Volume 32, Number 3, July 2010
1. Differential Diagnosis of Borderline Personality Disorder from Bipolar Disorder (Pages 189-205)
Gregory T. Hatchett
Many psychiatrists have reconceptualized borderline personality disorder (BPD) as a variant of bipolar
disorder and, consistent with the treatment of bipolar disorder, emphasize the use of mood stabilizers
and atypical antipsychotics in treatment. This change in diagnostic practice is unfortunate. BPD is a distinct
diagnostic construct, and clients who fit this pattern require a fundamentally different treatment
approach than what is typically recommended for bipolar disorder. The purpose of this article is to
update counselors on the expansion of bipolar disorder in the psychiatric literature, present evidence for
the validity of BPD, discuss strategies for the differential diagnosis of it from bipolar disorder, review
proposed changes in DSM-V, and integrate the literature into a mental health counseling framework.
2. Helping Bereaved Children and Adolescents: Strategies and Implications for Counselors (Pages 206-217)
James P. Morgan; Jesse E. Roberts
This article provides an overview of how loss affects young people of different ages and describes methods
for helping bereaved children and adolescents. Case examples demonstrate the use of drawings to
elucidate the inner experiences of young people who are grieving and to facilitate the counseling
process. A format for a bereavement support group is detailed, and guidelines are provided for the use
of bibliotherapy. Cultural, ethical, and counselor competency issues are also considered. The importance
of counselors’ awareness of the impact of their own loss experiences is also discussed.
3. A Suicide Crisis Intervention Model with 25 Practical Strategies for Implementation (Pages 218-235)
Darcy Haag Granello
Suicidal clients are a difficult and challenging population in counseling. This article contains 25 practical,
hands-on strategies for mental health counselors to assist in their interactions with suicidal clients.
The strategies are situated within a seven-step model for crisis intervention that is specifically tailored
to suicidal clients.
4. Clinical Mental Health Counseling: A National Survey of Counselor Educators (Pages 236-246)
Edward Cannon; Joseph Cooper
This study reflects a national survey of 295 CACREP counselor educators regarding their understanding
of and support for the 2009 CACREP standards revision. It also assessed respondents’ opinions
about the proposed number of program credits (48, 60, other) and internship hours (600, 900, other)
based upon whether the community counseling and mental health counseling specialty tracks merge or
remain separate. Results indicate a difference in opinions about the curricular changes that reflects a
historic and continuing tension around counselor identity issues.
5. Self-care and Well-being in Mental Health Professionals: The Mediating Effects of Self-awareness and Mindfulness
Kelly C. Richards; Estelle Campenni; Janet L. Muse-Burke
Because mental health professionals are susceptible to impairment and burnout that may negatively
affect clinical work, it is ethically imperative that they engage in self-care. Previous research has found
direct effects of self-care on self-awareness and well-being (e.g., Coster & Schwebel, 1997). Likewise,
mindfulness has been found to positively affect well-being (Brown & Ryan, 2003). However, no studies
currently available demonstrate a link between self-awareness and well-being. Mindfulness may be the
link needed to support this association. A survey of mental health professionals (N = 148) revealed that
mindfulness is a significant mediator between self-care and well-being. Consequently, mental health
professionals are encouraged to explore their involvement in and beliefs about self-care practices.
6. Women Breast Cancer Survivors: Stories of Change and Meaning
Claudia J. Sadler-Gerhardt; Cynthia A. Reynolds; Paula J. Britton; Sharon D. Kruse
Breast cancer research has addressed prevention, early treatment, and quality of life, but research from
the perspective of survivors has been limited. This is a qualitative investigation of the experience of eight
women breast cancer survivors, ranging in age from 28 to 80 at diagnosis, six of whom were Caucasian
and two African American. The research consisted of a phenomenological and case study examination
of change and meaning-making during their experience. The findings support a posttraumatic growth
model of change as part of survivorship for the participants, as well as the presence of negative changes
and a state of new normal in their lives. Recommendations are made for mental health counseling and
for future research.