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The UK's National Institute for Health and Clinical Excellence (NICE) in 2009 advises against the use of medication for treating borderline personality disorder, recommending that they only be considered for comorbid conditions. [33]
With treatment, the majority of people with BPD can find relief from distressing symptoms and achieve remission, defined as a consistent relief from symptoms for at least two years. [ 198 ] [ 199 ] A longitudinal study tracking the symptoms of people with BPD found that 34.5% achieved remission within two years from the beginning of the study.
The Zanarini Rating Scale for Borderline Personality Disorder (ZAN-BPD) is a standardized, diagnostic rating scale designed to measure the severity and changes in the symptoms of borderline personality disorder (BPD) over time. [1] [2] The assessment was developed by Mary Zanarini and her colleagues at McLean Hospital and released in 2003. [3]
Cyclothymia (/ ˌ s aɪ k l ə ˈ θ aɪ m i ə /, siy-kluh-THIY-mee-uh), also known as cyclothymic disorder, psychothemia / psychothymia, [5] bipolar III, [6] affective personality disorder [7] and cyclothymic personality disorder, [8] is a mental and behavioural disorder [9] that involves numerous periods of symptoms of depression and periods of symptoms of elevated mood. [3]
[104] [105] [106] A key difference between bipolar disorder and borderline personality disorder is the nature of the mood swings; in contrast to the sustained changes to mood over days to weeks or longer, those of the latter condition (more accurately called emotional dysregulation) are sudden and often short-lived, and secondary to social ...
This social impairment can last for years, even after treatment that has resulted in a resolution of mood symptoms. [ 54 ] The factors related to this persistent social impairment are residual depressive symptoms, limited illness insight (a very common occurrence in patients with BP-II), and impaired executive functioning. [ 54 ]