Commentary: Bringing together lived experience, clinical and research expertise – a commentary on the May 2022 debate (should CAMH professionals be diagnosing personality disorder in adolescence?)

Samantha Hartley, Charley Baker, Michael Birtwhistle, Jennifer L. Burgess, Eleanor Chatburn, Laurence Cobbaert, Maddie Howley, Charlotte Huggett, Charlie MacKenzie-Nash, Alice Newton, Sarah Parry, Jee Smith, Christopher D.J. Taylor, Peter James Taylor, Robyn Timoclea

Research output: Contribution to journalComment/debatepeer-review

13 Citations (Scopus)
1 Downloads (Pure)


Background: There is a wealth of evidence to suggest that the Borderline Personality Disorder (BPD, or similar Emotionally Unstable Personality Disorder, EUPD) construct is harmful. We provide a commentary on the ideas expressed in the May Debate issue, highlighting both concerns and alternatives. Method: We bring together lived experience, clinical and research expertise. This commentary was written collaboratively drawing on all these sources of evidence. Results: We outline evidence that the BPD construct is invalid, harmful, not necessary for effective treatment and a potential block to the development and evaluation of alternatives. Conclusions: We ask readers to consider these concerns, perspectives and ideas.

Original languageEnglish
Pages (from-to)246-249
Number of pages4
JournalChild and Adolescent Mental Health
Issue number3
Early online date22 Jul 2022
Publication statusPublished - 1 Sep 2022


  • adolescence
  • Borderline
  • mental health
  • personality disorder

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