Borderline Personality Disorder – The difficult patient – MM1602
GPs are often the first point of contact for patients with borderline personality disorder (BPD) and this encounter can be critical in engaging these patients with health services that can provide support and treatment.
BPD is a mental disorder and a personality disorder according to the Diagnostic and Statistical Manual of Mental Disorders(5) and is characterised by distressing emotional states, difficulty relating to other people and self-harming behaviour. Common presentations include visits to emergency departments with self-harm, or seeing their GPs with suicidality, low mood or treatment-resistant depression.
Modern Medicine – February 2016
