The interaction of team treatment and each person is clearly dependent on multiple factors. When I get more time I'll expand this, for now a Quick and overgenereralized look at three "types" of clients. Remember this is a short example which we want to expand on and welcome feedback, Thanks, Eric B.
Cases and Examples Use of the Bellman Syndrome in successful team treatment of BPD
All case examples are fictional and do nor represent anyone living or dead, They are used solely as educational constructs to represent a broad group of people.
Case #1-30 Y.O Woman
-Presents with addiction to speed -USE Medical monitoring, -BPD and PTSD all resources in short rewards system. -probable self-medication for ADHD - Medical doctor for meds and detox. -chronic fibromyalgia addictionologist,pain management. -history of physical individual psychotherapy and sexual abuse DBT Intensive,yoga,AA,
-children in foster care -USE outpt. plan on probation use County parenting help. Plan for discharge.
Comments; note; requires a caring team approach, triage of problems right expert for each life challenge. focusing on what the pt. can do. continuity of care interface of public and private sectors.
For outpatient care; -good MD monitoring of meds -intensive caring psychotherapy -DBT training -strong emphasis on working with county to resume meetings. -voluntary drug testing -NA meetings -church or agency support.
If one person can use their expertise in healing effectively, then think about how much can be accomplished if we work together unselfishly. The critical pathways to healing require an understanding of the overlap and synergy of various disciplines this will increase in the future because of technology and other advances.
Case#2 38Y.O Woman -presents with poly substance abuse -Use Medical detox,pain mgmt. -multiple relationship conflicts - family therapy to connect -multiple short hospital stays - DBT,AA skills,Psychotherapy -childhood sexual abuse - Strong case manager alliance -chronic back pain and team meetings -"practiced" borderline" -align goals with multiple treatments -discharge to intensive daycare .
Notes: good diagnosis treatment plan multiple use of experts emphasis on groups and individual treatment. strong teamwork and group leader good discharge planning need to find right balance between acute goals and patient's need to be discharged with positive experience, goals, caring staff for right moment for discharge. -Outpatient: MD monitoring for mood and pain meds balanced lifestyle structure with NA meetings some day treatment church or agency support volunteer work exercise and social groups intensive psychotherapy DBT training
Case#3 45 Y.O Woman presents with shizzoaffective disorder and BPD.
-Rheumatoid Arthritis -Use medical monitoring -chronic pain pill addiction pain management -recent overdose -Use DBT,NA,reality therapy -Divorce -Use strong case management -limited insurance and staff support for discharge to sober living with SSI
Note; good treatment plan includes all aspects of life, [psychosocial] appropriate use of experts for each issue.team management triage for dangerousness clear alignment of patient's needs with treatment goals caring hopeful staff slow progress and then positive reinforcement is appropriate. public and private interfaces for resources after discharge discharge planning needs to begin immediately to attain resources longer stay is most likely best.
Outpatient treatment; discharge plan working for basic needs sober living house SSI case manager finances conservator to be evaluated participate in house living NA groups health care,exercise, nutrition NA and group therapy individual therapy with case management church or agency help volunteer work part time work.