Cited by 237Personality Disorders and PsychopathologyPersonality Traits and PsychologyBipolar Disorder and Treatment

Practitioner Review: Borderline personality disorder in adolescence—Recent conceptualization, intervention, and implications for clinical practice

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Sharp, Carla, Fonagy, Peter·2015·Journal of Child Psychology and Psychiatry

Abstract

BACKGROUND: The past decade has seen an unprecedented increase in research activity on personality disorders (PDs) in adolescents. The increase in research activity, in addition to major nosological systems legitimizing the diagnosis of borderline personality disorder (BPD) in adolescents, highlights the need to communicate new research on adolescent personality problems to practitioners. SCOPE: In this review, we provide up-to-date information on the phenomenology, prevalence, associated clinical problems, etiology, and intervention for BPD in adolescents. Our aim was to provide a clinically useful practitioner review and to dispel long-held myths about the validity, diagnostic utility, and treatability of PDs in adolescents. FINDINGS AND CONCLUSION: Alongside providing up-to-date information on the phenomenology, prevalence, and etiology, we also report on associated clinical problems and interventions for adolescent BPD. It is only through early active assessment and identification of youngsters with these problems that a lifetime of personal suffering and health system burden can be reduced or altogether avoided. A variety of evidence-based approaches are now available to treat BPD and related clinical problems in young people. Future research should focus on establishing optimal precision in the diagnostic processes in different treatment settings.

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  • Up to 5% of adolescents meet DSM 5 criteria for BPD, and the presentation is more severe in adolescents compared to adults.

    “studies estimate that up to 5% of adolescents meet the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM 5) criteria for BPD, and that the presentation is more severe in adolescents compared to adults [5].”

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1 of the 208 references couldn’t be matched to a known paper.

Research works printed but not linked: 3

  1. Mrazek, P.J., & Haggerty, R.J. (1994). Reducing risks for mental disorders. Washington, DC: National Academy Press.
  2. National Health and Medical Research Council (2013). Clinical practice guideline for the management of borderline personality disorder 2012. Melbourne, Australia: Author. National Institute for Health and Clinical Excellence. (2009).Borderline personality disorder: Treatment and management Clinical guideline Vol. 78. London: Author.
  3. Shiner, R.L., & Caspi, A. (2012). Temperament and the development of personality traits, adaptations, and narratives. In M. Zentner & R.L. Shiner (Eds.), Handbook of temperament (pp. 497-516). New York: Guilford Press.

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Authors
Sharp, C., & Fonagy, P.
Affiliations
  • Menninger Clinic (US)
  • Anna Freud Centre (GB)
Corresponding author
Fonagy, Peter
Venue
Journal of Child Psychology and Psychiatry
Publisher
Wiley
Published
2015-08-06
Volume
56
Issue
12
Pages
1266-1288
ISSN
  • 0021-9630 (ISSN-L)
  • 1469-7610
OpenAlex
W1503912322
Cited by
237
References
208
Citations by year
2026: 20 · 2025: 20 · 2024: 19 · 2023: 28 · 2022: 32 · 2021: 27 · 2020: 30 · 2019: 14 · 2018: 21 · 2017: 15 · 2016: 9 · 2015: 1 · 2013: 1
FWCI
2.18
Type
journal article
Language
en
Open access
Locations
  • Journal of Child Psychology and Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • UCL Discovery (University College London) (submittedVersion, cc-by-nc-nd)
Funders
American Psychoanalytic Association
Topics
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
  • Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
Keywords
borderline personality disorder, adolescents, personality disorders, disease classification, phenomenology, prevalence, etiology, evidence-based interventions, early detection, diagnostic validity, treatment
MeSH terms
Adolescent, Borderline Personality Disorder, Humans, Adolescent Development

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