• Aust Prescr · Apr 2016

    Review

    Prescribing and borderline personality disorder.

    • Andrew M Chanen and Katherine N Thompson.
    • Orygen Youth Health, Northwestern Mental Health, Melbourne.
    • Aust Prescr. 2016 Apr 1; 39 (2): 49-53.

    AbstractAccurate diagnosis is fundamental to effective management of borderline personality disorder, but many patients remain undetected. The first-line management for borderline personality disorder is psychosocial treatment, not drugs. There are major prescribing hazards including polypharmacy, overdose and misuse. Drug treatment might be warranted for patients who have a co-occurring mental disorder such as major depression. If a drug is prescribed for borderline personality disorder, it should only be as an adjunct to psychosocial treatment. There should be clear and collaborative goals that are regularly reviewed with the patient. Use single drugs prescribed in limited quantities for a limited time. Stop drugs that are ineffective.

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