{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T17:29:37Z","timestamp":1792690177386,"version":"4.5.0"},"reference-count":18,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T00:00:00Z","timestamp":1753747200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T00:00:00Z","timestamp":1753747200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Australas Psychiatry"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10398562251362710","type":"journal-article","created":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T17:10:47Z","timestamp":1753809047000},"page":"818-821","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Complications of psychotherapy for borderline personality disorder: A clinical perspective"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3561-274X","authenticated-orcid":false,"given":"Beatrice","family":"Swan","sequence":"first","affiliation":[{"name":"Flinders University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9264-5310","authenticated-orcid":false,"given":"Stephen","family":"Allison","sequence":"additional","affiliation":[{"name":"Flinders University"},{"name":"Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3351-6911","authenticated-orcid":false,"given":"Jeffrey CL","family":"Looi","sequence":"additional","affiliation":[{"name":"Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA)"},{"name":"The Australian National University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8147-5838","authenticated-orcid":false,"given":"Roger","family":"Mulder","sequence":"additional","affiliation":[{"name":"University of Otago"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6931-2913","authenticated-orcid":false,"given":"Tarun","family":"Bastiampillai","sequence":"additional","affiliation":[{"name":"Flinders University"},{"name":"Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA)"},{"name":"Monash University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,7,29]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1080\/14461242.2020.1715815"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.160.3.610"},{"issue":"3","key":"e_1_3_4_4_2","first-page":"261","article-title":"Dialectical behavior therapy for borderline personality disorder","volume":"51","author":"Linehan M","year":"1987","unstructured":"Linehan M. Dialectical behavior therapy for borderline personality disorder. Bull Menninger Clin 1987; 51(3): 261\u2013276.","journal-title":"Bull Menninger Clin"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/wps.21156"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/10398562241280362"},{"issue":"1","key":"e_1_3_4_7_2","first-page":"103985622412827","article-title":"Mostly harmless? clinical practice guidelines need further consideration of psychotherapy adverse effects","volume":"33","author":"Allison S","year":"2024","unstructured":"Allison S, Looi JC, Kisely S, et al. Mostly harmless? clinical practice guidelines need further consideration of psychotherapy adverse effects. Australas Psychiatry 2024; 33(1): 10398562241282736.","journal-title":"Australas Psychiatry"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/10398562231167976"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1080\/02668739800700031"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2024.243"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/0272-7358(89)90004-4"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2022.110788"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/camh.12586"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/inm.13300"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2018.04.005"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.focus.22020016"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.105.012088"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9781615378432"},{"issue":"4","key":"e_1_3_4_19_2","doi-asserted-by":"crossref","first-page":"000486742513196","DOI":"10.1177\/00048674251319680","article-title":"Advancing the quality and safety of behavioural interventions in mental health research: a how-to guide from the MAGNET Clinical Trial Network","volume":"59","author":"O\u2019Neil A","year":"2025","unstructured":"O\u2019Neil A, John T, Turner A, et al. Advancing the quality and safety of behavioural interventions in mental health research: a how-to guide from the MAGNET Clinical Trial Network. Aust N Z J Psychiatr 2025; 59(4): 00048674251319680.","journal-title":"Aust N Z J Psychiatr"}],"container-title":["Australasian Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10398562251362710","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10398562251362710","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10398562251362710","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T10:42:08Z","timestamp":1785926528000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10398562251362710"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,29]]},"references-count":18,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1177\/10398562251362710"],"URL":"https:\/\/doi.org\/10.1177\/10398562251362710","relation":{},"ISSN":["1039-8562","1440-1665"],"issn-type":[{"value":"1039-8562","type":"print"},{"value":"1440-1665","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,29]]}}}