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… 
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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.
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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.
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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
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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.
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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.
Features of borderline personality disorder as a mediator of the relation between childhood traumatic experiences and psychosis-like experiences in patients with mood disorder
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