New Cochrane review points to best psychotherapies for borderline personality disorder

shutterstock_95703265

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…]

Clozapine use in women with borderline personality disorder and mild learning disability reduced rates of self injury and use of restraint

Medication

Clozapine is an atypical antipsychotic medication used to treat the symptoms of schizophrenia, most usually used as a treatment of last resort where people have not responded to other anti-psychotic treatments. It has a number of severe side effects including and can also cause the excessive production of saliva and weight gain.. The researchers in [read the full story…]

Therapeutic community approach in secure settings for men with learning disabilities shows treatment gains in first 12 months

man at fence

The notion of the therapeutic community emerged in the 1940s and was developed in the UK throughout the subsequent decades. Therapeutic communities developed participative approaches to working with people with long term mental illness. Usually residential, they offered a complete therapeutic milieu with therapists and patients living in the same environment and within the same [read the full story…]

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

shutterstock_3300423

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

shutterstock_83284993

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…]

Involving people with learning disabilities in a secure service in risk assessment supports holistic approach and promotes trust

man at fence

A keystone of policy relating to the support of people with learning disabilities in England is the involvement of service users in planning and delivering their support. This is also reflected in policy relating to risk assessment and management processes. However, the evidence from the literature at present suggests that this involvement is not yet [read the full story…]

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

shutterstock_72485047 man behind bars in prison

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

shutterstock_27881116 Conceptual image of a open minded man

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…]

Patterns between psychiatric disorders and challenging behaviours in people with learning disabilities explored

person looking sad

This study set out to look at associations between psychiatric disorders in people with learning disabilities and challenging behaviours. The study used a large sample and controlled for sex, age, autism and degree of learning disability. The researchers used data from 47% of all people with learning disabilities who were known to and receiving services [read the full story…]