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Personal Ment Health. 2024 Feb 4. doi: 10.1002/pmh.1604. Online ahead of print.
ABSTRACT
There is a notable lack of literature evaluating peer support for people with a diagnosis of borderline personality disorder (BPD). Peer-led groups have been shown to positively impact outcomes related to empowerment, hope, and self-efficacy beliefs for consumers diagnosed with serious mental illness and may also be a helpful option for those experiencing personality disorder symptoms. We outline the coproduction of a peer group for people with a lived experience of BPD and a qualitative analysis of feedback post-group participation. Twenty-two consumers participated in post-group interviews and described their experiences of peer support. Interview transcripts were coded, and three main themes were identified: growth and change, connection and feeling understood, and creating safety. The findings suggested that participation in a coproduced peer support group for people with a diagnosis of BPD facilitated positive personal transformation as well as opportunities to develop connection through shared experiences in a safe environment grounded in mutuality. These themes were particularly powerful for participants because they countered previous experiences of not feeling safe, understood, or equal when seeking treatment. These findings support the acceptability of implementing a coproduced group for people diagnosed with BPD in a community mental health setting.
PMID:38311730 | DOI:10.1002/pmh.1604
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Experiences of a peer group for people diagnosed with borderline personality disorder: A qualitative interview study
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Peer support for borderline personality disorder: A critical review of its feasibility, acceptability, and alignment with concepts of recovery Talking about borderline personality disorder, shaping care: The multiple doings of narratives Associations between borderline personality disorder symptoms and personality functioning in adolescents: A brief report The lived experience of French parents concerning the diagnosis of their children with borderline personality disorder Reported Personality Traits and Histories of Childhood Maltreatment in Borderline Personality Disorder and Bipolar 2 Disorder: A Comparative Study Different routes to the same destination? Comparing Diagnostic and Statistical Manual of Mental Disorders, fifth edition Section II- and alternative model of personality disorder-defined borderline personality disorder Operational Mechanisms of Peer Support Groups and Support for Caregivers of People Living with Serious Mental Illness Borderline personality disorder stigma: Examining the effects of diagnostic disclosure, behavior, and gender as sources of stigma in the general population Course and Prediction of Dissociation in Patients with Borderline Personality Disorder and Personality-Disordered Comparison Subjects: A 24-Year Follow-Up Study The Complexity of Borderline Personality Disorder: Network Analysis of Personality Factors and Defense Styles in the Context of Borderline Personality Organization Symptom domains and psychosocial functioning in borderline personality disorder Treating depression in patients with borderline personality disorder: clinical clues on the use of antidepressants Effects of intensive trauma-focused treatment of individuals with both post-traumatic stress disorder and borderline personality disorder Attachment Problems and Mentalizing Capacity Relate to Parent-Child Informant Discrepancies in Female Adolescents with Borderline Personality Disorder Randomized effectiveness-implementation trial of dialectical behavior therapy interventions for young people with borderline personality disorder symptoms Prospective prediction of treatment outcomes in adolescents: A head-to-head comparison of alternative model for personality disorder versus borderline personality disorder The role of borderline personality disorder traits in predicting longitudinal variability of major depressive symptoms among a sample of depressed adults A second chance for first impressions: evidence for altered impression updating in borderline personality disorder Comparing the symptom presentation similarities and differences of complex posttraumatic stress disorder and borderline personality disorder: A systematic review Comparing the symptom presentation similarities and differences of complex posttraumatic stress disorder and borderline personality disorder: A systematic review Longitudinal description and prediction of physical inactivity among patients with borderline personality disorder and personality-disordered comparison subjects Longitudinal description and prediction of physical inactivity among patients with borderline personality disorder and personality-disordered comparison subjects The elephant in the room: Is betrayal trauma associated with borderline personality disorder? Non-peer professionals' understanding of recovery