ISSN: 2167-0420
Syed Abdullah
Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust, UK
Scientific Tracks Abstracts: J Women's Health Care
Aim: In young mental health settings, Borderline Personality Disorder (BPD) is a dominant and substantial condition with high occurrence rates seen in community, crisis, and in-patient settings. Despite an increasing amount of research on BPD in adolescents, there is still reluctance about diagnosing BPD in youth because of many concerns. Given its existence in adolescents and that DSM-5 (from 2013) allows diagnosing BPD in adolescents, a study was conducted in 2019 to explore what current literature had to say about its prevalence. Methodology & Results: Four databases were searched- PubMed, Embase, Medline, and Psycinfo- with the following inclusion & exclusion criteria: 1. Age: Adolescents (13-17). 2. BPD (disorder not traits or features). 3. Language – English, not just the abstract in English. 4. Time limit & diagnostic criteria (2013 onwards, DSM-5). 5. Full length articles not Abstracts alone. 6. No geographical limit. 7. Contacted academics personally for additional data. All searches yielded 525 results. Out of these, only 2 full-text articles met the criteria. The results showed higher rates of BPD in adolescents, especially in those exposed to online sexual solicitation (OSS) (355 vs. 13%) and in females (80% of cases). Conclusion: Despite the research and diagnostic allowance, there still seems to be reluctance among clinicians to diagnose BPD in adolescents. We advise consideration of BPD in adolescents if clinical picture indicates and application of the relevant criteria so patients can get appropriate treatment and support that they need.
Syed Abdullah is a consultant psychiatrist specialised in child and adolescent psychiatry, currently working (in crisis and community) and teaching in the UK. He has to his name many presentations (international, national, and regional) and has a research published previously. He has a special interest in BPD.