P02-239 - A Review of 50 Borderline Personality Disorder Cases Recorded in 2009, in a Rural Indian District Clinic

Abstract

Introduction

Bordern line personality disorders are seldom diagnosed in a rural setting. But on a routine longnitudinel & through & trough follow up, BPD cases are distinctly identified if the clinician is vigilant & aware of BPD.

Objectives

Personality disorder in general & BPD in particuler, have less chance of diagnostic evaluation on the first visit due to colouration of mini psychoepisodic type presentation, mainly Hypomaniac type, or a depressive colour, but with a distinct subjective distress, & sufferings of the peripherial family members of the society it is identifiable.

Aims

Here is presentation of 26 female & 24 males, 50 in total persons those were diagosed in this year uptosept09, & their profile analysis to review them in the back-ground of such cases in other urban settings, and to make the clinitian aware of the possibility of BPD, specialy in cases where therapy results for long time are not yielding satisfactory expected results.

Methods

50 BPD cases those were diagonosed as per criteria of DSM 4TR constiuting 26 females & 24 males with 20-38 years age, were recorded upto sept09 in a rural clinic of a District HQTRS 126 k.m away from state capital city were analysed with a view of their presenting styles & distress in himself aswell as to the family members. There is a dificulty in maintaining interpersonal relationship for sustained period & smoothly. Substance & alcohol abuse, reckless spending, polygamy, family discord & violence even leading to seperation/divorce, banckrupcy or joblessstate exists.

There is a fanatic efford to avoid loneliness & strive for Identity.

Conclusion

BPD needs further evaluation.