Log in with your email address username.

×

Important notice

doctorportal Learning is on the move as we will be launching a new website very shortly. If you would like to sign up to dp Learning now to register for CPD learning or to use our CPD tracker, please email support@doctorportal.com.au so we can assist you. If you are already signed up to doctorportal Learning, your login will work in the new site so you can continue to enrol for learning, complete an online module, or access your CPD tracker report.

To access and/or sign up for other resources such as Jobs Board, Bookshop or InSight+, please go to www.mja.com.au, or click the relevant menu item and you will be redirected.

All other doctorportal services, such as Find A Doctor, are no longer available.

Dealing with disclosure in patients with borderline personality traits

- Featured Image

To the Editor: Mental health patients with borderline personality traits are frequently not informed of their diagnosis, both in the inpatient ward and in the outpatient clinic. Often, however, this axis II finding (according to the Diagnostic and statistical manual of mental disorders) is clearly documented in their file. Why the disparity?

Perhaps this is because the decision to disclose the psychiatric opinion to the patient is arbitrary, owing to the fact that the diagnosis may be made in just one sitting and personality traits are arguably within the spectrum of normal. Often the patient is left in the dark and only sees light when a brave but irate psychiatrist decides that their current presentation warrants a revision of the existing diagnosis to the personality disorder.

Is it fair to the patient with borderline personality traits that we should, as colleagues in health care, collude in keeping the truth away from the unsuspecting person walking through the door?

One problem in disclosure is that the personality attributes of patients with borderline traits are often considered egosyntonic.

email