Good Psychiatric Management and Dialectical Behavior Therapy: A Clinician's Guide to Integration and Stepped Care

The impetus for writing Good Psychiatric Management and Dialectical Behavior
Therapy: A Clinician's Guide to Integration and Stepped Care was the realization
that the availability of specialized care for borderline personality disorder
(BPD) is far outstripped by the number of patients who need treatment. This
manual, edited by experts on BPD, provides a framework for implementing a
stepped care model in settings where access to specialized treatments is
limited. The authors contend that the principles of good psychiatric management
(GPM) represent a basic foundation that all clinicians can learn and that
combined with dialectical behavior therapy (DBT), one of the most effective
newer treatment modalities, progress can indeed be realized. The book
prioritizes pragmatism by suggesting what works in terms of reasonable evidence,
practical allocation of public health resources, and real-world clinical
experience implementing evidence-based treatments for BPD.

The book is
structured to enhance understanding and the acquisition of basic skills: An
introductory chapter delivers a brief overview of both GPM and DBT, explaining
in broad strokes how BPD is conceptualized in each model. Later chapters address
the common principles found in both GPM and DBT-principles that any generalist
clinician can incorporate into their practice, including clinician stance,
treatment organization, and a strategy for managing crises. The stepped care
model for BPD, is introduced and explored, with emphasis on clinical stage and
available resources. In addition, the book presents a menu of possible ways
clinicians and programs can use GPM, DBT, and other specialist psychotherapy for
BPD. Two tool kits are supplied, one each for GPM and DBT. These tool kits
summarize the top skills and techniques in both treatment modalities for
clinicians who are interested in using them in their practices. A full set of
case illustrations is included, each depicting the application of DBT and GPM in
common clinical scenarios. These vignettes demonstrate how DBT and GPM can be
integrated into primary care settings, emergency rooms, and general mental
health settings where specialized psychotherapies for BPD are either not
available or not well suited.

Aimed at general psychiatrists, therapists,
social workers, mental health nurses, psychiatry residents, family physicians,
psychologists, and other mental health clinicians who practice in communities
where evidence-based treatments for BPD are difficult to access, Good
Psychiatric Management and Dialectical Behavior Therapy enhances the clinician's
ability to provide not only treatment but also hope.