Materiały źródłowe

• #1 Better care for patients with borderline personality disorder

  https://www.myamericannurse.com/better-care-for-patients-with-borderline-personality-disorder/

  Better care for patients with borderline personality disorder […] Adult nurse practitioners (NPs) encounter patients with a wide range of challenging behaviors. Some of these behaviors can be especially hard to manage and may even preclude successful treatment. One group of such behaviors occurs in persons with borderline personality disorder (BPD), marked by behavioral and emotional traits that can disrupt treatment. […] BPD is one of the most common personality disorders seen in clinical practice. It occurs in an estimated 2% of the general population, 10% of psychiatric outpatients, and 30% to 60% of persons with all types of personality disorders. […] Patients with BPD have a significant deficit in problem-solving skills and have trouble developing strategies to manage difficult situations effectively. Generally, they are able to function in society but their interpersonal interactions are maladaptive, disturbing, and possibly destructive to themselves and others.

• #1 Borderline Personality Disorder | Nursing CEU | CEUfast

  https://ceufast.com/course/borderline-personality-disorder

  Throughout their lives, people with BPD have experienced rejection, trauma, abuse, and social stigma. They have likely had difficulty working with previous healthcare professionals due to their unstable emotions and fear of abandonment; hence, the therapeutic alliance between provider and client is critical to the remission of symptoms. […] A thorough risk assessment will include any changes in suicidal behavior, self-harm behaviors, co-occurring mental illnesses, current substance abuse, sources of psychosocial support, and feelings of hopelessness. Healthcare providers should conduct comprehensive risk assessments whenever the patient first contacts a health service, begins a course of structured psychotherapy, develops another psychiatric illness, transitions between care settings, or experiences a major social change.

• #2 Chapter 10 Personality Disorders – Nursing: Mental Health and Community Concepts – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK590043/

  Research studies have demonstrated that nine percent of Americans have a personality disorder. A large proportion of this population also has one or more other mental health disorders. This chapter will describe the signs and symptoms of ten personality disorders and associated treatments. The nursing process will be applied to caring for a client with borderline personality disorder. […] The DSM-5 defines borderline personality disorder as a pervasive pattern of instability of personal relationships, self-image, and affect with significant impulsivity. It is diagnosed in individuals with five or more of the following characteristics: Frantic efforts to avoid real or imagined abandonment; A pattern of unstable and intense personal relationships characterized by alternating between extremes of idealization and devaluation (referred to as splitting); Identity disturbance with significantly and persistently unstable self-image or sense of self; Impulsivity in at least two areas that are potentially self-damaging (e.g., spending, sex, substance misuse, reckless driving, or binge eating); Recurrent suicidal behavior or self-mutilating behavior; Unstable affect with significant mood reactivity (i.e., intense anxiety or irritability usually lasting only a few hours); Chronic feelings of emptiness; Inappropriate, intense anger or difficulty controlling anger; Transient, stress-related paranoid ideation or severe dissociative symptoms.

• #2 10.4 Applying the Nursing Process to Personality Disorders – Nursing: Mental Health and Community Concepts

  https://wtcs.pressbooks.pub/nursingmhcc/chapter/10-4-applying-the-nursing-process/

  This section will apply the nursing process to caring for a client diagnosed with borderline personality disorder who is hospitalized due to self-injurious behavior. […] Assessment findings for clients hospitalized with borderline personality disorder may include the following: Feelings of emptiness, Self-mutilation and self-harm, Suicidal behaviors, gestures, or threats, Extreme mood shifts that occur in a matter of hours or days, Impulsive behavior such as reckless driving, unsafe sex, substance use, gambling, overspending, or binge eating, Intense feelings of abandonment, A tendency towards anger, sarcasm, and bitterness, Intense and unstable relationships. […] Common nursing diagnoses for clients diagnosed and hospitalized with borderline personality disorder are further described in Table 10.4.

• #3 10.4 Applying the Nursing Process to Personality Disorders – Nursing: Mental Health and Community Concepts

  https://opentextbooks.uregina.ca/nursingmhcc/chapter/10-4-applying-the-nursing-process/

  This section will apply the nursing process to caring for a client diagnosed with borderline personality disorder who is hospitalized due to self-injurious behavior. […] Assessment findings for clients hospitalized with borderline personality disorder may include the following: Feelings of emptiness, Self-mutilation and self-harm, Suicidal behaviors, gestures, or threats, Extreme mood shifts that occur in a matter of hours or days, Impulsive behavior such as reckless driving, unsafe sex, substance use, gambling, overspending, or binge eating, Intense feelings of abandonment, A tendency towards anger, sarcasm, and bitterness, Intense and unstable relationships. […] Common nursing diagnoses related to the clusters of personality disorders include the following: Risk for Suicide, Risk for Self-Directed Violence, Social Isolation, Chronic Low Self-Esteem, Ineffective Coping.

