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2023 | OriginalPaper | Buchkapitel

20. Persönlichkeitsstörungen

verfasst von : Prof. Dr. med. Klaus Schmeck, Prof. Dr. med. Marcel Romanos

Erschienen in: Neuro-/Psychopharmaka im Kindes- und Jugendalter

Verlag: Springer Berlin Heidelberg

Zusammenfassung

Zur Behandlung der Kernsymptome von Persönlichkeitsstörungen sind spezifische Psychotherapieverfahren das Mittel der Wahl. Die Evidenz für eine psychopharmakologische Behandlung von Persönlichkeitsstörungen ist zwar gering, jedoch ist deren pharmakologische Behandlung weit verbreitet. In Einzelfällen können Neuro‑/Psychopharmaka sinnvoll als Komplementärtherapie zur Behandlung spezifischer Symptomdimensionen eingesetzt werden. Zum Einsatz kommen meist Stimmungsstabilisatoren und Antipsychotika der zweiten und dritten Generation. Der Einsatz von Antidepressiva ist vor allem bei Komorbiditäten aus dem internalisierenden Spektrum sinnvoll. Behandlungsansätze mit Omega-3-Fettsäuren, Opiat-Antagonisten oder Oxytocin erweitern das Behandlungsspektrum, jedoch kann auf Basis der dürftigen Datenlage derzeit keine Behandlungsempfehlung ausgesprochen werden.
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Metadaten
Titel
Persönlichkeitsstörungen
verfasst von
Prof. Dr. med. Klaus Schmeck
Prof. Dr. med. Marcel Romanos
Copyright-Jahr
2023
Verlag
Springer Berlin Heidelberg
DOI
https://doi.org/10.1007/978-3-662-65267-1_20

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