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

Brief psychological support for ‘personality disorders’: no shortcut found

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A major new RCT of Structured Psychological Support finds brief therapy offers no meaningful benefit over usual care for people with personality disorders.

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Should we treat trauma in personality disorder even without a PTSD diagnosis?

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Up to 80% of people with personality disorder report neglect or abuse. So why aren’t we offering them trauma-focused therapy? A new trial has some answers.

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People in prison face disproportionate mental and physical illness

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Umbrella review of global prison populations finds 40% with antisocial personality disorder, 39% with drug use disorder, 24% with alcohol use disorder, 18% with hepatitis C, and 11% with major depression. Healthcare provision inadequate.

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A global perspective on personality disorders: common, deadly and underestimated

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Systematic review of 60 studies found personality disorders affect 5.2% in high-income countries, associated with elevated mortality, yet excluded from global disease burden estimates.

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How much does family history increase your mental health risk? New study provides answers

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This Danish study of over 3 million people found that having a first-degree relative with depression increased risk 2.35-times, resulting in 15% lifetime risk (compared to 7.8% in the general population). However, 60% of depression cases occurred in people with no affected close relatives, highlighting that family history is only part of the story.

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The long view on Brief Admission: autonomy and care for people with borderline personality disorder

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Brief Admission allows people with BPD to self-refer for short respite stays, offering a person-centred alternative to emergency hospitalisation. This 4-year longitudinal study from Sweden reveals who uses it, how it works, and how services could adapt.

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Prescribing in borderline personality disorder: Evidence, relationships, and the realities of practice

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No drugs are officially approved for borderline personality disorder, yet prescribing is widespread. This systematic review explores why clinicians prescribe, the pressures they face, and what it means for patient care.

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Mentalisation-based therapy for anti-social personality disorder shows promise in rare prison-based trial

The study included men aged 21 or older who were convicted of an offence and under probation at one of the 13 study sites.

RCTs are rare in prison settings, but today, Tom Stephenson and Danny Whiting blog about a new rigorous trial that provides grounds for therapeutic optimism.

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“They referred to one of the consumers as a BPD c**t”: uncomfortable narratives of borderline personality disorder

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Keir Harding looks at an Australian qualitative study that reveals difficult and harmful narratives around people given a diagnosis of ‘borderline personality disorder’.

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“Life-changing”: adults receiving an autism diagnosis after BPD (mis)diagnosis

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Amanda Sabo reviews a study on experiences of stigma, misdiagnosis, care and advocacy, for autistic adults previously diagnosed with borderline personality disorder – and identifies the need for diagnostic training for mental healthcare providers.

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