• #4 Better care for patients with borderline personality disorder

  https://www.myamericannurse.com/better-care-for-patients-with-borderline-personality-disorder/

  Evidence suggests BPD stems from multiple biopsychosociological influences resulting in maladaptive and disruptive behaviors. This article reviews current research on the etiology of BPD, discusses how to identify the disorder, and provides information to help generalist NPs meet the needs of patients who present to primary-care providers with BPD. […] Patients with BPD may present with multiple vague physical ailments and commonly use these symptoms to express their emotional or psychic pain. They report symptoms related to substance abuse, self-mutilation, suicide attempts, promiscuity, and eating disorders. To promote successful care, practitioners need to understand these behaviors and how to better maintain a supportive and productive relationship with patients like Eva. […] Generalist NPs must be able to distinguish self-mutilating behavior from suicidal behavior—a challenge given that the behavioral and emotional characteristics of BPD include impulsivity, suicidal gestures, and emotional instability.

• #5 Borderline Personality Disorder | Nursing CEU | CEUfast

  https://ceufast.com/course/borderline-personality-disorder

  Throughout their lives, people with BPD have experienced rejection, trauma, abuse, and social stigma. They have likely had difficulty working with previous healthcare professionals due to their unstable emotions and fear of abandonment; hence, the therapeutic alliance between provider and client is critical to the remission of symptoms. […] A thorough risk assessment will include any changes in suicidal behavior, self-harm behaviors, co-occurring mental illnesses, current substance abuse, sources of psychosocial support, and feelings of hopelessness. Healthcare providers should conduct comprehensive risk assessments whenever the patient first contacts a health service, begins a course of structured psychotherapy, develops another psychiatric illness, transitions between care settings, or experiences a major social change.

• #6 Table 10.4, [Common Nursing Diagnoses for Clients With Borderline Personality Disorder [],[]]. – Nursing: Mental Health and Community Concepts – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK590043/table/ch10applying.T.common_nursing_diagnoses/

  Common Nursing Diagnoses for Clients With Borderline Personality Disorder […] Risk for Suicide Susceptible to self-inflicted, life-threatening injury. Reports desire to die […] Risk for Self-Mutilation Deliberate self-injurious behavior causing tissue damage with the intent of causing nonfatal injury to attain relief of tension. […] Risk for Other-Directed Violence Susceptible to behaviors in which an individual demonstrates they can be physically, emotionally, and/or sexually harmful to others. […] Ineffective Coping A pattern of invalid appraisal of stressors, with cognitive and/or behavioral efforts, that fails to manage demands related to well-being. […] Defensive Coping Repeated projection of falsely positive self-evaluation based on a self-protective pattern that defends against underlying perceived threats to positive self-regard.

• #7 10.4 Applying the Nursing Process to Personality Disorders – Nursing: Mental Health and Community Concepts

  https://opentextbooks.uregina.ca/nursingmhcc/chapter/10-4-applying-the-nursing-process/

  Common nursing diagnoses for clients diagnosed and hospitalized with borderline personality disorder are further described in Table 10.4. […] In the acute care setting, the focus for setting goals and outcomes is the reason for admission, which may include conditions such as suicidal ideation, self-injurious behavior, severe depression, or severe anxiety. […] Examples of other SMART outcomes for clients hospitalized with borderline personality disorder may include the following: The client will remain safe and free of injury during their hospital stay, The client will seek help from staff when experiencing urges to self-mutilate during hospitalization, The client will identify three triggers to self-mutilation by the end of the shift, The client will describe two preferred healthy coping strategies by the end of the week.

