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Other conditions which may have similar symptoms to personality disorders or enhance personality disorder symptoms include:
Comorbidity is high amongst personality disorder patients. Regardless of the comorbidities that may exist, the personality disorder should be addressed and treated separately
Provide advice/refer/signpost patients to any of the following self-management services:
Consider referral to or signpost patient to Gloucestershire's Community Drug & Alcohol Recovery Service
The 2gether Contact Centre may be contacted for advice at any stage:
The Gloucestershire Council Social Care Helpdesk may also be contacted for support:
Consider contact with and/or referral to Mental Health Services following presentation with Red Flags or if the patient is at risk of harming themselves or others around them.
Consider referral to Mental Health Intermediate Care Team (MH ICT) for further advice/assessment/support and local services.
Contact details and referral advice for 2gether's Contact Centre, Mental Health Acute Response Service (MHARS) (formerly Crisis Resolution and Home Treatment Teams) and other mental health services that accept direct referral are available here.
Please see National & NICE Guidance section for Ongoing Primary Care Management
Recent reviews of serious incidents have identified potential system and process changes which could improve the quality and responsiveness of care for people who require secondary care mental health services.
It would be helpful if GPs could please share any information in relation to substance misuse with 2gt, particularly when a patient is injecting, as this aids clinical risk assessment and management. It is also really helpful if referrals into mental health services contain an appropriate risk assessment.
In all instances when a patient dies unexpectedly, especially if the cause of death is suspected suicide, GPs should inform 2gt as soon as possible. This will allow 2gt to quickly put in place support for those bereaved and minimise the risk of appointment letters etc. being sent to the deceased.
Contact: firstname.lastname@example.org (Assistant Director of Governance & Compliance, 2gt)