Acclaimed for its wisdom and no-nonsense style, this authoritative guide has now been revised and expanded with 50% new content reflecting a decade of advances in the field. Distinguished psychiatrist Joel Paris distills current knowledge about borderline personality disorder (BPD) and reviews what works in diagnosis and treatment. Rather than advocating a particular therapy, Paris guides therapists to flexibly interweave a range of evidence-based strategies, within a stepped-care framework. The book presents “dos and don'ts” for engaging patients with BPD, building emotion regulation and impulse control skills, working with family members, and managing suicidality and other crises. It is illustrated throughout with rich clinical vignettes.

New to This Edition

• Up-to-date findings on treatment effectiveness and outcomes.
• Chapter on dimensional models of BPD, plus detailed discussion of DSM-5 diagnosis.
• Chapter on stepped care, including new findings on the benefits of brief treatment.
• Chapter on family psychoeducation and other ways to combat stigma.
• New and expanded discussions of cutting-edge topics—BPD in adolescents, childhood risk factors, and neurobiology.