Satel S, Southwick S, Denton C
Department of Psychiatry, West Haven Veterans Administration Medical Center, Connecticut 06516.
J Nerv Ment Dis. 1988 May;176(5):305-7. doi: 10.1097/00005053-198805000-00010.
A subcategory of patients with borderline personality disorder (BPD) who also meet criteria for attention deficit disorder (ADD) has recently been described. The present case involves a young man with BPD and ADD who failed to respond to methylphenidate but experienced a marked reversal of anxiety, explosiveness, restlessness, and affective lability when treated with imipramine. Tricyclics may prove to be helpful in borderlines who also meet criteria for ADD.
最近描述了一类同时符合边缘型人格障碍（BPD）和注意力缺陷障碍（ADD）标准的患者亚组。本病例涉及一名患有BPD和ADD的年轻男性，他对哌甲酯无反应，但在接受丙咪嗪治疗时，焦虑、易激惹、烦躁不安和情感不稳定症状明显缓解。三环类药物可能对同时符合ADD标准的边缘型人格障碍患者有帮助。
