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Effective Clinical Management of Borderline Personality Disorder


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Effective Clinical Management of Borderline Personality Disorder

  1. 1. Effective Clinical Management ofBorderline Personality DisorderMayo School of Continuous Professional DevelopmentNovember 9, 2013DoubleTree by Hilton300 E. Ohio StreetChicago, IllinoisMayo Clinic Course DirectorBrian A. Palmer, M.D.
  2. 2. CANCELLATION POLICYIf you cancel your participation in thiscourse, your registration fee, less a $75administrative fee, will be refundedwhen written notification is received byMayo School of Continuous ProfessionalDevelopment (CPD) before October 25,2013 (fax#: 507-284-0532). No refunds willbe made after October 25, 2013.Mayo School of CPD reserves the rightto cancel or postpone any course due tounforeseen circumstances. In the unlikelyevent Mayo School of CPD must cancel orpostpone this course, Mayo School of CPDwill refund the registration fee, but is notresponsible for any related costs, charges,or expenses to participants, includingfees assessed by airline/travel/lodgingagencies.LODGING ACCOMMODATIONSGuest rooms have been reserved forattendees and their guests with specialcourse rates at DoubleTree by HiltonChicago. This contemporary downtownChicago hotel places you minutes from theWindy City’s best sights and sounds.In order to receive the special roomrate of $189, reservations must be madebefore the room block is filled or beforethe expiration date of October 17, 2013.Reservations will be taken following thisdate based on space and rate availability.Hotel reservations can be made by calling800-560-7753.DoubleTree by Hilton300 E. Ohio StreetChicago, IllinoisToll Free: 800-560-7753Direct Number: 312-787-6100COURSE FACULTYMayo Clinic Course DirectorBrian A. Palmer, M.D.Assistant Professor of Psychiatry, Mayo ClinicGuest Faculty John G. Gunderson, M.D.Professor of Psychiatry, Harvard Medical School and Director of the Center for the Treatment ofBorderline Personality Disorder, McLean Hospital
  3. 3. Program ScheduleThe course is divided into seven sections. Each section will haveassociated question and answer periods and will use DVD examples ofclinical material to emphasize the teaching points. In addition, breakoutsessions featuring clinical vignettes interrupted by discussion of decisionpoints will be used for interactive learning.Saturday, November 9, 20137:00-8:00 a.m. Registration8:00-9:00 a.m. Background/Overall Principles John G. Gunderson, M.D. 1. Empirical Support 2. Interpersonal Hypersensitivity a) Origins b) Clinical implications 3. Basic approach(accountability and agency, being active/non-reactive) 4. How BPD changes 5. QA9:00-9:45 a.m. Getting Started Brian A. Palmer, M.D. 1. Making the diagnosis a) Stigma, value b) Psychoeducation c) Course and outcome 2. Alliance building (how to facilitate, assess) 3. Establishing a frame (goals, availability between sessions) 4. QA9:45-10:05 a.m. Break
  4. 4. 10:05-11:15 a.m. Case #1 and 2 (covering Sections I-III) with Audience Response System11:15-noon Managing Suicidality and Self-Harm John G. Gunderson, M.D. 1. Assessing dangerousness/safety 2. Managing threats (is contracting for safety useful?) 3. Responding to acts(use of hospitals, other levels of care) 4. Liability considerations 5. QANoon-1:00 p.m. Lunch break1:00-1:45 p.m. Pharmacotherapy and Comorbidity Brian A. Palmer, M.D. 1. General principles (caution, collaboration) 2. Selecting medications (a new algorithm) 3. Comorbidities (identifying which disorder is theprimary target) 4. Common problems(depression, bipolar disorder, PTSD) 5. QA1:45-3:00 p.m. Cases #3 and 4 (covering Sections IV V) with Audience Response System3:00-3:20 p.m. Break3:20-3:50 p.m. Multimodel Treatments John G. Gunderson, M.D. 1. Split Treatments 2. Use of Groups 3. Family Therapy 4. QA3:50-4:30 p.m. Review and Conclusions John G. Gunderson, M.D. Brian A. Palmer, M.D. 1. Review of the day: key points to take home 2. Why do this work? 3. QA
