Borderline personality disorder

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.

Topics:

• 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?

Resources

• Borderline personality disorder Dr C Buhay, Primary Care Liaison Psychiatrist (2020)
• Management plan template Dr C Buhay, Primary Care Liaison Psychiatrist
• Borderline personality disorder Mental Health Foundation
• Borderline personality disorder Health Navigator NZ
• What Works in the Treatment of Borderline Personality Disorder Curr Behav Neurosci Rep. (2017)
• Borderline personality disorder Your Health in Mind RANZCP (2017)
  
• He rongoā kei te kōrero. Talking therapies for Māori: Wise practice guide for mental health and addiction services.Te Pou o Te Whakaaro Nui (2010)

Presenter

Cheryl Buhay
Psychiatrist

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.