Title |
Experiences of women in secure care who have been prescribed clozapine for borderline personality disorder
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Published in |
Borderline Personality Disorder and Emotion Dysregulation, October 2016
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DOI | 10.1186/s40479-016-0049-x |
Pubmed ID | |
Authors |
Geoffrey L. Dickens, Catherine Frogley, Fiona Mason, Katina Anagnostakis, Marco M. Picchioni |
Abstract |
Clozapine is an atypical antipsychotic medicine which can cause significant side-effects. It is often prescribed off-license in severe cases of borderline personality disorder contrary to national treatment guidelines. Little is known about the experiences of those who take clozapine for borderline personality disorder. We explored the lived-experience of women in secure inpatient care who were prescribed clozapine for borderline personality disorder. Adult females (N = 20) participated in audio-taped semi-structured interviews. Transcripts were subject to thematic analysis. The central themes related to evaluation, wellbeing, understanding and self-management; for many, their subjective wellbeing on clozapine was preferred to prior levels of functioning and symptomatology, sometimes profoundly so. The negative and potentially adverse effects of clozapine were explained as regrettable but relatively unimportant. When psychological interventions are, at least initially, ineffective then clozapine treatment is likely to be evaluated positively by a group of women with borderline personality disorder in secure care despite the potential disadvantages. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 5 | 56% |
Canada | 1 | 11% |
United Kingdom | 1 | 11% |
Unknown | 2 | 22% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 7 | 78% |
Scientists | 1 | 11% |
Practitioners (doctors, other healthcare professionals) | 1 | 11% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 28 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 4 | 14% |
Other | 2 | 7% |
Student > Bachelor | 2 | 7% |
Researcher | 2 | 7% |
Student > Postgraduate | 2 | 7% |
Other | 5 | 18% |
Unknown | 11 | 39% |
Readers by discipline | Count | As % |
---|---|---|
Psychology | 6 | 21% |
Medicine and Dentistry | 4 | 14% |
Nursing and Health Professions | 3 | 11% |
Unspecified | 1 | 4% |
Pharmacology, Toxicology and Pharmaceutical Science | 1 | 4% |
Other | 1 | 4% |
Unknown | 12 | 43% |