The Diagnostic Interview for
Borderline Patients (DIB - R) is the best - known «test» for diagnosing BPD.
The renowned expert in personality disorders, Otto Kernberg, identified the core structure of the narcissistic personality as representing a «subgroup of
borderline patients,»
«One subgroup of
borderline patients, namely, the narcissistic personalities... seem to have a defensive organization similar to borderline conditions, and yet many of them function on a much better psychosocial level.»
Marsha Linehan, one of the leading experts in borderline personality processes, describes a phenomenon called «staff splitting» that is familiar to all clinical psychologists who work with
borderline patients.
«Staff splitting,» as mentioned earlier, is a much - discussed phenomenon in which professionals treating
borderline patients begin arguing and fighting about a patient, the treatment plan, or the behavior of the other professionals with the patient... arguments among staff members and differences in points of view, traditionally associated with staff splitting, are seen as failures in synthesis and interpersonal process among the staff rather than as a patient's problem... Therapist disagreements over a patient are treated as potentially equally valid poles of a dialectic.
How
Borderline Patients Lure Smart Therapists into Boundary Violations by Jeffrey B. Jackson, Ph.D., LMFT
Following the borderline project, I participated actively as a therapist in various treatment studies centred on the effectiveness of schema therapy (cluster C disorders and a pilot on the effectiveness of group schema therapy in
borderline patients).
Many of these patients are quite rigid in their avoidance and obsessional patterns, often being as challenging as
borderline patients, causing many therapists struggling with these patients.
The uninterpreted rage: Protecting the therapeutic alliance in the treatment of
borderline patients: Clinical Social Work Journal Vol 22 (3) Fal 1994, 291 - 302.
Predictors of slower time - to - cessation of individual therapy for
borderline patients over 16 years of prospective follow - up Borkum DB, Frankenburg FR, Fitzmaurice GM, Athanasiadi A, Temes CM, Reich DB, Zanarini MC.
Description and prediction of the income status of
borderline patients over 10 years of prospective follow - up Niesten IJ, Karan E, Frankenburg FR, Fitzmaurice GM, Zanarini MC.
Staff splitting involves a parallel process in the treatment team to the splitting dynamic of
the borderline patient, in which polar sides develop within the treatment team regarding
the borderline patient so that the treatment team becomes divided by internal arguments and disputes regarding
the borderline patient.
Co-Editor of «Countertransference in Couples» Therapy»; «
The Borderline Patient»; «Healing Trauma» and more.
The subacute hospital treatment of
the borderline patient: Management of suicidal crisis by family intervention
The borderline patient's intolerance of aloneness: Insecure attachments and therapist availability
Not exact matches
An error committed by some clinicians is presuming that
patients who do not respond well to treatment or who are resistant to therapists» suggestions are frequently «
borderlines.»
A study of
patients in the United Kingdom suggests widespread prescribing of the medication levothyroxine sodium to boost thyroid function among
patients with
borderline high levels of the thyroid - stimulating hormone thyrotropin (a sign of low thyroid function), raising the possibility of overtreatment, according to a study published by JAMA Internal Medicine, a JAMA Network publication.
The study categorized the
patients by three distinct ejection fraction subgroups: normal,
borderline and reduced.
Indeed, a review in 1999 by one of us (Lilienfeld) and his colleagues found that between 35 and 71 percent of
patients with DID also have
borderline personality disorder.
Dr. Lars Schulze at Freie Universität Berlin and his colleagues at Heidelberg University focused on emotional processing in this meta - analysis to investigate the related functional and structural abnormalities in
patients with
borderline personality disorder.
It correctly classified 32 out of 37
patients (missing only cases that doctors usually would consider
borderline).
Eighteen
patients had
borderline resectable PDA (the cancer was primarily located within the pancreas), and 16
patients had locally advanced PDA (the cancer had spread into nearby blood vessels).
«The management of
patients with elevated or
borderline PSA continues to be a challenge, and having the additional knowledge of a
patient's genetic risk for prostate cancer can be very useful.
Prevalence and course of sexual relationship difficulties in recovered and non-recovered
patients with
borderline personality disorder over 16 years of prospective follow - up Karan E, Niesten IJ, Frankenburg FR, Fitzmaurice GM, Zanarini MC.
There's ample evidence that it's «partly inherited genetically and partly a function of stressful experiences during growth and development that leads to some pretty significant interference in successful functioning,» though experts still aren't 100 % sure of the underlying cause, says Dr. Oldham, who chaired the workgroup that developed the American Psychiatric Association's Practice Guideline for the Treatment of
Patients With
Borderline Personality Disorder.
The Symptomatic and Histologic Response to a Gluten - free Diet in
Patients With
Borderline Enteropathy.
A total of 37
patients with
borderline or stage 1 hypertension were randomized to two study groups.
Coffee with a high content of chlorogenic acids and low content of hydroxyhydroquinone improves postprandial endothelial dysfunction in
patients with
borderline and stage 1 hypertension.
Mom (Anne - Marie Duff) and dad (David Morrissey) have turned the family home into a center for the aged, forcing Edward to give up his bedroom and spend a lot of time surrounded by elderly,
borderline catatonic
patients.
I wasn't prepared for that news and they were really
patient with me while I was
borderline throwing a tantrum.
Thus, while I will always maintain that for conclusively proven, unequivocal Cushings Disease
patients, that the best course of action is treatment with trilostane, for
borderline Cushings Disease
patients, the aforementioned Cushings Disease
patients in waiting, and for proven cases of Cushings Disease where treatment is cost prohibitive, I advocate for dietary and natural management of disease.
