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ForwardFebruary 6, 2025: 9th Miguel A. Liebovich, M.D., Lecture on Psychodynamic Principles in Clinical Care - Mentalization-Based Treatment for Borderline Personality Disorder and Beyond
Overview
Mentalization-Based Treatment for Borderline Personality Disorder and Beyond
Description:
This talk provides an overview of Mentalization-Based Treatment (MBT) as a specific psychodynamic psychotherapy rooted in attachment principles that have been empirically validated to treat borderline personality disorder (BPD). This talk also situates MBT in a wider context as an approach that is increasingly being studied and clinically applied in regard to other psychiatric disorders and other types of personality dysfunction, including some historically considered difficult to treat such as narcissistic and antisocial personality disorder. Finally, this talk promotes basic MBT interventions for working with mentalizing vulnerabilities and enhancing curiosity and reflection about mental states as useful for all clinicians, including those not specializing in personality disorder treatment and those primarily encountering lower levels of personality dysfunction.
Target Audience
This program is intended for Psychiatrists, Psychologists, General and Family Practice Physicians, Psychiatric Nurses, Physician Assistants, Nurse Practitioners, and Social Workers.
Learning Objectives
Upon completion of the activity, participants will be able to:
- Describe indications for Mentalization-Based Treatment (MBT) and a stepped-care approach for considering when to refer a patient with borderline personality disorder to this modality.
- Explain in conversational terms “what is mentalizing?”, and why addressing mentalizing vulnerabilities is the central aim of MBT.
- Identify 3 common problems in mentalizing which underlie symptoms and functional difficulties in personality disorder, and which can be usefully targeted in treatment by all clinicians, including those not specializing in personality disorder treatment.
SPEAKER(S)
Brandon Unruh, MD
Faculty
Brandon Unruh, MD
Brandon Unruh, MD, is an Instructor in Psychiatry at Harvard Medical School and the medical director of the Gunderson Residence of McLean Hospital, a specialized residential program for individuals with severe personality disorders. He is the founding director of McLean’s outpatient Mentalization-Based Treatment clinic for personality disorders. His clinical approach is anchored in the integration of evidence-based treatments for personality disorder such as dialectical behavior therapy (DBT), mentalization-based treatment (MBT), transference-focused psychotherapy (TFP), and general psychiatric management (GPM). He is an MBT trainer and supervisor through the Anna Freud Centre in London, and one of the original cohort of GPM trainers established by John Gunderson. He has published on a variety of topics including suicide, personality disorders, spirituality, medical ethics, general hospital psychiatry, and literature and medicine. He is a co-investigator with Mary Zanarini on a randomized controlled trial studying an MBT group intervention developed to promote flourishing and character virtues in individuals with borderline personality disorder. His academic interests also include the treatment of pathological narcissism and the relationships between mental health spirituality and religiosity in both pathological and healthy forms. He is a co-developer of Mentalization-Based Treatment for Pathological Narcissism (MBT-N) along with Robert Drozek and Anthony Bateman, with whom he co-authored the treatment manual Mentalization-Based Treatment for Pathological Narcissism: A Practical Guide (Oxford, 2023) and with whom he regularly teaches and supervises clinicians and systems implementing this model. He co-edited Borderline Personality Disorder: A Case-Based Approach (Springer, 2018), a generalist guide for clinicians learning to manage BPD.
Disclosures:
CE Information
Available Credit
- 1.00 AMA PRA Category 1 Credit™
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of McLean Hospital and Massachusetts General Hospital. McLean Hospital is accredited by the ACCME to provide continuing medical education for physicians.
McLean Hospital designates this Enduring activity for a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
- 1.00 Nursing Contact Hours
Massachusetts General Laws, Chapter 13, sections 13, 14, 14A, 15 and 15D and Chapter 112, sections 74 through 81C authorize the Board of Registration in Nursing to regulate nursing practice and education.
This program meets the requirements of the Massachusetts Board of Registration in Nursing (244 CMR 5.00) for 1.00 contact hours of nursing continuing education credit. Advance practice nurses, please note: Educational activities which meet the requirements of the ACCME (such as this activity) count towards 50% of the nursing requirement for ANCC accreditation.
- 1.00 Social Workers
The Collaborative of NASW, Boston College, and Simmons College Schools of Social Work authorizes social work continuing education credits for courses, workshops, and educational programs that meet the criteria outlined in 258 CMR of the Massachusetts Board of Registration of Social Workers
This program has been approved for 1.00 Social Work Continuing Education hours for relicensure, in accordance with 258 CMR. Collaborative of NASW and the Boston College and Simmons Schools of Social Work Authorization Number
- 1.00 Participation
This course allows other providers to claim a Participation Certificate upon successful completion of this course.
Participation Certificates will specify the title, location, type of activity, date of activity, and number of AMA PRA Category 1 Credit™ associated with the activity. Providers should check with their regulatory agencies to determine ways in which AMA PRA Category 1 Credit™ may or may not fulfill continuing education requirements. Providers should also consider saving copies of brochures, agenda, and other supporting documents.
- 1.00 Psychologists CE Credit
The Massachusetts General Hospital Department of Psychiatry is approved by the American Psychological Association to sponsor continuing education for psychologists. The Massachusetts General Hospital Department of Psychiatry maintains responsibility for this program and its content.
This offering meets the criteria for 1.00 Continuing Education (CE) credits per presentation for psychologists.
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Accreditation
In support of improving patient care, MGH Institute of Health Professions is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.
1.0 Physicians
MGH Institute of Health Professions designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits ™. Physicians should claim only credit commensurate with the extent of their participation in this activity.
1.0 Physician Associates/Assistants
AAPA Credit Designation Statement – Live
MGH Institute of Health Professions has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.0 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.
AAPA Credit Designation Statement – Enduring Materials
MGH Institute of Health Professions has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.0 AAPA Category 1 CME credits. Approval is valid until {Expiration Date). PAs should only claim credit commensurate with the extent of their participation.
1.0 Nursing
MGH Institute of Health Professions designates this activity for 1.0 contact hours for nurses. The American Academy of Nurse Practitioners Certification Board (AANPCB) accepts credit from organizations accredited by the ACCME and ANCC.
1.0 Pharmacists
This activity provides 1.0 contact hours of continuing education credit.
NOTE FOR PHARMACISTS: Upon closing of the electronic evaluation, IHP will upload the pharmacy-related continuing education information to the CPE Monitor within 60 days. Per ACPE rules, IHP does not have access nor the ability to upload credits requested after the evaluation closes. It is the responsibility of the pharmacist or pharmacy technician to provide the correct information [NABP ePID and DOB (in MMDD format)] in order to receive credit for participating in a CE activity.
1.0 Psychologists:
Continuing Education (CE) credits for psychologists are provided through the co-sponsorship of the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA CEP Office maintains responsibility for the content of the programs. MGH Institute of Health Professions designates this activity for 1.0 CE credit.
1.0 Social Workers
As a Jointly Accredited Organization, MGH Institute of Health Professions is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. MGH Institute of Health Professions maintains responsibility for this course. Social workers completing this course receive 1.0 clock hours for continuing education credits.
1.0 IPCE Credit
This activity was planned by and for the healthcare team, and learners will receive 1.0 Interprofessional Continuing Education (IPCE) credit for learning and change.