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Case Vignette 1: Refusal and Subthreshold Borderline Personality Disorder (Carlos) | Case Vignette 2: Forming a Therapeutic Alliance (Evelyn) | Case Vignette 3: Undiagnosed BPD Detected in a Therapeutic Impasse (Alexia) | Case Vignette 4: Pharmacotherapy and GPM for Adolescents With BPD (Maddie)

Excerpt

The clinical vignettes in this chapter illustrate how to apply good psychiatric management for adolescents (GPM-A) principles in common clinical scenarios mental health professionals encounter. We offer decision points to give readers a chance to think through how they personally would respond before reading further. A nonexhaustive list of alternative responses to the decision points is then offered for the reader’s consideration. To help with understanding which responses are more or less aligned with the GPM-A approach, the reader can rate which responses are helpful (scored as 1), possibly helpful but with continuing reservations (because the response depends on other considerations or because its effect seems unpredictable; scored as 2), and not helpful—or even harmful (scored as 3).

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