Examples And Cases Use of the Bellman Syndrome in successful team treatment of BPD
All case examples are fictional and do not represent anyone living or dead, They are used solely as educational constructs to represent a broad example of people for illustrative purposes.
Case- 30 Y.O Woman, priorities in combination: Addiction-Personality/PTSD-Pain
-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 abuse individual psychotherapy -history of sexual abuse DBT Intensive, NA,yoga
-marital conflict couples therapy, individual for husband
-children with husband -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.
Inspiration: If one person can use their expertise in healing effectively, then think about how much can be accomplished if more 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 overlaps and other advances.
-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 .
Inspiration:
We are not God we don't have control but every human being is worth giving a chance cynicism is destructive hope is contagious.
-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 good diagnosis
Notes treatment plan multiple use of experts emphasis on groups and individual treatment. strong teamwork and group leader good discharge planning right balance between acute goals and patient's time to be discharged with positive experience, goals, caring staff for right moment for discharge.
- shizzoaffective disorder Psychiatric care -BPD or mixed traits Medication monitoring -suicidal Case Manager coordinates -mood swings immediate treatment plan. -low functioning in work,relationships, basic self care.
-Rheumatoid Arthritis {worsening} -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
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.
Inspiration: Sometimes, given the resources, this person may respond the best to a good treatment planning and team approach.
Notes: good treatment plan includes all aspects of life, [psychosocial] appropriate use of experts for each issue.team management, triage for dangerousness to self clear alignment of patient's needs with treatment goals caring coordinated rehab or hospital staff slow progress and positive reinforcement as appropriate. public and private interfaces for resources after discharge discharge planning needs to begin immediately on intake to obtain resources structured stay{hospital to rehab or sober living} and placement is usually best.
updated on 6/24/2008
Contact Eric Bellman LCSW at: westlakedr@aol.com Office 32129 lindero Canyon Road Suite 108-E Westlake Village CA. 91361