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
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.
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