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Clinical Crossroads Update
February 26, 2003

A 44-Year-Old Woman With Borderline Personality Disorder, 1 Year Later

Author Affiliations

From the Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Ave, LY318, Boston, MA 02215.

JAMA. 2003;289(8):1026. doi:10.1001/jama.289.8.1026

At Psychiatry Grand Rounds in September 2001, John M. Oldham, MD, discussed a 44-year-old woman with borderline personality disorder.1 Ms J reported an extensive psychiatric and comorbid medical history with numerous, prolonged hospitalizations. At the time of the conference, Ms J had made tremendous strides with a marked reduction in the number of hospitalizations and medications she required. She attributed her improvement to a good working relationship with her therapist and a dialectical behavior therapy (DBT) skills training group.