and attitudes towards peer support workers joining existing community mental health teams in the North Denmark Region: A qualitative study Mentalizing deficits in borderline personality disorder related to axis I comorbidity: Clinical relevance Overlapping genetic influences between creativity and borderline personality symptoms in a large Dutch sample Borderline personality disorder and learning: The influences of emotional state and social versus nonsocial feedback A network perspective on posttraumatic stress disorder and comorbid borderline personality disorder symptoms Cognitive disturbances basic symptoms in help-seeking patients with borderline personality disorder: Characteristics and association with schizotypy Clinical specificities of patients with substance use disorder and comorbid borderline personality disorder compared to patients with substance use disorder only: a retrospective study Comparison of 8-vs-12 weeks, adapted dialectical behavioral therapy (DBT) for borderline personality disorder in routine psychiatric inpatient treatment-A naturalistic study Comparison of 8-vs-12 weeks, adapted dialectical behavioral therapy (DBT) for borderline personality disorder in routine psychiatric inpatient treatment-A naturalistic study Etiopathogenesis in the Development of Borderline Personality Characteristics in Children and Adolescents Etiopathogenesis in the Development of Borderline Personality Characteristics in Children and Adolescents Attachment and body representations in adolescents with personality disorder The Effectiveness of Dialectical Behavior Therapy Compared to Schema Therapy for Borderline Personality Disorder: A Randomized Clinical Trial The Effectiveness of Dialectical Behavior Therapy Compared to Schema Therapy for Borderline Personality Disorder: A Randomized Clinical Trial Depression with comorbid borderline personality disorder - could ketamine be a treatment catalyst? 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Experiences of a peer group for people diagnosed with borderline personality disorder: A qualitative interview study
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Experiences of a peer group for people diagnosed with borderline personality disorder: A qualitative interview study
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Borderline personality disorder and stigma: Lived experience perspectives on helpful and hurtful language Diagnosing borderline personality disorder: Reports and recommendations from people with lived experience Peer support for borderline personality disorder: A critical review of its feasibility, acceptability, and alignment with concepts of recovery Experiences of consumers, carers and clinicians during borderline personality disorder presentations to the emergency department-An integrative review Temperamental underpinnings of borderline personality disorder and its facets Talking about borderline personality disorder, shaping care: The multiple doings of narratives "I am ashamed that I exist. 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Comparing Diagnostic and Statistical Manual of Mental Disorders, fifth edition Section II- and alternative model of personality disorder-defined borderline personality disorder Operational Mechanisms of Peer Support Groups and Support for Caregivers of People Living with Serious Mental Illness 'A ward full of emotional, aggressive people': Social climate and interpersonal relationships in forensic settings caring for patients with borderline personality disorder Treating emotion dysregulation in patients with borderline personality disorder using imagery rescripting: A two-session randomized controlled trial Experimenting with arts-based methods and affective provocations to understand complex lived experience of a diagnosis of borderline personality disorder Differences in diagnostic rules used to determine borderline personality disorder impact prevalence and associations with clinically relevant variables: Findings from the National Epidemiologic Survey on Alcohol and Related Conditions-III How changes in depression severity and borderline personality disorder intensity are linked - a cohort study of depressed patients with and without borderline personality disorder Borderline personality disorder stigma: Examining the effects of diagnostic disclosure, behavior, and gender as sources of stigma in the general population Course and Prediction of Dissociation in Patients with Borderline Personality Disorder and Personality-Disordered Comparison Subjects: A 24-Year Follow-Up Study Social cognition in women with borderline personality disorder based on an exhaustive analysis of the Movie for Assessment of Social Cognition (MASC) categories A case series of sage: a new couple-based intervention for borderline personality disorder The Complexity of Borderline Personality Disorder: Network Analysis of Personality Factors and Defense Styles in the Context of Borderline Personality Organization Temperament, but not childhood trauma, distinguishes borderline personality disorder