Bradford Rebecca, Holt Clare
F2 Doctor, South Thames Foundation School, UK,
Psychiatr Danub. 2015 Sep;27 Suppl 1:S371-4.
It is estimated that around 75% of patients with Borderline Personality Disorder (BPD) are prescribed psychotropic medication during their treatment course, although this is not recommended as first line therapy. In the UK, there are no guidelines to advise which drug treatments to use in BPD, however, numerous, but mostly small scale studies, show evidence that different medications target specific core symptoms. We report a case of a 25 year old woman with BPD, who has received treatment with five different psychotropic medications. We go on to assess not only the efficacy of these treatments in this individual case, but also whether the use of these treatments is in line with best evidence according to currently available research.
据估计，约75%的边缘型人格障碍（BPD）患者在治疗过程中会被开具精神类药物，尽管这不被推荐作为一线治疗方法。在英国，没有关于BPD使用何种药物治疗的指南，然而，众多但大多是小规模的研究表明，不同药物针对特定的核心症状。我们报告了一例25岁的BPD女性患者，她接受了五种不同精神类药物的治疗。我们不仅评估这些治疗方法在该个体病例中的疗效，还评估这些治疗方法的使用是否符合当前现有研究的最佳证据。
