Borderline personality disorder and chronic pain: A practical approach to evaluation and treatment topical collection on psychiatric management of pain

Research output: Contribution to journalArticle

Abstract

Patients with chronic pain present a spectrum of complexity that can be overwhelming for the individual practitioner. These patients require thoughtful care and a comprehensive treatment plan. This complexity should be acknowledged, not avoided, and the patient should be engaged, not shunned. A practical approach will assist in developing expertise and proceeding empathically. The presence of a superimposed personality disorder significantly increases the difficulty of caring for these patients. Studies investigating the prevalence of borderline personality disorder in patients with chronic pain averaged 30 %, highlighting the importance of being able to effectively treat this patient population. Appropriate management of these patients should focus on a collaboration to practice productive behaviors despite intense emotional distress. Longitudinal research provides a foundation for an optimistic prognosis that can be enhanced with this rehabilitative approach.

Original languageEnglish (US)
Article number350
JournalCurrent pain and headache reports
Volume17
Issue number8
DOIs
StatePublished - Jan 1 2013

Keywords

  • Borderline personality
  • Chronic pain
  • Cluster B
  • Difficult patient
  • Pain
  • Personality
  • Personality disorders
  • Psychotherapy

ASJC Scopus subject areas

  • Clinical Neurology
  • Anesthesiology and Pain Medicine

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