International guidelines for the management of personality disorders.
OBJECTIVE
Individuals with personality disorders have difficulties in finding specific institutions or services that are designated to bind this kind of problem. These are people who are required to go through many diagnoses and consult many professionals before someone produces the correct diagnosis for their condition. This article reviews the new evidence in the management of personality disorders and incorporates reliable data to determine global clinical recommendations for treatment.


RESULTS
This review suggests that, although pharmacotherapy forms the cornerstone of the management, utilization of adjunctive psychosocial treatments and incorporation of a model that involves a healthcare team are required to provide optimal management for patients with personality disorders.


CONCLUSIONS
The authors related the experience obtained in the Personality Disorder Ambulatory of the Department of Psychiatry of Sao Paulo University Medical School in the handling of the people with personality disorders and proposed the use of gabapentin as a coactuator in the treatment of persons with these conditions.
Morana
Hilda Clotilde Penteado
HC
Institute of Psychiatry, São Paulo University, São Paulo, Brazil. hildacpm@uol.com.br
Câmara
Fernando Portela
FP
D017668:Age of Onset; D000987:Antisocial Personality Disorder / Q000453:epidemiology / Q000628:therapy; D001714:Bipolar Disorder / Q000453:epidemiology / Q000628:therapy; D001883:Borderline Personality Disorder / Q000453:epidemiology / Q000628:therapy; D017408:Guidelines as Topic; D006801:Humans; D007391:International Cooperation; D008605:Mental Health Services / Q000458:organization & administration; D010554:Personality Disorders / Q000453:epidemiology / Q000628:therapy*