Borderline Personality Pathology in an At Risk Mental State Sample

In conclusion, borderline personality disorder should not be an exclusion criterion for the screening for psychosis or for an early intervention treatment. On the other hand, not every patient with borderline personality disorder, (especially those not suffering from hallucinations, unusual thought content, or persecutory ideas) should automatically be screened for the risk of developing a psychotic disorder.
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research

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Misdiagnosis is common for patients with a primary diagnosis of borderline personality disorder (BPD) who experience auditory verbal hallucinations (AVHs). AVHs in BPD are associated with severe BPD and high levels of suicidality. Wrongly treating these patients as though they are suffering from schizophrenia or other primary psychotic disorder and not treating BPD can cause significant iatrogenic damage. We outline a specific pattern of symptoms and phenomenology that will assist diagnostic accuracy in these cases. A focused review identified the following characteristic pattern: AVHs in BPD cannot be distinguished phenom...
Source: The Journal of Nervous and Mental Disease - Category: Psychiatry Tags: Review Article Source Type: research
One thing I shared with my wife Rachel about a year into our relationship was the time I suffered a nervous breakdown in graduate school. It would be an important moment in any relationship because I shared the time in my life when I was most vulnerable and at my weakest point. Did I technically suffer a nervous breakdown? I’m not sure, all I remember is the turning point came when I drove home late one night, collapsed on my kitchen floor and started crying uncontrollably. Up to that point, I had developed a quasi-schizophrenic outlook on life and could no longer bear the weight of the world-view I constructed. In p...
Source: Psych Central - Category: Psychiatry Authors: Tags: Borderline Personality Personal Stories Stigma Suicide Antidepressants Borderline Personality Disorder college Delusions Life Transition Nervous Breakdown Paranoia Psychosis Shame Stigmatization Source Type: news
Conclusion: Major limitations of the reviewed studies were short trial duration, small sample sizes, and the lack of control groups. Defining the potential role of DUL in the treatment of psychiatric disorders other than major depressive disorder and generalized anxiety disorder needs further randomized, placebo-controlled studies.
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
Authors: Reinhard MA, Dewald-Kaufmann J, Wüstenberg T, Musil R, Barton BB, Jobst A, Padberg F Abstract Social exclusion (ostracism) is a major psychosocial factor contributing to the development and persistence of psychiatric disorders and is also related to their social stigma. However, its specific role in different disorders is not evident, and comprehensive social psychology research on ostracism has rather focused on healthy individuals and less on psychiatric patients. Here, we systematically review experimental studies investigating psychological and physiological reactions to ostracism in different res...
Source: European Archives of Psychiatry and Clinical Neuroscience - Category: Psychiatry Tags: Eur Arch Psychiatry Clin Neurosci Source Type: research
AbstractSocial exclusion (ostracism) is a major psychosocial factor contributing to the development and persistence of psychiatric disorders and is also related to their social stigma. However, its specific role in different disorders is not evident, and comprehensive social psychology research on ostracism has rather focused on healthy individuals and less on psychiatric patients. Here, we systematically review experimental studies investigating psychological and physiological reactions to ostracism in different responses of psychiatric disorders. Moreover, we propose a theoretical model of the interplay between psychiatr...
Source: European Archives of Psychiatry and Clinical Neuroscience - Category: Neuroscience Source Type: research
Each year, the first full week in October has been designated as MENTAL ILLNESS AWARENESS WEEK to raise awareness, educate the public, fight stigma and help support children and adults living with a mental health condition. This year, the dates are October 6th through the 9th.Here are some Statistics19.1% of U.S. adults experienced mental illness in 2018 (47.6 million people). This represents 1 in 5 adults.4.6% of U.S. adults experienced serious mental illness in 2018 (11.4 million people). This represents 1 in 25 adults.16.5% of U.S. youth aged 6-17 experienced a mental health disorder in 2016 (7.7 mil...
Source: Dr. Deborah Serani - Category: Psychiatry & Psychology Tags: awareness campaigns mental health Source Type: blogs
This study is registered with PROSPERO, CRD42016049701.FindingsWe identified 19 meta-analyses that included 559 primary studies, covering 28 outcomes in 4 089 547 participants. Childhood sexual abuse was associated with 26 of 28 specific outcomes: specifically, six of eight adult psychiatric diagnoses (ORs ranged from 2·2 [95% CI 1·8–2·8] to 3·3 [2·2–4·8]), all studied negative psychosocial outcomes (ORs ranged from 1·2 [1·1–1·4] to 3·4 [2·3–4·8]), and all physical health conditions (ORs ranged from 1·4 [1...
Source: The Lancet Psychiatry - Category: Psychiatry Source Type: research
Abstract Homicide is the most serious and costly criminal offense and better forensic and criminological understanding of homicidal ideation as a potential psychobehavioral precursor to homicidal conduct is critical. Using data from the 2016 Nationwide Emergency Department Sample (NEDS) from the Healthcare Cost and Utilization Project (HCUP) distributed by the Agency for Healthcare Research and Quality (AHRQ), we found 64,910 cases of homicidal ideation among a sample of 25.6 + million-a prevalence of 0.25%. Numerous conditions conferred increased substantially the likelihood of homicidal ideation includ...
Source: Journal of Forensic Sciences - Category: Forensic Medicine Authors: Tags: J Forensic Sci Source Type: research
CONCLUSION: The overall clinical presentation when AVH occur in BPD can assist in determining a primary diagnosis of BPD when frank psychotic disorder is absent. AVH in BPD cannot be distinguished phenomenologically from AVH in SCZ. Clinical experience and increasing research suggest that AVH in BPD are often dissociative in origin and highly correlated with the presence of FRS, elevated levels of dissociation and a history of childhood trauma. When AVH occur in BPD in the absence of co-occurring psychotic disorder, formal thought disorder is usually absent, negative symptoms minimal or absent, bizarre symptoms absent, aff...
Source: Australasian Psychiatry - Category: Psychiatry Authors: Tags: Australas Psychiatry Source Type: research
This study involves 30 patients clinically diagnosed with BPD as their main diagnosis by three BPD dedicated outpatient treatment facilities in Denmark. The patients underwent a careful and time-consuming psychiatric evaluation involving several senior level clinical psychiatrists and researchers and a comprehensive battery of psychopathological scales. The study found that the vast majority of patients (67% in DSM-5 and 77% in ICD-10) in fact met the criteria for a schizophrenia spectrum disorder, i.e., schizophrenia (20%) or schizotypal (personality) disorder (SPD). The schizophrenia spectrum group scored significantly h...
Source: European Archives of Psychiatry and Clinical Neuroscience - Category: Psychiatry Tags: Eur Arch Psychiatry Clin Neurosci Source Type: research
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