• #8 10.4 Applying the Nursing Process to Personality Disorders – Nursing: Mental Health and Community Concepts

  https://www.saskoer.ca/nursingmhcc/chapter/10-4-applying-the-nursing-process/

  Common nursing diagnoses for clients diagnosed and hospitalized with borderline personality disorder are further described in Table 10.4. […] Risk for Suicide: Susceptible to self-inflicted, life-threatening injury. […] Risk for Self-Mutilation: Deliberate self-injurious behavior causing tissue damage with the intent of causing nonfatal injury to attain relief of tension. […] Ineffective Coping: A pattern of invalid appraisal of stressors, with cognitive and/or behavioral efforts, that fails to manage demands related to well-being. […] In the acute care setting, the focus for setting goals and outcomes is the reason for admission, which may include conditions such as suicidal ideation, self-injurious behavior, severe depression, or severe anxiety. […] Examples of other SMART outcomes for clients hospitalized with borderline personality disorder may include the following: The client will remain safe and free of injury during their hospital stay. The client will seek help from staff when experiencing urges to self-mutilate during hospitalization. The client will identify three triggers to self-mutilation by the end of the shift. The client will describe two preferred healthy coping strategies by the end of the week.

• #9 10.4 Applying the Nursing Process to Personality Disorders – Nursing: Mental Health and Community Concepts

  https://wtcs.pressbooks.pub/nursingmhcc/chapter/10-4-applying-the-nursing-process/

  Common nursing diagnoses related to the clusters of personality disorders include the following: Risk for Suicide, Risk for Self-Directed Violence, Social Isolation, Chronic Low Self-Esteem, Ineffective Coping. […] In the acute care setting, the focus for setting goals and outcomes is the reason for admission, which may include conditions such as suicidal ideation, self-injurious behavior, severe depression, or severe anxiety. […] Examples of other SMART outcomes for clients hospitalized with borderline personality disorder may include the following: The client will remain safe and free of injury during their hospital stay, The client will seek help from staff when experiencing urges to self-mutilate during hospitalization, The client will identify three triggers to self-mutilation by the end of the shift, The client will describe two preferred healthy coping strategies by the end of the week.

• #10 3 Personality Disorders Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/personality-disorders-nursing-care-plans/

  Goals and expected outcomes may include: The patient will be free of self-inflicted injury. The patient will participate in impulse control training. The patient will participate in coping skills training. The patient will seek help when experiencing self-destructive impulses. The patient will discuss alternative ways a client can meet the demands of the current situation. […] Therapeutic interventions and nursing actions for patients with personality disorders may include: Promoting Safety Measures and Preventing Self-Directed Violence. […] Patients with a history of self-injury may continue to engage in self-mutilation as a maladaptive coping mechanism for emotional distress. […] Assess for self-mutilating or suicidal thoughts or behaviors. Self-mutilating and suicide threats are common behaviors for clients with Borderline Personality Disorder BPD.

• #11 10.4 Applying the Nursing Process to Personality Disorders – Nursing: Mental Health and Community Concepts

  https://wtcs.pressbooks.pub/nursingmhcc/chapter/10-4-applying-the-nursing-process/

  Nurses plan interventions according to the symptoms the client is currently exhibiting with the goal of keeping the client and others safe and free of injury. […] Clear boundaries and limits should be set and consistently reinforced by the health care team. […] When implementing planned interventions, the nurse must always consider safety. […] Teaching self-care and coping strategies is helpful for people diagnosed with personality disorders and their loved ones. […] First-line treatment for personality disorders is psychotherapy. […] There are no specific medications approved to treat personality disorders. However, clients may be treated for symptoms associated with personality disorders that cause them significant impairment and distress. […] Refer to the SMART outcomes established for each individual client to evaluate the effectiveness of the planned interventions.

• #12 10.4 Applying the Nursing Process to Personality Disorders – Nursing: Mental Health and Community Concepts

  https://www.saskoer.ca/nursingmhcc/chapter/10-4-applying-the-nursing-process/

  Nurses plan interventions according to the symptoms the client is currently exhibiting with the goal of keeping the client and others safe and free of injury. […] Clear boundaries and limits should be set and consistently reinforced by the health care team. […] When implementing planned interventions, the nurse must always consider safety. […] Teaching self-care and coping strategies is helpful for people diagnosed with personality disorders and their loved ones. […] First-line treatment for personality disorders is psychotherapy. […] There are no specific medications approved to treat personality disorders. However, clients may be treated for symptoms associated with personality disorders that cause them significant impairment and distress. […] Refer to the SMART outcomes established for each individual client to evaluate the effectiveness of the planned interventions.

