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(p. 81) Symptomatic Remissions and Recurrences of the Borderline Diagnosis 

(p. 81) Symptomatic Remissions and Recurrences of the Borderline Diagnosis
Chapter:
(p. 81) Symptomatic Remissions and Recurrences of the Borderline Diagnosis
Author(s):

Mary C. Zanarini

DOI:
10.1093/med-psych/9780195370607.003.0007
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date: 20 January 2019

Many clinicians are reluctant to treat or actively avoid treating patients with BPD. This is so because of the interpersonal difficulties that tend to arise during such a treatment, and is partly due to the idea that BPD is a chronic disorder. This chapter, however, describes the reason for much of the new optimism about the borderline diagnosis. After 16 years of prospective follow-up, it was found that 99% of borderline patients achieved a two-year remission of their BPD, and 78% achieved an eight-year remission of this disorder. Additionally, recurrences of BPD were relatively infrequent, suggesting that remissions of this disorder were stable in nature. These findings suggest that BPD is a “good prognosis” diagnosis and not the chronic condition that many clinicians still believe.

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