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Adolescent patients with borderline personality disorder (BPD) often enter treatment for the first time, but rarely are they doing so with a diagnosis of BPD. They may not be seeking help at all and may be in your office simply at the request (or demand) of their caregivers. Teens and their parents may be in distress without a coherent understanding of the problems they are experiencing. Good psychiatric management (GPM) for any disorder relies on diagnostic assessment and disclosure as a means of making stressful and confusing problems understandable and therefore manageable. GPM for BPD provides a framework for understanding the stormy interactions patients have with those around them in terms of their interpersonal hypersensitivity, allowing the implications of this hypersensitivity to be discussed objectively and pragmatically. Patients have the best chances of positive outcomes when the diagnosis is made in an accurate and timely manner.
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