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General Medicine

Borderline Personality Disorder

Daniel John Majarwitz, M.D. and Parvathi Perumareddi, DO Reviewed 04/2024
 


BASICS

DESCRIPTION

Borderline personality disorder (BPD) is a psychiatric disorder characterized by a consistent and pervasive pattern of emotional dysregulation including: distorted sense of self, rap...

DIAGNOSIS

A starting screening test may include McLean Screening instrument for Borderline Personality Disorder (2) 
The comprehensive evaluation should identify: 

  • Comorbid conditions

  • Functional impairm...

TREATMENT

  • Dialectical behavioral therapy (DBT) psychotherapy for BPD appears to be the most established treatment, although other psychotherapy modalities have shown some benefit (3)[C]:

    • DBT combines ...

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. Text Revision. Arlington, VA: American Psychiatric Association; 2022. 
2
Mendez-Miller M, Nac...

CODES

ICD10

  • F60.3 Borderline personality disorder

SNOMED

  • 20010003 Borderline personality disorder

  • 698700004 Borderline personality disorder in remission

CLINICAL PEARLS

  • BPD is a chronic condition with one of the characteristic features being mood dysregulation in which individuals react out of proportion to stressors, often stemming from a lack of sel...

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