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Current opinion in psychiatry
09, 2020;33 (5): 441-446.

Developments in diagnosis and treatment of people with borderline personality disorder.

Sathya Rao, Parvaneh Heidari, Jillian H Broadbear
Author Information
  1. Sathya Rao: Spectrum, Personality Disorder Service, Richmond.
  2. Parvaneh Heidari: Spectrum, Personality Disorder Service, Richmond.
  3. Jillian H Broadbear: Spectrum, Personality Disorder Service, Richmond.
PMID: 32639358 DOI: 10.1097/YCO.0000000000000625

Abstract

PURPOSE OF REVIEW: Borderline personality disorder (BPD) attracts significant attention from clinicians and researchers alike. Despite increased recognition and willingness to diagnose BPD, most effective treatment approaches remain inaccessible to most. We consider recent developments in the diagnosis and treatment of BPD.
RECENT FINDINGS: A literature search of EMBASE and PsychINFO, using the search terms 'borderline personality disorder,' 'diagnosis' and 'treatment' for publications since October 2018, yielded over 300 articles and reviews. The literature highlights the increasing awareness of the diagnostic complexity of BPD as well as the emerging significance of 'common factors' and stepped care approaches for managing and treating the disorder.
SUMMARY: Clinical practice is evolving to embrace more holistic diagnostic approaches, generalist treatment frameworks and stepped-care models that can be tailored to fit individual needs and service resources. The new frontiers in this field include expansion of timely treatment options, improved knowledge regarding the expression and management of BPD in men, adolescents and the elderly, and bridging cultural divides to create a worldwide population approach.

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MeSH Term

Borderline Personality Disorder
Humans
Models, Psychological
Psychotherapy
Journal Article Review
Article has an altmetric score of 6

Word Cloud

Created with Highcharts 10.0.0BPDtreatmentdisorderpersonalityapproachesdiagnosisliteraturesearchdiagnosticPURPOSEOFREVIEW:BorderlineattractssignificantattentioncliniciansresearchersalikeDespiteincreasedrecognitionwillingnessdiagnoseeffectiveremaininaccessibleconsiderrecentdevelopmentsRECENTFINDINGS:EMBASEPsychINFOusingterms'borderline''diagnosis''treatment'publicationssinceOctober2018yielded300articlesreviewshighlightsincreasingawarenesscomplexitywellemergingsignificance'commonfactors'steppedcaremanagingtreatingSUMMARY:Clinicalpracticeevolvingembraceholisticgeneralistframeworksstepped-caremodelscantailoredfitindividualneedsserviceresourcesnewfrontiersfieldincludeexpansiontimelyoptionsimprovedknowledgeregardingexpressionmanagementmenadolescentselderlybridgingculturaldividescreateworldwidepopulationapproachDevelopmentspeopleborderline

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