Telehealth Treatment of Patients With Borderline Personality Disorder in a Partial Hospital Setting During the COVID-19 Pandemic: Comparative Safety, Patient Satisfaction, and Effectiveness of In-Person Treatment

2021 ◽  
pp. 1-19
Author(s):  
Mark Zimmerman ◽  
Madeline Ward ◽  
Catherine D'Avanzato ◽  
Julianne Wilner Tirpak
Keyword(s):  
Patient Satisfaction ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Psychiatric Treatment ◽  
Well Being ◽  
Borderline Personality ◽  
Hospital Treatment ◽  
Level Of Care ◽  
Hospital Level ◽  
Partial Hospital

There are no studies of the safety and effectiveness of telehealth psychiatric treatment of partial hospital level of care, in general, and for borderline personality disorder (BPD) in particular. In the present report from the Rhode Island Methods to Improve Diagnostic Assessment and Services (MIDAS) project, the authors compared the effectiveness of their partial hospital treatment program in treating patients with BPD. For both the in-person and telehealth partial hospital level of care, patients with BPD were highly satisfied with treatment and reported a significant reduction in symptoms from admission to discharge. Both groups reported a significant improvement in functioning, coping ability, positive mental health, and general well-being. A large effect size of treatment was found in both treatment groups. No patients attempted suicide. Telehealth partial hospital treatment was as effective as in-person treatment in terms of patient satisfaction, symptom reduction, and improved functioning and well-being for patients with BPD.

scholarly journals Telehealth Partial Hospital Level of Care and Borderline Personality Disorder

2021 ◽  
Vol 82 (5) ◽  
Author(s):  
Mark Zimmerman ◽  
Douglas Terrill ◽  
Madeline Ward ◽  
Catherine D’Avanzato ◽  
Julianne Wilner Tirpak
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Level Of Care ◽  
Hospital Level ◽  
Partial Hospital

Mindfulness and Emotional Well-being in Women with Borderline Personality Disorder

Mindfulness ◽  
2011 ◽  
Vol 3 (2) ◽  
pp. 117-123 ◽  
Author(s):  
Siobhan K. O’Toole ◽  
Eric Diddy ◽  
Mark Kent
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Well Being ◽  
Borderline Personality

scholarly journals Child abuse potential in mothers with early life maltreatment, borderline personality disorder and depression

2018 ◽  
Vol 213 (1) ◽  
pp. 412-418 ◽  
Author(s):  
Katja Dittrich ◽  
Katja Boedeker ◽  
Dorothea Kluczniok ◽  
Charlotte Jaite ◽  
Catherine Hindi Attar ◽  
...  
Keyword(s):  
Child Abuse ◽  
Emotion Regulation ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Early Life ◽  
Child Psychopathology ◽  
Well Being ◽  
Borderline Personality ◽  
Abuse Potential ◽  
History Of

BackgroundEarly life maltreatment (ELM), borderline personality disorder (BPD) and major depressive disorder (MDD) have been shown to increase the potential of abuse. Emotion regulation is an identified mediator for the association of ELM and BPD with abuse potential. Until now, there has been no study to account for the co-occurrence of these risk factors in one analysis, although BPD and MDD are known as common sequelae of ELM. This is paired with a lack of studies investigating the effects of abuse potential on child well-being.AimsOur study aims at (a) disentangling the effects of maternal ELM, MDD and BPD on abuse potential; (b) exploring the role of emotion regulation as a mediator; and (c) testing for intergenerational effects of abuse potential on child psychopathology.MethodThe research design included 114 mothers with/without ELM, BPD and MDD in remission and their children, all of which were between 5 and 12 years of age. A path analysis was conducted to investigate the multiple associations between our variables.ResultsELM, MDD and BPD were all associated with abuse potential, with emotion regulation acting as a mediator for BPD and MDD. Furthermore, an elevated abuse potential was related to higher psychopathology in the child.ConclusionsHistory of ELM as well as the common sequelae, BPD and MDD, pose risks for child abuse. Our findings suggest improvement of emotion regulation as a potential target for intervention programs. These programs should also aim at non-substantiated cases because even an elevated abuse potential affected child mental health.Declaration of interestNone.

