Psychodynamic programmes for personality disorders: residential versus community treatment

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Keir Harding explores a recent study of community-based, step-down, and residential specialist psychodynamic programmes for personality disorders, which includes some surprising findings.

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Psychotherapies for borderline personality disorder: DBT and psychodynamic approaches do best

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Andrew Shepherd summarises a recent meta-analysis on the efficacy of psychotherapies for borderline personality disorder, which finds that dialectical behaviour therapy and psychodynamic approaches were effective versus control, but CBT and other talking treatments were not.

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The state of personality disorder services in England #bigspd17

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Keir Harding publishes his debut elf blog on a recent national survey of personality disorder services, which finds continued exclusion, variability of practice and inconsistencies in the availability of services across England.

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Have the EAGLES landed? Safety of varenicline, bupropion and NRT in smokers with and without mental illnesses

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Paul Christiansen presents the results of the EAGLES RCT into the neuropsychiatric safety and efficacy of varenicline, bupropion, and nicotine patches in smokers with and without psychiatric disorders.

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Is it bipolar disorder or borderline personality disorder?

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Murtada Alsaif considers the challenges facing psychiatrists in diagnosing bipolar disorder or borderline personality disorder. He reports on a recent qualitative study that explores the practical experience of psychiatrists and nurses and concludes that clinical diagnostic practice cannot reliably distinguish the two conditions.

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Personality disorder: time for more attention and debate

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Andrew Shepherd summarises a recent series of papers in The Lancet which look at the latest research on personality disorders. This includes evidence on classification, prevalence, diagnosis, treatment and the experience of personality disorder across the life course.

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Stigma in bipolar disorder and borderline personality disorder: time for a cultural shift.

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Andrew Shepherd summarises a critical realist analysis that looks at experiences of stigma in people with bipolar disorder or borderline personality disorder. He concludes that a profound social change in public and professional attitudes is necessary before mental health stigma can be effectively eradicated.

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Are treatments for borderline personality disorder cost-effective?

Dialectical behaviour therapy was specifically developed to help people with borderline personality disorders

Our resident Elf Economist, Chris Sampson, reports on a new systematic review of economic evaluations for borderline personality disorder. Are any cost-effective?

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Mentalization based treatment for borderline personality disorder: a pragmatic trial but with statistical uncertainty

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Andrew Shepherd summarises a matched control study that explores the effectiveness of day hospital Mentalization-Based Treatment for patients with severe Borderline Personality Disorder.

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Meta-review presents the risks of all-cause and suicide mortality in mental disorders

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This recent and well-conducted meta-review concludes that the impact on mortality and suicide of mental disorders is substantial, and probably poorly appreciated as a public health problem. Raphael Underwood’s blog summarises the data for all-cause and suicide mortality in mental disorders.

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