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Distinguishing between ICD-11 complex post-traumatic stress disorder and borderline personality disorder: clinical guide and recommendations for future research

Published online by Cambridge University Press: 29 June 2023

Thanos Karatzias

Martin Bohus ,

Mark Shevlin

Philip Hyland ,

Jonathan I. Bisson

Neil Roberts and

Marylène Cloitre

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Thanos Karatzias*: Affiliation:
School of Health & Social Care, Edinburgh Napier University, Edinburgh, UK; and NHS Lothian, Rivers Centre for Traumatic Stress, Edinburgh, UK
Martin Bohus: Affiliation:
Institute of Psychiatric and Psychosomatic Psychotherapy, Central Institute of Mental Health, Mannheim, Germany; Medical Faculty Mannheim, Heidelberg University, Heidelberg, Germany; and McLean Hospital, Harvard Medical School, Boston, Massachusetts, USA
Mark Shevlin: Affiliation:
School of Psychology, Ulster University, Londonderry, Northern Ireland
Philip Hyland: Affiliation:
Department of Psychology, Maynooth University, Kildare, Ireland
Jonathan I. Bisson: Affiliation:
School of Medicine, Cardiff University, Cardiff, UK
Neil Roberts: Affiliation:
School of Medicine, Cardiff University, Cardiff, UK; and Psychology and Psychological Therapies Directorate, Cardiff and Vale University Health Board, Cardiff, UK
Marylène Cloitre: Affiliation:
National Center for PTSD Dissemination and Training Division, VA Palo Alto Health Care System, Palo Alto, California, USA; and Department of Psychiatry and Behavioural Sciences, Stanford University, Stanford, California, USA; Correspondence : Thanos Karatzias. Email: [email protected]

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Summary

Although complex post-traumatic stress disorder and borderline personality disorder are distinct disorders, there is confusion in clinical practice regarding the similarities between the diagnostic profiles of these conditions. We summarise the differences in the diagnostic criteria that are clinically informative and we illustrate these with case studies to enable diagnostic accuracy in clinical practice.

Keywords

Comorbidity education and training personality disorders post-traumatic stress disorder trauma

: Analysis
Information: The British Journal of Psychiatry Volume 223 Issue 3 , September 2023 , pp. 403 - 406

DOI: https://doi.org/10.1192/bjp.2023.80 [Opens in a new window]

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References

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