The Development of an Effective Occupational Therapy Assessment and Treatment Pathway for Women with a Diagnosis of Borderline Personality Disorder in an Inpatient Setting: Implementing the Model of Human Occupation

2010 ◽  
Vol 73 (11) ◽  
pp. 559-563 ◽  
Author(s):  
Sarah Lee ◽  
Maria Harris
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Occupational Therapy ◽  
Borderline Personality ◽  
Inpatient Setting ◽  
Human Occupation ◽  
Treatment Pathway ◽  
Therapy Assessment ◽  
Assessment And Treatment ◽  
Model Of Human Occupation

Personality Disorders

2018 ◽  
Author(s):  
Carla Sharp ◽  
Jared D. Michonski
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Dialectical Behavior Therapy ◽  
Evidence Base ◽  
Borderline Personality ◽  
Evidence Based ◽  
Assessment And Treatment ◽  
Literature Base ◽  
Vantage Points ◽  
Robust Evidence

The current chapter considers personality disorder in adolescents. In keeping with the evidence-based approach taken in this volume, the focus is on adolescent borderline personality disorder (BPD), as BPD currently has the most robust evidence base in terms of assessment and treatment in adolescents. While understudied relative to other disorders of childhood and adolescents, the current chapter summarizes the nascent, but rapidly growing, literature base for the definition, prevalence, assessment, and intervention of BPD in adolescents. Assessment and intervention are considered from the vantage points of both the leading treatment approaches to BPD, namely, dialectical behavior therapy and mentalization-based treatment. The chapter concludes with a discussion of the next frontier for BPD research in adolescents.

Prevalence of borderline personality disorder in immigrants in a psychiatric inpatient setting

2011 ◽  
Vol 26 (S2) ◽  
pp. 469-469 ◽  
Author(s):  
F. Nielsen ◽  
M. Ziegenbein ◽  
M. Sieberer
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Psychiatric Inpatient ◽  
Borderline Personality ◽  
Immigrant Group ◽  
Psychiatric Clinic ◽  
Inpatient Setting ◽  
Immigrant Background ◽  
Indigenous Group ◽  
Prospective Study Design

IntroductionInformation about the relationship between personality disorder and ethnicity or migration is sparse. The few studies regarding the prevalence of borderline personality disorder (BPD) in immigrants compared to an indigenous population are inconsistent.AimsThe aim of the present study was to compare the frequency of a BPD diagnosis in psychiatric inpatients with and without an immigrant background.Methods2494 consecutive patients over a 3-year period at a psychiatric university hospital were reviewed. Data included socio-demographic and clinical variables and also information about an immigrant background. The psychiatric diagnosis was limited to information available from the digital documentation system of the psychiatric clinic and additionally from discharge letters. The diagnosis of borderline personality disorder was based on ICD-10 criteria.Results374 individuals (15%) of the study population had an immigrant background. The rates of BPD were 6.5% in the indigenous group (n = 2120) vs. 3.5% in the immigrant group (n = 374). The difference between the indigenous and the immigrant group regarding the rates of BPD-diagnoses was statistically significant (chi2 = 5.02, df = 1, p = 0.025).ConclusionsThe findings suggest that in a clinical sample BPD was diagnosed less frequently in the immigrant group than in the indigenous group. Therefore, our results do not support the concept of immigration as a risk factor for BPD. However, future investigations with a prospective study design and at epidemiological levels need to be conducted in order to get more precise information about the prevalence of BPD in different immigrant groups.

