Treatment for BPD: a Common Factors Approach with Dr Lois Choi-Kain

With the advent of evidence based treatments for borderline personality disorder (BPD), we now know "what works." However, what does not work is that the demand for effective treatments is high and the supply, is inadequate to meet this need due to the time and training intensive nature of these specialized psychotherapeutic treatments.

What we need to know now is what works about these effective treatments, to understand their common factors, so that all clinicians can recognize and care for patients with BPD using a common factors generalist approach. This presentation will review the major evidence based psychotherapies for BPD, distill their common factors, and present the generalist Good Psychiatric Management (GPM) approach as one way to meet broader needs of the high prevalence of patients with BPD seeking care. In addition, models of stepped care, allocation generalist common factors approaches to all, and then intensifying care for those who do not respond adequately will be described. Lastly, directions for the future, to improve and broaden accessibility of what works in the treatment of BPD, with greater attention to early intervention and psychosocial functioning will be discussed.


Lois Choi-Kain, MEd, MD
Director, Gunderson Personality Disorder Institute, McLean Hospital
Assistant Professor of Psychiatry, Harvard Medical School

Lois W. Choi-Kain, MEd, MD, is the director of the Adult Borderline Center and Training Institute at McLean Hospital, now the Gunderson Personality Disorder Institute. In 2009, she developed the Gunderson Residence, an intensive, specialized residential program for adult women with severe personality disorders which uniquely integrates multiple evidence-based treatments for borderline personality disorder (BPD) in a rigorous and scientifically informed way. Dr. Choi-Kain also founded the BPD Training Institute in 2013, a major center for proliferating evidence-based treatments for severe personality disorders, including Mentalization-Based Treatment (MBT), Transference Focused Psychotherapy (TFP), Dialectical Behavior Therapy for Post-Traumatic Stress Disorder (DBT-PTSD), and General Psychiatric Management (GPM).

In addition, as an assistant professor of psychiatry at Harvard Medical School, Dr. Choi-Kain actively conducts research and publishes original studies, reviews, and clinical perspectives on BPD and its evidence-based treatments. Her research focuses on personality disorders, attachment, psychotherapy, and accessibility and implementation of care.

A small number of subsidised tickets will be available for peer advocates and workers (Those with BPD and carers).

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