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The patient with borderline personality disorder
JAAPA, 08/25/09

LaForge E – Patients with BPD present a difficult challenge to clinicians, but the hard work of caring for these patients can pay off. The DSM–IV estimates that 5% to 10% of the general population has this “apparently common” condition2 and that that number is about four–fold higher in primary care settings.14 These numbers seem to guarantee that primary care providers will have patients with BPD over the course of their careers. While the relationship has the potential to be tumultuous, having strategies for dealing with borderline patients can make all the difference. “As trying as it may be to have a borderline patient in a practice, and as slow as progress with the patient may be, successful management of such patients will add poise, confidence, and maturity to the exercise of invaluable primary care skills.”

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