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Treatment considerations for the patient with borderline personality disorderDeborah Antai-Otong. Nurs Clin North Am. 2003 Mar. AbstractBPD is a major health problem. The high prevalence of patients with BPD in primary care and mental health settings contributes to their high use of resources in these practice settings. Recurrent suicidal behaviors and threats and self-injurious behaviors increase demands on nurses and other health care providers. Regardless of how often the patient presents with these behaviors, nurses must assess acute risk. Because suicidal behavior is often a cry of distress, nurses must avoid personalizing their reactions and monitor their own responses to ensure a therapeutic nurse-patient relationship. This article has focused on the challenge of caring for the patient with BPD. It has delineated important nursing interventions that enable the nurse to assess the patient's immediate needs and manage distressful and overwhelming emotional states and impulsivity. Similar articles
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[Article in Chinese] Affiliations
Case Reports [Nursing care for a patient with borderline personality disorder][Article in Chinese] Ming-Hua Hsu. Hu Li Za Zhi. 2004 Feb. AbstractPersonality traits reveal characteristics and patterns of an individuals environmental observations, thinking processes, and coping strategies. They exert long-term effects on adaptation and personal identity. The author presents a case study of a patient with Borderline Personality Disorder (BPD) who suffered from suicidal ideation, intense mood swings, all-good/all-bad thinking patterns, and poor job performance. An assessment is offered of the patient's physical, emotional, cognitive, social, and spiritual characteristics based on his subjective reports, interview records, and behavioral observations. Three primary nursing diagnoses were identified: a) potential for self-directed violence, b) ineffective coping mechanisms, and c) personal identity disturbance. A stable therapeutic relationship was formed over an 18-month period, including the establishment of coping skills, a support system, and crisis intervention training for both the patient and his family. The treatment was successful in reducing the patient's self-mutilating behavior, increasing his stress management skills at his workplace, and developing appropriate social behaviors leading to a more stable personal identity. Similar articles
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Which intervention is best for a client with borderline personality disorder?Psychotherapy. Psychotherapy — also called talk therapy — is a fundamental treatment approach for borderline personality disorder. Your therapist may adapt the type of therapy to best meet your needs.
How does the nurse help a client with borderline personality disorder?The nurse can help the clients to identify their feelings and learn to tolerate them without exaggerated responses such as destruction of property or self-harm; keeping a journal often helps clients gain awareness of feelings.
What is the primary treatment for borderline personality disorder?Psychotherapy is considered the primary treatment for borderline personality disorder (BPD). Currently, there are four comprehensive psychosocial treatments for BPD. Two of these treatments are considered psychodynamic in nature: mentalization-based treatment and transference-focused psychotherapy.
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