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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Involuntary psychiatric patients face prolonged suicide risk post-discharge

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Suicide risk following involuntary psychiatric care remains elevated for years, with highest risk in the first month. Personality disorder patients face greatest long-term vulnerability.

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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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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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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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Trauma clinicians weigh in: how physical exercise can support trauma treatment

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Ana Veic considers clinician’s perspectives of the benefits of physical exercise in treatment for post-traumatic stress disorder and complex trauma.

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Clinicians perspectives on gaps in service provision for people with complex emotional needs

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A group of UCL MSc students review a qualitative study on clinicians’ views and community care for people with complex emotional needs, and how best practice can be achieved.

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What’s the evidence for community interventions for ‘personality disorder’ (or complex emotional needs)? Not great

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Keir Harding and Hollie Berrigan provide a personal outlook on a scoping review exploring the efficacy of community treatments for ‘personality disorder’.

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People with complex emotional needs and their views of community mental health services

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Emmeline Lagunes Cordoba summarises a co-produced qualitative interview study on service user perspectives of community mental health services for people with complex emotional needs.

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