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.
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.
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