Psychotic symptoms in borderline personality disorder: an update

Current Opinion in Psychiatry
Alessandra D'AgostinoVladan Starcevic

Abstract

The purpose of this article is to review the most recent literature on psychotic symptoms in borderline personality disorder (BPD). Both auditory hallucinations and delusional ideation (especially paranoid delusions) are relatively common in individuals with BPD. It is still difficult to distinguish these and related phenomena in BPD from the corresponding experiences in psychotic disorders and schizophrenia, despite numerous attempts to do so. The terminology introduced to help with this effort has not been particularly useful. The presence of auditory hallucinations may affect the course of BPD negatively. Psychotic symptoms in BPD seem to be significantly related to the context (usually stressful events) and appear or intensify in response to situational crisis. The role of certain co-occurring disorders in increasing the risk of psychotic symptoms in BPD remains uncertain. Psychotic symptoms in BPD continue to be poorly understood. Further research should try to ascertain the relationships between hallucinations and delusions on one hand and the processing of trauma, emotion regulation, distress tolerance and interpersonal sensitivity on the other. Ultimately, such endeavor will contribute to developing more effective treat...Continue Reading

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Citations

Jan 12, 2021·The Australian and New Zealand Journal of Psychiatry·Jessica C BirdDaniel Freeman
Dec 4, 2019·The Journal of Nervous and Mental Disease·Josephine A BeatsonSathya Rao
Oct 28, 2019·CNS Spectrums·João Gama Marques, Sílvia Ouakinin

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