Patients with chronic pain present a spectrum of complexity that can be overwhelming for the individual practitioner. These patients require thoughtful care and a comprehensive treatment plan. This complexity should be acknowledged, not avoided, and the patient should be engaged, not shunned. A practical approach will assist in developing expertise and proceeding empathically. The presence of a superimposed personality disorder significantly increases the difficulty of caring for these patients. Studies investigating the prevalence of borderline personality disorder in patients with chronic pain averaged 30 %, highlighting the importance of being able to effectively treat this patient population. Appropriate management of these patients should focus on a collaboration to practice productive behaviors despite intense emotional distress. Longitudinal research provides a foundation for an optimistic prognosis that can be enhanced with this rehabilitative approach. © 2013 Springer Science+Business Media New York.
CITATION STYLE
Kalira, V., Treisman, G. J., & Clark, M. R. (2013). Borderline personality disorder and chronic pain: A practical approach to evaluation and treatment topical collection on psychiatric management of pain. Current Pain and Headache Reports, 17(8). https://doi.org/10.1007/s11916-013-0350-y
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