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Life History Strategy and Borderline personality disorder
Associations Between Early Life Adversity, Reproduction-Oriented Life Strategy, and Borderline Personality Disorder This cross-sectional study examines whether the emergence of borderline personality disorder is associated with the prioritization of immediate reproductive goals over longer-term somatic maintenance goals. jamanetwork.com Wanted to see what others thought about this….feel like this is such a weird take on this data and pretty clearly trying to make this data (that we already know about, people with more unstable early development t...
Source: Student Doctor Network - April 28, 2023 Category: Universities & Medical Training Authors: calvnandhobbs68 Tags: Psychiatry Source Type: forums

Contingent suicidality
We're all familiar with the "admit me to the hospital or I'll kill myself." But what about patients who say they will kill themselves if [insert undesirable event here]? My clinic had a case of a patient with borderline personality disorder, who said she'd kill herself if her (to my understanding well established) business became understaffed and she was unable to find a way to resolve the issue. I was not pleased with how it was handled by her non-prescribing provider. The provider became... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - February 18, 2023 Category: Universities & Medical Training Authors: randomdoc1 Tags: Psychiatry Source Type: forums

How treatable, in general, is high-functioning autism spectrum disorder?
At least compared to psych conditions usually considered "treatable," such as ADHD or depression, and psych conditions usually considered "untreatable," such as any personality disorder besides borderline personality disorder. (Source: Student Doctor Network)
Source: Student Doctor Network - June 12, 2022 Category: Universities & Medical Training Authors: IonClaws Tags: Psychiatry Source Type: forums

Persistent tachycardia in potential first-break psychosis
Hi all, I have this patient on our unit who is in their early 20s. She presents as having severe borderline personality disorder but has a strong family history of bipolar disorder I as well. She was medication naive at presentation save for venlafaxine. The only odd thing about her is that she has persistent tachycardia into the 120s and has since her arrival. She's not dehydrated. She has negative ANA and CRP. Do you think there could be something organic underlying her mix of BPD +/-... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - January 16, 2022 Category: Universities & Medical Training Authors: Psychferlyfe3000 Tags: Psychiatry Source Type: forums

How would you help this type of patient?
I have a patient who is in his early 60s who has chronic severe PTSD and I think likely either borderline traits or borderline personality disorder. This patient doesn't have any suicidal ideation. No mania or psychosis. No depressive episode. The patient refuses to take medication for PTSD, and mistakenly says another physician has told him SSRIs will harm his heart and wont' accept education to the contrary. He won't even listen to that same physician. He will only take clonazepam 1mg PO... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - December 8, 2021 Category: Universities & Medical Training Authors: wolfvgang22 Tags: Psychiatry Source Type: forums

How do you determine whether borderline personality disorder patients require hospitalization?
I am noticing that, in my program, whether or not borderline patients are hospitalized after impulsive suicidal or parasuicidal acts is dealt with very inconsistently. It seems like most providers try to discern whether or not the patient is "in crisis" or "decompensated". However, in my opinion there is often unreliable data to discern this with, which leads to very subjective impressions of this and inconsistencies in management. My assumption in writing this is that the purpose of... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - June 12, 2021 Category: Universities & Medical Training Authors: Psychferlyfe3000 Tags: Psychiatry Source Type: forums

Diagnosing borderline personality disorder
Any tips for diagnosing borderline personality disorder (or potentially other personality disorders as well...e.g. narcissistic) in patients who are not forthcoming? I think I've got a fair grasp on this. I sometimes use the McLean screener for borderline personality symptoms. But do struggle at times with patients who have a previous diagnosis of BPD, know what it is, and don't want to be diagnosed with it. So any questions related to borderline are met with a "no" from the patient... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - April 18, 2021 Category: Universities & Medical Training Authors: nexus73 Tags: Psychiatry Source Type: forums

[help] Borderline Personality Disorder
Anyone on this sub have a lot of experience with how to help these patients? I am not used to patients with BPD being frequently readmitted over and over again. Where I work now, there is a lot of CYA (due to past lawsuits from BPD patients?) with these patients. They get admitted, meds get changed, then discharged. Where I trained, this type of patient would rarely if ever get admitted. As far as boards, we learn admitting these patients (especially frequently) is likely more harm than... [help] Borderline Personality Disorder (Source: Student Doctor Network)
Source: Student Doctor Network - August 23, 2020 Category: Universities & Medical Training Authors: drillers Tags: Psychiatry Source Type: forums

