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Good Psychiatric Management for Borderline Personality Disorder and Alcohol Use Disorder (GPM-AUD)- Lois W. Choi-Kain, M.D. M.Ed.

Dr. Choi-Kain is currently the Director of the Gunderson Personality Disorders Institute (GPDI), an internationally recognized center of training for empirically supported treatments for borderline personality disorder (BPD) and research on outcomes as well as the social cognitive mechanisms targeted in these interventions.

Her research training began as a post-doctoral fellow under the supervision of John Gunderson, M.D. After three years of research training, Dr. Choi-Kain developed an intensive residential treatment program, the Gunderson Residence, combining various empirically supported therapies with a milieu setting emphasizing rehabilitation of social and occupational functioning. At the same time, she expanded and diversified McLean Hospital’s adult BPD treatment program to include mentalization-based treatment (MBT) and dialectical behavior therapy (DBT)/DBT for PTSD training clinics as outpatient programs, to both train clinicians in these approaches while also providing insurance-based care. She has written three books on various applications of Gunderson’s Good Psychiatric Management (GPM)
Course Information

Borderline Personality Disorder (BPD) is a prevalent disorder associated with significant functional impairment and high rates of self-harm and suicide. It has an 6% lifetime prevalence (Trull et al., 2010) and nearly a 30% prevalence among individuals with alcohol use disorder or dependence (Trull et all, 2018). Among patients in primary care settings, diagnosis of any personality disorder is associated with a 20-fold increase in suicide risk compared to those with no psychiatric disorders, and a 4-fold increase compared to other psychiatric disorders (Doyle et. Al, 2016). And the combination of a personality disorder and alcohol misuse is associated with a 45-fold risk increase.


Good Psychiatric Management for BPD and AUD (GPM-AUD) is a generalist treatment for co-occurring BPD and AUD designed to be learnable for most health care professionals and adaptable enough to be practiced in most health care settings. It is an adaption of John Gunderson’s Good Psychiatric Management for Borderline Personality Disorder (GPM), which has been shown to have no difference in outcomes with Dialectical Behavior Therapy (DBT) in a large, methodologically rigorous randomized controlled trial (McMain et al., 2009). This presentation will provide an overview of key BPD facts for any clinician who might encounter patients with the disorder and will introduce basic principles of GPM and GPM-AUD to equip participants to provide evidence-based, generalist treatment for patients with co-occurring BPD and AUD.


            Learning objectives

  1. Recognize the prevalence and characteristics of co-occurring Borderline Personality Disorder (BPD) and Alcohol Use Disorder (AUD) to effectively diagnose and provide effective interventions for care.
  2. Recognize the motivations for and patterns of alcohol use specific to people with Borderline Personality Disorder.
  3. Recognize available multimodal treatment approaches and benefits of working with different modalities.
  4. Recognize the prevalence, characteristics, and management of self-harm and suicidality in patients with borderline personality disorder.
Availability: On-Demand
Expires on Jun 12, 2027
Cost: FREE
Credit Offered:
1.5 CME Credits
1.5 Other Professionals Credits
American Academy of Addiction Psychiatry
The content on this site is intended solely to inform and educate medical professionals. This site shall not be used for medical advice and is not a substitute for the advice or treatment of a qualified medical professional.

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