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

Mood Matters: mood instability is common and associated with poor outcomes

shutterstock_275869019

Farhana Mann summarises an observational study of mood instability in people with mental illness, which explores its relationship with days spent in hospital, frequency of admissions, the likelihood of being sectioned and the chance of being prescribed antipsychotics and mood stabilisers.

[read the full story...]

Personality disorder: time for more attention and debate

shutterstock_100999102

Andrew Shepherd summarises a recent series of papers in The Lancet which look at the latest research on personality disorders. This includes evidence on classification, prevalence, diagnosis, treatment and the experience of personality disorder across the life course.

[read the full story...]

Stigma in bipolar disorder and borderline personality disorder: time for a cultural shift.

shutterstock_116985244

Andrew Shepherd summarises a critical realist analysis that looks at experiences of stigma in people with bipolar disorder or borderline personality disorder. He concludes that a profound social change in public and professional attitudes is necessary before mental health stigma can be effectively eradicated.

[read the full story...]

Are treatments for borderline personality disorder cost-effective?

Dialectical behaviour therapy was specifically developed to help people with borderline personality disorders

Our resident Elf Economist, Chris Sampson, reports on a new systematic review of economic evaluations for borderline personality disorder. Are any cost-effective?

[read the full story...]

Mentalization based treatment for borderline personality disorder: a pragmatic trial but with statistical uncertainty

shutterstock_189649733

Andrew Shepherd summarises a matched control study that explores the effectiveness of day hospital Mentalization-Based Treatment for patients with severe Borderline Personality Disorder.

[read the full story...]

Meta-review presents the risks of all-cause and suicide mortality in mental disorders

shutterstock_177940451

This recent and well-conducted meta-review concludes that the impact on mortality and suicide of mental disorders is substantial, and probably poorly appreciated as a public health problem. Raphael Underwood’s blog summarises the data for all-cause and suicide mortality in mental disorders.

[read the full story...]

Which psychological therapies work best for borderline personality disorder?

shutterstock_138709157

This systematic review of psychological therapies for borderline personality disorder (BPD), conducted in Spain, takes an interesting approach to reviewing the literature. Unfortunately, there appear to have been challenges in translating the systematic review from Spanish and the text can be difficult to follow at times. This is a real shame as it is an [read the full story…]

Check out the new BITE-sized mental health summaries from the NIHR CLAHRCs

Screen Shot 2013-01-11 at 09.09.50

Anyone who’s spent any time at all on the Mental Elf website, or any of the other National Elf Service sites, knows that we elves love succinct and focused summaries that are easy to read and quick to digest. It’s always a delight to see other groups publishing similar resources, so I’ve decided today to [read the full story…]

Borderline personality disorder improves with dialectical behaviour therapy and general psychiatric management

shutterstock_102324634

Talking treatments are a key component of the therapy offered to people with borderline personality disorder and there are now a number of studies that point to the importance of these interventions for this complex and hard to manage condition. A new randomised controlled trial conducted by a research team from the Centre for Addiction [read the full story…]

Repeat offending significantly higher in people with personality disorders, according to new systematic review

shutterstock_103071563

The excellent Time to Change initiative is quick to point out that people with mental health problems are more likely to be the victims of violence than the perpetrators. However, it remains the case that certain mental health conditions are more frequently associated with antisocial behaviour and violence than others. Personality disorders (PD) are one [read the full story…]