Article: Borderline personality disorder: go easy on SSRIs.(PRACTICAL PSYCHOPHARMACOLOGY)

It's been said that psychiatrists are the stepchildren of medicine, and personality disorders are the stepchildren of psychiatry.

Not so long ago, patients with personality disorders were considered beyond professional help. Their symptoms were considered "character flaws," and they were relegated to an Axis II wasteland rarely considered worthy of research dollars or serious study.

Dr. S. Charles Schulz, head of psychiatry at the University of Minnesota, Minneapolis, recalls being told early in his career not to bother studying such patients, because they had no insight into their condition and were completely unreliable.

"They won't even come ...

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