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首页> 外文期刊>Journal of psychiatric practice. >The process of managing medications in patients with borderline personality disorder.
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The process of managing medications in patients with borderline personality disorder.

机译:边缘性人格障碍患者的药物管理过程。

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摘要

Patients with borderline personality disorder (BPD) are a challenge to treat both psychotherapeutically and psychopharmacologically. While a set of effective psychotherapeutic interventions for BPD has now emerged, no hard evidence exists concerning the effectiveness of any psychopharmacologic agent for the core symptoms of BPD. Nonetheless, more than 75% of patients with BPD regularly take psychotropic medications. Given the complex interpersonal interactions of these patients as well as their obvious psychological pain, it would be helpful if we could begin to discuss the nuts and bolts of prescribing psychotropic medications for patients with BPD with the goal of assisting the psychopharmacologist in this process of prescribing. This paper is an attempt to begin such a discussion of the process of prescribing medications to patients with BPD. The suggestions presented in this article should be considered only the beginning of a dialogue that will surely become more complex and demand increased clinical acumen and more rigorous scientific study as we continue to learn more about these complicated and multi-faceted patients.
机译:边缘型人格障碍(BPD)的患者在心理治疗和心理药物治疗上都是一个挑战。尽管现在已经出现了一系列针对BPD的有效心理治疗干预措施,但是没有任何确凿的证据表明任何心理药物可以有效治疗BPD的核心症状。尽管如此,仍有超过75%的BPD患者定期服用精神药物。鉴于这些患者之间复杂的人际交往以及明显的心理痛苦,如果我们能够开始讨论BPD患者开处方精神药物的要点,以协助精神药物专家进行此开处方过程为目标,这将是有帮助的。本文试图开始对BPD患者开药的过程进行这样的讨论。本文中提出的建议仅应视为对话的开始,随着我们继续了解这些复杂多面的患者,对话肯定会变得更加复杂,并要求增加临床敏锐度和更严格的科学研究。

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