I would add my voice to the recommendation to use the SANE website:
http://www.sane.org/index.php?option=displaypage&Itemid=308&op=page
I have printed off the handouts to give to patients, who have often had
the experience of being told they had Borderline Personality Disorder,
but feeling rejected - again, and not being understood.
It outlines the criteria in a clear, but constructive way, which some
of my patients have found quite helpful. It sets the scene for
compiling a management plan which highlights the way the condition
tends to persist, but fluctuate. Hence one is better off aiming for
ways of managing in spite of the condition, rather than promising a
"cure". I think most therapists still try to limit the number of
Borderline Personality Disorder patients they treat at any time, but
the SANE guidelines help set realistic limits.
And with most inpatient psychiatric units finding that admissions
beyond a few days cause more harm than good and many alcohol and other
drug facilities preferring to focus on more compliant customers, those
of us in General Practice will always end up being pretty significant
providers of healthcare to these patients.
regards,
Christopher S E Wurm,
MB BS, FRACGP, FACPsychMed, FAChAM
14 Northcote Terrace, Gilberton,
South Australia 5081
Tel: (08) 8342 6155, Fax: (08) 8344 4270
Message: 2
Date: Thu, 27 Apr 2006 13:28:13 +0800
From: john hilton <[EMAIL PROTECTED]>
Subject: Re: [GPCG_TALK] Clinical software recommendations
To: General Practice Computing Group Talk <[email protected]>
Message-ID: <[EMAIL PROTECTED]>
Content-Type: text/plain; charset="iso-8859-1"
A "particular" patient once came hurrying back to me with a referral
letter
in hand, to ask me what the "Borderline Personality Disorder" was that
I had
included in her history.
jh
Message: 7
Date: Thu, 27 Apr 2006 17:04:27 +1000
From: David de Bh?l <[EMAIL PROTECTED]>
Subject: RE: [GPCG_TALK] Clinical software recommendations
To: "'General Practice Computing Group Talk'" <[email protected]>
Message-ID: <[EMAIL PROTECTED]>
Content-Type: text/plain; charset="iso-8859-1"
And WTF is borderline personality distorder? Is it akin to borderline
pregnancy or borderline senility or borderline?
I dont see it in ICD-9.
If the referral was to a psychiatrist it was unnecessary. If it was to
anybody else it was irrelevant.
Just give me the facts?
David de Bhál
www.v-practice.com
My copy of ICD 9 CM shows it as 301.83, between Avoidant Personality
Disorder and Passive-aggressive Personality Disorder.
If the referral is to anyone who might prefer to know about risks of
overdose or other forms of self-harm, it is relevant. At least so the
other doctor is forewarned that this patient may evoke strong
counter-transference, which I think this discussion confirms!
regards,
Christopher S E Wurm,
MB BS, FRACGP, FACPsychMed, FAChAM
14 Northcote Terrace, Gilberton,
South Australia 5081
Tel: (08) 8342 6155, Fax: (08) 8344 4270
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