Borderline Personality Disorder

  • Personality traits become ‘disordered’ when they are extreme, inflexible and maladaptive, causing significant distress and disruption to an individual’s life or to those around them (e.g. their ability to work, go to school or to maintain relationships)
  • Adolescents with elevated BPD symptoms are at current risk of suicidal behaviour and report intense emotional pain and distress

Learn more - http://www.ncbi.nlm.nih.gov/pubmed/16757458
            http://www.ncbi.nlm.nih.gov/pubmed/16109003


Diagnosing Borderline Personality Disorder in Adolescents

  • The available evidence indicates that the BPD diagnosis is as reliable and valid in adolescents as it is in adults

Learn more - http://www.ncbi.nlm.nih.gov/pubmed/18358579

  • Ignoring the possibility of BPD as a clinical reality among adolescent clients might hamper effective clinical treatment

Learn more - http://www.ncbi.nlm.nih.gov/pubmed/18358579

  • Without appropriate intervention, adolescents with Borderline Personality Disorder are likely to experience persistent difficulties that have major developmental effects, increasing their sense of despair and hopelessness.
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  • Regardless of whether or not the diagnosis of Borderline Personality Disorder is maintained into adulthood, adolescent Borderline Personality Disorder warrants intervention

Learn more -  http://www.headspace.org.au/what-works/resources/-evidence-summaries


Treating Borderline Personality Disorder in Adolescents

  • There is no compelling evidence for the use of medications to treat adolescent Borderline Personality Disorder. Medication should never be used as a primary treatment for adolescent (or adult) BPD

Learn more – http://www.ncbi.nlm.nih.gov/pubmed/16127960

  • At the core of improving outcomes for young people with BPD is the need for appropriate compassionate treatment
  • As adolescents might move out of the diagnosis of Borderline Personality Disorder it is important to re-evaluate them regularly to see if the diagnosis is still appropriate
  • Individuals with BPD often struggle with interpersonal relationships – including with therapists – and may find it difficult to remain engaged in therapy

Learn more - http://www.ncbi.nlm.nih.gov/pubmed/18941964

  • It is well recognized that treating adolescents with BPD can cause considerable stress and strong emotions in clinicians

Learn more - http://www.ncbi.nlm.nih.gov/pubmed/18638649

Learn more - http://www.headspace.org.au/what-works/resources/-evidence-summaries

There is no evidence that talking to a young person about suicidal thoughts or behaviours is harmful.