Providing effective treatment for borderline personality disorder.

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Australian Journal of General Practice Pub Date : 2025-03-01 DOI:10.31128/AJGP-11-23-7031

Gillian Singleton, Josephine Beatson, Sathya Rao

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Abstract

Background: Borderline personality disorder (BPD) is a serious but treatable mental health condition with a good prognosis for those who access appropriate treatment. Early identification, provision of brief interventions and continuity of care aids remission, and is possible without general practitioners (GPs) getting burned out.

Objective: This paper provides a brief overview of practical tips and useful resources for GPs to feel more equipped to provide effective care and support remission for individuals diagnosed with BPD.

Discussion: People with BPD frequently present with complex problems and GPs can perceive patients as challenging to work with. It can be empowering for clinicians to consider a diagnosis of BPD when expectations of a challenging encounter occur. Early recognition and validation of underlying distress, psychoeducation and structured support can make a significant difference. Suicidal behaviour occurs in 80% of individuals with BPD, and they have a 20 year reduction in life expectancy, largely attributable to chronic diseases. This emphasises the importance of continuity in primary care.

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为边缘型人格障碍提供有效的治疗。

背景：边缘型人格障碍（BPD）是一种严重但可治疗的精神健康状况，对那些接受适当治疗的人来说预后良好。早期识别，提供简短的干预和持续的护理有助于缓解，并且可能不会使全科医生（全科医生）感到疲惫。目的：本文为全科医生提供了实用技巧和有用资源的简要概述，以便为诊断为BPD的个体提供更有效的护理和支持缓解。讨论：BPD患者经常表现出复杂的问题，全科医生可能认为患者具有挑战性。它可以授权临床医生考虑BPD的诊断，当一个具有挑战性的预期遭遇发生。早期识别和确认潜在的痛苦，心理教育和结构化支持可以产生显著的差异。80%的BPD患者有自杀行为，他们的预期寿命减少了20年，这主要归因于慢性疾病。这强调了初级保健连续性的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian Journal of General Practice Medicine-Family Practice

CiteScore

2.80

自引率

4.50%

发文量

284

期刊介绍： The Australian Journal of General Practice (AJGP) aims to provide relevant, evidence-based, clearly articulated information to Australian general practitioners (GPs) to assist them in providing the highest quality patient care, applicable to the varied geographic and social contexts in which GPs work and to all GP roles as clinician, researcher, educator, practice team member and opinion leader. All articles are subject to peer review before they are accepted for publication.