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Borderline personality disorder in primary care.

¹Fresno Medical Education Program, University of California, San Francisco, Medical School.

The Journal of Family Practice

|March 1, 1990

Summary

Managing patients with borderline personality disorder (BPD) requires key primary care skills. Successful management enhances physician confidence and reduces patient and healthcare team morbidity.

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Area of Science:

Primary Care Medicine
Psychiatry
Mental Health

Background:

Borderline personality disorder (BPD) presents unique management challenges in primary care settings.
Effective patient care requires specific physician skills, including alliance-building and patient education.
Continuity of care is crucial for managing BPD patients effectively.

Purpose of the Study:

To highlight essential skills for managing borderline personality disorder in primary care.
To emphasize the role of family physicians in reducing morbidity associated with BPD.
To advocate for increased clinical and empirical discussion of BPD in family practice literature.

Main Methods:

Review of clinical management strategies for borderline personality disorder.
Discussion of primary care physician roles and necessary skills.
Emphasis on multidisciplinary team collaboration and community resource utilization.

Main Results:

Successful management of BPD patients enhances primary care physicians' skills and confidence.
Proactive management can significantly reduce patient morbidity and healthcare team burden.
Family physicians are well-positioned to manage BPD patients, given their frequent contact.

Conclusions:

Specialized skills in alliance-building, education, and referral are vital for managing BPD.
Family physicians, supported by multidisciplinary teams, can effectively reduce BPD-related morbidity.
Further research and discussion on BPD in family practice are essential for improved patient outcomes.

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