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Borderline Personality Disorder

rebecca groch, MD, Lauren Penwell-Waines, PhD and Michael Scott Clark, MD Reviewed 06/2022
 


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 assessment...

TREATMENT

  • Outpatient psychotherapy for BPD is the preferred treatment (3,4)[C]:

    • 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: Amer...

CODES

ICD10

  • F60.3 Borderline personality disorder

SNOMED

  • 20010003 Borderline personality disorder

  • 698700004 Borderline personality disorder in remission

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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