Prevalence of comorbid personality disorder and alcohol use disorder

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People diagnosed with “personality disorders” are likely to also experience alcohol problems.

Dean Connolly summarises a recent systematic review that confirms the very high prevalence of comorbid personality disorders and alcohol use disorders.

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What role should psychoanalysis play in modern mental health practice?

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Camille Hart and Iain McDougall explore a recent narrative review by Jessica Yakeley and argue that psychodynamic psychotherapies should be made more widely available within UK mental health services.

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Lamotrigine for “Borderline Personality Disorder”: should we prescribe it? #BIGSPD19

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Keir Harding prepares for the #BIGSPD19 conference by reading Mike Crawford et al’s recent RCT on the clinical effectiveness and cost-effectiveness of lamotrigine in borderline personality disorder.

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Power Threat Meaning Framework: innovative and important? #PTMFramework

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Paul Salkovskis and Irene Sutcliffe explore the Power Threat Meaning Framework that was published in January 2018 by the British Psychological Society Division of Clinical Psychology.

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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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