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Published in: Drugs & Therapy Perspectives 1/2024

24-02-2024 | Borderline Personality Disorder | Disease Management

Treat borderline personality disorder with psychotherapy and concomitant psychiatric disorders with adjuvant pharmacotherapy

Authors: Esther S. Kim, Yvette N. Lamb

Published in: Drugs & Therapy Perspectives | Issue 1/2024

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Abstract

No class of medications has consistently improved symptoms of borderline personality disorder (BPD) in randomized clinical trials, and no pharmacological treatment has been approved specifically for BPD. Psychotherapy is the treatment of first choice in BPD, and the general consensus is that pharmacotherapy should be used mainly for the treatment of comorbid disorders. However, most patients with BPD are medicated even when they do not have comorbidities.
Literature
3.
4.
go back to reference Shah R, Zanarini MC. Comorbidity of borderline personality disorder: current status and future directions. Psychiatr Clin N Am. 2018;41(4):583–93.CrossRef Shah R, Zanarini MC. Comorbidity of borderline personality disorder: current status and future directions. Psychiatr Clin N Am. 2018;41(4):583–93.CrossRef
5.
go back to reference Stone MH. Borderline personality disorder: clinical guidelines for treatment. Psychodyn Psychiatry. 2022;50(1):45–63.CrossRefPubMed Stone MH. Borderline personality disorder: clinical guidelines for treatment. Psychodyn Psychiatry. 2022;50(1):45–63.CrossRefPubMed
8.
go back to reference Simonsen S, Bateman A, Bohus M, et al. European guidelines for personality disorders: past, present and future. Borderline Person Disord Emot Dysregul. 2019;6:9.CrossRef Simonsen S, Bateman A, Bohus M, et al. European guidelines for personality disorders: past, present and future. Borderline Person Disord Emot Dysregul. 2019;6:9.CrossRef
9.
10.
go back to reference Martín-Blanco A, Ancochea A, Soler J. Changes over the last 15 years in the psychopharmacological management of persons with borderline personality disorder. Acta Psychiatr Scand. 2017;136(3):323–31.CrossRefPubMed Martín-Blanco A, Ancochea A, Soler J. Changes over the last 15 years in the psychopharmacological management of persons with borderline personality disorder. Acta Psychiatr Scand. 2017;136(3):323–31.CrossRefPubMed
11.
go back to reference Bozzatello P, Rocca P, De Rosa ML, et al. Current and emerging medications for borderline personality disorder: is pharmacotherapy alone enough? Expert Opin Pharmacother. 2020;21(1):47–61.CrossRefPubMed Bozzatello P, Rocca P, De Rosa ML, et al. Current and emerging medications for borderline personality disorder: is pharmacotherapy alone enough? Expert Opin Pharmacother. 2020;21(1):47–61.CrossRefPubMed
12.
go back to reference Soler J, Casellas-Pujol E, Fernández-Felipe I. “Skills for pills”: the dialectical-behavioural therapy skills training reduces polypharmacy in borderline personality disorder. Acta Psychiatr Scand. 2022;145(4):332–42.CrossRefPubMedPubMedCentral Soler J, Casellas-Pujol E, Fernández-Felipe I. “Skills for pills”: the dialectical-behavioural therapy skills training reduces polypharmacy in borderline personality disorder. Acta Psychiatr Scand. 2022;145(4):332–42.CrossRefPubMedPubMedCentral
Metadata
Title
Treat borderline personality disorder with psychotherapy and concomitant psychiatric disorders with adjuvant pharmacotherapy
Authors
Esther S. Kim
Yvette N. Lamb
Publication date
24-02-2024
Publisher
Springer International Publishing
Published in
Drugs & Therapy Perspectives / Issue 1/2024
Print ISSN: 1172-0360
Electronic ISSN: 1179-1977
DOI
https://doi.org/10.1007/s40267-023-01042-9

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