{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T18:08:24Z","timestamp":1785434904142,"version":"3.56.0"},"reference-count":28,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:00:00Z","timestamp":1783987200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ir. j. psychol. Med."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0790966726102080_as1\">\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Despite being common and linked to significant morbidity and mortality, personality disorders (PD) are underdiagnosed. Stigma, professionals\u2019 therapeutic nihilism and lack of effective treatments are contributing factors. This survey aimed to explore the experiences of a service user group of being assessed for and receiving a diagnosis of personality disorder and to examine the impact of the diagnosis and the disorder on their life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0790966726102080_as2\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Patients under the care of two consultant-led teams who had received a diagnosis of personality disorder using Structured Clinical Interview for DSM-5 PD (SCID-5-PD) in 2019 and 2020 were invited by email to complete a qualitative survey. Responses were analysed using thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0790966726102080_as3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Participants were predominantly aged 41\u201350 years, with most discharged over three years previously. Borderline personality disorder was most commonly reported. Thematic analysis identified three themes: Understanding and Being Understood \u2013 highlighting variable levels of comprehension and agreement with the diagnosis; A turning point \u2013 describing both abandonment and access to targeted treatment; and Restriction \u2013 capturing stigma, secrecy, and perceived negative impacts on care, relationships, and functioning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0790966726102080_as4\">\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Findings highlight the complexity of delivering diagnoses in a meaningful and therapeutic way. Participants reported limited understanding, underscoring the need for clear, repeated psychoeducation and collaborative formulation while others described positive experiences leading to self understanding and recovery. Many were relieved to get the diagnosis after significant delays and lack of appropriate treatment. Revisiting formulation over time and linking diagnosis to treatment pathways appear crucial for acceptance, empowerment, and positive outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/ipm.2026.10208","type":"journal-article","created":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T06:40:43Z","timestamp":1784011243000},"page":"1-8","source":"Crossref","is-referenced-by-count":0,"title":["A turning point or a terminus \u2013 a qualitative survey exploring the subjective experiences of those receiving a diagnosis of personality disorder"],"prefix":"10.1017","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-4648-9539","authenticated-orcid":false,"given":"Molly","family":"Bredin","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/032e0fv91","id-type":"ROR","asserted-by":"publisher"}],"name":"St Patrick\u2019s University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sorcha","family":"McManus","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/032e0fv91","id-type":"ROR","asserted-by":"publisher"}],"name":"St Patrick\u2019s University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gavin","family":"Rush","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/032e0fv91","id-type":"ROR","asserted-by":"publisher"}],"name":"St Patrick\u2019s University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,7,14]]},"reference":[{"key":"S0790966726102080_ref23","doi-asserted-by":"publisher","DOI":"10.1017\/S1754470X15000641"},{"key":"S0790966726102080_ref22","doi-asserted-by":"publisher","DOI":"10.1002\/pmh.1599"},{"key":"S0790966726102080_ref14","doi-asserted-by":"publisher","DOI":"10.1002\/cbm.2068"},{"key":"S0790966726102080_ref4","doi-asserted-by":"publisher","DOI":"10.1080\/13645579.2020.1805550"},{"key":"S0790966726102080_ref24","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2019.166"},{"key":"S0790966726102080_ref28","volume-title":"International Classification of Diseases, Eleventh Revision (ICD-11)","year":"2019"},{"key":"S0790966726102080_ref16","doi-asserted-by":"publisher","DOI":"10.1177\/01410768231164780"},{"key":"S0790966726102080_ref5","doi-asserted-by":"publisher","DOI":"10.1017\/ipm.2025.15"},{"key":"S0790966726102080_ref26","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291722002197"},{"key":"S0790966726102080_ref13","unstructured":"Health Research Board (2023). 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