Providing effective treatment for borderline personality disorder

People with BPD frequently present with complex problems and GPs can perceive patients as challenging to work with. It can be empowering for clinicians to consider a diagnosis of BPD when expectations of a challenging encounter occur. Early recognition and validation of underlying distress, psychoeducation and structured support can make a significant difference. Suicidal behaviour occurs in 80% of individuals with BPD, and they have a 20 year reduction in life expectancy, largely attributable to chronic diseases. This emphasises the importance of continuity in primary care.