Los Angeles, CA About Blog Reasons Eating Disorder Center offers a full continuum of care for
patients struggling with anorexia, bulimia, binge - eating disorder, and co-occurring issues such as trauma symptoms, substance abuse, bipolar,
borderline personality disorder, anxiety, obsessive compulsive disorder, or depression.
The purpose of this study was to explore the process of family support provided by nurses to families with a
borderline personality disorder (BPD)
patient.
Psychotherapy also led to reductions in costs when used to treat
patients with bipolar affective disorders and
borderline personality disorders.
Anecdotally, many clinicians have
patients with
borderline personality disorder where comorbid panic disorder had an apparently refractory course.
-- Jennifer Fisher, mental health
patient advocate and former manager of the
Borderline Personality Disorder Resource Center
Intensive case management decreased hospital resource use in psychotic
patients with
borderline intelligence quotient
Borderline personality disorder (BPD) is 1 of only 2 DSM - IV diagnoses for which suicidal behavior is a criterion.1
Borderline personality disorder is a severe and persistent mental disorder experience of severe emotional distress and behavioral dyscontrol.1 - 3 Among
patients with BPD, 69 % to 80 % engage in suicidal behavior,4 - 9 with a suicide rate of up to 9 %.10 Forty percent of the highest users of inpatient psychiatric services receive a diagnosis of BPD.11, 12 Patients with BPD use more services than those with major depression13 and other personality disorders.14 Among patients with BPD seen for treatment, 72 % have had at least 1 psychiatric hospitalization and 97 % have received outpatient treatment from a mean of 6.1 previous therapists.15, 16 Despite this high - use pattern, patients with BPD have high rates of treatment failur
patients with BPD, 69 % to 80 % engage in suicidal behavior,4 - 9 with a suicide rate of up to 9 %.10 Forty percent of the highest users of inpatient psychiatric services receive a diagnosis of BPD.11, 12
Patients with BPD use more services than those with major depression13 and other personality disorders.14 Among patients with BPD seen for treatment, 72 % have had at least 1 psychiatric hospitalization and 97 % have received outpatient treatment from a mean of 6.1 previous therapists.15, 16 Despite this high - use pattern, patients with BPD have high rates of treatment failur
Patients with BPD use more services than those with major depression13 and other personality disorders.14 Among
patients with BPD seen for treatment, 72 % have had at least 1 psychiatric hospitalization and 97 % have received outpatient treatment from a mean of 6.1 previous therapists.15, 16 Despite this high - use pattern, patients with BPD have high rates of treatment failur
patients with BPD seen for treatment, 72 % have had at least 1 psychiatric hospitalization and 97 % have received outpatient treatment from a mean of 6.1 previous therapists.15, 16 Despite this high - use pattern,
patients with BPD have high rates of treatment failur
patients with BPD have high rates of treatment failure.17, 18
In
patients with
borderline personality disorder, benefits of psychoanalytically oriented partial hospitalisation were maintained 18 months after treatment completion.
Attending to splitting: The therapist couple in a conjoint individual group psychotherapy program for
patients with
borderline personality disorder: Group Vol 31 (1 - 2) Mar - Jun 2007, 89 - 106.
Am J Psychiatry2001 Jan; 158:36 — 42 OpenUrlCrossRefPubMedWeb of Science QUESTION: In
patients with
borderline personality disorder, are the short term benefits of psychoanalytically oriented partial hospitalisation maintained over an 18 month follow up period?
, Group Schema Therapy for
Borderline Personality Disorder: A Step - by - Step Treatment Manual With
Patient Workbook, pp 295 - 301.
Yet, how does the view that
patients with personality disorders don't suffer accord with the fact that ten percent of individuals with
Borderline Personality Disorder will commit suicide during their lifetime?
Ida is a director of the Schema Therapy Institute Midwest — Indianapolis, which has ISST Certification programs in Individual, Group and Child - Adolescent ST.. She also provides training internationally in Child Adolescent ST.. She is the author of numerous chapters on schema therapy, research articles evaluating the group model and three books: Group Schema Therapy for
Borderline Personality Disorder: A Step - by - step Treatment Manual with
Patient Workbook, Wiley - Blackwell, 2012, The Schema Therapy Clinician's Guide: A Complete Resource for Building and Delivering Individual and Group Integrated Mode Treatment Programs, Wiley - Blackwell, 2014 and Experiencing Schema Therapy from the Inside Out: a Self - Practice / Self - Reflection Workbook for Therapists, Guilford 2018.
During my clinical internship year, I observed that some staff members at the psychiatric hospital where I worked literally walked the other way when they saw a
patient with
Borderline Personality Disorder walking towards them.
The results of this study showed, for the first time, that a high percentage of
patients with
Borderline Personality Disorder can achieve full recovery across the complete range of symptoms and provided strong empirical support for schema therapy.
Working with mentors Joan Farrell and Ida Shaw, developers of the group schema therapy model, she created an outpatient group schema therapy program for
Borderline Personality Disorder (BPD), which currently treats over 150
patients with BPD.
Group Schema Therapy for
Borderline Personality Disorder: A Step - by - step Treatment Manual with
Patient Workbook, Wiley - Blackwell, 2012
All
patients had DSM - IV Antisocial, Narcissistic,
Borderline, or Paranoid Personality Disorders, or significant Cluster B traits (PD NOS).
Dr. Daskalakis uses cognitive behavioral techniques as well as dialectical behavioral techniques to reduce intense symptomology in
patients experiencing symptoms of
Borderline Personality Disorder.