Published 28 January 2009, doi:10.1136/bmj.b93
Cite this as: BMJ 2009;338:b93

Practice

Guidelines

Borderline and antisocial personality disorders: summary of NICE guidance

¹ National Collaborating Centre for Mental Health, Royal College of Psychiatrists’ Research and Training Unit, London E1 8AA, ² Royal College of Psychiatrists’ Research and Training Unit, London E1 8AA, ³ Sheffield Health and Social Care Trust, Sheffield S10 3TH, ⁴ National Collaborating Centre for Mental Health, British Psychological Society—CORE, Sub-Department of Clinical Health Psychology, University College London, London WC1E 7HB, ⁵ Centre for Outcomes Research and Effectiveness, University College London, London WC1E 7HB, ⁶ Camden and Islington Foundation Trust, London NW1 0PE., ⁷ Imperial College, London SW7 2AZ, ⁸ West London Mental Health NHS Trust, Southall UB1 3EU, ⁹ The University of Nottingham, Nottingham NG7 2RD, ¹⁰ Nottinghamshire Healthcare Trust, Nottingham NG3 6AA

Personality disorders are common, with an estimated prevalence in the community of 4.4%.¹ They can significantly impair personal and social functioning, with considerable cost to health services, society, the criminal justice system, and the individual. Of the 10 classified types of personality disorder, borderline and antisocial personality disorder are the most prominent in forensic and general psychiatric settings. People with borderline personality disorder tend to have volatile relationships, an unstable self image, labile affects, and impulsiveness; they also frequently self harm. People with antisocial personality disorder characteristically break rules routinely; engage in criminal behaviour; and have a strong tendency to be reckless, irresponsible, and deceitful. People with both disorders often report a history of serious family problems, domestic violence, abuse, and inconsistent and often violent punishment in childhood.

Separate guidelines were developed for these two disorders because of differences in diagnostic criteria and contact with services. People with borderline personality . . . [Full text of this article]

Borderline personality disorder
Antisocial personality disorder

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