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Borderline Personality Disorder

William G. Elder, PhD Reviewed 06/2018
 


BASICS

DESCRIPTION

A psychiatric disorder that begins no later than adolescence or early adulthood, borderline personality disorder (BPD) is a consistent and pervasive pattern of unstable and reactive ...

DIAGNOSIS

  • The comprehensive evaluation should identify

    • Comorbid conditions

    • Functional impairments

    • Adaptive/maladaptive coping styles

    • Psychosocial stressors

    • Patient strengths; needs/goals

  • Initial assessmen...

TREATMENT

  • Outpatient psychotherapy for BPD is the preferred treatment (2)[B]:

    • Dialectical behavior therapy (DBT) combines cognitive-behavioral techniques for emotional regulation and reality-testing ...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

  • Schedule visits that are short, more frequent, and focused to relieve patients’ anxiety about relationships with their physician/provider and to help reduce risk ...

REFERENCES

1 American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Association; 2013.
2 Leichsenring F, Leibing E, Kruse...

ADDITIONAL READING

Elder W. Personality disorders. In: South-Paul J, Matheny S, Lewis E, eds. Current Diagnosis & Treatment in Family Medicine. 4th ed. New York, NY: McGraw Hill Professional; 20...

CODES

ICD10

F60.3 Borderline personality disorder 

ICD9

301.83 Borderline personality disorder 

SNOMED

20010003 borderline personality disorder (disorder) 

CLINICAL PEARLS

  • BPD may be discerned by the impropriety of reactions to situations others find or minor.

  • View BPD as a chronic condition with waxing and waning features. It is important to adjust medic...

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