Citation

Chivers DJ, Shaffiullah M. Case Rep. Psychiatry 2022; 2022.

Copyright

(Copyright © 2022, Hindawi Publishing)

DOI

10.1155/2022/7097189

PMID

unavailable

Abstract

There are currently no licensed pharmacological treatments for Emotionally Unstable Personality Disorder. This case report describes a 50-year-old male who two years previously had been brought to the attention of psychiatric services following an overdose with intention to end his life. He was subsequently diagnosed with Emotionally Unstable Personality Disorder (EUPD) and, following further suicide attempts and trials of mainstream pharmacological treatments, responded to flupenthixol IM 20 mg fortnightly, experiencing complete remission from his suicidal ideation. Clinicians should be aware of EUPD presenting in later life and should consider the role of typical antipsychotics, including flupenthixol, in the treatment of suicidal ideation in patients with EUPD. Age-specific guidance on EUPD management would be of use to clinicians, especially in the management of older patients, as current guidance is based on findings within a narrow age group. © 2022 Daniel J. Chivers and Mohammed Shaffiullah.

Language: en

Keywords

adult; human; male; case report; insomnia; suicidal ideation; suicide attempt; emotional disorder; personality disorder; clinical article; drug intoxication; sertraline; automutilation; quetiapine; impulsiveness; middle aged; flupentixol; treatment refusal; lorazepam; zolpidem; dialectical behavior therapy; Article; promethazine; emotionally unstable personality disorder