  5. 5. COURSE DESCRIPTIONThis one-day course will teachpsychiatrists, psychologists, and otherclinicians the basics of what they need toknow to become capable, and comfortable,in treating patients with borderlinepersonality disorder. The psychiatricmanagement taught in the course hasbeen compared in a randomized studywith Dialectical Behavioral Therapy andperformed equally well. The course willbe led by John Gunderson, MD, Professorof Psychiatry at Harvard Medical School,and Brian Palmer, MD, Assistant Professorof Psychiatry at Mayo Clinic, in Rochester,Minnesota.The course will emphasize practical,here-and-now approaches to skillfullytreat patients with borderline personalitydisorder. It will make active use ofan audience-response system, cases,and videos to help participants masterthe content provided. The day beginswith a focus on the core interpersonalhypersensitivity as a unifying featureof the disorder. Participants willdevelop skill in diagnosing BPD(and understanding its course andoutcome), beginning treatment forpatients with borderline personalitydisorder, managing suicide risk andself-harm behavior, applying principlesof psychopharmacology, and effectivelycollaborating in multi-providertreatments. Basic information aboutthe impact of BPD on other psychiatricdisorders (and vice-versa) will helpparticipants more effectively formulatecare and treatment of patients with BPDand other disorders.DATE LOCATIONThe course will be held at the DoubleTreeby Hilton in downtown Chicago onSaturday, November 9, 2013. The hotelhas an ideal location, two blocks fromMichigan Avenue and four blocks fromNavy Pier, newly renovated fitness center,MARKETHOUSE restaurant featuringAmerican contemporary cuisine withlocally sourced ingredients, a new lobbybar, and Einstein Bros Bagels onsite. LakeMichigan is within immediate walkingdistance; running paths and bike rentalsare directly across the street.COURSE LEARNING OBJECTIVESUpon completion of this activity,participations should be able to:•Correctly diagnose borderlinepersonality disorder, includingdifferentiation from mood disorders.• Articulate principles of treatmentfor borderline personality disorder,including management of safety issuesINTENDED AUDIENCEPsychiatrists, internists, family physicians,psychologists, physician assistants, nursepractitioners, and social workers.CREDITCollege of Medicine, Mayo Clinic, isaccredited by the Accreditation Councilfor Continuing Medical Education toprovide continuing medical education forphysicians. College of Medicine, MayoClinic, designates this live activity for amaximum of 6.5 AMA PRA Category 1Credit(s)™. Physicians should only claimcredit commensurate with the extent oftheir participation in the activity.The Department of Psychiatry andPsychology at Mayo Clinic, in Rochester,Minnesota, is approved by the AmericanPsychological Association to sponsorcontinuing education credits forpsychologists. The Department ofPsychiatry and Psychology at MayoClinic, in Rochester, Minnesota, maintainsresponsibility for this program and itscontents.REGISTRATIONTo register online, visit: The registration fee includestuition, electronic course syllabus, lunch,and break refreshments. The cost forparking is not included in the registrationfee. A letter of confirmation will be sentupon receipt of payment and completedregistration form. Please present yourconfirmation letter when checking in atthe meeting registration desk.Registration Fee: $199
  6. 6. ©2012MayoFoundationforMedicalEducationandResearchMAYOCLINIC200FirstStreetSWRochester,MN55905NON-PROFITORG.U.S.POSTAGEPAIDMAYOCLINICClinicalManagementofBorderlinePersonalityDisorderNovember9,2013DoubleTreebyHilton300E.OhioStreetChicago,IllinoisIfyoualreadyreceivedacopyofthisbrochure,pleasegivethisbrochuretoaninterestedcolleague.MC4322-22rev0413Web: