Cited by 108Personality Disorders and PsychopathologyBipolar Disorder and TreatmentPersonality Traits and Psychology

Borderline personality disorder, bipolar disorder, depression, attention deficit/hyperactivity disorder, and narcissistic personality disorder: Practical differential diagnosis

Kernberg, Otto F., Yeomans, Frank E.·2013·Bulletin of the Menninger Clinic

Abstract

The challenge of accurate diagnosis remains at the heart of good psychiatric treatment. In the current state of psychiatry, a confluence of forces has increased this challenge for the clinician. These include practical pressures-such as limited time for diagnostic evaluation, the question of what is reimbursed by insurance, and the issue of directing patients to acute treatments-and also trends in nosology, such as the descriptive focus on signs and symptoms in the current official diagnostic system. The authors offer observations that we hope will help clinicians who have to make difficult diagnostic differentiations often under pressured circumstances. The paper is motivated both by the high frequency of diagnostic errors observed under such conditions and also by the belief that considering symptoms in the context of the patient's sense of self, quality of interpersonal relations, and level of functioning over time will help guide the diagnostic process.

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Crossref · 10.1521/bumc.2013.77.1.1

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Authors
Kernberg, O. F., & Yeomans, F. E.
Affiliations
NewYork–Presbyterian Hospital (US)
Venue
Bulletin of the Menninger Clinic
Published
2013-03
Volume
77
Issue
1
Pages
1-22
ISSN
0025-9284 (ISSN-L)
OpenAlex
W2073482807
Cited by
108
References
25
Citations by year
2026: 7 · 2025: 5 · 2024: 7 · 2023: 7 · 2022: 6 · 2021: 5 · 2020: 8 · 2019: 8 · 2018: 9 · 2017: 7 · 2016: 11 · 2015: 6 · 2014: 9 · 2013: 5
FWCI
11.48
Type
journal article
Language
en
Open access
closed
Locations
  • Bulletin of the Menninger Clinic (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
  • Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
Keywords
borderline personality disorder, bipolar disorder, depression, attention deficit hyperactivity disorder, narcissistic personality disorder, differential diagnosis, diagnostic errors, disease classification, insurance reimbursement, acute treatment, selfhood, interpersonal relationships
MeSH terms
Antisocial Personality Disorder, Attention Deficit Disorder with Hyperactivity, Bipolar Disorder, Borderline Personality Disorder, Major Depressive Disorder, Depressive Disorder, Diagnosis, Differential, Humans, Personality Disorders, Psychiatric Status Rating Scales, Stress Disorders, Post-Traumatic, Self-Injurious Behavior, Diagnostic and Statistical Manual of Mental Disorders

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