To diagnose or not to diagnose your BPD patient
Clinicians working in every field of psychiatry will likely encounter patients with borderline personality disorder (BPD) on a regular basis. Nevertheless, diagnostic assessment and disclosure in patients suspected to suffer from BPD can be difficult and even uncomfortable to many clinicians. In a s...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2021-04-01
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| Series: | European Psychiatry |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933821001723/type/journal_article |
| _version_ | 1797617315969236992 |
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| author | L. De Picker |
| author_facet | L. De Picker |
| author_sort | L. De Picker |
| collection | DOAJ |
| description | Clinicians working in every field of psychiatry will likely encounter patients with borderline personality disorder (BPD) on a regular basis. Nevertheless, diagnostic assessment and disclosure in patients suspected to suffer from BPD can be difficult and even uncomfortable to many clinicians. In a survey among psychiatrists, 57% indicated they had failed to disclose a diagnosis of BPD at some point in their careers, citing diagnostic uncertainty and concerns about stigma as key issues.1This workshop will engage the audience in an intensive discussion of when and how to disclose a suspected diagnosis of BPD to a patient, and how to involve the patient in the diagnostic process. Dr. De Picker will demonstrate how BPD diagnostic disclosure can become a key intervention in every psychiatric setting by using a two-step process. The first step involves a review of the DSM-5 diagnostic criteria together with the patient. This is always followed by a narrative explanation using either the interpersonal hypersensitivity model or emotional vulnerability model as trait factor. With these two steps, diagnostic disclosure creates both an important validating experience for the patient and a not to be missed opportunity for psycho-education about the heritability, prognosis and treatability of borderline personality disorder which installs hope, trust and confidence. References: 1. Sisti D, Segal AG, Siegel AM, Johnson R, Gunderson J. Diagnosing, disclosing, and documenting borderline personality disorder: a survey of psychiatrists’ practices. J Pers Disord 2016; 30: 848–56. |
| first_indexed | 2024-03-11T07:54:05Z |
| format | Article |
| id | doaj.art-f31a8ebf750c472fb8671032ee4bf385 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:54:05Z |
| publishDate | 2021-04-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-f31a8ebf750c472fb8671032ee4bf3852023-11-17T05:06:17ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S55S5510.1192/j.eurpsy.2021.172To diagnose or not to diagnose your BPD patientL. De Picker0Sinaps, University Psychiatric Hospital Campus Duffel, Duffel, BelgiumClinicians working in every field of psychiatry will likely encounter patients with borderline personality disorder (BPD) on a regular basis. Nevertheless, diagnostic assessment and disclosure in patients suspected to suffer from BPD can be difficult and even uncomfortable to many clinicians. In a survey among psychiatrists, 57% indicated they had failed to disclose a diagnosis of BPD at some point in their careers, citing diagnostic uncertainty and concerns about stigma as key issues.1This workshop will engage the audience in an intensive discussion of when and how to disclose a suspected diagnosis of BPD to a patient, and how to involve the patient in the diagnostic process. Dr. De Picker will demonstrate how BPD diagnostic disclosure can become a key intervention in every psychiatric setting by using a two-step process. The first step involves a review of the DSM-5 diagnostic criteria together with the patient. This is always followed by a narrative explanation using either the interpersonal hypersensitivity model or emotional vulnerability model as trait factor. With these two steps, diagnostic disclosure creates both an important validating experience for the patient and a not to be missed opportunity for psycho-education about the heritability, prognosis and treatability of borderline personality disorder which installs hope, trust and confidence. References: 1. Sisti D, Segal AG, Siegel AM, Johnson R, Gunderson J. Diagnosing, disclosing, and documenting borderline personality disorder: a survey of psychiatrists’ practices. J Pers Disord 2016; 30: 848–56.https://www.cambridge.org/core/product/identifier/S0924933821001723/type/journal_articleBorderline personality disorderDiagnostic disclosureDSM-5Psychoeducation |
| spellingShingle | L. De Picker To diagnose or not to diagnose your BPD patient European Psychiatry Borderline personality disorder Diagnostic disclosure DSM-5 Psychoeducation |
| title | To diagnose or not to diagnose your BPD patient |
| title_full | To diagnose or not to diagnose your BPD patient |
| title_fullStr | To diagnose or not to diagnose your BPD patient |
| title_full_unstemmed | To diagnose or not to diagnose your BPD patient |
| title_short | To diagnose or not to diagnose your BPD patient |
| title_sort | to diagnose or not to diagnose your bpd patient |
| topic | Borderline personality disorder Diagnostic disclosure DSM-5 Psychoeducation |
| url | https://www.cambridge.org/core/product/identifier/S0924933821001723/type/journal_article |
| work_keys_str_mv | AT ldepicker todiagnoseornottodiagnoseyourbpdpatient |