TITLE:
Management of Borderline Personality Disorder Crises in the Emergency Room: A Case Study
AUTHORS:
Taqialdeen Zamil, Talato Kabore, Ayman Tailakh, Khadija Hamisi
KEYWORDS:
Borderline Personality Disorder, Psychiatric Crises, Borderline Personality Crises
JOURNAL NAME:
Open Journal of Medical Psychology,
Vol.14 No.1,
January
21,
2025
ABSTRACT: This case study describes the care provided to a female patient with borderline personality disorder (BPD) who presented to the emergency department (ED). While people with borderline personality disorder use emergency services frequently, clinicians often face difficulties when providing medical and behavioral services to these patients. It may be difficult for nurse practitioners to determine if a patient with BPD who presents to the ED in crisis should be admitted, medicated, observed, or discharged. Self-harm is frequently confused with suicide attempts, which can result in unnecessary hospitalizations. This case study seeks to examine the proper management and difficulties encountered by healthcare providers in managing crises involving individuals with BPD in ED settings. The case study underscores the significance of thorough evaluation, recognition of BPD characteristics, active engagement in treatment, the therapeutic alliance, and the emphasis on interpersonal connections and stressors alongside the utilization of psychopharmacology.