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Personality disorder not otherwise specified heterogeneity and its implication in psychiatric residential treatment

Published online by Cambridge University Press:  13 August 2021

L. Bailo ,
P. Vimercati ,
M. Caslini ,
S. Damiano  and
E. Pellegrini
L. Bailo
Affiliation:
Comunità Psichiatrica Villa Ratti, Società cooperativa sociale IL VOLO-Onlus, Monticello Brianza, Italy
P. Vimercati
Affiliation:
Comunità Psichiatrica Villa Ratti, Società cooperativa sociale IL VOLO-Onlus, Monticello Brianza, Italy
M. Caslini
Affiliation:
Comunità Psichiatrica Villa Ratti, Società cooperativa sociale IL VOLO-Onlus, Monticello Brianza, Italy
S. Damiano*
Affiliation:
Comunità Psichiatrica Villa Ratti, Società cooperativa sociale IL VOLO-Onlus, Monticello Brianza, Italy
E. Pellegrini
Affiliation:
Comunità Psichiatrica Villa Ratti, Società cooperativa sociale IL VOLO-Onlus, Monticello Brianza, Italy
*
*Corresponding author.

Abstract

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Introduction

Villa Ratti is a therapeutic community dedicated to the treatment of Personality Disorder with a particular focus on Borderline Personality Disorder (BPD), but this diagnosis may manifest in very different clinical conditions (Bayer & Parker, 2017; Scott, 2017).

Objectives

Since the second most common diagnosis we encounter from referring psychiatrists is Personality Disorder Not Otherwise Specified (PDNOS) (26,4%) and this diagnosis serves sometimes as a skeleton key for complex or unclear diagnostic scenarios (Verheul & Widiger, 2004), our main goal is to investigate how the variability within this category is reflected in terms of diagnostic accuracy, different development of the therapeutic and rehabilitative course, and of different outcomes at the end of the treatment.

Methods

To reach this goal, we collected data on all patients referred with a PDNOS diagnosis and compared their treatment program. scenarios.

Results

Our data showed how a PDNOS diagnosis hid in most cases complex personality disorders and comorbidities that reflected different specific difficulties and interventions during their treatment and, consequently, resulted in different outcomes.

Conclusions

Our experience led us to give additional attention to referred PDNOS diagnosis and to observe how much a clear diagnostic picture of a patient is crucial to correctly plan a treatment program and adapt local service interventions both for personality disorder and comorbidity

Keywords

PDNOSTherapeutic CommunityDiagnostic agreement
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S234
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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