Psychotic symptoms in patients with borderline personality disorder: prevalence and clinical management

@article{Schroeder2013PsychoticSI,
  title={Psychotic symptoms in patients with borderline personality disorder: prevalence and clinical management},
  author={Katrin Schroeder and Helen L. Fisher and Ingo Sch{\"a}fer},
  journal={Current Opinion in Psychiatry},
  year={2013},
  volume={26},
  pages={113–119}
}
Purpose of review The aim of this article is to review findings on the prevalence, phenomenology and treatment of psychotic features in borderline personality disorder (BPD), and to discuss factors that might be related to their occurrence. Recent findings Of patients with BPD about 20–50% report psychotic symptoms. Hallucinations can be similar to those in patients with psychotic disorders in terms of phenomenology, emotional impact, and their persistence over time. Although more research is… 
Comorbid Diagnosis of Psychotic Disorders in Borderline Personality Disorder: Prevalence and Influence on Outcome
TLDR
Psychotic disorders, notably of the psychotic disorder NOS subtype, are common among patients with BPD, and their presence is associated with a poor outcome, which implies that adequate diagnosis and treatment of both disorders is warranted in this subgroup with a dual diagnosis.
Psychotic symptoms in borderline personality disorder: an update
TLDR
The most recent literature on psychotic symptoms in borderline personality disorder (BPD) is reviewed to ascertain the relationships between hallucinations and delusions on one hand and the processing of trauma, emotion regulation, distress tolerance and interpersonal sensitivity on the other.
Normal personality, personality disorder and psychosis: current views and future perspectives
TLDR
A review of recent literature examining the occurrence of psychotic experiences in normal population and those with personality disorders highlights the need to move beyond traditional assumptions and categorical boundaries when evaluating psychotic experiences and psychopathological phenomena.
A Study of Psychotic Symptoms in Borderline Personality Disorder
TLDR
Persistent auditory hallucinations are intrinsic symptoms of BPD and may inform current diagnostic criteria and have implications for approaches to treatment, both pharmacological and psychological.
Hallucinations and Other Psychotic Symptoms in Patients with Borderline Personality Disorder
TLDR
Recognition of psychotic symptoms in patients with BPD as distinguished psychopathological phenomena instead of diminishing and overlooking them is essential in the clinical assessment and can be useful in predicting complications during treatment.
Borderline Personality Pathology in an At Risk Mental State Sample
TLDR
Investigation of the occurrence of borderline symptoms in a sample of subjects at risk for psychosis as well as possible effects on the transition rate found a significant correlation between borderline symptomatology and positive symptoms assessed by the structured interview for prodromal symptoms.
Hallucinations in borderline personality disorder: Prevalence, characteristics and associations with comorbid symptoms and disorders
TLDR
Advice is advised to treat PTSD and hallucinations when found to be present in patients with BPD, as a significant association was found between the severity of hallucinations on the one hand, and delusions and unusual thought content on the other.
Psychotic-Like Symptoms and the Temporal Lobe in Trauma-Related Disorders: Diagnosis, Treatment, and Assessment of Potential Malingering
TLDR
Trauma-related psychotic-like symptoms are common in trauma-related disorders, may be related to temporal lobe dysfunction, and are frequently misinterpreted, which may lead to ineffective treatment and inappropriate determinations of malingering in the forensic system.
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 93 REFERENCES
Psychotic symptoms in patients with borderline personality disorder and concurrent axis I disorder.
TLDR
Psychotic episodes are common but not universal among patients with borderline personality disorder, regardless of whether a concurrent axis I disorder is present, and borderline patients who experience psychotic episodes are likely to have repeated hospitalizations.
Experiences of psychosis in borderline personality disorder: A qualitative analysis
TLDR
It is suggested that the diagnostic category of BPD requires revision to include psychotic symptoms, and Terminology such as pseudo- and quasi-psychotic symptoms are confusing and use of these terms should be revised.
Risperidone treatment of borderline personality disorder assessed by a borderline personality disorder-specific outcome measure: a pilot study.
TLDR
The primary objectives of this pilot study were to test the efficacy and tolerability of risperidone in subjects with BPD and to provide a preliminary evaluation of the utility of a new self-report treatment outcome measure for BPD, the Borderline Disorder Rating Scale (BDRS).
Psychotic features in borderline patients: is there a connection to mood dysregulation?
TLDR
The hypothesis that 'lifetime' manic-hypomanic mood dysregulations are correlated with psychotic spectrum features in borderline patients may be useful to inform treatment choices is supported.
Childhood trauma and posttraumatic stress disorder in patients with psychosis: clinical challenges and emerging treatments
TLDR
Trauma and its consequences are highly prevalent among patients with psychosis and severely affect the course and outcome, and treatment approaches appropriate for this population need to be further evaluated and implemented into routine practice.
Schizophrenia and Borderline Personality Disorder: Similarities and Differences in the Experience of Auditory Hallucinations, Paranoia, and Childhood Trauma
TLDR
These patients were similar in their experiences of voices, including the perceived location of them, but they differed in frequency of paranoid delusions, and levels of reported childhood trauma are especially high in those with a BPD diagnosis, whether they have schizophrenia or not.
Psychotic symptoms in depression and borderline personality disorder.
The psychotic spectrum: validity and reliability of the Structured Clinical Interview for the Psychotic Spectrum
Quetiapine in patients with borderline personality disorder and psychosis: a case series
TLDR
Quetiapine relieved symptoms of psychosis, reduced impulsivity or depressed mood and improved global functioning in patients with borderline personality disorder and psychosis.
...
1
2
3
4
5
...