Agitated behaviour and poor coping skills in a patient with Borderline Personality Disorder who resided on a forensic psychiatry unit were treated using cognitive-behavioural and pharmacological interventions derived from a multimodal assessment. While a medication regime led to partial clinical improvement, the addition of interventions derived from the multimodal assessment over 9 wk. led to sufficient improvement in agitated behaviour, suicidal ideas and behaviour, and frequency of seclusions to allow transfer to the rehabilitation unit. Further supportive treatment led to continued improvement on these measures and to reduction in use of requested medication.
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