EUPD_Flashcards
What are the recommended goals and plans for managing Emotionally Unstable Personality Disorder (EUPD)?
The recommended goals and plans for managing EUPD include formulating long-term and short-term goals and a crisis plan.
What is the first-line psychological management for EUPD?
The first-line psychological management for EUPD is Dialectical Behavioural Therapy (DBT).
What factors contribute to emotional instability in EUPD?
Factors contributing to emotional instability in EUPD include being emotionally vulnerable and sensitive to stress, and growing up in an environment where emotions were dismissed by those around you.
How does Dialectical Behavioural Therapy (DBT) address emotional instability in EUPD?
DBT addresses emotional instability in EUPD by introducing the concepts of validation and dialectics, helping individuals accept their emotions and be open to ideas and opinions that contradict their own.
What are the two important concepts introduced by DBT?
The two important concepts introduced by DBT are validation and dialectics.
What is Mentalisation-Based Therapy and what does it teach?
Mentalisation-Based Therapy teaches individuals to think about thinking, scrutinise their thoughts and impulses, recognise other people’s thought patterns, and accept that their interpretation may not be correct.
What is the duration of Mentalisation-Based Therapy, and what is recommended for some patients?
The duration of Mentalisation-Based Therapy is usually around 18 months, and some places recommend staying as an inpatient.
What are Therapeutic Communities and what skills do they teach?
Therapeutic Communities teach social skills to groups of people with complex psychological conditions and include tasks that improve social skills and self-confidence.
Who might benefit from Arts Therapies, and what other psychological therapies are available for EUPD?
Arts Therapies are useful for people who struggle to express their feelings verbally. Other psychological therapies available for EUPD include CBT and cognitive analytical therapy (CAT).
How can SSRIs be useful in the pharmacological management of EUPD?
SSRIs may be useful in the pharmacological management of EUPD to reduce impulsive behaviour.
What should be checked for in patients with EUPD regarding sleep?
Patients with EUPD should be checked for features of insomnia.
What contacts should be provided to patients with EUPD during a crisis?
Patients with EUPD should be provided with contact numbers for a community mental health nurse, out-of-hours social worker, and local crisis resolution team during a crisis.
What medication may be used during a crisis for EUPD, and what should be avoided for long-term management?
Sedative antihistamines (e.g., promethazine) may be used during a crisis for EUPD, but antipsychotics should not be used for medium- or long-term management.
How should the diagnosis of EUPD be explained to patients?
The diagnosis of EUPD should be explained as characterised by increased sensitivity to emotions and likely linked to stressful life circumstances and experiences.
What is the prevalence of personality disorders and EUPD?
Approximately 10% of people may have a personality disorder, and around 2% have EUPD.