from bipolar disorder and ADHD Assessing family relations in borderline personality disorder: A relational approach Mentalizing in Adolescents with Borderline Personality Disorder Borderline personality disorder and the diagnostic co-occurrence of mental health disorders and somatic diseases: A controlled prospective national register-based study Childhood maltreatment, peer victimization, borderline personality feature, suicidal risk in adolescents: Direct and indirect associations among developmental trajectories Impact of the diagnostic method for borderline personality disorder on the acute response and the risk of early relapse in major depressed individuals treated with ECT: A systematic literature review Psychotic Experiences and Daily Functioning in Borderline Personality Disorder and Schizophrenia Symptom domains and psychosocial functioning in borderline personality disorder BPD Compass: Using a dimensional model of psychopathology to treat co-occurring borderline personality disorder and posttraumatic stress symptoms Prospective Mental Images: A Transdiagnostic Approach to Negative Affectivity and Mood Dysregulation among Borderline Personality Disorder and Depression Inpatient staff experiences of providing treatment for males with a diagnosis of borderline personality disorder: A thematic analysis Inpatient staff experiences of providing treatment for males with a diagnosis of borderline personality disorder: A thematic analysis Borderline Personality Disorder With Atypical Traits in a 30-Year-Old Female: A Case Report Borderline Personality Disorder With Atypical Traits in a 30-Year-Old Female: A Case Report Alexithymia and self-harm in people with borderline personality disorder Validation of the French version of the Revised Diagnostic Interview for Borderlines (DIB-R) for assessing the psychopathology of borderline personality disorder Treating depression in patients with borderline personality disorder: clinical clues on the use of antidepressants Effects of intensive trauma-focused treatment of individuals with both post-traumatic stress disorder and borderline personality disorder Delay discounting of protected sex and compulsive sexual behavior in women with borderline personality disorder Looking for borderline personality disorder Intranasal oxytocin as an adjunct treatment among patients with severe major depression with and without comorbid borderline personality disorder Gonadal hormones in borderline personality disorder: implications for understanding symptoms and supporting treatment The 8-Year Course of Acute Physical Pain Reported by Patients With Borderline Personality Disorder and Comparison Subjects With Other Personality Disorders Complex Posttraumatic Stress Disorder and a Biopsychosocial Model of Borderline Personality Disorder Acute, Chronic, and Everyday Physical Pain in Borderline Personality Disorder Borderline personality disorder: a comprehensive review of diagnosis and clinical presentation, etiology, treatment, and current controversies Brexpiprazole Attenuates Aggression, Suicidality and Substance Use in Borderline Personality Disorder: A Case Series Co-occurrence of borderline and schizotypal personality disorders: a scoping review Implementing a whole-of-service stepped care approach to personality disorder treatment: Impact of training and service redesign on clinician attitudes and skills Borderline personality disorder and sexuality: causes and consequences of dissociative symptoms A State-Wide Initiative to Improve Health System Responses to People With Borderline Personality Disorder Symptoms in Crisis: A Retrospective Audit Dissociative Experiences, Borderline Personality Disorder Features, and Childhood Trauma: Generating Hypotheses from Data-Driven Network Analysis in an International Sample Attachment Problems and Mentalizing Capacity Relate to Parent-Child Informant Discrepancies in Female Adolescents with Borderline Personality Disorder "Embodying opposites"-A case illustration of Dance Movement Therapy as an additional intervention in the treatment of co-morbid Borderline Personality Disorder and Complex Post Traumatic Stress Disorder Randomized effectiveness-implementation trial of dialectical behavior therapy interventions for young people with borderline personality disorder symptoms Prospective prediction of treatment outcomes in adolescents: A head-to-head comparison of alternative model for personality disorder versus borderline personality disorder Self-Hatred: The Unaddressed Symptom of Borderline Personality Disorder The role of borderline personality disorder traits in predicting longitudinal variability of major depressive symptoms among a sample of depressed adults Borderline personality disorder and social connectedness: A systematic review Sub-threshold or full-syndrome borderline personality disorder in adolescents with recurrent self-harm - distinctly or dimensionally different? Specificity of Insecure Attachment in Adolescents With Borderline Personality Disorder in Psychiatric Inpatient and Community-Dwelling Adolescents