Atualizações no diagnóstico e tratamento do transtorno de personalidade borderline

Alexandre Martins Valença; Luísa Weber Bisol; Suzzana de Vasconcellos Bernardes

doi:10.25118/issn.2965-1832.2022.552

Authors

Alexandre Martins Valença Médico psiquiatra, especialista em Psiquiatria Forense pela AMB/ABP, Pós-Doutor em Fisiologia da Respiração pela Universidade Federal do Rio de Janeiro, vice-coordenador do Departamento de Psiquiatria Forense da ABP https://orcid.org/0000-0002-5744-2112
Luísa Weber Bisol Médica psiquiatra, associada titular da ABP. Doutora em Ciências Biológicas pela Universidade Federal do Rio Grande do Sul - UFRGS. Professora da Faculdade de Medicina da Universidade Federal do Ceará - UFC
Suzzana de Vasconcellos Bernardes Médica psiquiatra pela Fundação Hospitalar do Distrito Federal (Universidade de Brasília), associada titular da ABP. Pós-graduação em Dependência Química pela Universidade Federal de São Paulo. Formação em Terapia do Esquema. Coordenadora da Câmara Técnica de Psiquiatria do Conselho Regional de Medicina de Alagoas (CREMAL). Diretora da Associação Alagoana de Psiquiatria

DOI:

https://doi.org/10.25118/issn.2965-1832.2022.552

Keywords:

borderline personality disorder, limit state personality, mental disorders, psychiatric diagnosis, psychiatric treatment

Abstract

It is estimated that there are around 2 million borderline personality disorder sufferers in Brazil, which makes this a very common disorder, although little talked about and understood. Borderline is mainly characterized by instability and hypersensitivity in relationships, instability in self-image, extreme mood swings and impulsivity, in addition to fear of abandonment. This true roller coaster of emotions makes the disorder one of the most harmful, as patients have difficulty controlling their anger and may end up taking it out on violence - whether it be self-mutilation or aggression towards others. Statistics also show that around 10% of borderline personality disorder sufferers end up committing suicide. How is the disease diagnosed? What are the most current treatments? How to give a good quality of life to the patient? What do psychiatrists need to know about the disorder?