Overcoming Borderline Personality Disorder: A Family Guide for Healing and Change

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Oxford University Press, Jul 30, 2010 - Psychology - 424 pages
Borderline personality disorder (BPD) is characterized by unstable moods, negative self-image, dangerous impulsivity, and tumultuous relationships. Many people with BPD excel in academics and careers while revealing erratic, self-destructive, and sometimes violent behavior only to those with whom they are intimate. Others have trouble simply holding down a job or staying in school. Overcoming Borderline Personality Disorder is a compassionate and informative guide to understanding this profoundly unsettling--and widely misunderstood--mental illness, believed to affect approximately 6% of the general population. Rather than viewing people with BPD as manipulative opponents in a bitter struggle, or pitying them as emotional invalids, Valerie Porr cites cutting-edge science to show that BPD is a true neurobiological disorder and not, as many come to believe, a character flaw or the result of bad parenting. Porr then clearly and accessibly explains what BPD is, which therapies have proven effective, and how to rise above the weighty stigma associated with the disorder. Offering families and loved ones supportive guidance that both acknowledges the difficulties they face and shows how they can be overcome, Porr teaches empirically-supported and effective coping behaviors and interpersonal skills, such as new ways of talking about emotions, how to be aware of nonverbal communication, and validating difficult experiences. These skills are derived from Dialectical Behavior Therapy and Mentalization-based Therapy, two evidence-based treatments that have proven highly successful in reducing family conflict while increasing trust. Overcoming Borderline Personality Disorder is an empowering and hopeful resource for those who wish to gain better understanding of the BPD experience--and to make use of these insights in day-to-day family interactions. Winner of the ABCT Self Help Book Seal of Merit Award 2011
 

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Regarding Mood Stabilizers:
I quote from Psychological therapies for people with borderline personality disorder from the Cochrane Library http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD005652
.pub2/full
“During the time-span that the included trials cover (that is, publication years range from 1991 to 2011), the understanding of the relative efficacy of medications in BPD has changed. For example, SSRIs that were once regarded the first-line treatment for BPD (compare APA guidelines: APA 2001; Rush 2005) for the treatment of various symptom clusters lack corresponding evidence, whereas mood stabilisers and second-generation antipsychotics are supported by some evidence (Stoffers 2010).”
Old studies show that Lithium is effective for treating BPD but due to the risks associated with toxicity (overdose),noncompliance (not following doctors orders) and the need for frequent monitoring (checking by blood tests) it is prescribed less often.
 

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This review is from: Overcoming Borderline Personality Disorder: A Family Guide for Healing and Change (Paperback)
I now have my personal Bible, Koran, Book of Enlightenment, dictionary and
Encyclopedia all rolled into one with the sole subject of Borderline Personality Disorder. While working with families during my many years as a TARA Affiliate President I have witnessed misdiagnosis, damaging advice given to families by professionals, families who have been hurt, feel helpless and are hopeless, all due to BPD. Valerie Porr has written a book that provides much needed education for families and professionals. It is based on cutting edge research that is totally surrounded by compassion. This is a book that I will go back to again and again. It will be read and reread, pages will be turned down, and specific pages will be highlighted. Families who are just starting this journey, families who have been living with BPD for many years will do the same. We have a priceless resource in "Overcoming Borderline Personality Disorder." 

Contents

Loving Someone with Borderline Personality Disorder The Family Experience
3
The Science of Borderline Personality Disorder
37
The Principles of Behavior Change
77
Understanding Dialectical Behavior Therapy
105
Understanding and Applying Validation
129
Mindfulness
189
Grieving and Radical Acceptance
215
Dialectical Behavior Therapy Skills for Behavior Change Interpersonal Relationships Emotion Regulation and Distress Tolerance
245
Mentalization Understanding Misunderstandings
287
Putting It All Together Integrating Skills for Acceptance and Change
329
For Clinicians
347
Resources
351
Bibliography
353
Index
375
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About the author (2010)

Valerie Porr, M.A., is a mental health educator and advocate trained in Dialectical Behavior Therapy, and the founder and president of the Treatment and Research Advancements National Association for Personality Disorder (TARA NAPD). She conducts psycho-educational training seminars for family members of those with BPD in New York and elsewhere.

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