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Are mood stabilisers helpful in treatment of borderline personality disorder?

BMJ 2014; 349 doi: https://doi.org/10.1136/bmj.g5378 (Published 16 September 2014) Cite this as: BMJ 2014;349:g5378

Rapid Response:

Mark Agius’ response to our paper is helpful. People with borderline personality may have a number of co-morbid axis one disorders and it is right that these should be treated in accordance with recommended guidelines. In our article we argued that interpersonal problems that are central to personality disorder can lead to people being given inappropriate and unhelpful prescriptions. Interpersonal problems can also lead to people being denied interventions that may be of benefit. The work of Dr Agius and colleagues is important in highlighting that a minority of people with borderline personality disorder have coexisting bipolar disorder which may benefit from treatment with mood stabilizers.

Competing interests: No competing interests

27 October 2014
Mike J Crawford
Professor of Mental Health Research
Center for Mental Health, Imperial College London, Du Cane Road, W12 0NN