• #13 Better care for patients with borderline personality disorder

  https://www.myamericannurse.com/better-care-for-patients-with-borderline-personality-disorder/

  The following recommendations can enhance productive interactions with patients who have BPD. […] – Collaborate with mental health staff. Patients may require psychotropic medications and psychotherapy. When you collaborate with mental health staff, you become part of the holistic approach to treatment and gain the resources you need to interact with patients more effectively. […] – Show interest and concern. This sends the message that you’re focused on the patient and willing to offer your expertise to help. Regardless of the behavior and challenges posed by the patient’s behavior, be sure to convey warmth while remaining neutral. […] – Set the frame. Patients with BPD typically require boundaries to help them view the environment as more consistent and predictable. You can set the frame by starting and ending appointments on time and establishing clear, realistic treatment expectations.

• #14 Borderline Personality Disorder | Nursing CEU | CEUfast

  https://ceufast.com/course/borderline-personality-disorder

  92% of participants will know best practices for assessing, diagnosing, and treating borderline personality disorder. […] This education module reviews best practices for assessing, diagnosing, and treating this complex mental health condition. Upon completing this module, nurses and nurse practitioners will be able to develop a differential diagnosis and a comprehensive treatment plan that includes both pharmacologic and non-pharmacologic interventions. […] The treatment of choice for BPD is psychotherapy, including dialectical behavior therapy and psychodynamic therapy to reduce the severity of symptoms. For severe comorbid mental disorders, pharmacotherapy may be prescribed. Effective management of BPD is guided by clinical experience and includes the following: Evaluate the accuracy of all psychiatric diagnoses, as personality disorders are sometimes misdiagnosed. Psychotherapy and pharmacotherapy can be delivered by a single clinician or a team of clinicians who develop and maintain a therapeutic alliance with the client. Interact with the client actively and empathetically, validating their lived experiences. Encourage the BPD client to take responsibility for their actions and problems. Establish clear boundaries with respect to patient behaviors and the therapeutic alliance. Set clear expectations and boundaries, holding BPD clients accountable to these expectations and boundaries, including maintaining regular appointments that BPD clients are expected to keep.

• #15 Mental Health: global challenges of XXI century

  https://www.mhgcj.org/index.php/MHGCJ/article/view/81

  Borderline Personality Disorder is characterized as a condition in which a person differs significantly from the average of people, about how he thinks, perceives, feels or relates to others. […] Nurses are part of the treatment team. Theyre going to help the patient learn to live with the symptoms of his disorder. As these people are special patients, nurses must learn from their training not to focus on the patient’s problem, but on the patient himself. […] The key characteristics of Borderline are impulsivity and instability in interpersonal relationships, self-image and emotions. As there is no treatment, nurses as members of the treatment team must develop a relationship of trust with the patient in order to be able to help him in his recovery. It is important for nurses to be able to properly approach the person with Borderline Personality Disorder to learn to adapt according to his personality.

• #16 ‘Borderline personality disorder’ in primary care | Nursing in Practice

  https://www.nursinginpractice.com/clinical/mental-health-and-addiction/borderline-personality-disorder-primary-care-context/

  Borderline personality disorder (BPD) is attached to around 1% of the UK population. People diagnosed with BPD (PdxBPD) are associated with frequent crisis, with people having multidimensional subjective overwhelming experiences which can lead to self-harm and suicide. It is therefore essential that all staff across primary care environments understand BPD, and how to effectively support people. […] Care should focus on a person’s needs in the moment. […] Nurses may worry they lack expertise to care for PdxBPD, though advice would be to forget BPD, see the person, and identify their needs in the moment. […] Care should follow some key principles: See the person, not the diagnosis; Keep in mind the person may have experienced trauma; Ensure the person feels safe; Attend to any physical care needs; Seek contact with them and offer time to talk; Provide empathy and explore their underlying distress; Be honest and transparent; Collaborate and share decision making; Nurses should engage in active reflection and clinical supervision.

• #17 Chapter 10 Personality Disorders – Nursing: Mental Health and Community Concepts – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK590043/

  Individuals diagnosed with borderline personality disorder may be suicidal, self-mutilating, impulsive, angry, manipulative, or aggressive. Nurses plan interventions according to the symptoms the client is currently exhibiting with the goal of keeping the client and others safe and free of injury. […] Teaching self-care and coping strategies is helpful for people diagnosed with personality disorders and their loved ones.

