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Tijdschrift voor Psychiatrie 63 (2021) 9, 679 - 683

Klinische Praktijk

Lifestyle interventions for patients with personality disorder

C.G. Kooiman

It has been known for some time that patients with severe mental disorders often suffer from somatic comorbidity and that they have a shorter life expectancy. However, also patients with personality pathology often suffer from a poorer somatic health associated with a shorter life expectancy. In daily practice a poor somatic condition in these patients seems often due to a maladaptive life style. Moreover, clinical evidence suggests that a maladaptive life style hinders a good outcome of the (psychotherapeutic) treatment. In this article I present a brief review of the literature, describe three fictitious cases and give suggestions how to diagnose and intervene on a maladaptive life style. One had to take in account that a maladaptive life style often is used as a coping mechanism to combat one’s difficulties.