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Borderline Personality Disorder Updated 4/2011

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BASICS

  • Description
  • Epidemiology
  • Risk Factors
  • General Prevention
  • Etiology
  • Associated Conditions

DIAGNOSIS

  • Signs and Symptoms
  • Tests
  • Differential Diagnosis

TREATMENT

  • Medication (Drugs)
  • Additional Treatment
  • In-patient Considerations

Ongoing Care

  • Follow-Up Recommendations
  • Patient Education
  • Prognosis
The following is an excerpt....
BASICS

Description

Beginning no later than adolescence or early adulthood, borderline personality disorder (BPD) is a consistent and pervasive pattern of an unstable affect and sense of self, impulsivity, and volatile interpersonal relationships (1):

  • Common behaviors and variations:
    • Self-mutilation (pinching, scratching, cutting)
    • Suicide (ideation, history of attempts, plans)
    • Splitting (idealizing then devaluing people and relationships)
    • Presentation of helplessness or victimization
    • Emotional pain (may look for physical diagnoses)
    • May be high utilizer of medical services
    • High rate of associated mental disorders (see Associated Conditions)
  • Patients with this disorder typically display little insight into their behavior.

ALERT: Geriatric Considerations
  • Illness (both acute and chronic) may exacerbate BPD behaviors and may lead to intense feelings of fear and helplessness. Manifestations may decrease ...

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