Mar 1, 2021
Welcome to PsychEd, the
psychiatry podcast for medical learners, by medical
learners.
This episode covers the
treatment of borderline personality disorder with expert
guests:
- Dr. Robert Biskin, Associate Professor in the
Department of Psychiatry at McGill University, and inpatient
psychiatrist at the Borderline Personality Disorder Clinic at the
McGill University Health Centre, as well as the inpatient
psychiatrist at the Jewish General Hospital.
- Dr. Ronald Fraser, Associate Professor in the
Department of Psychiatry at McGill University, Adjunct Professor at
Dalhousie University, and head of the Inpatient Detoxification
Services and Addictions Unit, as well as director of the Extended
Care Borderline Personality Disorder Clinic at the McGill
University Health Centre.
The learning objectives for this
episode are as follows:
By the end of this episode, you
should be able to…
- Understand the frame and principles of care for
the treatment of individuals with borderline personality
disorder.
- Explore the approach to the treatment of
individuals with borderline personality disorder:
- On presentation in crisis to the emergency
department.
- During an inpatient psychiatric
admission.
- In the context of psychiatric outpatient
care.
- Understand the use of psychotherapy in the
treatment of individuals with borderline personality
disorder.
- Understand the use of pharmacotherapy in the
treatment of individuals with borderline personality
disorder
Guest: Dr. Robert Biskin and Dr.
Ronald Fraser
Hosts: Dr. Sarah Hanafi (PGY3),
Dr. Nima Nahiddi (PGY3), Audrey Le (CC4)
Audio editing by Audrey
Le
Show notes by Dr. Nima
Nahiddi
Interview Content:
- Introduction – 0:00
- Learning objectives – 0:35
- Principles of care for treatment of BPD –
1:16
- The therapeutic frame – 5:40
- Approach to the management of emergency
department presentations – 9:10
- Dialectical behaviour therapy (DBT) –
16:15
- Suicidality and self-harm in BPD diagnosis –
21:05
- Pharmacotherapy for symptom treatment –
22:40
- Treatment of co-morbid disorders –
32:35
- Management of safety risk – 39:30
- Stigma in treatment of BPD – 46:05
- Closing remarks – 52:00
Resources/Articles:
References:
- Cristea I.A., Gentili C, Cotet CD, Palomba D,
Barbui C, Cuijpers P. (2017) Efficacy of Psychotherapies for
Borderline Personality Disorder: A Systematic Review and
Meta-analysis. JAMA
Psychiatry. 74(4):319–328.
doi:10.1001/jamapsychiatry.2016.4287
- Ingenhoven T, Lafay P, Rinne T, Passchier J,
Duivenvoorden H J. (2010) Effectiveness of pharmacotherapy
for severe personality disorders: meta-analyses of randomized
controlled trials. Clin
Psychiatry.
71(1):14.
- Paris J. (2009).
The Treatment of Borderline
Personality Disorder: Implications of Research on Diagnosis,
Etiology, and Outcome. Review of Clinical
Psychology.
5:1, 277-290
- Stoffers J, Vollm BA, Rucker G, Timmer A,
Huband N. (2010) Pharmacological interventions for borderline
personality disorder. Cochrane Database of Systematic
Reviews, Issue 6. Art.
No.: CD005653. DOI: 10.1002/14651858.CD005653
- Storebø OJ,
Stoffers-Winterling JM, Völlm BA,
Kongerslev MT, Mattivi JT,
Jørgensen MS, Faltinsen E,
Todorovac A, Sales CP,
Callesen HE, Lieb K,
Simonsen E. (2020) Psychological therapies for
people with borderline personality disorder.
Cochrane Database of Systematic
Reviews, Issue 5. Art.
No.: CD012955. DOI: 10.1002/14651858.CD012955.pub2
CPA Note: The views expressed in
this podcast do not necessarily reflect those of the Canadian
Psychiatric Association.
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