Psychiatry & Psychotherapy Podcast cover image

Psychiatry & Psychotherapy Podcast

Understanding Borderline Personality Disorder (BPD) Medications & Treatment

Oct 9, 2024
Dr. Michael Cummings, a psychopharmacologist specializing in BPD, joins the discussion on the complexities of treating Borderline Personality Disorder. He elaborates on the limited role of medications like antipsychotics and antidepressants, emphasizing that psychotherapy remains essential for effective care. The conversation touches on alternative treatments such as exercise and omega-3s, as well as the potential of ketamine therapy, highlighting the need for a well-rounded approach to managing this challenging disorder.
01:12:38

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Quick takeaways

  • Medications for Borderline Personality Disorder (BPD) primarily target symptoms rather than its underlying pathology, with limited long-term efficacy.
  • Psychotherapy, especially approaches like dialectical behavior therapy (DBT) and cognitive behavioral therapy (CBT), remains the cornerstone of effective BPD treatment.

Deep dives

Understanding Borderline Personality Disorder

Borderline personality disorder (BPD) is characterized by intense emotional states and difficulties in regulating emotions. Individuals with BPD often experience exaggerated feelings, such as feeling rage instead of annoyance and despair instead of sadness. The condition leads to impulsive behaviors and unstable interpersonal relationships, marked by alternating idealization and devaluation of others. A more accurate term proposed for this disorder is emotionally unstable personality disorder, reflecting the inability to modulate intense affective responses.

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