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Evidence-Based Reviews
A clinical approach to pharmacotherapy for personality disorders
Current Psychiatry. 2021 April;20(4):26-32 | doi:10.12788/cp.0112
Donald W. Black, MD Professor Emeritus Department of Psychiatry University of Iowa Carver College of Medicine Staff Psychiatrist Iowa City Veterans Administration Medical Center Iowa City, Iowa
Disclosure Dr. Black is a consultant to Otsuka. He is an Associate Editor for Current Psychiatry.
Although psychotherapy is the first-line treatment and no medications are FDAapproved for treating personality disorders (PDs), there has been growing interest in using psychotropic medication to treat PDs. Strategies for pharmacotherapy include targeting comorbid disorders, PD symptom dimensions, or the PD itself. Choice of medication can be based on the similarity of the PD with another disorder known to respond to medication.