"It's very hard for me to say anything positive": A qualitative investigation into borderline personality disorder treatment experiences in the Australian context. (2nd May 2019)

• Record Type: Journal Article
• Authors: Carrotte, Elise; Hartup, Michael; Blanchard, Michelle
• Is Part Of: Australian psychologist. Volume 54:Number 6(2019)
• Page Start: 526
• Page End: 535
• Publication Date: 2019-05-02
• Subjects: borderline personality disorder -- carer -- dialectical behaviour therapy -- lived experience -- personality disorder -- stigma; Psychology -- Periodicals; 150
• DOI: 10.1111/ap.12400
• Languages: English
• ISSNs: 0005-0067

Abstract

Abstract : Objective: To identify in the Australian context: (a) treatment and support services that are accessed by people living with borderline personality disorder (BPD) and their carers, (b) perceived benefits and challenges associated with these services, and (c) changes these individuals would like to see with regards to service provision and access. Method: This project involved semi‐structured qualitative interviews with 12 participants (75% female, M age = 39.9, SD = 11.7), nine with lived experience of BPD, three carers and two identifying with both roles. Additionally, two online focus groups were conducted via online peer support communities involving 11 participants in total. Interview transcripts and focus group text were analysed thematically. Results: Participants described mixed experiences across a range of treatment types, locations and intensities. Themes were: identity and discovery, (mis)communication, complexities of care, finding what works (for me), an uncertain future, and carer empowerment . Participants described community‐based psychotherapy as being critical for reducing symptoms of BPD and improving quality of life, but reported challenges at the macro and micro level with regards to costs, service access, clinician factors and client factors. Experiences were often not aligned with a recovery model of mental health. Conclusions: The current Australian mental health system is not designed to best meet the needs of people living with BPD, which remains highly stigmatised and misunderstood. Future research should consider how the system could be modified or restructured to better support recovery for these individuals and others with complex mental illness.