What is the role of neuroleptics in the treatment of borderline personality disorder (BPD)?

Updated: Nov 05, 2018
  • Author: Roy H Lubit, MD, PhD; Chief Editor: Caroly Pataki, MD  more...
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Answer

Low-dose neuroleptics are effective in the short term for control of transient psychotic symptoms, as well as agitation. Antipsychotic agents have long been used to control impulsivity and aggression in patients with BPD, though SSRIs are preferred because of their more benign adverse effect profile. If the use of an antipsychotic agent is necessary, butyrophenones should be avoided in favor of atypical agents such as risperidone. [31, 32, 33]


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