Psychiatr. praxi. 2024;25(3):120-124 | DOI: 10.36290/psy.2024.020

Emotionaly unstable adolescents - diagnostics and therapy

doc. PhDr. Jana Kocourková, MUDr. Jiří Koutek, Ph.D., MUDr. Tereza Strnadová, MUDr. Kryštof Kantor
Dětská psychiatrická klinika 2. LF UK a FN Motol, Praha

Emotionaly unstable adolescents represent a large group of patients currently dealt with pedopsychiatric facilities, both outpatient and inpatient. The vast majority are adolescent girl who come mainly for anxiety - depressive symptoms, self harm and suicidal behavior. Emotional instability in adolescence represents a spektrum of severity, starting with emotional lability common in adolescence, up to disturbances in personality development, which in the most serious case can reset in emotionally unstable - bordeline personality disorder. Therapy requires an integrated approach, with an emphasis on psychotherapy and family therapy, as well as indicated pharmacotherapy.

Keywords: emotional instability in adolescence, borderline personality disorder, diagnosis, therapy.

Accepted: October 2, 2024; Published: November 15, 2024  Show citation

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Kocourková J, Koutek J, Strnadová T, Kantor K. Emotionaly unstable adolescents - diagnostics and therapy. Psychiatr. praxi. 2024;25(3):120-124. doi: 10.36290/psy.2024.020.
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References

