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personality disorders explained

Antisocial Personality Disorder, Codependence, Narcissism and Borderline

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Consequences of Abuse of Alcohol and<br />

Street Drugs in Borderline Disorder<br />

dramatic worsening of the symptoms of borderline disorder<br />

marked decrease in the effectiveness of medications and psychotherapy.<br />

addiction to and sustained craving for these substances.<br />

Substance Abuse Treatment Interventions<br />

For all of these reasons, for substance<br />

abuse treatment purposes, I strongly<br />

advise my patients with borderline<br />

disorder to not use alcohol, to not take any<br />

street drugs, and to take prescribed<br />

medications only as ordered by their<br />

physicians.<br />

In addition, I encourage those patients<br />

who have a substance-use disorder to<br />

engage fully in a substance abuse<br />

treatment program and attend support<br />

groups (Alcoholics Anonymous or Narcotics<br />

Anonymous). I also suggest to some of<br />

them that they may benefit from a trial on<br />

a medication appropriate for their specific<br />

drug dependency, as this may help reduce<br />

craving and use.<br />

Conclusions<br />

Substance use <strong>disorders</strong> are major<br />

predictors of poor short- and long-term<br />

outcome of borderline disorder.<br />

There is little or no hope of gaining control over the symptoms of borderline<br />

disorder while alcohol and other drugs are being used, no matter how appropriate<br />

the substance abuse treatment program is otherwise.<br />

Substance abuse treatment is essential if this problem co-occurs with borderline<br />

disorder.

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