Consultation/Liaison Management in the General Hospital
This case demonstrates the basic principles of working with BPD as employed by the psychiatric consultant in the general hospital setting. Diagnostic disclosure establishes appropriate expectations for treatment and may improve patient and clinician interaction. Effective consultants are flexible and practical, reassuring to the patient while at the same time containing reactivity and encouraging introspection. Finally, this case highlights the vital role psychiatric consultants play in improving quality of care for borderline patients through crisis intervention and liaison efforts.
KeywordsConsultation liaison psychiatry Borderline personality disorder Managing borderline personality Difficult patient Psychosomatic medicine General hospital psychiatry
References and Recommended Reading
- 1.Frankenburg FR, Zanarini MC. The association between borderline personality disorder and chronic medical illnesses, poor health-related lifestyle choices, and costly forms of health care utilization. J Clin Psychiatry. 2004;65(12):1660–5. http://www.ncbi.nlm.nih.gov/pubmed/15641871.CrossRefGoogle Scholar