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The Borderline Patient A Patient-Centered, Evidence-Based Diagnostic and Treatment Process A Presentation for SOMC Medical Education. Kendall L. Stewart, MD, MBA, DFAPA September 11, 2009. 1 My aim is to offer practical clinical insights that you can use right away in caring for patients.
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The Borderline PatientA Patient-Centered, Evidence-Based Diagnostic and Treatment Process
A Presentation for SOMC Medical Education
Kendall L. Stewart, MD, MBA, DFAPA
September 11, 2009
1My aim is to offer practical clinical insights that you can use right away in caring for patients.
2Please let me know whether I have succeeded on your evaluation forms.
3These are complicated and exasperating patients; your gut instincts will not serve you well.
1When a primary care physician calls you in the afternoon, you know it’s important.
2 “A patient just told me that she loves me. What do I do now?”
1We all have personality quirks. This is much more than that.
2To make the diagnosis, you must uncover evidence of social or occupational impairment or distress.
3The people in their lives finally wash their hands of them in hopeless frustration.
1These diagnoses frequently coexist and overlap.
2It usually takes more than one interview to make the diagnosis.
3Always ask screening questions.
1Review a video on BPD in YouTube™.
1I’ve been stalked at home, church and on vacation by these patients.
1These patients can be downright spooky.
2These patients do some unexpected things.
1Episodic Axis I disorders often obscure underlying personality disorders.
1You will not be able to help everyone.
2Transfer them if you can’t trust them or can’t stand them.
1A patient once told me that it was my job to accept whatever she said and never confront her.
1Please visit www.KendallLStewartMD.comto download related White Papers and presentations.
Kendall L. Stewart, M.D.
VPMA and Chief Medical Officer
Southern Ohio Medical Center
President & CEO
The SOMC Medical Care Foundation, Inc.
1805 27th Street
Portsmouth, Ohio 45662
1Speaking and consultation fees benefit the SOMC Endowment Fund.