• #18 Personality Disorders Nursing Care Management – Nurseslabs

  https://nurseslabs.com/personality-disorders/

  The nursing management of a patient with a personality disorder includes the following: Assessment of the patient includes: History. […] The client will demonstrate increased control of impulsive behavior. […] The nurse can help the clients to identify their feelings and learn to tolerate them without exaggerated responses such as destruction of property or self-harm; keeping a journal often helps clients gain awareness of feelings. […] Cognitive restructuring is a technique useful in changing patterns of thinking by helping clients to recognize negative thoughts and feelings and to replace them with positive patterns of thinking; thought stopping is a technique to alter the process of negative or self-critical thought patterns.

• #19 3 Personality Disorders Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/personality-disorders-nursing-care-plans/

  Clients with BPD can be manipulative. The consistent limit setting helps provide structure and decrease negative behaviors. […] Clients with BPD benefit from coping skills training (e.g., anger management skills, emotional regulation skills, interpersonal skills). Provide referrals and/or involve professional experts.

• #20 Borderline Personality Disorder | AAFP

  https://www.aafp.org/pubs/afp/issues/2022/0200/p156.html

  First-line treatment for borderline personality disorder is psychotherapy, with dialectical behavior therapy and mentalization-based therapy demonstrating the greatest effect. […] Difficult patient-physician relationships may signal the presence of borderline personality disorder and complicate medical treatment. […] A multifaceted management approach for physicians who encounter these patients includes avoiding familiarity; scheduling regular visits; providing clear explanations of diagnosis, testing, and clinical management; tolerating angry outbursts while still setting limits; maintaining awareness of personal feelings; and enlisting the help of a psychiatrist when needed. […] Clinicians can avoid excessive familiarity by setting clear boundaries at the first visit and not responding to a patient’s attempts to interact outside of established clinical encounters.

• #21 Borderline personality disorder – Psychiatric Nursing

  https://allnurses.com/borderline-personality-disorder-t429038/

  They are usually manipulative in the way where they will try and tell you what to do and in a hospital setting try and tell you they are allowed to do certain things even if they are not. It is never wise to take their word on things and to talk to the nurse in charge or a nurse who knows their care plan. […] Regardless of whether the patient has borderline pd, remember to be consistent with boundaries and unit rules. Take what the patient tells you with a grain of salt, and do not let them split staff whether they do it intentionally or accidentally. […] The best way to learn about personality disorders (borderline pd is only one of several you will encounter–antisocial pd, narcissistic pd and obsessive-compulsive pd are also common ones). […] In a nutshell, I would describe borderlines as having the ability to conjure up the emotion necessary to get the results they want.

• #22 Better care for patients with borderline personality disorder

  https://www.myamericannurse.com/better-care-for-patients-with-borderline-personality-disorder/

  – Provide clear, nontechnical answers. Patients with BPD may have distorted communication patterns, so take care to communicate clearly, concisely, and without jargon that could further distant the patient. Stay nonjudgmental and encourage the patient to express concerns and questions. […] – Make sure a staff member is present to serve as a witness during a physical examination. Because many BPD patients are victims of child abuse, their fantasy boundaries may be extremely blurred. Therefore, a physical examination or any other activity that the patient may interpret as intrusive could lead to sexual or abusive fantasies. […] Researchers continue to seek a greater understanding of BPD and explore the most effective approach to treatment. To date, the most effective treatment is dialectical behavior therapy (DBT), developed by Marsha Linehan, PhD, ABPP. This cognitive-behavioral approach focuses on reality testing and emotional control and uses individual, group, and telecommunications therapies.

• #23 Chapter 10 Personality Disorders – Nursing: Mental Health and Community Concepts – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK590043/

  Psychotherapy is the first line of treatment for personality disorders. Medications may also be prescribed to treat underlying co-occurring conditions such as anxiety or depression. […] During psychotherapy, an individual can gain insight and knowledge about the personality disorder and what is contributing to their symptoms. They talk about their thoughts, feelings, and behaviors and ideally will develop an understanding of the impact of their thoughts and behaviors on themselves and others. […] Dialectical behavior therapy (DBT) is a type of cognitive behavioral therapy that was originally created for clients with borderline personality disorder to help them cope with stress, control emotions, and establish healthy relationships. It is considered the gold standard for treating borderline personality disorder and is also used for other types of disorders.