  1. Greenfield B, Henry M, Lis E, et al. Correlates, stability and predictors of bordeline personality disorder among previously suicidal youth. Eur Child Adolesc Psychiatry. 2015;24(4):397-406. Go to original source... Go to PubMed...
  2. Bach B, First MB. Application of the ICD-11 classification of personality disorders. BMC Psychiatry. 2018;18:351. Go to original source... Go to PubMed...
  3. Guilé JM, Boissel L, Alaux-Cantin S, et al. Bordeline personality disorder in adolescents: prevalence, diagnosis, and treatment strategies. Adolesc Health Med Ther. 2018;(9):199-210. Go to original source... Go to PubMed...
  4. Chanen AM, McCutcheonLK, Jovev M, et al. Prevention and early intervention for borderline personality disorder. Medical Journal of Australia. 2007;187(7):S18-21. Go to original source... Go to PubMed...
  5. Gorton G, Akhtar S.The literature on personality disorders 1985-1988: trends, issues and controversis. Hosp Community Psychiatry. 1990;(41):39-51. Go to original source... Go to PubMed...
  6. Kocourková J, Koutek J. Emočně nestabilní adolescenti a možnosti jejich ovlivnění. Čes a Slov Psychiat. 2022;118(2):81-84.
  7. Cavelti M, Thompson K, Chanen AM, et al. Psychotic symptoms in bordeline personality disorder : developmental aspects. Curr Opin Psychol. 2021;37:26-31. Go to original source... Go to PubMed...
  8. Thompson KN, Cavelti M, ChanenAM : Psychotic symptoms in adolescents with bordeline personality disorder features. Eur ChildAdolesc Psychiatry 2019;28(7):985-992. Go to original source... Go to PubMed...
  9. Belohradova Minarikova K, Prasko J, et al. Hallucinations and Other Psychotic Symptoms in Patients with Bordeline Personality Disorder. Neuropsychiatr Dis Treat. 2022;18:787-799. Go to original source... Go to PubMed...
  10. Niemantsverdriet MBA, Slotema CW, Blom JD, et al. Hallucinations in bordeline personality disorder: prevalence, characteristics and associations with comorbid symptoms and disorders. SciRep. 2017;7:13920. Go to original source... Go to PubMed...
  11. DSM - 5 Diagnostický a statistický manuál duševních poruch. Testcentrum, Praha 2015.
  12. Rozsívalová E. Sebepoškozování v dětství a dospívání. Psychiatr. praxi. 2016;17(1):22-24.
  13. Peterson J, Freedenthal S, Sheldon Ch, Andersen R. Nonsuicidal Self Injury in Adolescent Psychiatry 2008; 5(11):20-26.
  14. Brent DA, et al. The treatment of adolescent suicide attempters study (TASA): Predictors of suicidal events in an open treatment trial. J Am Acad Child Adolesc Psychiatry. 2009; 4810:987-996. Go to original source... Go to PubMed...
  15. Linehan MM. Cognitive-behavioral treatment of bordeline personality disorder. New York :GuilfordPress; 1993.
  16. Klein DA, Miller AL. Dialectical behavior therapy for suicidal adolescents with bordeline personality disorder. Child Adolesc Psychiatric Clin Am. 2011;20:205-216. Go to original source... Go to PubMed...
  17. Quek J, Melvin GA, Bennett C, Gordon MS, Saedi N, NewmanLK. Mentalization in adolescents with bordeline personality disorder: a comparison with healthy controls. J Pers Disord. 2018;22:1-19.
  18. Fonagy P, Rossouw T, Sharp C,Bateman A, Allison L, Farrar C. Mentalization- based treatment for adolescents with bordeline traits. In: C.Sharp and Tackett JL(Eds.). Handbook of bordeline personality disorder in children and adolescents. New York: Springer; 2014. Go to original source...
  19. Holub D. Léčba založená na mentalizaci (MBT). Psychoterapie. 2021,15(1):53-68.
  20. Schlüter- Müller S, Goth K, Jung E, Schmeck K.Assessment and Treatment of Identity Pathology During Adolescence. Scandinavian Journal of Child and Adolescent psychiatry and Psychology. 2015;3(1):63-70. Go to original source...
  21. Gunderson JG, Lyons-Ruth K. BPD'sinterpersonal hypersensitivity phenotype: a gene-environment-developmental model. J Pers Disord. 2008 Feb;22(1):22-41. doi: 10.1521/pedi.2008. 22. 1. 22. Go to original source...
  22. Steele KR, Townsend ML, Grenyer BFS. Parenting and personality disorder: An overview and meta-synthesis of systematic reviews. PLoSOne. 2019 Oct 1;14(10):e0223038. Go to original source... Go to PubMed...
  23. Eyden J, Winsper C, Wolke D, Broome MR, MacCallum F. A systematic review of the parenting and outcomes experienced by offspring of mothers with borderline personality pathology: Potential mechanisms and clinical implications. Clin Psychol Rev. 2016 Jul;47:85-105. Go to original source... Go to PubMed...
  24. Armour JA, Joussemet M, Mageau GA, Varin R. Perceived Parenting and Borderline Personality Features during Adolescence. Child Psychiatry Hum Dev. 2023 Aug;54(4):927-938. doi: 10.1007/s10578-021-01295-3. Epub 2022 Jan 11. PMID: 35013846. Go to original source... Go to PubMed...
  25. Choi H, Aust NZ. Family systemic approaches for borderline personality disorder in acute adult mental health care settings. J FamTher. 2018;39:155-173. Go to original source...
  26. Guillén V, Díaz-García A, Mira A, et al. Interventions for Family Members and Carers of Patients with Borderline Personality Disorder: A Systematic Review. Fam Process. 2021 Mar;60(1):134-144. Go to original source... Go to PubMed...
  27. Jørgensen MS, Storebø OJ, Poulsen S, Simonsen E. Burden and Treatment Satisfaction among Caregivers of Adolescents with Borderline Personality Disorder. Fam Process. 2021 Sep;60(3):772-787. Go to original source... Go to PubMed...
  28. Kasal M. Současný pohled na doporučení ohledně farmakoterapie hraniční poruchy osobnosti. Čes a Slov Psychiat. 2021;117(3):144-29.
  29. Herman E. Farmakoterapie pacientů trpících emočně nestabilní poruchou osobnosti. Psychiatr. praxi. 2004;4:206-207.




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