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Kinder- und Jugendmedizin 2025; 25(01): 58-62
DOI: 10.1055/a-2471-3978
Schwerpunkt

Früherkennung und -behandlung der Borderline-Persönlichkeitsstörung

Early detection and treatment of borderline personality disorder
Emanuel Feurer
1   Universitätsklinik für Kinder- und Jugendpsychiatrie und Psychotherapie Bern, Universität Bern, Schweiz
,
Michael Kaess
1   Universitätsklinik für Kinder- und Jugendpsychiatrie und Psychotherapie Bern, Universität Bern, Schweiz
2   Klinik für Kinder- und Jugendpsychiatrie, Zentrum für Psychosoziale Medizin, Universitätsklinikum Heidelberg, Deutschland
,
Marialuisa Cavelti
1   Universitätsklinik für Kinder- und Jugendpsychiatrie und Psychotherapie Bern, Universität Bern, Schweiz
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Zusammenfassung

Die Borderline-Persönlichkeitsstörung (BPS) ist durch erhebliche Schwierigkeiten in der Impuls- und Affektregulation sowie deutliche Auffälligkeiten im Selbstbild und in der Gestaltung von interpersonellen Beziehungen charakterisiert. Bis heute ist die Meinung weitverbreitet, dass die BPS erst im Erwachsenenalter diagnostiziert und behandelt werden kann. Demgegenüber stehen empirische Befunde, die zeigen, dass sich die BPS in der Regel erstmals im Jugendalter manifestiert und bereits in dieser Lebensphase zuverlässig diagnostiziert werden kann. Die frühzeitige Diagnosestellung ist Voraussetzung für die Frühintervention, die darauf abzielt, negative Langzeitfolgen (wie z. B. Schulabbruch oder soziale Isolation) für die betroffenen jungen Menschen zu verhindern. Dabei ist die Methode erster Wahl die ambulante, störungsspezifische Psychotherapie.

Abstract

Borderline Personality Disorder is characterized by significant impairments in both impulse and affect regulation alongside pronounced disturbances in self-image and interpersonal relationships. It is still widely believed that BPD should only be diagnosed and treated in adulthood. However, empirical evidence suggests that BPD typically first manifests in adolescence and can be reliably diagnosed during this stage of life. Early diagnosis is crucial for early intervention, aiming to prevent negative long-term consequences (e. g. dropping out of school or social isolation) for the affected youth. First-line treatment is outpatient, disorder-specific psychotherapy.

Schlüsselwörter

Borderline-Persönlichkeitsstörung - Adoleszenz - Früherkennung - Frühintervention

Keywords

Borderline Personality Disorder - Adolescence - Early Detection - Early Intervention


Publication History

Article published online:
10 February 2025

© 2025. Thieme. All rights reserved.

Georg Thieme Verlag KG
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