Description:
<p>SUMMARY POINTS People with personality disorder have a persistent pervasive abnormality in social relationships and functioning Personality disorder is associated with high service use and excess medical morbidity and mortality Diagnosis of personality disorder along a single dimension of severity is a major change from traditional categorical approaches Depression, anxiety, substance use, suicidal behaviour, and suicide are all more common in these patients; comorbid mental health problems are more difficult to treat and have poorer outcomes General principles of management include consistency, reliability, encouraging autonomy, and the sensitive management of change Specialist treatments with evidence of effectiveness in borderline personality disorder include dialectical behaviour therapy, mentalisation based treatment, transference focused therapy, cognitive analytic therapy, and schema focused therapy</p>