Please advise.. Applying to residency with several red flags.
I am a 4th year DO student who is interested in psychiatry with several red flags--LOA for 6 month and low board scores (no failures in boards/courses/clerkship). FYI, I took a LOA for 6 months due to personal issues (family illness/ financial difficulties/relationship problem with a partner who has borderline personality disorder). I had been dealing with these issues for more than three years before I finally decided to take a LOA before breaking down. My grades started going down... Please advise.. Applying to residency with several red flags. (Source: Student Doctor Network)
Source: Student Doctor Network - July 23, 2020 Category: Universities & Medical Training Authors: fingerstickglucose Tags: General Residency Issues Source Type: forums

Borderline Personality Disorder as a "dumping ground" diagnosis for chronic suicidality?
Has anyone else noticed that clinicians seem to be assuming that chronic suicidality equals a definitive diagnosis of BPD more and more, without doing a good differential? I mean, with chronic suicidality, BPD should definitely be on the differential list, but it's not the only disorder that can lead to this (MDD, Persistent Depressive Disorder, PTSD, etc), nor is it sufficient to diagnosis BPD in and of itself. It remains me of the old (and still somewhat prevalent) idea that non-suicidal... Borderline Personality Disorder as a "dumping ground" diagnosis for chronic suicidality? (Source: Student Doctor Network)
Source: Student Doctor Network - July 4, 2020 Category: Universities & Medical Training Authors: futureapppsy2 Tags: Psychiatry Source Type: forums

Mental health
Thread Starter Mental health Follow 9 hours ago 9h ago Quote: ...
Source: The Student Room - September 4, 2018 Category: Universities & Medical Training Authors: ecolier Tags: Medicine Source Type: forums

Things Not Taught in Residency that Should've Been....
1) Dealing with patients with Borderline Personality: Where I did residency they didn't teach much about this other than just they needed DBT then taught pretty much close to nothing about DBT nor was anyone in the department skilled in utilizing DBT as a treatment. Add to the problem that a significant portion of patients coming into the ER had a cluster B personality and the staff members including the psychiatrist didn't know how to deal with them either and usually admitted them despite... Things Not Taught in Residency that Should've Been.... (Source: Student Doctor Network)
Source: Student Doctor Network - May 1, 2018 Category: Universities & Medical Training Authors: whopper Source Type: forums

Unreal.
Just letting you know it's a bit of a venting post. So, I had an intake yesterday, the guy had classic symptoms of borderline personality disorder, drinks a liter of liquor daily. He demanded to be diagnosed with bipolar disorder and be started on meds for that. I got him admitted for inpatient detox. History gathering showed no major mood symptoms in absence of drinking. I got inpatient doc to call me, he did not bother to read my notes. Didn't bother to even treat the etoh use disorder... Unreal. (Source: Student Doctor Network)
Source: Student Doctor Network - January 17, 2018 Category: Universities & Medical Training Authors: randomdoc1 Source Type: forums

Is it possible to become a doctor when you have Borderline Personality Disorder ?
Thread Starter Is it possible to become a doctor when you have Borderline Personality Disorder ? Follow 2 hours ago 2h ago ...
Source: The Student Room - November 25, 2017 Category: Universities & Medical Training Authors: BPDGirl Tags: Medicine Source Type: forums

How do you guys handle people asking for narcotics
How do you guys handle people coming in asking for narcotics or benzos? I'm still a resident in training and I've been trying to figure out how to avoid unpleasant experience with those manipulative drug seekers with borderline personality. I've once said No straight up to their face, which made the patient storm out of the room swearing at me. Another time, a patient came in for acute visit to I&D an abscess and wanted to discuss his/her chronic pain at the end of visit. This time I tried... How do you guys handle people asking for narcotics (Source: Student Doctor Network)
Source: Student Doctor Network - July 25, 2017 Category: Universities & Medical Training Authors: LUCPM Source Type: forums