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Session C - Good Psychiatric Management for Patients with Borderline or Narcissistic Personality Disorders

Dr. Paul Links MD, FRCP(C)

Workshop Objectives:

At the end of this workshop, the participants will be able to:

1. Describe Good Psychiatric Management and the evidence for the model,

2. Characterize contemporary understandings of borderline and narcissistic personality disorders,

3. Discuss pragmatic, evidence-based approaches to management issues such as risk of suicide, comorbid disorders, fostering a sense of self-agency and establishing and maintaining a collaborative therapeutic relationship.

The purposes of this workshop are to discuss the development of Good Psychiatry Management (GPM) for patients with Borderline and Narcissistic Personality Disorders and indicate the current evidence for using GPM in the care of these patients. The workshop will review contemporary understandings of borderline personality disorder and the interpersonal hypersensitivity model and current views of narcissistic personality disorder and the intrapsychic coherence model. Practical pragmatic approaches to management issues such as risk of suicide, comorbid disorders, fostering a sense of self-agency and establishing and maintaining a collaborative therapeutic relationship will be discussed. Case vignettes that require active participant involvement will be included in the workshop.