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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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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“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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Just how good are different psychotherapies for common mental health problems?

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Lisa Lloyd and Milagros Pallavicini review a recent study on psychotherapies for 8 mental disorders, finding that while most outperform control treatments, response rates remain modest.

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Brief admission during crisis for people diagnosed with borderline personality disorder

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Dan Warrender publishes his debut elf blog on a recent systematic review, which suggests that brief admission as a crisis management tool is acceptable and can be effective for people with ‘borderline personality disorder’.

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What crisis and acute mental health care is available to those with a ‘personality disorder’ diagnosis?

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Keir Harding finds little published evidence to support people with ‘personality disorder’ diagnoses when they are in crisis.

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The term ‘borderline personality disorder’ is misunderstood by almost everyone; it needs to go

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Many people feel very strongly about the term ‘personality disorder’. It is not the adjective that troubles; it is the noun. ‘Disorder’ is used as from 1980 onwards every mental health diagnosis has been listed as a disorder even if the final word is not mentioned. You cannot make a mental diagnosis without using it, [read the full story…]

Does a diagnosis of borderline personality disorder help or harm? #BIGSPD23

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As we prepare for #BIGSPD23 in Glasgow (starting tomorrow), a psychiatrist and mental health occupational therapist explore a review of stigma occurring as a result of a borderline personality disorder diagnosis, coming to their own conclusions on the key messages.

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