Borderline personality disorder

BPD is relatively common, and management in general practice often time consuming and unrewarding. In this podcast, Dr Cheryl Buhay discusses clues to diagnosis, investigations, and management tips to hopefully make these patients more straightforward to manage, and also more rewarding.

Topics

Criteria: BPD DSM-5 (5 or more criteria need to be met)
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How common in the general population is BPD?
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How are these patients likely to present?
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How do we assess them / screening questions?
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Are there any mimics- any medical conditions we need to exclude?
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What suggestions do you have for maintaining healthy relationships with in the practice/ consultation?
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Crisis management- when to refer?
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What therapy and/or drugs have been shown to work?
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Take Home Messages
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Take home messages

BPD - high comorbidity.
Discuss in supervision.
Risk behaviours – need to take suicidal threats seriously.
Consider referring for mental health assessment to contain risks.
Look after yourself.

Resources

Download PDF Borderline personality disorder Dr C Buhay, Primary Care Liaison Psychiatrist (2020)
Download PDF Management plan template Dr C Buhay, Primary Care Liaison Psychiatrist
Borderline personality disorder Mental Health Foundation
Borderline personality disorder Health Navigator NZ
What Works in the Treatment of Borderline Personality Disorder Curr Behav Neurosci Rep. (2017)
Borderline personality disorder Your Health in Mind RANZCP (2017)

Presenter

Cheryl Buhay

Psychiatrist

Waitemata DHB Specialist Mental Health Services

Dr Cheryl Buhay is an Otago Medical School graduate and Fellow of the Royal Australia and New Zealand College of Psychiatrists. She is working for Waitemata DHB Specialist Mental Health Services as a Primary Care Liaison psychiatrist, providing specialist support to GP practices mainly within the West Auckland area. She is involved in GP teaching and is a contributor of mental health resources to Auckland Regional HealthPathways.