Zur Differenzialdiagnose psychotischer Symptome bei Jugendlichen und jungen Erwachsenen mit Borderlinestörungen

Gerhard Dammann; Marc Walter

doi:10.1055/s-2003-42163

Psychiatrische Praxis, Table of Contents

Psychiatr Prax 2003; 30(6): 304-311
DOI: 10.1055/s-2003-42163

Originalarbeit

Zur Differenzialdiagnose psychotischer Symptome bei Jugendlichen und jungen Erwachsenen mit Borderlinestörungen

Differential Diagnosis of Psychotic Symptoms in Adolescents and Young Adults with Borderline Personality DisorderGerhard Dammann¹ , Marc Walter¹

¹Psychiatrische Universitätsklinik Basel

Abstract

Zusammenfassung

Anliegen: Die Arbeit gibt einen Überblick über die Differenzialdiagnose zwischen Borderlinepersönlichkeitsstörungen (BPS) und schizophrenen Erkrankungen bei Jugendlichen und jungen Erwachsenen mit psychotischen Symptomen. Methode: Dazu wurden die relevanten, insbesondere psychodynamischen Publikationen analysiert und mit klinischen Erfahrungen verbunden. Ergebnisse: Die differenzialdiagnostische Einordnung psychotischer Symptome in dieser Altersklasse ist nicht einfach, insbesondere, wenn Störungskriterien noch nicht voll erfüllt sind. Differenzialdiagnostische Hinweise, die für eine schwerwiegende Anpassungsstörung, eine Borderlinestörung oder eine Schizophrenie sprechen können sowie spezifische diagnostische Schwierigkeiten werden in der Arbeit dargestellt. Schlussfolgerungen: Eine minutiöse differenzialdiagnostische Einordnung weist erhebliche Konsequenzen für die Art der Behandlung auf.

Abstract

Objective: This paper reviews findings and problems of differential diagnosis between Borderline personality disorders and schizophrenic illness in adolescents and young adults with psychotic symptoms. Method: Therefore relevant especially psychodynamically oriented publications were analysed and related to clinical experiences. Results: Differential diagnostic classification of psychotic symptoms in this age group is difficult, especially when disorder criteria are not yet completely met. Differential diagnostic hints which can indicate severe adjustment problems, Borderline personality disorder and schizophrenia as well as specific diagnostic difficulties are presented in this paper. Conclusions: Well-reasoned differential diagnosis reveals significant findings for treatment options.

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References

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Dr. med. Dipl.-Psych. Gerhard Dammann

Psychiatrische Universitätsklinik

Wilhelm-Klein-Straße 27

4025 Basel · Schweiz

Email: gerhard.dammann@pukbasel.ch