July 11th 2022
Mothers with borderline personality disorder often have experienced early-life trauma. How can you help?
January 27th 2022
August 17th 2021
Mini Quiz: Neurobiology of Borderline Personality DisorderMarch 22nd 2019
What do functional magnetic resonance neuroimaging findings reveal about the neurobiology of borderline personality disorder? Take the quiz and learn more.
Borderline Personality Disorder: Treatment Resistance ReconsideredNovember 27th 2017
While treatment of bipolar disorder challenging , the notion that it is treatment resistant is contradicted by longitudinal and treatment research that indicates high rates of remission over time, moderate rates of recovery, and significant response to structured treatments tailored to symptoms.
Trait Stages of Diagnosis for Borderline Personality DisorderOctober 13th 2017
The authors describe an alternative model for BPD diagnosis that is dimensional in nature and requires fulfillment of 4 of 7 personality traits.
The Neurobiology of Borderline Personality DisorderMarch 31st 2016
There is more to BPD than meets the eye. A complex interaction exists between environmental, anatomical, functional, genetic, and epigenetic factors.
Mentalization-Based Treatment: A Common-Sense Approach to Borderline Personality DisorderMarch 31st 2016
MBT presents a compromise to bridge the valuable history of psychoanalytic ideas to both modern psychiatric research as well as present public health needs and practice.
Treatment Resistance in a Woman With Borderline Personality DisorderMarch 25th 2013
Patients with borderline personality disorder or narcissistic personality disorder (or both) can feel entitled to special treatment and often seek only approving forms of attention from those who treat them.
Comorbidities in Borderline Personality DisorderJanuary 10th 2013
Borderline personality disorder typically coexists with depression, anxiety, and substance abuse. Symptoms of these conditions may lead the clinician to miss the diagnosis of personality disorder entirely. Careful diagnosis of BPD and comorbid disorders is the first step.
Behavioral Dysinhibition: Impulsivity and Borderline Personality DisorderMay 31st 2012
Neural underpinnings and symptom presentation in borderline personality disorder might explain similarities and differences in this symptom domain across the spectrum of personality disorders as well as in other disorders associated with impulsive symptoms.
Borderline Personality Disorder and Bipolar Disorder-Distinguishing Features of Clinical Diagnosis and TreatmentJuly 14th 2009
Since the inclusion of the borderline personality disorder (BPD) diagnosis in DSM, there have been multiple efforts to recast the disorder as part of an Axis I illness category. While the initial focus was on the schizophrenia spectrum, more recent authors have attempted to link BPD to mood disorders.
STEPPS: A Viable Supplement to Treatment of Borderline Personality DisorderJune 26th 2009
Two randomized controlled trials have shown the Systems Training for Emotional Predictability and Problem Solving (STEPPS) program to be effective in reducing the intensity of core aspects of borderline personality disorder (BPD), Dr Donald Black and social worker Nancee Blum announced at the annual meeting of the American Psychiatric Association held recently in San Francisco. Black summarized, “Data from several studies show that STEPPS reduced global severity as rated by clinicians and patients, borderline personality disorder symptoms, and depressive symptoms.”
Personality Disorder: “Untreatable” Myth Is ChallengedJuly 2nd 2008
Success with new approaches to the psychotherapeutic treatment of borderline personality disorder (BPD) and other DSM-IV personality disorders has been reported in several studies recently, raising hopes that an intractable set of illnesses may not be as hopeless as once thought.
Adolescent Nonsuicidal Self-Injury: Evaluation and TreatmentJune 2nd 2008
In working with adolescents, mental health care professionals often draw on their own developmental experiences to help guide their patients; however, nonsuicidal self-injury (NSSI) is not likely to be a personal experience that psychiatrists can often draw on.
Implications for Treatment and Prognosis of Borderline and Substance Use DisordersJanuary 1st 2007
Borderline personality disorder (BPD) and substance use disorder (SUD) often co-occur. Comorbid BPD and SUD is related to a variety of severe adverse outcomes.
Clinical Challenges in Co-occurring Borderline Personality and Substance Use DisordersNovember 1st 2006
Borderline personality disorder (BPD) is a serious illness involving multiple symptoms and mal adaptive behaviors. According to DSM-IV, “the essential feature of borderline personality disorder is a pervasive pattern of instability of interpersonal relationships, self-image, and affects” (p. 650). This pervasive pattern of instability also applies to behaviors that are impulsive and potentially damaging, including excessive spending, sexual promiscuity, reckless driving, binge eating, and substance misuse.
Borderline Personality Disorder: An OverviewAugust 25th 2006
DSM-IV-TR emphasizes that patients with borderline personality disorder (BPD) show a "instability of interpersonal relationships, self-image, and affects, and marked impulsivity beginning by early adulthood and present in a variety of contexts," and any five out of nine listed criteria must be present for the diagnosis to be made.
Borderline Personality Disorder: Splitting CountertransferenceAugust 25th 2006
Splitting, archetypally imbedded in a patient's psychic structure, acts as a powerful unconscious force to protect against the ego's perception of dangerous anxiety and intense affects. Rather than providing real protection, splitting leads to destructive behavior and turmoil in patients' lives.
Managing Suicidality in Patients With Borderline Personality DisorderJuly 2nd 2006
Suicidality in patients with borderline personality disorder is chronic. It is important to distinguish these patients from those with classic mood disorders, who are suicidal only when acutely depressed.