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Published in: Current Psychiatry Reports 5/2020

01-05-2020 | Borderline Personality Disorder | Personality Disorders (K Bertsch, Section Editor)

Diagnosis and Treatment of Borderline Personality Disorder in Young People

Authors: Andrew M. Chanen, Katie Nicol, Jennifer K. Betts, Katherine N. Thompson

Published in: Current Psychiatry Reports | Issue 5/2020

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Abstract

Purpose of Review

We review recent research concerning the diagnosis and treatment of borderline personality disorder (BPD) in young people. We examine evidence for the need to define an appropriate age for detection, and the suitability of current classification methods and treatment.

Recent Findings

Evidence supports early detection and intervention for subsyndromal borderline pathology or categorical BPD across an extended developmental period. A range of structured treatments are effective for BPD in young people, although the role of treatment components in successful outcomes is unclear. Substantial evidence suggests that a stronger focus on functional outcomes, especially social and vocational outcomes, is warranted.

Summary

Effective treatments for BPD are rarely available internationally. There is a need to assess whether less complex interventions might be developed that are scalable across health systems. A clinical staging model should be considered, addressing clinical distress and co-occurring psychopathology, as well as diagnosis.
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Metadata
Title
Diagnosis and Treatment of Borderline Personality Disorder in Young People
Authors
Andrew M. Chanen
Katie Nicol
Jennifer K. Betts
Katherine N. Thompson
Publication date
01-05-2020
Publisher
Springer US
Published in
Current Psychiatry Reports / Issue 5/2020
Print ISSN: 1523-3812
Electronic ISSN: 1535-1645
DOI
https://doi.org/10.1007/s11920-020-01144-5

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