{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,11]],"date-time":"2026-11-11T01:56:09Z","timestamp":1794362169650,"version":"4.9.0"},"reference-count":62,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Arch Dis Child"],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:p>Despite a marked increase in research supporting the assessment, diagnosis and treatment of personality disorder (PD) in adolescence, clinicians continue to be reluctant to apply treatment guidelines and psychiatric nomenclature in routine clinical care. This gap arises from several beliefs: (1) psychiatric nomenclature does not allow the diagnosis of PD in adolescence; (2) certain features of PD are normative and not particularly symptomatic of personality disturbance; (3) the symptoms of PD are better explained by other psychiatric syndromes; (4) adolescents' personalities are still developing and therefore too unstable to warrant a PD diagnosis; and (5) because PD is long-lasting, treatment-resistant and unpopular to treat, it would be stigmatising to label an adolescent with borderline personality disorder (BPD). In this paper, the empirical evidence challenging each of these beliefs is evaluated in the hope of providing a balanced review of the validity of adolescent PD with a specific focus on BPD. The paper concludes with recommendations on how routine clinical care can integrate a PD focus.<\/jats:p>","DOI":"10.1136\/archdischild-2015-310072","type":"journal-article","created":{"date-parts":[[2016,8,10]],"date-time":"2016-08-10T02:44:14Z","timestamp":1470797054000},"page":"103-108","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":58,"title":["Bridging the gap: the assessment and treatment of adolescent personality disorder in routine clinical care"],"prefix":"10.1136","volume":"102","author":[{"given":"Carla","family":"Sharp","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2016,8,9]]},"reference":[{"key":"key-10.1136\/archdischild-2015-310072-1","doi-asserted-by":"crossref","DOI":"10.1176\/appi.books.9780890425596","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"2013","edition":"5"},{"key":"key-10.1136\/archdischild-2015-310072-2","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1176\/appi.ajp.163.1.20","article-title":"Borderline personality disorder and suicidality","volume":"163","author":"Oldham","year":"2006","journal-title":"Am J Psychiatry"},{"key":"key-10.1136\/archdischild-2015-310072-3","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1111\/j.1360-0443.2008.02413.x","article-title":"New onsets of substance use disorders in borderline personality disorder over 7 years of follow-ups: findings from the Collaborative Longitudinal Personality Disorders Study","volume":"104","author":"Walter","year":"2009","journal-title":"Addiction"},{"key":"key-10.1136\/archdischild-2015-310072-4","doi-asserted-by":"crossref","first-page":"827","DOI":"10.1001\/archgenpsychiatry.2011.37","article-title":"Ten-year course of borderline personality disorder psychopathology and function from the collaborative longitudinal personality disorders study","volume":"68","author":"Gunderson","year":"2011","journal-title":"Arch Gen Psychiat"},{"key":"key-10.1136\/archdischild-2015-310072-5","doi-asserted-by":"crossref","first-page":"259","DOI":"10.4088\/JCP.v69n0212","article-title":"The economic burden of personality disorders in mental health care","volume":"69","author":"Soeteman","year":"2008","journal-title":"J Clin Psychiatry"},{"key":"key-10.1136\/archdischild-2015-310072-6","doi-asserted-by":"crossref","first-page":"952","DOI":"10.1176\/appi.ajp.160.5.952","article-title":"Personality diagnoses in adolescence: DSM-IV axis II diagnoses and an empirically derived alternative","volume":"160","author":"Westen","year":"2003","journal-title":"Am J Psychiatry"},{"key":"key-10.1136\/archdischild-2015-310072-7","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1007\/978-1-4939-0591-1_1","article-title":"An idea whose time has come","volume-title":"Handbook of borderline personality disorder in children and adolescents","author":"Sharp","year":"2014"},{"key":"key-10.1136\/archdischild-2015-310072-8","volume-title":"Borderline personality disorder: Treatment and management. 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