• #24 Borderline Personality Disorder Care | Silver Hill Hospital

  https://silverhillhospital.org/what-we-treat/inpatient-mental-health-facilities-ct/

  You reside on the Silver Hill campus in a house that is staffed 24/7 with highly trained DBT personnel. […] The length of stay is 4 weeks, but you may opt to extend your treatment. […] You may choose to enter an intensive outpatient program to continue your treatment from home, if you are at low risk for self-harm and have a stable living environment. […] Because Silver Hill is a true psychiatric hospital, we are uniquely qualified to provide comprehensive care for patients who need treatment for more than one disorder. […] Dialectical Behavior Therapy (DBT) is the foundation of treatment for Silver Hills Personality Disorders Program. […] DBT works by assuming that many of the problems suffered by patients with Borderline Personality Disorder and related or co-occurring conditions are caused by a lack of skills that can be remedied with training.

• #25 Treatment – Borderline personality disorder – NHS

  https://www.nhs.uk/mental-health/conditions/borderline-personality-disorder/treatment/

  Treatment for BPD usually involves some type of psychological therapy, also known as psychotherapy. […] Therapy for BPD aims to help people get a better sense of control over their thoughts and feelings. […] Psychotherapy for BPD should only be delivered by a trained professional. […] The type of psychotherapy you choose may be based on a combination of personal preference and the availability of specific treatments in your local area. […] Dialectical behaviour therapy (DBT) is a type of therapy specifically designed to treat people with BPD. […] The goal of DBT is to break this cycle by introducing 2 important concepts: validation and dialectics. […] DBT usually involves weekly individual and group sessions, and you’ll be given an out-of-hours contact number to call if your symptoms get worse.

• #26 Treatment – Borderline personality disorder – NHS

  https://www.nhs.uk/mental-health/conditions/borderline-personality-disorder/treatment/

  DBT has proved particularly effective in treating women with BPD who have a history of self-harming and suicidal behaviour. […] Another type of long-term psychotherapy that can be used to treat BPD is mentalisation-based therapy (MBT). […] The goal of MBT is to improve your ability to recognise your own and others’ mental states. […] Therapeutic communities (TCs) are structured environments where people with a range of complex psychological conditions and needs come together to interact and take part in therapy. […] TCs are designed to help people with long-standing emotional problems and a history of self-harming by teaching them skills needed to interact socially with others. […] Arts or creative therapies may be offered individually or with a group as part of a treatment programme for people with BPD.

• #27 Treatment – Borderline personality disorder – NHS

  https://www.nhs.uk/mental-health/conditions/borderline-personality-disorder/treatment/

  Arts therapies aim to help people who are finding it hard to express their thoughts and feelings verbally. […] You’ll probably be given several telephone numbers to use if you think you may be experiencing a crisis. […] People with BPD often find that simply talking to somebody who understands their condition can help bring them out of a crisis. […] Experts are divided over whether medicine is helpful. No medicine is currently licensed to treat BPD. […] While medicine isn’t recommended by National Institute for Health and Care Excellence (NICE) guidelines, there’s evidence that it may be helpful for certain problems in some people.

• #28 Psychiatry.org – What are Personality Disorders?

  https://www.psychiatry.org/patients-families/personality-disorders/what-are-personality-disorders

  Commonly used types of psychotherapy include: Psychoanalytic/psychodynamic/transference-focused therapy, Dialectical behavior therapy, Cognitive behavioral therapy, Group therapy, Psychoeducation (teaching the individual and family members about the diagnosis, treatment and ways of coping). […] Family members can be important in an individual’s recovery and can work with the individual’s health care provider on the most effective ways to help and support.

• #29 Borderline personality disorder – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/borderline-personality-disorder/diagnosis-treatment/drc-20370242

  Talk therapy is a basic treatment approach for borderline personality disorder. Your mental health professional may adjust the type of therapy to best meet your needs. […] Management of borderline personality disorder mainly focuses on making sense of moments that are emotionally hard by thinking about what happened in your relationships that led to those moments. Good mental health management tends to include a combination of individual therapy, group therapy, family education and medicines for related conditions. […] The Food and Drug Administration hasn’t approved any drugs specifically to treat borderline personality disorder. But some medicines may help with symptoms. And some medicines can help with conditions that occur with borderline personality disorder, such as depression, impulsiveness, aggression or anxiety.

