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Borderline personality disorder
About this booklet
This is a quick reference guide that summarises the recommendations NICE has made to the NHS in
`Borderline personality disorder: treatment and management' (NICE clinical guideline 78).
Who should read this booklet?
This quick reference guide is for healthcare professionals and others involved in the care of people
with borderline personality disorder.…read more

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Borderline personality disorder Contents
Contents
Key priorities for implementation 4
Person-centred care 6
Principles for working with people with borderline 7
personality disorder
Recognising and managing borderline personality 10
disorder in primary care
Assessment and management by community 11
mental health services
Inpatient services 17
Organising and planning services 18
Implementation tools 19
Further information 19
Introduction
Borderline personality disorder is characterised by significant instability of interpersonal relationships,
self-image and mood, and impulsive behaviour.…read more

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Borderline personality disorder Key priorities for implementation
Key priorities for implementation
Access to services
People with borderline personality disorder should not be excluded from any health or social care
service because of their diagnosis or because they have self-harmed.…read more

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Borderline personality disorder Key priorities for implementation
Care planning in community mental health teams
Teams working with people with borderline personality disorder should develop comprehensive
multidisciplinary care plans in collaboration with the service user (and their family or carers, where
agreed with the person).…read more

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Borderline personality disorder Key priorities for implementation
Key priorities for implementation continued
The role of specialist personality disorder services within trusts
Mental health trusts should develop multidisciplinary specialist teams and/or services for people
with personality disorders.…read more

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Principles for working with people
Borderline personality disorder with borderline personality disorder
Principles for working with people with borderline
personality disorder
Access to services
People with borderline personality disorder should not be excluded from any health or social care
service because of their diagnosis or because they have self-harmed.
Young people with a diagnosis of borderline personality disorder, or symptoms and behaviour that
suggest it, should have access to the full range of treatments and services recommended in this
guideline, but within CAMHS.…read more

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Principles for working with people
Borderline personality disorder with borderline personality disorder
Autonomy and choice
Work in partnership with people with borderline personality disorder to develop their autonomy
and promote choice by:
­ ensuring they remain actively involved in finding solutions to their problems, including
during crises
­ encouraging them to consider the different treatment options and life choices available to
them, and the consequences of the choices they make.…read more

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Principles for working with people
Borderline personality disorder with borderline personality disorder
Managing endings and supporting transitions
Anticipate that withdrawal and ending of treatments or services, and transition from one service to
another, may evoke strong emotions and reactions in people with borderline personality disorder.…read more

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Recognising and managing borderline
Borderline personality disorder personality disorder in primary care
Recognising and managing borderline personality
disorder in primary care
Recognition
If a person presents in primary care who has repeatedly self-harmed or shown persistent risk-taking
behaviour or marked emotional instability, consider referring them to community mental health
services for assessment for borderline personality disorder.
If the person is younger than 18 years, refer them to CAMHS for assessment.…read more

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