PSY FPX 7411 Assessment 1 Annotated Bibliography

Assessment Overview

PSY FPX 7411 Assessment 1: Bipolar complaint is a mood complaint characterized by interspersed occurrences of mania/hypomania and depression, affecting geste feelings and diurnal functioning. Its causes include inheritable factors, neurotransmitter imbalances, environmental stressors, and artistic influences. Effective operation combines pharmacotherapy, psychotherapy, and ethical, culturally sensitive care to ameliorate patient issues. 

What’s Included:

Sample Assessment Paper

Annotated Bibliography

Chanen et al. (2008) conducted a randomized controlled trial of early intervention in adolescents with borderline personality disorder (BPD) using cognitive analytic therapy (CAT). The study aimed to assess changes in symptoms prior to and following treatment. Interventions, including CAT, case management, psychiatric treatment, and inpatient treatment, were employed, with the aim of decreasing parasuicidal behavior. The study lasted two years and involved participants between 17 and 22 years old diagnosed with BPD. Findings pointed to CAT as the most effective intervention, with emphasis on its application for earlier treatment of BPD.

Choi-Kain et al. (2017) synthesized existing evidence regarding BPD treatment, with emphasis on the efficacy of dialectical behavior therapy (DBT). The adoption of DBT revolutionized the treatment of BPD, disproving it as an untreatable condition. DBT was also pitted against other treatments such as mentalization-based treatment (MBT), schema-focused therapy (SFT), transference-focused psychotherapy (TFP), and systems training for emotional predictability and problem-solving (STEPPS). DBT was identified as the major effective intervention, thus recommending its adoption in the management of BPD.

Linehan et al. (2015) employed a single-blind randomized clinical trial to determine the effectiveness of DBT in treating high-suicide-risk BPD patients. The study was focused on testing DBT’s skills training component and its impact on reducing suicidal behavior. Findings supported DBT’s effectiveness, particularly standard DBT, as opposed to other variations like individual or caseworker-involved DBT. This study adds strength to the evidence base of DBT as an evidence-based treatment of choice for BPD, particularly for those at high risk of suicide.

PSY FPX 7411 Assessment 1 Annotated Bibliography

Stoffers et al. (2010) investigated pharmacological treatment in BPD, a less mentioned treatment for affective and impulse symptoms. Through systematic review, the study reviewed the efficacy of various drugs versus placebo or other drugs. Findings were favorable for certain benefits with second-generation antipsychotics, mood stabilizers, and supplements, but negligible for other treatments. While pharmacotherapy could be utilized concurrently with other therapies, its singular focus on reduction of symptoms is something to consider in comparison with psychosocial treatments.

Temes and Zanarini (2019) provided a review of the current psychosocial treatments of BPD, including the disorder’s symptoms and common comorbidities. The article highlighted traditional therapies like DBT, STEPPS, and MBT with a new emphasis on technology-delivered treatments. Internet-based therapies offer increased availability and shorter treatment length, of particular benefit in younger populations. While the wide scope of this article might make it difficult to navigate, the article is well worth reading in order to get a handle on the interventions used for BPD.

PSY FPX 7411 Assessment 1 Annotated Bibliography

Linehan MM, Korslund KE, Harned MS, et al. Dialectical Behavior Therapy for High Suicide Risk in Individuals With Borderline Personality Disorder: A Randomized Clinical Trial and Component Analysis. JAMA Psychiatry, 72(5), 475–482. https://www.mayoclinic.org/diseases-conditions/bipolar-disorder/symptoms-causes/syc-20355955

Stoffers, J., Völlm, B. A., Rücker, G., Timmer, A., Huband, N., & Lieb, K. (2010). Pharmacological interventions for borderline personality disorder. The Cochrane database of systematic reviews, (6), CD005653. http://dx.doi.org/10.1111/j.1399-5618.2007.00327.x

References

  • Chanen, A. M., Jackson, H. J., McCutcheon, L. K., Martina, J., Dudgeon, P., Pan, Y. H., McGorry, P. D. (2008). Early intervention for adolescents with borderline personality disorder using cognitive analytic therapy: A randomized controlled trial. The British Journal of Psychiatry, 193(6), 477-484. i: http://dx.doi.org/10.1192/bjp.bp.107.048934 
  • Choi-Kain, L. W., Finch, E. F., Masland, S. R., Jenkins, J. A., & Unruh, B. T. (2017). What Works in the Treatment of Borderline Personality Disorder. Current behavioral neuroscience reports, 4(1), 21–30. https://doi.org/10.1177/014545507309023

Step-by-Step Guide

  1. Understanding geste—Mania: high energy, impulsivity, and perversity; hypomania: milder mood elevation with minor geste change. 
  2. Factors impacting complaint—inheritable predilection, brain function (hippocampus), neurotransmitter and thyroid imbalances, substance use, and environmental stress. 
  3. Cultural & Experiential Influence – Treatment and symptom expression vary by culture; culturally competent care is essential. 
  4. Treatment Approaches—Mood stabilizers, psychotherapy (CBT), and combined remedy for adherence. 
  5. Ethical Considerations – Informed concurrence, covering side goods, marking treatment safely. 

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