{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T14:05:39Z","timestamp":1789826739286,"version":"4.0.1"},"reference-count":25,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"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"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Borderline Personality Disorder (BPD) remains one of the most challenging conditions encountered in inpatient psychiatry, particularly in regional settings where access to specialised psychological care is limited. Drawing on the personal experience of a public psychiatric specialist practicing in regional Australia, this piece reflects on diagnostic dilemmas, therapeutic boundaries, and the emergence of other challenges unique to the treatment of BPD. A large part of diagnostic complexity in BPD often arises from overlapping symptomatology of differential diagnoses such as Bipolar disorder, Schizoaffective disorder, Depression, complex Post-traumatic stress disorder and other psychiatric conditions, leading to diagnostic ambiguity and a therapeutic drift towards pharmacological over-intervention. Such practices, while well-intentioned, may inadvertently reinforce maladaptive dependency and prolong recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>There is significant misdiagnosis with conditions that have symptoms that superficially resemble BPD traits. This subsequently leads to the delivery of inappropriate treatments. It is the author\u2019s opinion that this is an unintended fallout of the mental healthcare system\u2019s risk averse approach. Unfortunately, this leads to a gross deviation from evidence-based treatments for BPD, resulting in poorer outcomes for patients and placing a significant stress on public mental healthcare in Australia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10398562261486316","type":"journal-article","created":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T06:53:58Z","timestamp":1789628038000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Borderline personality disorder: Challenges in an inpatient setting"],"prefix":"10.1177","author":[{"given":"John","family":"Chazhoor","sequence":"first","affiliation":[{"name":"Darling Downs Hospital and Health Service, Mental Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-3693-7334","authenticated-orcid":false,"given":"Jarrod","family":"Younger","sequence":"additional","affiliation":[{"name":"South West Healthcare"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,16]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2017.02.065"},{"key":"e_1_3_5_3_2","volume-title":"Clinical practice guideline for the management of borderline personality disorder","author":"National Health And Medical Research Council (Australia)","year":"2013","unstructured":"National Health And Medical Research Council (Australia). Clinical practice guideline for the management of borderline personality disorder. National Health And Medical Research Council, 2013."},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-020-00314-3"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40479-021-00155-9"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/0004867420979353"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1080\/23297018.2022.2106146"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40479-018-0093-9"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(26)00015-5"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00406-024-01880-2"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2020.5494"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890428009"},{"key":"e_1_3_5_13_2","volume-title":"Borderline personality disorder: recognition and management (CG78)","author":"National Institute for Health and Care Excellence (NICE)","year":"2009","unstructured":"National Institute for Health and Care Excellence (NICE). Borderline personality disorder: recognition and management (CG78). NICE, 2009. https:\/\/www.nice.org.uk\/guidance\/cg78"},{"key":"e_1_3_5_14_2","first-page":"1","volume-title":"Proceedings of the 25th international ACM SIGACCESS conference on computers and accessibility","author":"Eagle T","year":"2023","unstructured":"Eagle T, Ringland KE. \u2018You can\u2019t possibly have ADHD\u2019: exploring validation and tensions around diagnosis within unbounded ADHD social media communities. Proceedings of the 25th international ACM SIGACCESS conference on computers and accessibility, 2023, pp. 1\u201317."},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.16118"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1037\/ccp0000275"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRA.0000000000000642"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40501-021-00255-x"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-023-10034-4"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.61947"},{"key":"e_1_3_5_21_2","doi-asserted-by":"publisher","DOI":"10.1017\/S204579602000075X"},{"key":"e_1_3_5_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40473-017-0103-z"},{"issue":"2","key":"e_1_3_5_23_2","first-page":"156","article-title":"Borderline personality disorder","volume":"105","author":"Mendez-Miller M","year":"2022","unstructured":"Mendez-Miller M, Naccarato J, Radico JA. Borderline personality disorder. Am Fam Physician 2022; 105(2): 156\u2013161.","journal-title":"Am Fam Physician"},{"key":"e_1_3_5_24_2","doi-asserted-by":"publisher","DOI":"10.31128\/AJGP-11-23-7031"},{"key":"e_1_3_5_25_2","doi-asserted-by":"publisher","DOI":"10.1111\/famp.12537"},{"key":"e_1_3_5_26_2","doi-asserted-by":"publisher","DOI":"10.1177\/10398562231209822"}],"container-title":["Australasian Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10398562261486316","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10398562261486316","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10398562261486316","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T13:17:31Z","timestamp":1789823851000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10398562261486316"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,16]]},"references-count":25,"alternative-id":["10.1177\/10398562261486316"],"URL":"https:\/\/doi.org\/10.1177\/10398562261486316","relation":{},"ISSN":["1039-8562","1440-1665"],"issn-type":[{"value":"1039-8562","type":"print"},{"value":"1440-1665","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,16]]},"article-number":"10398562261486316"}}