Borderline personality disorder

Date Published: 
Wednesday, November 11, 2020

BPD is relatively common, and management in general practice often time consuming and unrewarding. In this podcast, Dr Cheryl Buhay discusses clues to diagnosis, investigations, and management tips to hopefully make these patients more straightforward to manage, and also more rewarding.



  • Criteria: BPD DSM-5 (5 or more criteria need to be met)
  • How common in the general population is BPD?
  • Is there a female to male predominance?
  • How are these patients likely to present?
  • How do we assess them / screening questions?
  • Are there any mimics- any medical conditions we need to exclude?
  • What suggestions do you have for maintaining healthy relationships with in the practice/ consultation?
  • Crisis management- when to refer?
  • What therapy and/or drugs have been shown to work?


Take-home messages

  • BPD - high comorbidity.
  • Discuss in supervision.
  • Risk behaviours – need to take suicidal threats seriously.
  • Consider referring for mental health assessment to contain risks.
  • Look after yourself. 





Cheryl Buhay

Dr Cheryl Buhay is an Otago Medical School graduate and Fellow of the Royal Australia and New Zealand College of Psychiatrists.  She is working for Waitemata DHB Specialist Mental Health Services as a Primary Care Liaison psychiatrist, providing specialist support to GP practices mainly within the West Auckland area.  She is involved in GP teaching and is a contributor of mental health resources to Auckland Regional HealthPathways.

Recognition of Learning Activities

Complete and submit the learning reflection form for CPD/MOPS points provided by The Royal New Zealand College of General Practitioners below for recognition of learning activities.

Learning Reflection Form

This presentation is intended for qualified health practitioners professional development and should not be relied upon for any other purpose. Any opinions offered are those of the presenter or other speaker and do not necessarily represent the views of Goodfellow Unit.