Endoxifen in Treatment of Individuals with Borderline Personality Disorder with Predominant Impulsivity: A Case Series

Endoxifen, a protein kinase C inhibitor, has been approved for use in manic episodes in India. One of the symptom traits that it predominantly targets is impulsivity. Impulsivity can also be a symptom dimension of other mental health conditions, one of which is Borderline Personality Disorder (BPD)....

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Main Authors: Debanjan Banerjee, Rajashree Ray
Format: Article
Language:English
Published: Eco-Vector 2023-12-01
Series:Consortium Psychiatricum
Subjects:
Online Access:https://consortium-psy.com/jour/article/viewFile/13622/pdf
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author Debanjan Banerjee
Rajashree Ray
author_facet Debanjan Banerjee
Rajashree Ray
author_sort Debanjan Banerjee
collection DOAJ
description Endoxifen, a protein kinase C inhibitor, has been approved for use in manic episodes in India. One of the symptom traits that it predominantly targets is impulsivity. Impulsivity can also be a symptom dimension of other mental health conditions, one of which is Borderline Personality Disorder (BPD). Management of BPD is challenging, with limited pharmacological options that are symptom-directed and psychotherapy sessions that are fraught with early dropouts and lack of compliance. Impulsive behaviors represent a major reason for seeking help in BPD, especially with regard to non-suicidal self-injury, substance abuse, high-risk sexual behavior, aggression, etc. Here, we present a case series comprising five individuals with a diagnosis of BPD whose treatment regimens were changed and endoxifen added at a dose of 8 mg once daily. Clinical improvement was monitored using the Borderline Evaluation of Severity Over Time (BEST). All the subjects improved in the impulsivity domains as well as with regard to attention deficits, mood fluctuations, and overall functioning. Endoxifen is thus potential promising in terms of the management of BPD, but needs more extensive study to fully substantiate its clinical benefits.
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spelling doaj.art-10d12dc157a44f5cafa65d397a0e9f8a2024-01-22T20:02:22ZengEco-VectorConsortium Psychiatricum2712-76722713-29192023-12-0144667310.17816/CP13622136Endoxifen in Treatment of Individuals with Borderline Personality Disorder with Predominant Impulsivity: A Case SeriesDebanjan Banerjee0https://orcid.org/0000-0001-8152-9798Rajashree Ray1Apollo Gleneagles Multispecialty HospitalsGauri Devi Institute of Medical Sciences and HospitalEndoxifen, a protein kinase C inhibitor, has been approved for use in manic episodes in India. One of the symptom traits that it predominantly targets is impulsivity. Impulsivity can also be a symptom dimension of other mental health conditions, one of which is Borderline Personality Disorder (BPD). Management of BPD is challenging, with limited pharmacological options that are symptom-directed and psychotherapy sessions that are fraught with early dropouts and lack of compliance. Impulsive behaviors represent a major reason for seeking help in BPD, especially with regard to non-suicidal self-injury, substance abuse, high-risk sexual behavior, aggression, etc. Here, we present a case series comprising five individuals with a diagnosis of BPD whose treatment regimens were changed and endoxifen added at a dose of 8 mg once daily. Clinical improvement was monitored using the Borderline Evaluation of Severity Over Time (BEST). All the subjects improved in the impulsivity domains as well as with regard to attention deficits, mood fluctuations, and overall functioning. Endoxifen is thus potential promising in terms of the management of BPD, but needs more extensive study to fully substantiate its clinical benefits.https://consortium-psy.com/jour/article/viewFile/13622/pdfborderline personality disorderimpulsivityprotein kinase cendoxifencase series
spellingShingle Debanjan Banerjee
Rajashree Ray
Endoxifen in Treatment of Individuals with Borderline Personality Disorder with Predominant Impulsivity: A Case Series
Consortium Psychiatricum
borderline personality disorder
impulsivity
protein kinase c
endoxifen
case series
title Endoxifen in Treatment of Individuals with Borderline Personality Disorder with Predominant Impulsivity: A Case Series
title_full Endoxifen in Treatment of Individuals with Borderline Personality Disorder with Predominant Impulsivity: A Case Series
title_fullStr Endoxifen in Treatment of Individuals with Borderline Personality Disorder with Predominant Impulsivity: A Case Series
title_full_unstemmed Endoxifen in Treatment of Individuals with Borderline Personality Disorder with Predominant Impulsivity: A Case Series
title_short Endoxifen in Treatment of Individuals with Borderline Personality Disorder with Predominant Impulsivity: A Case Series
title_sort endoxifen in treatment of individuals with borderline personality disorder with predominant impulsivity a case series
topic borderline personality disorder
impulsivity
protein kinase c
endoxifen
case series
url https://consortium-psy.com/jour/article/viewFile/13622/pdf
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