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Borderline personality disorder and psychotic symptoms. Report of two cases
INTRODUCTION: DSM-V includes near-psychotic symptoms as new criteria in borderline personality disorder (BPD). This change makes more difficult the differential diagnosis between considering psychotic symptoms as part of the BPD or as part of a comorbid psychotic disorder. OBJECTIVES: Recognize the...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cambridge University Press
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9479849/ http://dx.doi.org/10.1192/j.eurpsy.2021.1992 |
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author | Mata, A. Hernández Gómez, A. Sotillos Barandiarán, M. Esparza Coscujuela, P. Marco |
author_facet | Mata, A. Hernández Gómez, A. Sotillos Barandiarán, M. Esparza Coscujuela, P. Marco |
author_sort | Mata, A. Hernández |
collection | PubMed |
description | INTRODUCTION: DSM-V includes near-psychotic symptoms as new criteria in borderline personality disorder (BPD). This change makes more difficult the differential diagnosis between considering psychotic symptoms as part of the BPD or as part of a comorbid psychotic disorder. OBJECTIVES: Recognize the difficulty of the differential diagnosis in clinical practice between BPD and comorbid diagnosis of BPD with psychotic disorders, and how it can affect the patient’s outcome. METHODS: Patients’ data is obtained from medical history and psychiatric interviews carried out during their hospitalizations. RESULTS: 32 year-old female patient with previous diagnosis of BPD, psychotic episodes and cannabis abuse, was admitted due to paranoid ideation and aggressiveness, with massive borderline defense mechanisms (frequent displays of anger, high impulsivity, low frustration tolerance, self-destructive behavior…). Psychotic symptoms ceased two weeks after admission, and considering the patient’s individual characteristic it was believed BPD fitted more with this clinical case, although different psychotic disorders were considered. 30 year-old female patient began intensive psychiatric treatment with previous diagnosis of BPD, psychotic disorder and cannabis abuse. It was observed that the paranoid ideation and bodily experiences she suffered lasted months and were characterized by a strong belief. These two reasons were put into consideration when it was decided to judge this clinical case as a comorbid diagnosis of BPD with a psychotic disorder. CONCLUSIONS: It is necessary to assess the difficulty of the differential diagnosis in these patients, and offer them specialized treatment depending on the diagnosis, as it can affect the patient’s outcome. DISCLOSURE: No significant relationships. |
format | Online Article Text |
id | pubmed-9479849 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Cambridge University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-94798492022-09-29 Borderline personality disorder and psychotic symptoms. Report of two cases Mata, A. Hernández Gómez, A. Sotillos Barandiarán, M. Esparza Coscujuela, P. Marco Eur Psychiatry Abstract INTRODUCTION: DSM-V includes near-psychotic symptoms as new criteria in borderline personality disorder (BPD). This change makes more difficult the differential diagnosis between considering psychotic symptoms as part of the BPD or as part of a comorbid psychotic disorder. OBJECTIVES: Recognize the difficulty of the differential diagnosis in clinical practice between BPD and comorbid diagnosis of BPD with psychotic disorders, and how it can affect the patient’s outcome. METHODS: Patients’ data is obtained from medical history and psychiatric interviews carried out during their hospitalizations. RESULTS: 32 year-old female patient with previous diagnosis of BPD, psychotic episodes and cannabis abuse, was admitted due to paranoid ideation and aggressiveness, with massive borderline defense mechanisms (frequent displays of anger, high impulsivity, low frustration tolerance, self-destructive behavior…). Psychotic symptoms ceased two weeks after admission, and considering the patient’s individual characteristic it was believed BPD fitted more with this clinical case, although different psychotic disorders were considered. 30 year-old female patient began intensive psychiatric treatment with previous diagnosis of BPD, psychotic disorder and cannabis abuse. It was observed that the paranoid ideation and bodily experiences she suffered lasted months and were characterized by a strong belief. These two reasons were put into consideration when it was decided to judge this clinical case as a comorbid diagnosis of BPD with a psychotic disorder. CONCLUSIONS: It is necessary to assess the difficulty of the differential diagnosis in these patients, and offer them specialized treatment depending on the diagnosis, as it can affect the patient’s outcome. DISCLOSURE: No significant relationships. Cambridge University Press 2021-08-13 /pmc/articles/PMC9479849/ http://dx.doi.org/10.1192/j.eurpsy.2021.1992 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Abstract Mata, A. Hernández Gómez, A. Sotillos Barandiarán, M. Esparza Coscujuela, P. Marco Borderline personality disorder and psychotic symptoms. Report of two cases |
title | Borderline personality disorder and psychotic symptoms. Report of two cases |
title_full | Borderline personality disorder and psychotic symptoms. Report of two cases |
title_fullStr | Borderline personality disorder and psychotic symptoms. Report of two cases |
title_full_unstemmed | Borderline personality disorder and psychotic symptoms. Report of two cases |
title_short | Borderline personality disorder and psychotic symptoms. Report of two cases |
title_sort | borderline personality disorder and psychotic symptoms. report of two cases |
topic | Abstract |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9479849/ http://dx.doi.org/10.1192/j.eurpsy.2021.1992 |
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