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Psychiatry is failing those with personality disorders
A workable diagnostic system is needed, because sticking with the status quo is not an option Psychiatry is failing those with personality disorders 05 December 2012 IF DOCTORS sent patients with angina home with nothing but a prescription for a painkiller to control chest pain, they would be sued for malpractice. Sadly, that is a fitting analogy for what happens all too often to people with personality disorders. These conditions can wreck lives. Take borderline personality disorder, the most visible of the 10 such disorders currently recognised by the American Psychiatric Association (APA). Emotional instability can wreak havoc on the relationships of people with this condition. All too often, there…
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DSM-V: Personality disorder revamp ends in ‘horrible waste’
Rather than receiving intensive psychotherapy, which can be effective, patients with personality disorders often get treated for the anxiety and depression that can be triggered by their difficulties with social interaction. Personality disorder revamp ends in ‘horrible waste’ 11:00 03 December 2012 by Peter Aldhous A planned overhaul of the way in which personality disorders are diagnosed will not now appear in the manual dubbed “the bible of psychiatry”. The failure to agree a workable system for the next edition of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, known as DSM-5 is bad news for people with serious personality difficulties, who are frequently misdiagnosed. “It’s a…
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NY Times: Thinking Clearly About Personality Disorders
This weekend the Board of Trustees of the American Psychiatric Association will vote on whether to adopt a new diagnostic system for some of the most serious, and striking, syndromes in medicine: personality disorders. Thinking Clearly About Personality Disorders By BENEDICT CAREY For years they have lived as orphans and outliers, a colony of misfit characters on their own island: the bizarre one and the needy one, the untrusting and the crooked, the grandiose and the cowardly. Their customs and rituals are as captivating as any tribe’s, and at least as mystifying. Every mental anthropologist who has visited their world seems to walk away with a different story, a new…
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DSM-5 Field Trials Generate Mixed Results
Preliminary results are mixed for the recently completed field trials for the upcoming Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), according to the first public presentation of the findings here at the American Psychiatric Association’s (APA’s) 2012 Annual Meeting. DSM-5 Field Trials Generate Mixed Results Deborah Brauser May 8, 2012 (Philadelphia, Pennsylvania) — Preliminary results are mixed for the recently completed field trials for the upcoming Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), according to the first public presentation of the findings here at the American Psychiatric Association’s (APA’s) 2012 Annual Meeting. Diagnostic criteria for autism spectrum disorder, posttraumatic stress disorder (PTSD), and attention-deficit/hyperactivity…
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Major Depressive Disorder and BPD
A little while ago, I posted an study about the over-lap between Major Depressive Disorder and Borderline Personality Disorder. The last sentence of this study was “In the meantime, the clinician treating major depressive disorder would be wise to assess for borderline personality disorder, even as currently defined.” That was because the study found a large correlation between the two disorders. Today, I was reviewing an article by Marsha Linehan called “Two-Year Randomized Controlled Trialand Follow-up of Dialectical Behavior Therapyvs Therapy by Experts for Suicidal Behaviorsand Borderline Personality Disorder” which I had planned to write something up about. I’ll have to do that later, but the reason these thoughts of MDD and BPD…
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The ICD-10 may provide a better diagnostic criteria for borderline than the DSM-V
Recently read an article in Psychiatric Times in which the author of the article argued that the new DSM-V “dimensional” approach to borderline personality disorder specifically and personalty disorders in general would be much too time-consuming to implement than the criteria of the ICD-10. Here are the ICD-10 criteria: F60.3 Emotionally Unstable (Borderline) Personality Disorder A personality disorder in which there is a marked tendency to act impulsively without consideration of the consequences, together with affective instability. The ability to plan ahead may be minimal, and outbursts of intense anger may often lead to violence or “behavioural explosions”; these are easily precipitated when impulsive acts are criticized or thwarted by others. Two…