On Demand Wednesday Lecture Series: What Most Clinicians Need to Know about Borderline Personality Disorder in 2021

This presentation was originally reviewed on September 27, 2021, and broadcast live online on September 29, 2021, from 12:00 PM - 1:00 PM ET

The views and opinions expressed by this presenter in this lecture are their own, and do not represent the views of Sheppard Pratt.

Borderline personality disorder (BPD) is a prevalent, disabling, and in some cases fatal disorder associated with high costs to patients, families, and communities, including healthcare systems. With advances in research and treatment development, prior notions that those with BPD are treatment resistant or untreatable have been revised to an understanding that symptomatic remission occurs commonly and there are many treatments that are effective. However, these treatments are often not accessible or suitable for many patients with BPD or for clinicians in their practice frameworks. Understanding common factors within these treatments can guide the majority of clinicians to deliver informed basic care, even in brief and acute settings. This presentation will identify common factors across effective treatments and will describe Good Psychiatric Management (GPM) as one generalist approach that packages these common principles in terms that most clinicians can incorporate into their practice. Findings on what works for whom, when, and where will be presented to illustrate new directions in research that will help us build more scalable treatment options in steps of care that may be more adaptive to personalize treatment for those with this treatable but potentially disabling disorder.

Target Audience

This activity is intended for physicians, nurses, psychologists, social workers, counselors and other mental health professionals. 

Learning Objectives

At the conclusion of this activity, attendees will be able to:

  1. Define key features of patients with borderline personality disorder (BPD) that clinicians need to know to promote effective intervention.
  2. Recognize common factors among treatments that are effective for BPD.
  3. Propose approaches to predicting treatment response and allocating care.
Course summary
Available credit: 
  • 1.00 ACEP NBCC clock hours
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 Category II credits for Social Workers
  • 1.00 Psychologists
  • 1.00 MNA Contact Hours for Nurses
  • 1.00 Participation
Course opens: 
Course expires: 

Sheppard Pratt’s Professional Education Program is pleased to provide Wednesdays at Sheppard Pratt free of charge as a public service to the mental health community.  Your tax-deductible donations will help maintain the outstanding quality of this service. 

Sheppard Pratt is dedicated to improving quality of life through mental health, special education, and addiction services for children, adolescents, adults and older adults.  Our patient-centered treatment approach, combined with our legacy of clinical excellence, sets us apart from other health systems on both a local and national level.  We have been ranked among the nation’s top psychiatric hospitals for 24 consecutive years by U. S. News & World Report.  Founded in 1853 by philanthropist Moses Sheppard, Sheppard Pratt Health System still abides by its Quaker traditions and values.

Sheppard Pratt regularly hosts renowned speakers from across the country at our headquarters in Towson. We provide educational opportunities on subjects including psychiatric disorders, issues of behavioral health, systems-based change, mental and somatic co-morbidities, psychiatric effects on health and health outcomes, advances in neurobiology, and clinical developments in concepts underlying drug treatment of psychiatric disorders. We are accredited by the Accreditation Council of Continuing Medical Education, the Maryland Nurses’ Association, the Maryland Board of Psychology, the Maryland Board of Social Work, and the National Board of Certified Counselors.

Please send your contributions to:

Sheppard Pratt Professional Education Program
Wednesdays Lecture Fund
6501 North Charles Street, Baltimore, Maryland 21204

Professional Education Program: 410.938.4593
Conference Center at Sheppard Pratt: 410.938.3900

There is no commercial support for this activity.

About the speaker

Lois W. Choi-Kain, MEd, MD, is the director of the Gunderson Personality Disorders Institute. The institute provides training and supervision for numerous proven treatments, including mentalization-based treatment (MBT), dialectical behavioral therapy for post-traumatic stress disorder (DBT-PTSD), transference focused psychotherapy (TFP), and general psychiatric management (GPM). She works nationally and internationally to expand teaching efforts on borderline personality disorder and its evidence-based treatments and engages in research to study resources for training clinicians who need direction and patients who need access to informed care. With her mentor, John Gunderson, Dr. Choi-Kain developed a training program for GPM and has been expanding its applications. Dr. Choi-Kain’s current research focuses on how internet-based tools can increase the scalability of care for BPD, as well as identifying what works for whom in BPD treatment. An overarching goal is to move toward more personalized care without sacrificing scalability.

Disclosure Statements

Sheppard Pratt holds the standard that its continuing medical education programs should be free of commercial bias and conflict of interest. In accord with Sheppard Pratt's Disclosure Policy, as well as standards of the Accreditation Council for Continuing Medical Education (ACCME) and the American Medical Association (AMA), all planners, reviewers, speakers and persons in control of content have been asked to disclose any relationship he /she (or a partner or spouse) has with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 12 months. All planners, reviewers and speakers have also been asked to disclose any payments accepted for this lecture from any entity besides Sheppard Pratt Health System, and if there will be discussion of any products, services or off-label uses of product(s) during this presentation.

Lois W. Choi-Kain, MD, MEd, reports receiving royalties from the American Psychiatric Association Publishing for GPM books. All discussion of medication management will be off label since there is no on label use of medication for borderline personality disorder. 

Event Planners/Reviewers Disclosures: The following event planners and/or reviewers are reported as having no financial interest, arrangement or affiliation with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 12 months: Todd Peters, MD, Deepak Prabhakar, MD, Briana, Riemer, MD, Louis Marino, MD, Ehsan Syed, MD, Devi Bhuyan, PhD, Faith Dickerson, PhD, Carrie Etheridge, LCSW-C, Tom Flis, LCPC, Laura Webb, RN-BC, MSN, Bruce Boxer, PhD, MBA, MA, MSN, RN, NPD-BC, NEA-BC, MCHES, CPHQ, Stacey Garnett, RN, MSN, Heather Billings, RN, and Jennifer Tornabene.

