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Complications of psychotherapy for borderline personality disorder: A clinical perspective.

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Title: Complications of psychotherapy for borderline personality disorder: A clinical perspective.
Authors: Swan, Beatrice (AUTHOR), Allison, Stephen (AUTHOR), Looi, Jeffrey CL (AUTHOR), Mulder, Roger (AUTHOR), Bastiampillai, Tarun (AUTHOR)
Source: Australasian Psychiatry. Oct2025, Vol. 33 Issue 5, p818-821. 4p.
Subjects: Psychotherapy, Borderline personality disorder, Disease complications, Medical practice, Self-injurious behavior, Psychotherapy patients, Ethical problems, Suicidal behavior
Abstract: Objective: Psychotherapy is the mainstay of treatment for Borderline Personality Disorder. There are unique benefits for patients through psychotherapy, however there are also complications that are under-recognised and have not been neatly summarised for clinicians and trainees. We present a clinical perspective on the potential complications that may arise from treatment. Conclusions: Addressing complications is an essential part of high quality and ethical clinical practice. Potential complications of psychotherapy for Borderline Personality Disorder include: escalation of Non-Suicidal Self-Injury (NSSI) and suicidal behaviours, dependency, boundary violations, demoralisation, re-traumatisation, labelling, opportunity cost, and financial issues. Recognition and management of these complications may improve treatment and recovery for patients, and is essential to high quality psychotherapy training and peer review. Further research is needed on the broader challenges and complications associated with non-psychotherapeutic aspects of BPD management. [ABSTRACT FROM AUTHOR]
Copyright of Australasian Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Complications of psychotherapy for borderline personality disorder: A clinical perspective.
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  Data: <searchLink fieldCode="AR" term="%22Swan%2C+Beatrice%22">Swan, Beatrice</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Allison%2C+Stephen%22">Allison, Stephen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Looi%2C+Jeffrey+CL%22">Looi, Jeffrey CL</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mulder%2C+Roger%22">Mulder, Roger</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bastiampillai%2C+Tarun%22">Bastiampillai, Tarun</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Australasian+Psychiatry%22">Australasian Psychiatry</searchLink>. Oct2025, Vol. 33 Issue 5, p818-821. 4p.
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  Data: <searchLink fieldCode="DE" term="%22Psychotherapy%22">Psychotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22Borderline+personality+disorder%22">Borderline personality disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+complications%22">Disease complications</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+practice%22">Medical practice</searchLink><br /><searchLink fieldCode="DE" term="%22Self-injurious+behavior%22">Self-injurious behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Psychotherapy+patients%22">Psychotherapy patients</searchLink><br /><searchLink fieldCode="DE" term="%22Ethical+problems%22">Ethical problems</searchLink><br /><searchLink fieldCode="DE" term="%22Suicidal+behavior%22">Suicidal behavior</searchLink>
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  Label: Abstract
  Group: Ab
  Data: Objective: Psychotherapy is the mainstay of treatment for Borderline Personality Disorder. There are unique benefits for patients through psychotherapy, however there are also complications that are under-recognised and have not been neatly summarised for clinicians and trainees. We present a clinical perspective on the potential complications that may arise from treatment. Conclusions: Addressing complications is an essential part of high quality and ethical clinical practice. Potential complications of psychotherapy for Borderline Personality Disorder include: escalation of Non-Suicidal Self-Injury (NSSI) and suicidal behaviours, dependency, boundary violations, demoralisation, re-traumatisation, labelling, opportunity cost, and financial issues. Recognition and management of these complications may improve treatment and recovery for patients, and is essential to high quality psychotherapy training and peer review. Further research is needed on the broader challenges and complications associated with non-psychotherapeutic aspects of BPD management. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Australasian Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=188720360
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        Value: 10.1177/10398562251362710
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      – Code: eng
        Text: English
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        Type: general
      – SubjectFull: Borderline personality disorder
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      – SubjectFull: Disease complications
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      – SubjectFull: Medical practice
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      – SubjectFull: Self-injurious behavior
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      – SubjectFull: Ethical problems
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      – SubjectFull: Suicidal behavior
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      – TitleFull: Complications of psychotherapy for borderline personality disorder: A clinical perspective.
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            NameFull: Swan, Beatrice
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            NameFull: Allison, Stephen
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            NameFull: Looi, Jeffrey CL
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              M: 10
              Text: Oct2025
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              Y: 2025
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