The Scarlet Label: Close Encounters with ‘Borderline Personality Disorder’

To help my non-recovery oriented colleagues understand the stigma/resentment associated with ‘borderline personality disorder,’ I simply mention this: “Let’s say I call you and say, ‘Hey, I’ve got a referral for you. She’s been diagnosed with borderline personality disorder . . .’” I need to go no further; without fail, my colleague will smile or laugh. We both know that such a referral is a no-no, so much so that it doesn’t even have to be mentioned; it is a given.

Risk of Suicide After Hospitalization Even Higher Than Previously Estimated

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New analysis of post-discharge suicide rates finds estimates 6 times higher than recent studies.

United Nations Report Calls for Revolution in Mental Health Care

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In a new report, the United Nations Special Rapporteur on the right to health, Dr. Dainius Pūras, calls for a move away from the biomedical model and “excessive use of psychotropic medicines.”

Dialectical Behavior Therapy Reduces Self-Harm and Suicide Attempts

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A new meta-analysis finds that DBT reduces self-harm, suicide attempts, and reduces the frequency of psychiatric crisis service utilization.

Drug Treatment for Borderline Personality Disorder Not Supported By Evidence

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New research published in the August issue of Psychiatric Annals evaluates the results of randomized control trials on the use of various psychotropic drugs for patients diagnosed with borderline personality disorder (BPD). Despite the “American Psychiatric Association’s practice guidelines endorsement of SSRIs as first-line therapies for BPD,” the results of the meta-analysis reveal that pharmacotherapy in BPD is “not supported by the current literature,” and “should be avoided whenever possible.”

Study Examines Women’s Experiences of Hearing Voices

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An international group of researchers from multiple disciplines has published a historical, qualitative, and quantitative investigation into voice-hearing in women. The interdisciplinary project, freely available from Frontiers in Psychiatry, explores how sexism, exploitation, and oppression bear on women’s’ experiences of hearing voices.

Psychodynamic Therapy Revealed to be as Efficacious as Cognitive Behavioral Therapy

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Meta-analytic study finds that psychodynamic therapy outcomes are equivalent to those of CBT and other empirically supported treatments.

Top Ten Things You May Not Know About the ICD-10

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In this piece for Psychology Today, Dr. Jonathan D. Raskin lists 10 facts about the current version of the International Classification of Diseases, which is...

Omega-3 Screening for Psychiatric Symptoms?

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There is a substantial body of evidence suggesting that not getting enough omega-3 fatty acids in your diet may be connected to a diverse array of psychiatric symptoms. In a new study published this month, psychiatrist Robert McNamara and Erik Messamore provide an overview of the evidence and call for screening of omega-3 deficiency in people experiencing symptoms associated with ADHD, depression, mood disorders, and psychosis.

The Role of Intergenerational Trauma in the Perpetuation of Childhood Maltreatment

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A new study examines the role parent borderline pathology plays in the perpetuation of childhood maltreatment.

Deconstructing Psychiatric Diagnoses: An Attempt At Humor

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Based on my experience both as a therapist and client in the mental health field, I have learned that when therapists or psychiatrists give you the following diagnoses all too often here is what they really mean:

Unhelpful Utterances: 6 Comments We Should No Longer Hear From Mental Health Professionals

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Professionals are paid to share their wisdom with those who are, typically, less informed. But, when dealing with mental health professionals in the psychiatric arena, it is wise to retain a degree of skepticism about the words spoken by the doctors and nurses commissioned to help reduce human misery and suffering.
bad behavior

Mental Illness Vs. “Bad” Behavior

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Allen Frances has claimed that "It's a great mistake to confuse bad behavior with mental illness." Yet two of the so-called mental illnesses (conduct disorder and antisocial personality disorder) consist essentially of "bad" behavior, while in at least six others, "bad" behavior is an integral part of the problem.

Personality Disorders Largely Being Treated Inappropriately by Psychiatrists

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Psychiatrists are giving drugs to most people with emotionally unstable personality disorders outside of the best-practice clinical guidelines, and an accompanying editorial stated that the reason is because "therapy takes time."

How Complex Trauma Changes a Person

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From GoodTherapy.org: Although not currently listed in the DSM, the diagnosis of complex post-traumatic stress (C-PTSD) has gained widespread acceptance in the mental health community. The...

Disease Theory of ‘Mental Illness’ Tied To Pessimism About Recovery

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Researchers recently completed a first of its kind, large-scale international survey of attitudes about mental health and they were surprised by the results. According to their analysis published in this month’s issue of the Journal of Affective Disorders, people in developed countries, like the United States, are more likely to assume that ‘mental illnesses’ are similar to physical illnesses and biological or genetic in origin, but they are also much less likely to think that individuals can overcome these challenges and recover

Investigation Reveals Alarming ECT Practices in England

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Audit of ECT usage, demographics, and adherence to guidelines and legislation raises concern over its continued use.

Weak Field Trials Scuttle DSM-5 Diagnoses

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"Mixed anxiety-depressive disorder," "attenuated psychosis syndrome," "obsessive-compulsive personality disorder," "antisocial personality disorder," and "nonsuicidal self-injury" were among diagnoses that met with disappointing results in...

DBT and Psychiatry for Borderline; Equally Poor at 2 years, But Long-Term Remission is...

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A prospective study in the American Journal of Psychiatry compares Dialectical Behavior Therapy (DBT) with psychiatric management for borderline personality disorder, founding that outcomes...

Book Review: “Overmedicated and Undertreated”

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A former pharma executive has broken ranks with the industry in a new book by reporting how multiple psychiatrists, schools, and his desperate hopes pressed him to allow higher and higher doses of antipsychotic medications. The result: his 15-year-old son's death from Seroquel.

Study Identifies Psychiatric Patients at Greatest Risk of Coercion

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In an effort to reduce coercion, researchers isolate associated factors including age, relationship status, location, and diagnosis.

I Wonder if There is Some Axis II Going on Here? Further Thoughts on...

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This blog was prompted by an invitation to do a guest post on the site of one of my favorite bloggers, 1 Boring Old Man. This is my response to the notion that there are certain conditions - Schizophrenia among them - that correspond more directly to biomedical conditions

Femme Fatales, ‘Female Psychopaths,’ and Narrative ‘Science’

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In this piece for Repeater Books, Tristam Vivian Adams discusses the ways sociopaths and psychopaths are portrayed in the media, and the ways we...

Labels Initiates Core Social Support, Lose Peripheral Ties

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Article Abstract: Although research supports the stigma and labeling perspective, empirical evidence also indicates that a social safety net remains intact for those with mental...

Neoliberalism Drives Increase in Perfectionism Among College Students

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Meta-analytic study detects upsurge in patterns of perfectionism in young adults and explores how neoliberalism contributes to this trend.