c)More research is needed to understand how to best use medications in BPD, for example in targeted combination with psychotherapeutic and psychosocial interventions. However, current practice often departs markedly from the evidence. We recommend the dissemination of accessible, generalist BPD-treatment models in outpatient and inpatient practice; increased early detection of BPD; and increased diagnostic disclosure. We also recommend for individual providers and systems to implement prospective treatment plans that draw from BPD-specific psychosocial models. This approach can employ tiers of interventions to minimize reactive prescribing by anticipating high affect and offering BPD patients steadily empathic evidence-supported care.
Keyphrases
- primary care
- healthcare
- mental health
- end stage renal disease
- palliative care
- quality improvement
- physical activity
- ejection fraction
- chronic kidney disease
- borderline personality disorder
- newly diagnosed
- prognostic factors
- emergency department
- cancer therapy
- drug delivery
- health insurance
- chronic pain
- patient reported
- drug induced