title: Prescribing and borderline personality disorder.
abstract: Accurate diagnosis is fundamental to effective management of borderline personality disorder, but many patients remain undetected. The first-line management for borderline personality disorder is psychosocial treatment, not drugs. There are major prescribing hazards including polypharmacy, overdose and misuse. Drug treatment might be warranted for patients who have a co-occurring mental disorder such as major depression. If a drug is prescribed for borderline personality disorder, it should only be as an adjunct to psychosocial treatment. There should be clear and collaborative goals that are regularly reviewed with the patient. Use single drugs prescribed in limited quantities for a limited time. Stop drugs that are ineffective.
authors.affiliation: Orygen Youth Health, Northwestern Mental Health, Melbourne.
authors.forename: Andrew M
authors.initials: AM
authors.lastname: Chanen
authors.affiliation: Orygen - The National Centre of Excellence in Youth Mental Health; Centre for Youth Mental Health, University of Melbourne.
authors.forename: Katherine N
authors.initials: KN
authors.lastname: Thompson
keywords: anti-psychotic agent; antidepressant; borderline personality disorder; polypharmacy; psychosocial intervention strategy