Borderline personality disorder in adolescence: the case for medium stay inpatient treatment

J Psychiatr Pract. 2013 Mar;19(2):162-72. doi: 10.1097/01.pra.0000428563.86705.84.


Background: The diagnosis of personality disorders in adolescents has been a topic of debate in recent years.

Method: This manuscript reviews the case of an adolescent girl admitted for a medium length combined inpatient and partial hospitalization program. This program has developed protocols to assess for Axis I and II pathology as well as various psychological processes. Comprehensive outcome measures were administered to the patient at discharge and follow-up.

Results/conclusions: Diagnosis of a personality disorder in adolescence appears to be associated with psychological processes usually identified in adults. Against the background of an emerging debate about the need to reform a culture of ultra-short inpatient care, this case study provides some support for more thorough assessment, diagnosis, and treatment of adolescents who appear to have comorbid Axis I and II disorders.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Adolescent Behavior
  • Adolescent Psychiatry / methods
  • Borderline Personality Disorder* / complications
  • Borderline Personality Disorder* / diagnosis
  • Borderline Personality Disorder* / psychology
  • Borderline Personality Disorder* / therapy
  • Depressive Disorder, Major* / complications
  • Depressive Disorder, Major* / therapy
  • Diagnostic and Statistical Manual of Mental Disorders
  • Father-Child Relations
  • Female
  • Humans
  • Length of Stay
  • Marijuana Abuse* / complications
  • Marijuana Abuse* / therapy
  • Patient Discharge
  • Personality Assessment*
  • Personality Development
  • Prognosis
  • Psychotherapy / methods*
  • Psychotropic Drugs / administration & dosage*
  • Suicidal Ideation
  • Treatment Outcome


  • Psychotropic Drugs