• #30 Borderline Personality Disorder | AAFP

  https://www.aafp.org/pubs/afp/issues/2022/0200/p156.html

  Problematic behaviors can be mitigated by using effective communication strategies, such as motivational interviewing and problem-solving techniques, and clear language to address medical concerns. […] Pharmacologic treatments for patients with borderline personality disorder remain controversial with limited evidence, despite the common practice of prescribing selective serotonin reuptake inhibitors and quetiapine. […] There are no medications approved by the U.S. Food and Drug Administration for the treatment of borderline personality disorder.

• #31 Borderline personality disorder – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/borderline-personality-disorder/diagnosis-treatment/drc-20370242

  At times, you may need to be treated in a psychiatric hospital or clinic. Staying in the hospital also may keep you safe from harming yourself or help you talk about thoughts or behaviors related to suicide. […] Learning to manage your emotions, thoughts and behaviors takes time. Most people improve greatly, but some people always struggle with some symptoms of borderline personality disorder. You may have times when your symptoms are better or worse. But treatment can make it easier to function and help you feel better about yourself. […] You have the best chance for success when you work with a mental health professional who has experience treating borderline personality disorder. […] In addition to getting professional treatment, you can help manage and cope with your condition if you: […] Don’t blame yourself for the condition. But take responsibility for treating it.

• #32 Borderline Personality Disorder Care | Silver Hill Hospital

  https://silverhillhospital.org/what-we-treat/inpatient-mental-health-facilities-ct/

  Although some view it as a disorder thats difficult to remedy, Silver Hill can effectively treat your Borderline Personality Disorder (BPD) and co-occurring conditions. Your quality of life can improve over time. […] The good news is that your BPD can be successfully treated at Silver Hill, and you can return to a full and healthy life. […] To date, by far the most effective therapy for BPD is Dialectical Behavior Therapy (DBT), as practiced by our highly skilled clinicians. […] We use DBT to help you learn to take control of your life and emotions through self-knowledge, emotion regulation and cognitive restructuring. […] The goals of inpatient treatment are diagnostic assessment, safe detoxification if indicated, symptom reduction and stabilization. […] Our program is one of the very few programs in the country that focuses on treatment with Dialectical Behavior Therapy (DBT).

• #33 Treatment – Borderline personality disorder – NHS

  https://www.nhs.uk/mental-health/conditions/borderline-personality-disorder/treatment/

  Over time, many people with borderline personality disorder (BPD) overcome their symptoms and recover. Additional treatment is recommended for people whose symptoms return. […] Treatment for BPD may involve individual or group psychotherapy, carried out by professionals within a community mental health team (CMHT). […] The goal of a CMHT is to provide day-to-day support and treatment, while ensuring you have as much independence as possible. […] A CMHT can be made up of community mental health nurses (who have specialist training in mental health conditions). […] If your symptoms are moderate to severe, you’ll probably be entered into a treatment process known as a care programme approach (CPA). […] CPA is essentially a way of ensuring that you receive the right treatment for your needs.

• #34 Borderline Personality Disorder Care | Silver Hill Hospital

  https://silverhillhospital.org/what-we-treat/inpatient-mental-health-facilities-ct/

  Therefore, DBT concentrates on improving a patients ability to use effective emotion regulation strategies. […] Your stay will include daily meetings with your psychiatrist and social worker. […] During this 4-week program you will reside in River House, a 12-bed, co-ed house that overlooks the Silvermine River. […] At Silver Hill, we believe your familys support is important throughout your treatment, and we encourage your family members to meet with your social worker, psychiatrist or other members of the treatment team. […] You may choose to purchase our Wellness Services during your treatment, which offers a holistic approach to recovery in recognition of the integration of body, mind and spirit.

• #35 Nursing Interventions For BPD: Best Practices And Techniques

  https://therapyjourney.co/nursing-interventions-for-borderline-personality-disorder/

  Doctors and nurses encounter difficult situations with patients quite often. […] Given the chaotic and even toxic symptoms associated with borderline personality disorder, people suffering from it need extra care. […] It is imperative for nurses and caregivers to know about the best practices and techniques for nursing interventions for BPD patients to ensure their safety and security. […] Nurses play a crucial role in the management of BPD. Nursing interventions can include regular monitoring of the patients mental status, providing emotional support, and ensuring adherence to treatment plans. These interventions are critical in creating a safe and supportive environment for patients with BPD. […] Supportive care involves offering emotional support and validation to patients. Nurses can help build a therapeutic relationship with patients, fostering trust and a sense of security, which is essential in managing BPD.