Post-traumatic stress disorder and attachment: possible links with borderline personality disorder

2009 ◽  
Vol 15 (3) ◽  
pp. 172-180 ◽  
Author(s):  
Felicity de Zulueta
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Traumatic Stress ◽  
Borderline Personality ◽  
Stress Disorders ◽  
Post Traumatic Stress ◽  
Attachment Research ◽  
Assessment And Treatment ◽  
Case Vignettes ◽  
Post Traumatic

SummaryThis article discusses the aetiology of both simple and complex post-traumatic stress disorders (PTSDs) in terms of attachment theory, and points out the similarities between the diagnosis of complex PTSD and of borderline personality disorder. Case vignettes illustrate an outline of the assessment and treatment of the psychobiological symptoms of PTSD informed by attachment research.

scholarly journals Bipolar Disorder and Comorbid Borderline Personality Disorder: Patient Characteristics and Outcomes in US Hospitals

Medicina ◽  
2019 ◽  
Vol 55 (1) ◽  
pp. 13 ◽  
Author(s):  
Rikinkumar S. Patel ◽  
Geetha Manikkara ◽  
Amit Chopra
Keyword(s):  
Bipolar Disorder ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Suicide Risk ◽  
Borderline Personality ◽  
Inpatient Setting ◽  
Inpatient Outcomes ◽  
Increased Risk ◽  
Bipolar Patients ◽  
The Impact

Background and objectives: The quality of life and disease outcomes in bipolar patients, including increased risk of psychiatric hospitalizations and suicide, are adversely affected by the presence of borderline personality disorder (BPD). Our study aims to determine the impact of BPD on the inpatient outcomes of bipolar disorder patients. Methods: We used Nationwide Inpatient Sample from the US hospitals and identified cases with bipolar disorder and comorbid BPD (N = 268,232) and controls with bipolar disorder only (N = 242,379), using the International Classification of Diseases, 9th Revision, and Clinical Modification codes. We used multinomial logistic regression to generate odds ratios (OR) and evaluate inpatient outcomes. Results: The majority of the bipolar patients with BPD were female (84.2%), Caucasian (83.1%) and 18–35 years age (53.9%). Significantly longer inpatient stays, higher inpatient charges, and higher prevalence of drug abuse were noted in bipolar patients with BPD. The suicide risk was higher in bipolar patients with BPD (OR = 1.418; 95% CI 1.384–1.454; p <0.001). In addition, utilization of electroconvulsive treatment (ECT) was higher in bipolar patients with comorbid BPD (OR = 1.442; 95% CI 1.373–1.515; p <0.001). Conclusions: The presence of comorbid BPD in bipolar disorder is associated with higher acute inpatient care due to a longer inpatient stay and higher cost during hospitalization, and higher suicide risk, and utilization of ECT. Further studies in the inpatient setting are warranted to develop effective clinical strategies for optimal outcomes and reduction of suicide risk in bipolar patients with BPD.

Bridging the gap: the assessment and treatment of adolescent personality disorder in routine clinical care

2016 ◽  
Vol 102 (1) ◽  
pp. 103-108 ◽  
Author(s):  
Carla Sharp
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Empirical Evidence ◽  
Treatment Guidelines ◽  
Clinical Care ◽  
Borderline Personality ◽  
Treatment Resistant ◽  
Routine Clinical Care ◽  
Assessment And Treatment ◽  
Personality Disturbance

Despite a marked increase in research supporting the assessment, diagnosis and treatment of personality disorder (PD) in adolescence, clinicians continue to be reluctant to apply treatment guidelines and psychiatric nomenclature in routine clinical care. This gap arises from several beliefs: (1) psychiatric nomenclature does not allow the diagnosis of PD in adolescence; (2) certain features of PD are normative and not particularly symptomatic of personality disturbance; (3) the symptoms of PD are better explained by other psychiatric syndromes; (4) adolescents' personalities are still developing and therefore too unstable to warrant a PD diagnosis; and (5) because PD is long-lasting, treatment-resistant and unpopular to treat, it would be stigmatising to label an adolescent with borderline personality disorder (BPD). In this paper, the empirical evidence challenging each of these beliefs is evaluated in the hope of providing a balanced review of the validity of adolescent PD with a specific focus on BPD. The paper concludes with recommendations on how routine clinical care can integrate a PD focus.

Sign in / Sign up

Export Citation Format

Share Document