Shorter Term Treatments for Bpd

I am the webowner of the site "Borderline Personality Disorder Today." This is a book written primarily for clinicians but I also feel BPDs can learn from it. Initially, he presents a very important problem in treating BPDs. One that I have always felt. When discussing long term therapy, he states "..I suspect that only a tiny percent of borderline patients can afford such treatment." Also discussed are the limitations that some HMOs have that prevent treating the BPD. He also states "Borderline patients are often so dysfunctional that they do not have the ability to earn a good income and/or they experience significant occupational instability...The bottom line is this: These people who suffer so much cannot afford long term treatment..." He discusses BPD symptomology, therapeutic strategies and even discusses how the limbic system in the brain is damaged and how medication can help. I recommend this book to clinicians, borderlines and families.

Most books addressing the treatment of borderline personality disorder recommend intensive treatment. Let's get real. People with this type of disorder suffer tremendously and lead chaotic lives. One manifestation of the chaos is unstable employment and marginal incomes. For 99% of borderline people, long term, intensive treatment is financially unrealistic. This book discusses practical approaches primarily drawn from cognitive behavioral therapy and psychopharmacology that are reasonable alternatives in treating this very difficult group of clients. The author's use of the concept "shorter term" refers to weekly psychotherapy lasting from 3-12 months. This book is well written, clear, and practical.