Hello! I’m a psych resident in the UK and thought today to check the legal framework for involuntary admissions in NY out of curiosity. That brought up another question:
How do US based psychiatrists manage BPD usually? Do you have the same problem of “revolving door” patients (insensitive nickname, but unfortunately accurately descriptive) with BPD who get involuntarily admitted because they’re self-harming/suicidal/swallowing foreign bodies, then discharged from hospital, then readmitted a couple of days later with the same problem? Do you also have BPD patients who fight tooth and nail to stay in hospital (usually by self-harming or threatening suicide), because they don’t feel safe on their own or at times don’t feel they’re being taken seriously if they’re discharged?
Curious how different the situation is and why, if indeed it’s any different at all