Physician Statement: Sheppard Pratt is accredited by The Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.  Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CME activity.  Sheppard Pratt designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurse Statement: Sheppard Pratt is approved as a provider of nursing continuing professional development by the Maryland Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.  Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CME activity. This activity provides 1.0 contact hours for nurses.

Psychologist Statement: Sheppard Pratt is authorized by the State Board of Examiners of Psychologists as a sponsor of continuing education. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CE activity.  Sheppard Pratt designates this educational activity for a maximum of 1.0 contact hours for Psychologists.

Social Worker Statement: Sheppard Pratt is authorized by the Board of Social Work Examiners of Maryland to offer continuing education for Social Workers.  Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CE activity. This activity is approved for 1.0 contact hours in Category I credits for Social Workers.

Counselor Statement:  Sheppard Pratt has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 5098.  Programs that do not qualify for NBCC credit are clearly identified.  Sheppard Pratt is solely responsible for all aspects of the program.  This activity is available for 1.0 NBCC clock hours.

Available Credit

  • 1.00 ACEP NBCC clock hours
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 Category II credits for Social Workers
  • 1.00 Psychologists
  • 1.00 MNA Contact Hours for Nurses
  • 1.00 Participation

Lois W. Choi-Kain, MD, MEd

Director, Gunderson Personality Disorders Institute

Assistant Professor of Psychiatry, Harvard Medical School

Distinguished Fellow, American Psychiatric Association

Belmont, MA



Please login or register to take this course.

This presentation will be an ONLINE VIRTUAL LIVE broadcast on September 29, 2021, from 12:00 pm - 1:00 pm EDT. While this activity is LIVE and can only be viewed during the time specified, the evaluation will be available online until October 27, 2021. Go to the Register tab above to learn how to participate for continuing education credit, watch the broadcast and download the slides.


On September 29, 2021, at 12:00 pm EDT, please click on, or copy and paste this link into your web browser to view the lecture online. This link is LIVE at 11:30 am EDT.  An email address is required to log into the broadcast.



This handout will be available for download on Tuesday, September 28, 2021, at 12:00 pm EDT.  





PRIOR TO THE EVENT: Log into your Sheppard Pratt Ethos account and register by taking the pretest. Select the activity by series, title or speaker name. Go to the last tab, REGISTER and select the GREEN RECTANGLE, TAKE COURSE, and follow the prompts. Complete the Pretest and select attendance and you will be registered for this activity. You will not be able to work further until you are marked attended by an administrator.

DURING THE EVENT: Because you will view this event online, there will not be a sign in sheet. Instead of signing in, a code word will be given during the lecture for you. There are two ways to enter the code word: by text/SMS & through the website. To use the website to enter the code word to be marked attended, you will go to https://cme.sheppardpratt.org/code and enter the code word there. To use SMS to enter the code word, you will text the code word to 410-291-8061. To save time, add this phone number to your contacts. You will have one week from the workshop date to enter the code word. Once you enter the code word, you can click on My Account > Pending Activities and you will see the course listed there. From this tab you will be able to complete your course.

AFTER THE LECTURE: Select the activity by series, title or speaker name. Select the last tab, TAKE COURSE, and select the GREEN RECTANGLE, TAKE COURSE and follow the prompts. Please use the navigation button located in the lower right corner to continue throughout the course for best results. Complete the evaluation and credit designation to earn continuing education hours or credits. You must complete each component of the COURSE PROGRESS BAR to earn credit for the activity. Your transcript will reflect all completed events.


1.       Remember to take the pretest when you get the reminder email for the lecture on Monday.

2.       Set a reminder for the lecture using the reminder email.  Save the reminder email in your calendar or copy and paste it into your calendar. Set the reminder 10 minutes early to download and/or print the slides before the lecture.

3.       Download the slides anytime from the day before to right at the beginning of the lecture. (The link to download the slides is in Venue in the activity page on Ethos.  You don’t have to be logged in to access it.)

4.       Click on the link to watch the online broadcast. (The link is in Venue in the activity page on Ethos.  You don’t have to be logged in to access it.)

5.       Text the code word to 410-291-8061 or navigate to https://cme.sheppardpratt.org/code and enter it there. 

6.       Log into Ethos and complete the evaluation piece by going to the activity and then the last tab called Take Course and click on the green rectangle Take Course.

Questions? Please email cme@sheppardpratt.org.

Required Hardware/software

Optimal System Configuration

Flash Player: Adobe Flash Player 10.1+
Browser: Firefox 3+, Internet Explorer 8.0+, Safari 4.0+, or Google Chrome 7.0+
Operating System: Windows XP+ or Mac OS X 10.4+
Internet Connection: 1 Mbps or higher

Minimum Requirements

Windows PC: 500-MHz Pentium II; Windows XP or higher; 128 MB RAM; Video Card at least 64MB of video memory; Sound Card at least 16-bit; Macromedia Flash Player 10 or higher, audio playback with speakers for programs with video content; Firefox 1.1+, Internet Explorer 7.0+, Safari 1.0+, Google Chrome, or Opera
Macintosh: Mac OS X 10.3 or higher with latest updates installed; 1.83MHz Intel Core Duo or faster; RAM: 128MB or more; Video Card: at least 64MB of video memory; Sound Card: at least 16-bit

Hardware/Software Specifications

This internet-based CME activity is best experienced using Internet Explorer 8+, Mozilla Firefox 3+, Safari 4+. This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat, Microsoft PowerPoint, and Windows Media Player.