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

New Cochrane review points to best psychotherapies for borderline personality disorder

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The NICE guideline on borderline personality disorder (BPD) tells us more about what not to use to treat the condition than it does really help to recommend proven therapies. The guideline recommends the following: “Do not use brief psychological interventions (of less than 3 months’ duration) specifically for borderline personality disorder or for the individual [read the full story…]

Low birth weight or preterm babies have an increased risk of personality disorders

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Events that occur immediately before and after birth (perinatal factors) can often have a significant impact later in life. Research has shown that the risk of many mental health and neurological conditions (schizophrenia, ADHD, depression, autism and eating disorders) increases when complications occur around this time. However, there have been relatively few studies to date [read the full story…]

How can we help people with borderline personality disorder who are in crisis? New Cochrane review is inconclusive

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Borderline personality disorder (BPD) affects our mood and our ability to interact with others. It’s one of the most common personality disorders, affecting around 2% of the population. People with BPD often have other mental health conditions such as substance misuse problems, anxiety, depression, bipolar disorder, eating disorders or other personality disorders. Many people with [read the full story…]

Department of Health publish their response to the offender personality disorder consultation

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The Department of Health have published their proposed next steps to develop services for offenders with severe personality disorders in the NHS and Criminal Justice System. This follows a consultation that ran from Feb-May this year. In short, this work seeks to ensure that: the personality disordered offender population is a shared responsibility of the [read the full story…]

Short-term psychodynamic psychotherapy may be worth considering for patients with comorbid depression and personality disorders

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Treating depression is rarely straightforward, but treating someone who is depressed and also has comorbid personality disorders can be even more complicated. Studies have shown that short-term psychodynamic psychotherapy (STPP) is a treatment worth considering for depression and personality disorders when they occur individually, but this intervention has not yet been studied systematically for people [read the full story…]