scholarly journals Effectiveness and safety of the adjunctive use of an internet-based self-management intervention for borderline personality disorder in addition to care as usual: results from a randomised controlled trial

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e047771
Author(s):  
Jan Philipp Klein ◽  
Andrea Hauer-von Mauschwitz ◽  
Thomas Berger ◽  
Eva Fassbinder ◽  
Johannes Mayer ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Primary Outcome ◽  
Psychiatric Treatment ◽  
Borderline Personality ◽  
Self Management ◽  
Control Group ◽  
Group Effect ◽  
Management Intervention ◽  
Randomised Controlled

ImportanceBorderline personality disorder (BPD) is a severe mental disorder that is often inadequately treated.ObjectiveTo determine if adding a self-management intervention to care as usual (CAU) is effective and safe.DesignRandomised, controlled, rater-blind trial. Duration of treatment and assessments: 12 months.SettingSecondary care, recruited mainly via the internet.ParticipantsPatients with BPD and BPD Severity Index (BPDSI) of at least 15.InterventionsCAU by treating psychiatrist and/or psychotherapist alone or adjunctive use of an internet-based self-management intervention that is based on schema therapy (priovi).Main outcome measureOutcomes were assessed by trained raters. The primary outcome was change in BPDSI. The safety outcome was the number of serious adverse events (SAEs). The primary outcome time point was 12 months after randomisation.ResultsOf 383 participants assessed for eligibility, 204 were included (91.7% female, mean age: 32.4 years; 74% were in psychotherapy and 26% were in psychiatric treatment). The slope of BPDSI change did not differ significantly between groups from baseline to 12 months (F3,248= 1.857, p=0.14). At 12 months, the within-group effect sizes were d=1.38 (95% CI 1.07 to 1.68) for the intervention group and d=1.02 (95% CI 0.73 to 1.31) for the control group. The between-group effect size was d=0.27 (95% CI 0.00 to 0.55) in the intention-to-treat sample and d=0.39 (95% CI 0.09 to 0.68) for those who used the intervention for at least 3 hours (per-protocol sample). We found no significant differences in SAEs.ConclusionsWe have not found a significant effect in favour of the intervention. This might be due to the unexpectedly large effect in the group receiving CAU by a psychiatrist and/or psychotherapist alone.Trial registrationNCT03418142.

Good defiance and flourishing

2016 ◽  
Author(s):  
Nancy Nyquist Potter
Keyword(s):  
Mental Health ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Mental Disorder ◽  
Well Being ◽  
Borderline Personality ◽  
Defiant Behavior ◽  
The Relationship

This chapter examines the relationship between defiance and flourishing by analyzing three cases and unpacking some of the epistemic and ontological assumptions that undergird our naïve ideas about flourishing. The aim is to clarify under what conditions a person with a mental disorder might be able to flourish, what a claim of flourishing entails, and why some defiant behavior is central to this theory of flourishing—it counts as good defiance. It argues against Aristotle’s account of human virtue as a function of excellent reasoning and against positive psychology’s conception of mental health as well-being and flourishing. Instead, it identifies features of non-ideal flourishing that are then applied to three people with diagnoses: one with schizophrenia, one with depression, and one with Borderline Personality Disorder. The author then explains how she would evaluate these three cases in terms of their defiant behavior.

Circadian Sleep-Wake Cycles, Well-Being, and Light Therapy in Borderline Personality Disorder

2013 ◽  
Vol 27 (5) ◽  
pp. 680-696 ◽  
Author(s):  
Vivien Bromundt ◽  
Anna Wirz-Justice ◽  
Suzanne Kyburz ◽  
Klaus Opwis ◽  
Gerhard Dammann ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Light Therapy ◽  
Well Being ◽  
Borderline Personality
Sign in / Sign up

Export Citation Format

Share Document