Borderline personality disorder in the primary care setting

Med Clin North Am. 2014 Sep;98(5):1049-64. doi: 10.1016/j.mcna.2014.06.005.

Abstract

Borderline personality disorder is estimated to be present in approximately 6% of outpatient primary care settings. However, the time and energy spent on this population can greatly exceed what primary care doctors are able to spend. This article gives an overview of borderline personality disorder, including the clinical characteristics, epidemiology, and comorbidities, as well as pharmacologic and most important behavioral management. It is our hope that, with improved understanding of the disorder and skills for managing this population, caring for patients with the disorder can be more satisfying and less taxing for both primary care doctors and their patients.

Keywords: Behavioral problems; Borderline personality disorder; Management of borderline personality disorder; Personality disorder; Primary care; Psychopharmacology.

Publication types

  • Review

MeSH terms

  • Antipsychotic Agents / therapeutic use
  • Borderline Personality Disorder / diagnosis*
  • Borderline Personality Disorder / epidemiology
  • Borderline Personality Disorder / therapy*
  • Brain / pathology
  • Comorbidity
  • Genetic Predisposition to Disease
  • Humans
  • Magnetic Resonance Imaging
  • Neuropeptides / metabolism
  • Prevalence
  • Primary Health Care*
  • Psychotherapy / methods
  • Remission Induction
  • Selective Serotonin Reuptake Inhibitors / therapeutic use
  • Self-Injurious Behavior / psychology
  • Social Environment
  • Suicidal Ideation

Substances

  • Antipsychotic Agents
  • Neuropeptides
  • Serotonin Uptake Inhibitors