The list of treatments mentioned in various sources for Borderline Personality Disorder includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.
The first step in getting correct treatment is to get a correct diagnosis. Differential diagnosis list for Borderline Personality Disorder may include:
Hidden causes of Borderline Personality Disorder may be incorrectly diagnosed:
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Unlabelled alternative drug treatments for Borderline Personality Disorder include:
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Effective treatment of delusional disorders, consisting of a combination of drug therapy and psychotherapy, must correct the behavior and mood disturbances that result from the patient’s mistaken beliefs. Treatment may also include mobilizing a support system for the isolated elderly patient.
Drug treatment with antipsychotic agents is similar to that used in schizophrenic disorders. Antipsychotics appear to work by blocking postsynaptic dopamine receptors. These drugs reduce the incidence of psychotic symptoms, such as hallucinations and delusions, and relieve anxiety and agitation. Other psychiatric drugs, such as antidepressants and anxiolytics, may be prescribed to control associated symptoms.
A patient’s history of medication response is the best guide when selecting treatment. The lowest dose should be started initially and increased slowly based on the patient’s response. If the symptoms don’t improve during a 6-week trial, other classes of antipsychotics may be tried. Haloperidol, fluphenazine decanoate, and fluphenazine enanthate are depot formulations that are implanted I.M. to release the drug gradually over a 30-day period, improving compliance. Usually, however, this type of treatment isn’t necessary. Pimozide may be particularly effective in delusional disorders.
Clozapine, which differs chemically from other antipsychotic drugs, may be prescribed for severely ill patients who fail to respond to standard treatment. This agent effectively controls a wider range of psychotic symptoms without the usual adverse effects.
However, clozapine can cause drowsiness, sedation, excessive salivation, tachycardia, dizziness, and seizures. Agranulocytosis, a potentially fatal blood disorder characterized by a low white blood cell count and pronounced neutropenia, may also occur. Routine blood monitoring is essential to detect the estimated 1% to 2% of all patients taking clozapine who develop agranulocytosis. If caught in the early stages, this disorder is reversible.
Source: Professional Guide to Diseases (Eighth Edition), 2005
Personality disorders are difficult to treat. Successful therapy requires a trusting relationship in which the therapist can use a direct approach. The type of therapy chosen depends on the patient’s symptoms. Family and group therapies are usually effective. Cognitive and self-help groups have also been beneficial.
Drug therapy is effective in some types of personality disorders; for example, pimozide has been successfully used to reduce paranoia ideation in some patients with paranoid personality disorder. Antipsychotic drugs (olanzapine or risperidone) may be used to treat severe agitation or delusional thinking. Selective serotonin reuptake inhibitors, such as fluoxetine, may be used to treat irritability, anger, and obsessional thinking. Antianxiety drugs may be used to treat severe anxiety that interferes with normal thinking.
Hospital inpatient milieu therapy can be effective in crisis situations and possibly for long-term treatment of some disorders. Inpatient treatment is controversial, however, because most patients with personality disorders don’t comply with extended therapeutic regimens; for such patients, outpatient therapy may be more helpful.
Source: Professional Guide to Diseases (Eighth Edition), 2005
Effective treatment of delusional disorders, consisting of a combination of drug therapy and psychotherapy, must correct the behavior and mood disturbances that result from the patient’s mistaken belief system. Treatment may also include mobilizing a support system for the isolated elderly patient.
Drug treatment with antipsychotic agents is similar to that used in schizophrenic disorders. Antipsychotics appear to work by blocking postsynaptic dopamine receptors. These drugs reduce the incidence of psychotic symptoms, such as hallucinations and delusions, and relieve anxiety and agitation.
Other psychiatric drugs, such as antidepressants and anxiolytics, may be prescribed to control associated symptoms.
High-potency antipsychotics include fluphenazine, haloperidol, thiothixene, and trifluoperazine. Loxapine, molindone, and perphenazine are intermediate in potency, and chlorpromazine and thioridazine are low-potency agents.
Haloperidol, fluphenazine , and fluphenazine are depot formulations that are implanted I.M. They release the drug gradually over a 30-day period, improving compliance.
Clozapine, which differs chemically from other antipsychotic drugs, may be prescribed for severely ill patients who fail to respond to standard treatment. This agent effectively controls a wider range of psychotic symptoms without the usual adverse effects.
However, clozapine can cause drowsiness, sedation, excessive salivation, tachycardia, dizziness, and seizures as well as agranulocytosis, a potentially fatal blood disorder characterized by a low white blood cell count and pronounced neutropenia.
Routine blood monitoring is essential to detect the estimated 1%to 2% of all patients taking clozapine who develop agranulocytosis. If caught in the early stages, this disorder is reversible.
Source: Handbook of Diseases, 2003
Personality disorders are difficult to treat. Successful therapy requires a trusting relationship in which the therapist can use a direct approach. The type of therapy chosen depends on the patient’s symptoms.
Drug therapy is ineffective but may be used to relieve acute anxiety and depression. Family and group therapy usually are effective.
Hospital inpatient milieu therapy can be effective in crisis situations and possibly for long-term treatment for borderline personality disorders. Inpatient treatment is controversial, however, because most patients with personality disorders don’t comply with extended therapeutic regimens; for such patients, outpatient therapy may be more useful.
Source: Handbook of Diseases, 2003
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