personality disorders

‘Personality disorders’ are defined by the NHS as “Conditions in which an individual differs significantly from an average person, in terms of how they think, perceive, feel or relate to others. Changes in how a person feels and distorted beliefs about other people can lead to odd behaviour, which can be distressing and may upset others.”

A diagnosis of a ‘personality disorder’ is an extremely distressing experience and a great deal of controversy surrounds the use of this term and the diagnosis itself. 75% of those diagnosed with Borderline Personality Disorder are women.

For 50 years, Survivors have been demanding a change to the diagnosis of ‘Borderline Personality Disorder’. Despite having no scientific validity, and demonstrably provoking the most discriminatory, judgmental reactions from clinicians in mental health care, it has persisted. The diagnosis produces such ‘testimonial injustice’ that it is incompatible with the core tasks of mental health care – compassion, understanding and help provision. In an increasingly ‘woke’ society, pathologising people based on discriminatory character sketches is a form of structural violence that has to be binned. This is something we can do today.
– Dr Jay Watts, Clinical Psychologist, Jan 2019

Our personality disorders Blogs

Psychodynamic programmes for personality disorders: residential versus community treatment

36285572835_2bab47932e_k

Keir Harding explores a recent study of community-based, step-down, and residential specialist psychodynamic programmes for personality disorders, which includes some surprising findings.

[read the full story...]

Psychotherapies for borderline personality disorder: DBT and psychodynamic approaches do best

jeffrey-wegrzyn-183859

Andrew Shepherd summarises a recent meta-analysis on the efficacy of psychotherapies for borderline personality disorder, which finds that dialectical behaviour therapy and psychodynamic approaches were effective versus control, but CBT and other talking treatments were not.

[read the full story...]

Personality disorders and alcohol treatment: is there any hope?

3459825762_01b1fe103a_b

Ian Hamilton and Kelly Davies provide some optimism after reading a new systematic review about personality disorders and alcohol treatment outcomes.

[read the full story...]

The state of personality disorder services in England #bigspd17

checklist-1583529_1280

Keir Harding publishes his debut elf blog on a recent national survey of personality disorder services, which finds continued exclusion, variability of practice and inconsistencies in the availability of services across England.

[read the full story...]

A crisis map: charting the topography of home treatment

rgyglpwwjb0-richard-tilney-bassett

Derek Tracy and Lisa Lloyd look back over the last 17 years of mental health crisis care and consider the findings of a new survey of Crisis Resolution Teams in England.

[read the full story...]

Personality disorders, IAPT treatment and recovery from depression and anxiety

372736671_ba70deee47_o

Mark Smith reviews a recent prospective cohort study, which considers the impact of comorbid personality problems on response to IAPT (Improving Access to Psychological Therapies) treatment for depression and anxiety.

[read the full story...]

Is it bipolar disorder or borderline personality disorder?

14188977646_8ecd17db22_k

Murtada Alsaif considers the challenges facing psychiatrists in diagnosing bipolar disorder or borderline personality disorder. He reports on a recent qualitative study that explores the practical experience of psychiatrists and nurses and concludes that clinical diagnostic practice cannot reliably distinguish the two conditions.

[read the full story...]

Bariatric surgery can help improve depression, says new meta-analysis

3674894595_637c6cd077_z

Emily Stapley reports on a new JAMA meta-analysis, which finds that mental illnesses such as depression and binge eating disorder are common among patients seeking and undergoing bariatric surgery.

[read the full story...]

Common mental health disorders linked with increased risk of violent reoffending in ex-prisoners

shutterstock_161064980

Ian Cummins considers the implications of a new cohort study of convicted prisoners in Sweden, which links psychiatric disorders with violent reoffending.

[read the full story...]

Psychodynamic therapy: time for a new approach?

shutterstock_152293880

Mark Smith summarises a recent narrative review about the effectiveness of psychodynamic therapy for depression, anxiety disorders, eating disorders, somatic disorders and other mental health conditions.

[read the full story...]