up the first section of the book. Later chapters cover several common treatment approaches to BPD: dialectical behavior therapy (DBT), mentalization-based therapy (MBT), and medical treatment using psychoactive drugs. In the last sections of the book, readers learn a range of day-to-day coping skills that can help moderate the symptoms of BPD.

The as-if patient very often comes to treatment at the behest of someone else, or comes with only the vaguest sense that something is wrong, hence, the patient does not usually notice that nothing is happening in therapy.