General psychiatric management (GPM) for borderline personality disorder: a generalist model for Latin America

• Autor(a) principal: Croci, Marcos Signoretti
• Data de Publicação: 2022
• Outros Autores: Brañas, Marcelo José Abduch Adas, Fleisher, Carl, Carreño, Teresa, Jurado Andia , Maria Dayana, Martinho Júnior , Eduardo, Choi-Kain, Lois W
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Debates em Psiquiatria (Online)
• Texto Completo: https://revistardp.org.br/revista/article/view/446
• topic: transtorno da personalidade borderline; saúde pública; administração de caso; psicoterapia; terapêutica; borderline personality disorder; public health; case management; psychotherapy; therapeutics; trastorno de personalidad limítrofe; salud pública; manejo de caso; psicoterapia; terapéutica

For many years, borderline personality disorder (BPD) has been regarded as an untreatable mental health condition. However, several effective evidence-based treatments developed in the last decades, such as dialectical behavior therapy (DBT), mentalization-based treatment (MBT) and transference focused psychotherapy (TFP), proved otherwise. The problem from a public health perspective is that their availability is limited. In this context of increased need for trained clinicians, general psychiatric management (GPM) and other generalist approaches emerged. This article reviews GPM’s major foundations and framework that guide non-specialized clinicians to structure a treatment based on medicalization of the disorder, case management and supportive psychotherapeutic interventions. We also illustrate the approach with a case vignette and finally present newer developments, such as integration with DBT and GPM for adolescents (GPM-A).