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Treatment Resistance in Personality Disorders 

Treatment Resistance in Personality Disorders
Chapter:
Treatment Resistance in Personality Disorders
Author(s):

Glen O. Gabbard

DOI:
10.1093/med/9780199739981.003.0013
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date: 22 November 2017

Personality disorders frequently require longer and more complicated treatment plans than Axis I disorders. Nevertheless, the prognosis is often quite favorable. Comorbidity is a frequent issue in the treatment, and misdiagnosis also tends to delay specific treatments tailored to the personality disorder. SSRIs may be useful in treating comorbid depression, but recent research suggests that they may make significant changes in the personality features as well. Psychotherapeutic efforts may be hampered by a poor fit between the type of therapy and the characteristics of the patient, insufficient attention to the therapeutic alliance, family issues, countertransference issues in the therapist, and overestimation of the patient’s capacity to use insight-oriented therapy.

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