Date of Award

Spring 4-19-2024

Document Type

Open Access Thesis

Degree Name

Master of Medical Science (MMSc)

First Advisor

Sarah Fineberg, MD, PhD

Abstract

Borderline Personality Disorder is a widely underdiagnosed psychiatric disorder associated with stigma and misinformation, both in the general public and clinical settings. Current diagnostic disclosure methods do not consider borderline-specific challenges, such as interpersonal hypersensitivity and emotion dysregulation. This has led to discrepancies in patient-provider communication approaches, perpetuating underdiagnosis and negative diagnostic experiences, impacting recovery outcomes and attitudes toward the condition. We seek to determine the efficacy of using script-driven imagery as a method of diagnostic disclosure and psychoeducation versus current practice for individuals newly diagnosed with Borderline Personality Disorder. Our randomized controlled trial will assess efficacy as the proportion of participants who attend their first scheduled appointment of Dialectical Behavioral Therapy following diagnostic disclosure using script versus standard methods. This study will provide foundational evidence for the development of a standardized Borderline Personality Disorder diagnostic algorithm curated to alleviate symptomatology, enhancing person-centered care in this population.

Comments

This is an open access thesis

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