A view from the trenches: a survey of Canadian clinicians' perspectives regarding the treatment of borderline personality disorder

Journal of Psychiatric Practice
John S OgrodniczukGail Howell-Jones

Abstract

The goal of this study was to develop a sense of how borderline personality disorder (BPD) is treated in the community. The focus was on psychotherapeutic treatments. A 13-item online questionnaire was distributed to 291 clinicians in the province of British Columbia, Canada. Participants were asked about treatment provision, their opinion of optimal treatment, and clinician confidence using both fixed and open response questions. The response rate was 43%. Of the respondents, 64% indicated that they provided treatment to patients with BPD, although two thirds of those responses indicated use of ill-defined treatment approaches. In the responses that involved what could be described as well-defined treatment approaches, dialectical behavior therapy (DBT) was the most frequently mentioned (20%). Most treatments were offered in an individual therapy format (60%); 38% described providing treatment on a long-term basis. Responses concerning optimal treatment for BPD favored DBT (45%), a combined individual-group therapy format (48%), and long-term duration of treatment (42%). Clinician confidence in treating BPD was low and there was a strong desire for further training. The community mental health clinicians who were surveyed were...Continue Reading

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Citations

Jan 9, 2013·International Journal of Mental Health Nursing·Mahnaz FanaianBrin F S Grenyer
Jan 22, 2013·Journal of Psychiatric Practice·David Kealy, John S Ogrodniczuk
May 21, 2010·Journal of Psychiatric Practice·David Kealy, John S Ogrodniczuk
Sep 4, 2020·Early Intervention in Psychiatry·Shelly Ben-DavidRadha Ortiz

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