Mar 1, 2021
Welcome to PsychEd, the
psychiatry podcast for medical learners, by medical
learners.
This episode covers the
diagnosis of borderline personality disorder with expert
guests:
- Dr. Robert Biskin, Associate
Professor in the Department of Psychiatry at McGill University,
psychiatrist at the Borderline Personality Disorder Clinic at the
McGill University Health Centre, as well as 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, 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.
By the end of this episode, you
should be able to…
- List the DSM-5 diagnostic criteria of
borderline personality disorder.
- Recall the epidemiology of borderline
personality disorder.
- Consider the risk factors and posited causal
mechanisms for borderline personality disorder, including
developmental and neurobiological mechanisms.
- Discuss the clinical presentation of borderline
personality in different clinical settings, including the Emergency
and Outpatient settings.
- Recognize the differential diagnoses for
patients presenting with borderline personality
disorder.
- List the common comorbid psychiatric and
general medical conditions with borderline personality
disorder.
- Discuss the common diagnostic challenges and
pitfalls.
- Explore the stigma surrounding the diagnosis of
borderline personality disorder, and discuss a therapeutic approach
to providing psychoeducation to patients with this
diagnosis.
Guests: 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 – 2:03
- DSM-5 definition of personality disorder, and
borderline personality disorder (BPD) – 3:00
- Other associated features of BPD –
4:36
- Distinguishing BPD from other psychiatric and
co-morbid conditions – 5:55
- Epidemiology of BPD – 13:48
- BPD over the lifecycle – 18:05
- Explanatory models for the development of BPD –
21:20
- Differences in the presentation of BPD –
26:00
- Approach to a BPD diagnosis in the emergency
department – 31:05
- Stigma surrounding BPD diagnosis and disclosure
of diagnosis – 33:51
- Clinical pearls for screening of BPD –
41:11
- Evidenced based screening tools or scales for
BPD diagnosis – 46:22
- Closing – 48:40
Resources:
Articles: Diagnosing borderline personality disorder |
CMAJ
References:
- Biskin, R.S., Paris, J. (2012). Diagnosing
borderline personality disorder. CMAJ. 184 (16), 1789-1794.
- Zanarini, M. C., Gunderson, J. G., Frankenburg,
F. R., & Chauncey, D. L. (1989). The revised Diagnostic Interview
for Borderlines: Discriminating BPD from other Axis II
disorders. Journal of
Personality Disorders, 3(1), 10–18.
- American Psychiatric Association.
(2013). Diagnostic and
statistical manual of mental disorders (5th ed.).
https://doi.org/10.1176/appi.books.9780890425596
CPA Note: The views expressed in
this podcast do not necessarily reflect those of the Canadian
Psychiatric Association.
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