GPs' views and experiences of managing patients with personality disorder: a qualitative interview study

BMJ Open
Lydia R M FrenchKatrina M Turner

Abstract

The aim of this study was to explore GPs' views and experiences of managing patients with personality disorder (PD), and their views on the role of the Improving Access to Psychological Therapies (IAPT) programme as a support service. In-depth interviews, analysed thematically. Fifteen GPs (7 women and 8 men) of varying age and clinical experience, working in practices that differed in terms of the socio-demographic characteristics of their patient populations. Twelve general practices based in the West of England, UK. GPs described patients with PD as being challenging to work with and that this work required dedicated time and care. They described experiencing particular difficulty with monitoring their patient's mental health, as well as having little knowledge about the efficacy or availability of treatments for their attenders with PD. They were aware that this patient population often experienced poor mental health and reported a propensity for them to fall into the gap between primary and secondary mental health services, leaving GPs with little choice but to improvise their own management plans, which occasionally involved funding third-sector treatment options. In terms of IAPT services' role in managing these patients...Continue Reading

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Citations

Sep 14, 2020·Irish Journal of Medical Science·Kezanne TongAnne Marie Doherty
Aug 31, 2019·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Ahmed Rashid

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Methods Mentioned

BETA
cognitive behavioural therapy

Software Mentioned

NVivo

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