ArticleJournal of mental health (Abingdon, England)2016
Improving patient-centered communication of the borderline personality disorder diagnosis.
Article in Journal of mental health (Abingdon, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
12 citing papers in PubMed.
- A borderline personality disorder diagnosis may improve clinical psychology trainees' treatment beliefs.The British journal of clinical psychology · 2026Trial
- Understanding individual and structural factors behind extensive care needs in personality disorders: an interpretative phenomenological analysis.Annals of general psychiatry · 2026Article
- Research Review: What we have learned about early detection and intervention of borderline personality disorder.Journal of child psychology and psychiatry, and allied disciplines · 2025Review
- Practice Assessment Tool for the Care of Patients With Borderline Personality Disorder.Focus (American Psychiatric Publishing) · 2025Article
- The lived experience of French parents concerning the diagnosis of their children with borderline personality disorder.Borderline personality disorder and emotion dysregulation · 2024Article
- Structural stigma and its impact on healthcare for borderline personality disorder: a scoping review.International journal of mental health systems · 2022Article
- To love and work: A longitudinal study of everyday life factors in recovery from borderline personality disorder.Personality and mental health · 2022Article
- Demystifying borderline personality disorder in primary care.Frontiers in medicine · 2022Review
- Review
- Consumer perspective from people with a diagnosis of Borderline Personality Disorder (BPD) on BPD management-How are the Australian NHMRC BPD guidelines faring in practice?Journal of psychiatric and mental health nursing · 2021Article
- A Feasibility Study of the Addition of STEPPS in Outpatients With Bipolar Disorder and Comorbid Borderline Personality Features: Promises and Pitfalls.Frontiers in psychiatry · 2021Article
- Features of YouTubeDigital healthArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundBorderline personality disorder (BPD) has historically been difficult to diagnose, and laden with stigma, leading to a variety of clinical responses to patients who present with symptoms.
aims(1) To understand how clinicians communicate the diagnosis of BPD with patients. (2) To compare these practices with patient communication preferences. (3) To use patient preferences to evaluate clinician practices.
methodsSemi-structured interviews with mental health care providers and experts (n = 32) were compared with patients (n = 10) and primary patient-written accounts (n = 22). Grounded theory was used to explore causal pathways between clinical practice and patient responses.
resultsThe majority of clinicians sampled did not actively share the BPD diagnosis with their patients, even when they felt it was the most appropriate diagnosis. The majority of patients wanted to be told that they had the disorder, as well as have their providers discuss the stigma they would face. Patients who later discovered that their diagnosis had been withheld consistently left treatment.
conclusionsClinicians believed that by not using the BPD label they were acknowledging or sidestepping the stigma of the condition. However, from the perspective of patients, open communication was essential for maintaining a therapeutic relationship.
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