Clinical Update on Personality Disorders: Diagnosis and Treatment-View Presentation

Video Transcription

Video Summary

The video features a presentation on the diagnosis and treatment of personality disorders, emphasizing Borderline Personality Disorder (BPD). The speakers, Dr. Carla Sharpe and Kaz Nelson, experts in the field, address the challenges and latest approaches in understanding and treating personality disorders. Dr. Sharpe introduces the topic, discussing the evolution of diagnostic models, particularly the Alternative Model for Personality Disorders (AMPD) in DSM-5, which focuses on maladaptive self and interpersonal functioning rather than rigid categorical diagnoses. This model uses levels of personality functioning (LPF) and maladaptive traits to offer a dimensional approach, aligning with the ICD-11, and aims for better diagnosis, understanding, and treatment of personality disorders.<br /><br />Dr. Nelson discusses the stigma and misconceptions around BPD, emphasizing the need for compassionate, patient-centered care. She highlights that BPD is not a fixed, untreatable disorder but a developmental one with a potential for positive outcomes. The talk covers psychopharmacology, stressing that while no FDA-approved medications exist for BPD, mood stabilizers, low-dose antipsychotics, and antidepressants can be used judiciously based on symptoms. The presentation finishes with a Q&A, addressing challenges like managing comorbid conditions, ethical prescribing practices, and integrating new diagnostic frameworks into clinical practice.

Keywords

Personality Disorders

Borderline Personality Disorder

BPD

Diagnosis

Treatment

Dr. Carla Sharpe

Kaz Nelson

Alternative Model for Personality Disorders

DSM-5

ICD-11

Psychopharmacology

Patient-centered care