• #36 Borderline personality disorder | University of Iowa Health Care

  https://uihc.org/health-topics/borderline-personality-disorder

  Borderline personality disorder is extremely painful for the persons who have it and for those who live with and care about them. […] Medications may play a role in reducing the symptoms of depression, anxiety, irritability, and paranoid thoughts. […] A combination of careful medication management and cognitive-behavioral therapy that includes emotion regulation skills training is viewed as a promising treatment which may allow the patient to see significant progress over a period of a few months. […] The value of education for family members and professional caregivers is being recognized.

• #37 Borderline personality disorder (BPD) – traits, symptoms and diagnosis | healthdirect

  https://www.healthdirect.gov.au/borderline-personality-disorder-bpd

  Borderline personality disorder is a mental health condition that affects thoughts, emotions and behaviours. […] Psychological therapy is the main type of treatment for borderline personality disorder. […] Once a diagnosis is made for borderline personality disorder, you will need ongoing treatment with a mental health professional. […] The most effective treatment is a mix of support and psychological therapy. […] Psychological therapy is the main type of treatment for borderline personality disorder. […] Speak with your doctor if you have borderline personality disorder and have any concerns. […] Family and friends of people with borderline personality disorder may also need support to help them cope with caring for their loved one.

• #38 Borderline Personality Disorder – Brave Health

  https://bebravehealth.com/borderline-personality-disorder/

  We offer specialized online therapy for Borderline Personality Disorder (BPD), providing expert support and personalized treatment to help you manage symptoms and improve your emotional well-being from the comfort of home. […] Therapy is the primary treatment for borderline personality disorder. With long-term commitment, talk therapy can dramatically improve the symptoms of BPD. A Brave Health therapist can help you develop coping skills and learn to regulate your emotions. […] We offer caring support for people dealing with strong feelings and symptoms. Our team helps with treatment, personal therapy, and ongoing support from others to help our patients manage their condition and feel respected. […] Whether it’s talking with a therapist, learning about mental health medications, or joining group sessions, our professionals will work with you to find the right care. […] If you are supporting a loved one with BPD, remember that their reactions aren’t a reflection of you — their condition is causing their mood swings and intense emotions. […] Talk therapy can make a big difference for people with BPD, so encouraging your loved one to seek treatment is important.

• #39 Managing Borderline Personality Disorder – Brook Lane

  https://www.brooklane.org/managing-borderline-personality-disorder/

  Whether we are talking about Borderline Personality Disorder or any other mental health diagnoses there are basic things one can do to maintain optimum mental health: If taking medications, have a mastery of themunderstand what they are for, how they can benefit you, what are their side effects, etc. Get therapy or rehab if you feel you need it. Maintain knowledgeable, effective communication. Do regular/purposeful activities. Recognize cues when you are feeling stressed, anxious or depressed and address the stress/anxiety/depression as soon as possible after you notice it. Seek social supportstrive to have family love and support and the presence of friends. Take responsibility for managing your overall care.

• #40 Nursing Management of Personality Disorders – Nursing CE Central

  https://nursingcecentral.com/lessons/nursing-management-of-personality-disorders/

  The nurse should evaluate the effectiveness of the care plan and goals. Progress towards goals would be evidenced by the following: The person with a personality disorder will be safe and free of significant injury, The person with a personality disorder will not harm others or destroy property, The person with a personality disorder will demonstrate increased control of impulsive behavior, The person with a personality disorder will take appropriate steps to meet their own needs, The person with a personality disorder will demonstrate problem-solving skills, The person with a personality disorder will verbalize greater satisfaction with relationships.

• #41 Borderline Personality Disorder | Nursing CEU | CEUfast

  https://ceufast.com/course/borderline-personality-disorder

  Caring for individuals with BPD is challenging. The diagnosis frequently goes unrecognized, and nurses tend to avoid these patients due to their erratic and hostile behavior. It is important for healthcare professionals to educate themselves about this difficult diagnosis in order to provide the most effective care for their patients.

• #42 ‘Borderline personality disorder’ in primary care | Nursing in Practice

  https://www.nursinginpractice.com/clinical/mental-health-and-addiction/borderline-personality-disorder-primary-care-context/

  A final point, and perhaps the most important, is that if professionals keep their mind on the needs people have in the present moment, and difficult life experiences rather than the BPD label, it likely means responses will be more empathic and understanding, and thus more useful. Nurses need to look beyond the diagnosis and explore a person’s underlying distress. All human interactions can be helpful.

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