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D 1
19 out of 28 on B.P.D
Treatment Strategies
Use Carbamazepine !
Borderline Personality Disorder ?
Drug treatment
N = 51
Follow up 3 - 5 years
Prospective, inpatient
N = 322
15 year follow up
Cowdry - alprazalem
- carbamazepine
- trifluperazine
- tranylcypromine
Frankenburg - clozapine
Salzman - fluoxetine
Stability of diagnosis / natural history
Suicide rate 3%
Follow up 10 - 23 years
Low dose neuroleptics benefit those who have
ideas of reference, paranoid ideation or
dissociative reactions to stress
Carbamazepine
decreased behavioural dyscontrol
improved mood
better able to tolerate negative
affect without acting out
(Paris 1996)
75% female
2% general population
Fear of abandonment
Impulsivity
Labile affect
Uncontrollable anger
Impulsive type
3 of 5 criteria
borderline type
3 of impulsive criteria
and 2 from borderline
Borderline Personality Disorder : Diagnosis