Borderline personality disorder - Revision history

ClaireLewis at 16:29, 10 October 2019

2019-10-10T16:29:13Z

← Older revision		Revision as of 16:29, 10 October 2019
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	**Inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights).		**Inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights).
	**Transient, stress-related paranoid ideation or severe dissociative symptoms.		**Transient, stress-related paranoid ideation or severe dissociative symptoms.
			*Completed [[suicide]] rates 8-10%, 50 times higher than general population<ref> American Psychiatric Association. Practice guideline for the treatment of patients with borderline personality disorder. Am J Psychiatry. 2001;158(suppl 10):1-52.</ref>

	==Differential Diagnosis==		==Differential Diagnosis==
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	==Management==		==Management==
			*Treat medical complications of self-harm behavior
			*Consider psychiatry consult or admission if acutely [[suicide\|suicidal]]
	*Set boundaries		*Set boundaries
	*Tolerate emotions but not outbursts		*Tolerate emotions but not outbursts

ClaireLewis at 22:36, 20 August 2019

2019-08-20T22:36:19Z

← Older revision		Revision as of 22:36, 20 August 2019
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	==Differential Diagnosis==		==Differential Diagnosis==
	*Depressive and bipolar ~~disorders~~		*[[Depression\|Depressive]] and [[bipolar disorder]]s
	*Other personality disorders		*Other [[personality disorders]]
	*Personality ~~change~~ due to another medical condition		*Personality dysfunction due to another medical condition
	*Substance use disorders		*[[Substance abuse\|Substance use disorders]]
	*Identity problems		*Identity problems

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	==Management==		==Management==
			*Set boundaries
			*Tolerate emotions but not outbursts
			*Be empathetic yet direct and fact-based, avoid emotionality
	*Referral for outpatient psychiatric treatment, as psychotherapy is the primary treatment. Antipsychotics, antidepressants and mood stabilizers can be used to control symptoms such as anger and affective instability.		*Referral for outpatient psychiatric treatment, as psychotherapy is the primary treatment. Antipsychotics, antidepressants and mood stabilizers can be used to control symptoms such as anger and affective instability.

Mholtz at 22:33, 21 October 2017

2017-10-21T22:33:32Z

← Older revision		Revision as of 22:33, 21 October 2017
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	==Background==		==Background==
	A pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity		*A pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity

	==Clinical Features==		==Clinical Features==
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	==Differential Diagnosis==		==Differential Diagnosis==
	*Depressive and bipolar disorders~~<br />~~		*Depressive and bipolar disorders
	*Other personality disorders~~<br />~~		*Other personality disorders
	*Personality change due to another medical condition~~<br />~~		*Personality change due to another medical condition
	*Substance use disorders~~<br />~~		*Substance use disorders
	*Identity problems~~<br />~~		*Identity problems

	==Evaluation==		==Evaluation==
	A clinical diagnosis; however if entertaining other organic causes may initiate workup below		*A clinical diagnosis; however if entertaining other organic causes may initiate workup below

	{{General ED Psychiatric Workup}}		{{General ED Psychiatric Workup}}

	==Management==		==Management==
	Referral for outpatient psychiatric treatment, as psychotherapy is the primary treatment. Antipsychotics, antidepressants and mood stabilizers can be used to control symptoms such as anger and affective instability.		*Referral for outpatient psychiatric treatment, as psychotherapy is the primary treatment. Antipsychotics, antidepressants and mood stabilizers can be used to control symptoms such as anger and affective instability.

	==Disposition==		==Disposition==
	~~Home~~		*Discharge

	==See Also==		==See Also==
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	==External Links==		==External Links==


	==References==		==References==

Rossdonaldson1: /* See Also */

2016-11-06T10:58:29Z

Humanguy: Created Page

2016-11-05T00:15:55Z

Created Page

New page

==Background==
A pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity

==Clinical Features==
*Five (or more) of the following criteria, beginning by early adulthood and present in a variety of contexts:<ref>American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.</ref>
**Frantic efforts to avoid real or imagined abandonment.
**A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation.
**Identity disturbance: markedly and persistently unstable self-image or sense of self.
**Impulsivity in at least two areas that are potentially self-damaging (e.g., spending, sex, substance abuse, reckless driving, binge eating).
**Recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior.
**Affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days).
**Chronic feelings of emptiness.
**Inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights).
**Transient, stress-related paranoid ideation or severe dissociative symptoms.

==Differential Diagnosis==
*Depressive and bipolar disorders 
*Other personality disorders 
*Personality change due to another medical condition 
*Substance use disorders 
*Identity problems 

==Evaluation==
A clinical diagnosis; however if entertaining other organic causes may initiate workup below

{{General ED Psychiatric Workup}}

==Management==
Referral for outpatient psychiatric treatment, as psychotherapy is the primary treatment. Antipsychotics, antidepressants and mood stabilizers can be used to control symptoms such as anger and affective instability.

==Disposition==
Home

==See Also==

==External Links==

==References==
<references/>

[[Category:Psychiatry]]

← Older revision		Revision as of 10:58, 6 November 2016
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	==See Also==		==See Also==
			*[[Personality disorders]]

	==External Links==		==External Links==