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A concise guide to personality disorders.Psychopharmacology.

A concise guide to personality disorders.: Psychopharmacology. This chapter reviews the evidence for the usefulness of medication for patients with personality disorders (PDs). By and large, there is no such evidence. Most patients with PD would be better off taking no medication at all. (The main exception is for managing symptoms such as severe insomnia.) Thus, clinical psychologists are not “missing” anything if they fail to obtain psychiatric consultation on their patients with PDs. Furthermore, because psychiatrists, once consulted, inevitably suggest a prescription, even when it is not evidence based, these procedures are likely to do patients a disservice. This is a sad story, in which my own profession of psychiatry has gone badly wrong, but as with any clinical error, it is important to understand why it has happened. (PsycInfo Database Record (c) 2022 APA, all rights reserved) http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png

A concise guide to personality disorders.Psychopharmacology.

Paris, Joel
American Psychological Association — Apr 27, 2015
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Publisher
American Psychological Association
Copyright
Copyright © 2015 American Psychological Association
Pages
109 –117
DOI
10.1037/14642-010
Publisher site
See Chapter on Publisher Site

Abstract

This chapter reviews the evidence for the usefulness of medication for patients with personality disorders (PDs). By and large, there is no such evidence. Most patients with PD would be better off taking no medication at all. (The main exception is for managing symptoms such as severe insomnia.) Thus, clinical psychologists are not “missing” anything if they fail to obtain psychiatric consultation on their patients with PDs. Furthermore, because psychiatrists, once consulted, inevitably suggest a prescription, even when it is not evidence based, these procedures are likely to do patients a disservice. This is a sad story, in which my own profession of psychiatry has gone badly wrong, but as with any clinical error, it is important to understand why it has happened. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

Published: Apr 27, 2015

Keywords: personality disorders; psychopharmacology; medication; psychiatry; psychiatrists

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