Borderline Personality Disorder or First-Episode Psychosis? Challenges in Assessing Psychotic Features in Early Intervention: A Case Report.

ABSTRACT:

Introduction

Adolescence is a crucial period for the onset of both borderline personality disorder (BPD) and first-episode psychosis. Although transient stress-related paranoid ideation and dissociative symptoms are one of the diagnostic criteria for BPD, determining when these psychotic features progress to early-stage schizophrenia remains unclear.

Methods

Two case studies aimed to explore the challenges in assessing and following up on psychotic features in BPD over time. Two adolescent girls aged 14 and 15 were initially diagnosed with BPD using semi-structured clinical interviews for DSM-IV personality disorder. Five years later, symptom development was explored using comprehensive diagnostic interviews.

Results

Both cases exhibited lapses in reality testing at b

SUBMITTER: Jorgensen MS 

PROVIDER: S-EPMC12489974 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature