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Personality disorder integrated care pathway
Medication

Please update your RDS mobile app to version 4.7.1

We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. When you install the update, you will see that each toolkit has a small QR code icon the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.

You may need to actively install the update to install RDS app version 4.7.1 to see this improvement. Installing this update is also strongly recommended to get the full benefits of the new contingency arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits.

To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:

On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.

On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.

Please get in touch with ann.wales3@nhs.scot with any questions.

Introduction

No drugs are licensed for the treatment of personality disorder in the UK and evidence for efficacy of drug treatment is scarce. Inappropriate use of medication can impede development of personal responsibility for recovery, impair functioning and contribute to a sense of pessimism when progress does not occur.

The only treatments with evidence of effectiveness in the treatment of personality disorder are psychosocial interventions. When drug treatment is used, it should be as an adjunct to psychosocial interventions. Medication should be avoided as the primary or sole treatment of personality disorder.

When prescribing any medication, please consult the relevant generic guidance on monitoring for adverse effects, maintaining a record of medication, prescribing off-license, and prescribing in pregnancy and breastfeeding. In particular, be aware of guidance cautioning against the use of Valproate in women of child-bearing age.

Medication for physical disorders

Medication for co-occurring mental illness

Medication for personality disorder

References