personality disorders | CARLAT PUBLISHING

CLINICAL UPDATE

Psychogenic Non-Epileptic Seizures

January 2, 2023

Susie Morris, MD, MA. Assistant professor of psychiatry and forensic psychiatrist, UCLA. Los Angeles, CA.

Dr. Morris has no financial relationships with companies related to this material.

Your patient experiences frequent episodes of falling to the floor and shaking for several minutes, but extensive neurologic work-ups find no evidence of epilepsy. Might your patient have psychogenic nonepileptic seizures? Several clues will help you distinguish these from epileptic seizures. We review the evaluation and management of this challenging condition.

RESEARCH UPDATE

DBT Skills May Reduce Polypharmacy in Borderline Personality Disorder

January 1, 2023

Simon M. Dosovitz, MD

Simon M. Dosovitz, MD. Dr. Dosovitz has no financial relationships with companies related to this material.

This real-world study finds that patients with BPD are able to trade pills for skills, with substantial reductions in a controversial class of medications.

Addiction and Borderline Personality Disorder

July 1, 2022

Ashley Pierson, PhD

Ashley Pierson, PhD

Assistant Professor of Psychiatry and acting director of DBT services, General Adult Intensive Outpatient Program, Yale University, New Haven, CT.

Dr. Pierson, expert for this educational activity, has no relevant financial relationship(s) with ineligible companies to disclose.

Borderline personality disorder is highly comorbid with substance use disorders for reasons that are described by Dr. Pierson. She also reviews some basics of dialectical behavioral therapy, the gold standard treatment for borderline personality disorder, and shows us how therapeutic principles can be applied the treatment of addiction.

Addiction and Borderline Personality Disorder

July 1, 2022

Ashley Pierson, PhD

Assistant Professor of Psychiatry and acting director of DBT services, General Adult Intensive Outpatient Program, Yale University, New Haven, CT.

Dr. Pierson, expert for this educational activity, has no relevant financial relationship(s) with ineligible companies to disclose.

Borderline personality disorder is highly comorbid with substance use disorders for reasons that are described by Dr. Pierson. She also reviews some basics of dialectical behavioral therapy, the gold standard treatment for borderline personality disorder, and shows us how therapeutic principles can be applied the treatment of addiction.

EXPERT Q&A

Personality Changes Later in Life: Diagnostic and Treatment Considerations

July 1, 2022

Rajesh R. Tampi, MD, MS, DFAPA.

Rajesh R. Tampi, MD

Professor and chairman, Department of Psychiatry, Bhatia Family Endowed Chair in Psychiatry, Creighton University School of Medicine. Catholic Health Initiatives (CHI) Behavioral Health Services, Omaha, NE.

Dr. Tampi, expert for this educational activity, has no relevant financial relationship(s) with ineligible companies to disclose.

Dr. Rajesh R. Tampi describes the course of personality disorders as patients age and provides documentation tips for clinicians who suspect personality disorders.

Treating Borderline Personality Disorder in Emergency Settings

March 28, 2022

Borderline personality disorder can be complicated to treat, especially in frantic and high stress settings like the emergency department or inpatient psychiatric unit. In today’s episode, we’ll address the best practices for managing patients with borderline personality disorder in emergency settings.

EXPERT Q&A

Mental Illness and Flourishing

March 4, 2022

Margaret Chisolm, MD

Margaret Chisolm, MD Vice Chair for Education in Psychiatry and Behavioral Sciences at Johns Hopkins University. Author of From Survive to Thrive: Living Your Best Life With Mental Illness (2021). Dr. Chisolm has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Photo credit: Greg Dohler

Dr. Margaret Chisolm shares how she and many of her colleagues at Johns Hopkins have found success in working with patients through a unique yet workable lens.

Personality Disorders in Therapy

January 17, 2022

Psychoanalyst Dan Buie, MD, describes 5 deficits that cause great suffering for people with personality disorders and how to work with them in therapy.

Borderline Personality Disorder in the ED

January 7, 2022

Victor Hong, MD

Victor Hong, MD.
Clinical Assistant Professor, Department of Psychiatry, University of Michigan, Ann Arbor, MI.

Dr. Hong has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Patients with borderline personality disorder often show up in emergency rooms multiple times and can trigger frustration and countertransference reactions in clinicians. Dr. Hong tells us how to help these patients and their families develop the skills needed to manage their emotions.

Working With Severe Personality Disorders

January 4, 2022

Dan H. Buie, MD and Interview by Marcia L. Zuckerman, MD.

Dan H. Buie, MD Psychiatrist, psychoanalyst, and associate professor of psychiatry, Tufts Medical School, Boston, MA. Author of numerous publications on empathy, aggression, suicide, and borderline personality disorder, including the classic article “Countertransference Hate in the Treatment of Suicidal Patients,” which he coauthored with Terry Maltsberger in 1974 (Maltsberger JT and Buie DH, Arch Gen Psychiatry 1974;30(5):625–633).

Interview by Marcia L. Zuckerman, MD. Board member of The Carlat Psychiatry Report; outpatient psychiatrist, Hallmark Health, Medford, MA; clinical assistant professor in psychiatry, Tufts School of Medicine. Dr. Buie and Dr. Zuckerman have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Psychoanalyst Dan Buie, MD, addresses the powerful emotions that can build up – or tear down – the therapeutic relationship when working with severe personality disorders and other “difficult” patients.