borderline carers

borderline carers

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Understanding NICE guidance
Information for people who use NHS services
Borderline personality disorder
NICE `clinical This booklet is about the care and treatment of people with borderline
guidelines' advise personality disorder in the NHS in England and Wales. It explains guidance
(advice) from NICE (the National Institute for Health and Clinical Excellence).
the NHS on caring
It is written for people with borderline personality disorder but it may also
for people with be useful for their families or carers or for anyone with an interest in
specific conditions the condition.
or diseases and the The booklet aims to help you understand the care and treatment options
treatments they that should be available in the NHS. It does not describe borderline
should receive. personality disorder or the tests or treatments for it in detail. A member
of your healthcare team should discuss these with you. There are
examples of questions you could ask throughout this booklet to help
you with this. Some sources of further information and support are
on page 16. Medical terms printed in bold type are explained on
pages 14 and 15.
Information about NICE clinical guideline 78
Issue date: January 2009

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Contents
Your care 3
Borderline personality disorder 4
What happens when I first see a healthcare professional? 5
Who will provide my treatment? 7
What treatment should I be offered for borderline 9
personality disorder?
What should happen in a crisis? 11
Can I have treatment for other conditions? 12
What happens when treatment comes to an end? 12
Information for families and carers 13
Glossary 14
More information 16
About NICE 16
The advice in the NICE guideline covers:
· The care, treatment and…read more

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Your care
Your treatment and care should take into account your personal needs Some treatments
and preferences, and you have the right to be fully informed and to make may not be
decisions in partnership with your healthcare team. To help with this, your
healthcare team should give you information you can understand and that
suitable for you,
is relevant to your circumstances.…read more

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Borderline personality disorder
Borderline personality disorder is a condition that affects a person's
thoughts, emotions and behaviour. It is not usually diagnosed before the
age of 18 but symptoms can be recognised in younger people. `Borderline'
was originally used by psychiatrists to suggest that the condition was
thought to be on the `border' of other psychiatric problems. Some experts
think that this is no longer the most appropriate term to use.…read more

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What happens when I first see a healthcare
professional?
If your GP thinks you may have borderline personality disorder, you should If you think that
be offered an appointment with your community mental health service your care does
for an assessment.
not match what
In your assessment the healthcare professional should clearly explain is described in
the process, and what having borderline personality disorder means.…read more

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Young people (under 18) with borderline
personality disorder (or problems that suggest that
they may have borderline personality disorder)
If a professional in health, social care or education is concerned that
a young person may have borderline personality disorder they should
offer them an appointment with child and adolescent mental health
services for an assessment.
Young people should be offered the full range of treatments
described in this booklet within child and adolescent mental health
services.…read more

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Who will provide my treatment?
You should receive most of your treatment from your community mental If you have
health service (this might include a personality disorder service where talked to your
available), although your GP may be involved in your physical health
healthcare team,
needs and support in a crisis. If you harm yourself you may receive some
treatment from the ambulance service and A&E.…read more

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Your rights and your relationship with your
healthcare team
You should not be excluded from any services because of a diagnosis of
borderline personality disorder or your ethnicity, or if you have self-harmed.
Your healthcare team should work with you to help you to make your
own decisions about your treatment options and goals. You should be
encouraged and supported to find solutions to your problems, including
during a crisis, because this will help to build your confidence.…read more

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What treatment should I be offered for borderline
personality disorder?
Psychological treatment
If borderline personality disorder causes you many problems, or you have Some treatments
other conditions, you may be offered a psychological treatment in a special
may not be
programme usually run by a team of people. This will be based on an
approach that you, the therapist and the team agree to in advance. The suitable for
treatment should be properly structured as described in the NICE guideline.…read more

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Questions about treatment
· Why have you offered me this type of treatment?
· What are the pros and cons of having this treatment?
· Please tell me what the treatment will involve.…read more

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